Literature Review Of Advanced Practice Nursing

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Chapter 2


Background theories

In a global environment, a company must choose and own a core business strategy to excel - i.e. competency mapping. (Wasalwar, 2011) If companies have a list of clearly defined roles and competencies for all their job requirements, these can be used for promotions, placements and training needs analysis of key positions. (Uddin, 2012) In most hospitals, these key positions belong to the Medical Director, the Chief Nurse or Nurse Manager and the Hospital Administrator. A clearly defined and delineated competency set of knowledge, attitude and skills or KAS for these positions can strengthen a hospital 's positioning in a global market.

Historically, competence is regarded as a
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Historically, there is a lack of international agreement on the definition of advanced practice nursing and its core competencies. Despite the lack of consensus, however, there is an ongoing process globally to establish and outline the standards and competencies needed by nurses worldwide. The International Council of Nurses developed an international competency map based on key documents and used the qualitative approach to identify common traits among documents and countries. A hundred nineteen (119) journal articles were reviewed to analyze advanced practice nursing competencies on top of 97 documents from grey literature that were related to nursing competency…show more content…
Competencies can be mapped so that training content can be dovetailed with the desired skills

In Asia, particularly in Nepal, a study was conducted on hospital managers using the Senior Management Service Competency Framework and the most valued self-assessed competencies were honesty, integrity, service delivery innovation, communication and information. The least valued attributes are program and project management and knowledge management. As managers, the most valued skills were strategic capability and leadership, and human resource management and empowerment. (Khadka, Gurung, Chaulagain, 2014)

In Malaysia, a study has revealed that leadership competencies of management as well as the organizational culture of service firms have on impact of the level of customer service. If management listens to the staff, recognizes and rewards performance, it creates a culture where employees also respond to customers positively and this in turn also adds to the company 's bottom line (Asree, Zain, & Razalli,

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