Step 0: Collect relevant literature and white papers that cover most of the central concepts or most important theories specific to the theme of your workgroup. Step 1: Identify the theme specific concepts or theories in the collected literature/white papers. Step2: Summarize these concepts or theories in concrete aspects: - what are the main outcomes ( how do patients, family and other carers benefit)? - how do these outcomes come about? What must nurses do to realize these outcomes? (intervention level) - what is the context that facilitates this to happen and what are the necessary conditions? Literature Literature Literature Literature Outcomes= Desirable developments How do professionals realize these Desirable outcomes Context= Conditions and Necessities for actualization Gaps and opportunities, possibilities or potentials What How Where (to reckon with) Challenges Concept or theory Concept or Theory Concept or theory Figure 1 Step 3: see figure 2 For every concept or theory differentiated into the above components we then try to connect the what, how, where with competences: sometimes they will be related to the knowledge component (for instance the knowledge of specific interventions necessary to realize an outcome), sometimes they will be more related to practical skills ( for instance the skills to apply specific interventions) and sometimes they will be associated with the emotional and the empathetic quality of the communication in which a certain approach is embedded. There may be more than one outcome associated with a concept or theory and also more than one intervention. That’s why in figure 2 there are rows for outcome 1, outcome 2 etc. Literature Literature Literature Literature Outcomes= Desirable developments How do professionals realize these Desirable outcomes Context= Conditions and Necessities for actualization Gaps and opportunities, possibilities or potentials What will be realized How will it be realized Where do professional have to reckon with? What are the challenges? Outcome1:……… …………………… …………………… …………………… Knowledge:……… …………………… …………………… Skills:……………… …………………… …………. Emotional Int/attitudes:……… …………………….. intervention1:… ………………… ………………… ………………… Knowledge:…… ………………… ………………… Skills:………… ………………… …………………. Emotional Int/attitudes:… ………………… ……….. Context1:………… …………………… …………………… …… Knowledge:……… …………………… ……………………. Skills:……………… …………………… …………. Emotional Int/attitudes:……… …………………….. Outcome2:……… …………………… …………………… …………………… Knowledge:……… …………………… …………………. Skills:……………… …………………… …………. Emotional Int/attitudes:……… …………………….. Intervention2:… ………………… ………………… ………………… Knowledge:…… ………………… ………………… Skills:………… ………………… …………………. Emotional Int/attitudes:… ………………… ……….. Context2:………… …………………… …………………… …… Knowledge:……… …………………… ……………………. Skills:……………… …………………… …………. Emotional Int/attitudes:……… …………………….. Outcome3::……… …………………… …………………… …………………… ……………………. Knowledge:……… …………………… Intervention3:… ………………… ………………… ………………… ………… Knowledge:…… ………………… Context3:………… …………………… …………………… …………………… ……………… Knowledge:……… …………………… Concept or Theory Competences: -Knowledge -Skills -Emotional Intelligence and Attitudes Knowledge Skills Emotional Intelligence/attit udes …………………… Skills:……………… …………………… …………. Emotional Int/attitudes:……… …………………….. …………………… ….. ………………… Skills:………… ………………… …………………. Emotional Int/attitudes:… ………………… ……….. ……………………. Skills:……………… …………………… …………. Emotional Int/attitudes:……… …………………….. Figure 2 So we have then a theoretical critical input for our literature review in two ways: the one mentioned above and the emotional intelligence focus in thinking about competences. I proposes to adopt the ideas formulated in Freshwater & Stickley ( 2004). The heart of the art: emotional intelligence in nurse education. Nursing Inquiry, 11(2): 91-98 ( Theo sent it us as attachment) as framework for our concept of competences in which we distinguish the propositional knowledge, the practical skills and the emotional intelligence. I think that the emotional intelligence will foremost have an impact on the communication of professionals with patients. How to link this with the differentiated concepts is something I leave to every partner to decide on, but base yourself on Freshwater & Stickley (and complementary: Dusseldorp et al: see attachment). Step 4: Compare the content with findings from the stakeholders (workpackage 3). Knowledge Skills Emotional Intelligence/attit udes Outcome1:……… …………………… …………………… …………………… Knowledge:……… …………………… …………………… Skills:……………… …………………… …………. Emotional Int/attitudes:……… …………………….. intervention1:… ………………… ………………… ………………… Knowledge:…… ………………… ………………… Skills:………… ………………… …………………. Emotional Int/attitudes:… ………………… ……….. Context1:………… …………………… …………………… …… Knowledge:……… …………………… ……………………. Skills:……………… …………………… …………. Emotional Int/attitudes:……… …………………….. Findings from stakeholders Figure 3 Step 5: What follows as next step is a selection and prioritizing of the content. How the selection can be done, we must still reflect on. Step 6: I suggest that the prioritized content will only be then (as final step) matched with pedagogical principles that we will gain from the nursing educational theory and theories about levels of learning. This is what I would propose the step that follows on the review.