References

2021. https://tinyurl.com/3r3rzzdb (accessed 11 July 2022)

Bastable SBBurlington (MA): Jones and Bartlett Learning; 2014

Benner PMenlo Park (CA): Addison-Wesley; 1984

Biggs J, Tang C, 4th edn. Maidenhead: McGraw-Hill/Society for Research into Higher Education/Open University Press; 2011

Blue L, Lang E, McMurray JJV Randomised controlled trial of specialist nurse intervention in heart failure. BMJ. 2001; 323:(7315)715-718 https://doi.org/10.1136/bmj.323.7315.715

Boritz JE, Carnaghan CA Competency based education and assessment for the accounting profession: a critical review. Can Account Perspect. 2003; 2:(1)7-42 https://doi.org/10.1506/5K7C-YT1H-0G32-90K0

Conrad N, Judge A, Tran J Temporal trends and patterns in heart failure incidence: a population-based study of 4 million individuals. Lancet. 2018; 391:(10120)572-580 https://doi.org/10.1016/S0140-6736(17)32520-5

Cooper MA, McDowell J, Raeside L The similarities and differences between advanced nurse practitioners and clinical nurse specialists. Br J Nurs. 2019; 28:(20)1308-1314 https://doi.org/10.12968/bjon.2019.28.20.1308

Dreyfus SE, Dreyfus HLBerkeley (CA): Operation Research Centre, University of California, Berkeley; 1980

Donald F, Martin-Misener R, Carter N A systematic review of the effectiveness of advanced practice nurses in long-term care. J Adv Nurs. 2013; 69:(10)2148-2161 https://doi.org/10.1111/jan.12140

Epstein RM Assessment in medical education. N Engl J Med. 2007; 356:(4)387-396 https://doi.org/10.1056/NEJMra054784

Franklin N, Melville P Competency assessment tools: an exploration of the pedagogical issues facing competency assessment for nurses in the clinical environment. Collegian. 2015; 22:(1)25-31 https://doi.org/10.1016/j.colegn.2013.10.005

Gee C, Andreyev J, Muls A Developing advanced clinical practice skills in gastrointestinal consequences of cancer treatment. Br J Nurs. 2018; 27:(5)237-247 https://doi.org/10.12968/bjon.2018.27.5.237

Health Education England. 2017. https://tinyurl.com/35xhx9fv (accessed 7 July 2022)

Ilic D Assessing competency in Evidence Based Practice: strengths and limitations of current tools in practice. BMC Med Educ. 2009; 9:(1) https://doi.org/10.1186/1472-6920-9-53

Khan K, Ramachandran S Conceptual framework for performance assessment: competency, competence and performance in the context of assessments in healthcare:deciphering the terminology. Med Teach. 2012; 34:(11)920-928 https://doi.org/10.3109/0142159X.2012.722707

Kerr L, Macaskill A The journey from nurse to advanced nurse practitioner: applying concepts of role transitioning. Br J Nurs. 2020; 29:(10)561-565 https://doi.org/10.12968/bjon.2020.29.10.561

Landers MG, O'Mahony M, McCarthy B A theoretical framework to underpin clinical learning for undergraduate nurses. Nurs Sci Q. 2020; 33:(2)159-164 https://doi.org/10.1177/0894318419898167

Leary A, Maclaine K, Trevatt P, Radford M, Punshon G Variation in job titles within the nursing workforce. J Clin Nurs. 2017; 26:(23-24)4945-4950 https://doi.org/10.1111/jocn.13985

Lowe G, Plummer V, O'Brien AP, Boyd L Time to clarify: the value of advanced practice nursing roles in health care. J Adv Nurs. 2012; 68:(3)677-685 https://doi.org/10.1111/j.1365-2648.2011.05790.x

Lyneham J, Parkinson C, Denholm C Explicating Benner's concept of expert practice: intuition in emergency nursing. J Adv Nurs. 2008; 64:(4)380-387 https://doi.org/10.1111/j.1365-2648.2008.04799.x

Masters J, Barton C, Blue L, Welstand J Increasing the heart failure nursing workforce: recommendations by the British Society for Heart Failure Nurse Forum. British Journal of Cardiac Nursing. 2019; 14:(11)1-12 https://doi.org/10.12968/bjca.2019.0109

Rischel V, Larsen K, Jackson K Embodied dispositions or experience? Identifying new patterns of professional competence. J Adv Nurs. 2008; 61:(5)512-521 https://doi.org/10.1111/j.1365-2648.2007.04543.x

Royal College of Nursing. 2020. https://tinyurl.com/yc3c3n9e (accessed 7 July 2022)

International Council of Nursing. 2020. https://tinyurl.com/5a7yddsa (accessed 7 July 2022)

Wilkinson CA Competency assessment tools for registered nurses: an integrative review. J Contin Educ Nurs. 2013; 44:(1)31-37 https://doi.org/10.3928/00220124-20121101-53

Yanhua C, Watson R A review of clinical competence assessment in nursing. Nurse Educ Today. 2011; 31:(8)832-836 https://doi.org/10.1016/j.nedt.2011.05.003

Developing the Heart Failure Specialist Nurse Competency Framework

21 July 2022
10 min read
Volume 31 · Issue 14

Abstract

Abstract

The aim of this article is to outline the underpinning conceptual principles of advanced nursing and competency embedded in the Heart Failure Specialist Nurse Competency Framework, launched in January 2021. The authors refer to Benner's novice to expert pedagogy and explore how this provides a robust framework on which to assess the progress of the heart failure specialist nurse. Some key considerations are discussed, for example the importance of constructive feedback and feed-forward in the individual's learning cycle. Finally, plans for the future are discussed and the importance of evaluation in the authors’ ongoing commitment to improving the learning experience.

Since the seminal work by Lynda Blue et al (2001), evidencing the benefits of heart failure specialist nurses (HFSNs) in improving patient outcomes, the management and care of heart failure has become more advanced and complex. With an ageing population, the prevalence of patients with heart failure is increasing, along with the demand for resources to manage care (Conrad et al, 2018). Despite this increase in the number of people diagnosed with heart failure, the number of heart failure nurses to manage demand has remained static (Masters et al, 2019). The development of the Heart Failure Specialist Nurse Competency Framework (Barton et al, 2021) was in recognition of the need to provide a standardised educational pathway that is flexible and that enables and supports HFSNs to become confident and accountable practitioners in an ever-changing healthcare economy.

Register now to continue reading

Thank you for visiting British Journal of Nursing and reading some of our peer-reviewed resources for nurses. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Limited access to clinical or professional articles

  • Unlimited access to the latest news, blogs and video content