Implementing staff development specialist competencies Assessing the clinical competency of healthcare professionals is, arguably, the center of attention for many managers and educators. Staff development specialists are responsible for developing clinical competency programs and assisting with their implementation. But what about assessing the competency of staff educators? Historically, there has been little research undertaken or published that deals with the competency of staff development specialists. This deficit inspired Barbara A. Brunt, MA, MN, RN-BC, director of nursing education and staff development at Summa Health System in Akron, OH, to conduct research for the purpose of identifying and implementing a competency program for staff educators. The starting point was participation on a project conducted jointly by the National Nursing Staff Development Organization (NNSDO) and the American Nurses Association Council on Continuing Education and Staff Development Task Force on Advanced Practice. The purpose of this collaborative effort was to identify advanced competencies in continuing education and staff development. Data were obtained using a Delphi study technique. A series of questions regarding advanced professional development competencies were sent to nurses certified in continuing education and professional development. A panel of experts reviewed responses and -eventually identified 63 advanced practice competencies. Brunt, however, wanted to identify competencies for all levels of staff development practitioners. “I reviewed the literature and came up with some basic competencies,” says Brunt. “But these had no performance criteria and were all subjective. I did a pilot study to validate a method to identify performance criteria for 10 competency statements. I got lots of feedback from participants, who were nurses certified in continuing education and professional development.” Brunt was able to identify a total of 109 competency statements. “Obviously, these were too many,” she says. “Over a period of several years, I consolidated and grouped competencies and performance criteria based on feedback from participants.” Brunt was able to get some financial help in the form of grants from the NNSDO, the Ohio Nurses Foundation, and the Delta Omega chapter of Sigma Theta Tau. She also paid for a significant part of the research herself. (For a summary of key points of the study, see “Overview of the research study” below.) Brunt eventually identified 72 competency statements and placed them in a framework according to Benner’s novice-to-expert continuum. Brunt is quick to point out that educators are not expected to achieve all 72 competencies. “The reason I used Benner’s framework was to group competencies according to level of experience,” she says. “A new educator certainly can’t be expected to achieve advanced competencies.” Brunt began implementing the competencies in 2004–2005 and says her staff members tell her that use of these competencies make sense. They believe that the competencies provide structure and consistency for the performance evaluation process. Overview of the research study Starting point: Advanced Practice Report (National Nursing Staff Development Organization, 1997), outlining 63 advanced practice competencies in continuing education and staff development Development of a self-assessment tool with 116 basic and advanced competencies Completion of a pilot study to validate a method to identify performance criteria for 10 competency statements Nine additional studies completed to identify performance criteria for a total of 109 competency statements Validation of survey results for 25 competencies by a group of academic educators Consolidation and grouping of competencies and performance criteria using American Nurses Association standards, Harden’s model, and Benner’s framework Testing of researchers’ “novice” to “expert” categorization with a group of local and national staff development educators Development of final Nursing Professional Development Educator Competency Tool Implementing the competencies Brunt began using the competencies she identified in her extensive research conducted in 2006 in a twofold process. First, she identified two competencies that all instructors were expected to achieve. The competencies dealt with presentation skills and a specific procedural skill related to teaching nursing staff members how to use the automated external defibrillator. Brunt selected these competencies because they were relevant to all educators and provided a good starting point from which to initiate the competency process. The following year, she selected competencies dealing with quality of instruction and quality of documentation of educational events. Each pair of competencies is assessed on alternate years. Thus, the staff development competency assessment stems from skills that all instructors, regardless of their staff development experience, are expected to achieve. The second aspect of competency assessment is based on an ongoing evaluation process. “The expectations of a new educator differ from those of a seasoned instructor,” says Brunt. “Higher-level competencies are used to evaluate the job performance of more experienced instructors. New instructors are evaluated on the more basic competencies.” During the evaluation process, goals are identified based on more advanced competencies. “Instructors have a copy of the complete competency tool,” says Brunt. “We talk about what they are expected to achieve. It is a practical way of evaluating expertise and facilitating a mutual goal-setting process.” The competency process “provides a comprehensive view of the staff development role,” she says. “It clarifies roles and responsibilities and provides guidance for both novice and expert. It provides structure, objectivity, and consistency.” Brunt has published her research findings (Brunt, 2007) to add to the body of staff development knowledge. You can view a sample portion of the competencies on page 4 of this document. The American Nurses Association is using Brunt’s book as a resource for the next edition of Scope and Standards of Practice for Nursing Professional Development, due out for public review and comment in June. Brunt believes that her work will help facilitate evidence-based practice (EBP) in staff development, a process that promotes ongoing assessment and improvement of the education department’s effectiveness (Avillion, 2007). “I believe that the trend toward EBP in staff development is important,” she says. “We must ensure that whatever strategies we use are evidence-based and lead to improved practice.” References Avillion, A.E. (2007). Evidence-Based Staff Development: Strategies to Create, Measure, and Refine Your Program. Marblehead, MA: HCPro, Inc. Benner, P. (1984). From Novice to Expert: Excellence and Power in Clinical Nursing Practice. Menlo Park, CA: Addison-Wesley. Brunt, B. (2007). Competencies for Staff Educators: Tools to Evaluate and Enhance Nursing Professional Development. Marblehead, MA: HCPro, Inc. Source: Adapted from The Staff Educator, May and June 2009, HCPro, Inc. Sample staff development competencies “Doing the Right Thing” Competencies - Educator Role if comp met 1. Designs and revises educational activities: a. Plans education activities based on assessment data b. Develops objectives that are relevant, realistic, and measurable c. Incorporates teaching/learning strategies to address identified needs and goals d. Identifies qualified faculty for educational activities e. Uses up-to-date and accurate resources/materials in presentation f. Revises activities based on evaluation data g. Ensures required paperwork is completed to comply with agency or other regulatory requirements 2. Uses a variety of teaching strategies and audiovisuals: a. Bases audiovisuals on the size of the group, setting, and equipment available b. Selects teaching methodology on desired learning outcome(s), learner needs, and environmental constraints c. Ensures audiovisuals are easily read, attractively designed, and have current content d. Uses a variety of teaching strategies to get learners actively involved e. Ensures audiovisual equipment is operational, troubleshooting as necessary f. Promotes critical thinking, application, and synthesis of knowledge g. Evaluates the effectiveness of teaching strategies during and after the presentation Source: Competencies for Staff Educators: Tools to Evaluate and Enhance Nursing Professional Development. By Barbara Brunt, MA, MN, RN-BC. Published by HCPro, Inc. For more information, visit www.hcmarketplace.com/prod-4940/Competencies-forStaff-Educators.html.