Facilitators and barriers to the national implementation of a nursing competency framework: A multicenter descriptive study

Abstract

<h2>Abstract</h2> Although multiple nursing competency frameworks have been proposed, the literature on their implementation to support nurses' professional development is sparser. If the complexity of practice creates a need for context-sensitive competency frameworks, their implementation may also be subject to local contingencies. This descriptive qualitative study aimed to describe the facilitators and barriers to implementing a competency framework to support nurses' self-assessment in Quebec, Canada, in 2019–2021. Administrators, educators, and nurses (<i>n</i> = 58) from the 12 participating hospitals took part in virtual group interviews to discuss their implementation experience, including the impact of the pandemic, and suggest ways to improve the process. Data were subjected to thematic analysis. Findings were grouped into five themes: 1) finding the "right unit" despite an unfavorable context; 2) taking and protecting time for self-assessment; 3) creating value around competency assessment; 4) bringing the project as close to the nurses as possible; 5) making the framework accessible. Promoting the benefits and dedicating work time for nurses' self-assessment using the competency framework are crucial strategies for creating a continuous learning culture. In addition, implementing the competency framework at a national scale can increase its value for stakeholders and the impact of knowledge mobilization strategies.