International journal of Nursing Science Practice and Research
Nursing Critical Care: Competency Based Training
Abstract
In this era of fast developing industries, requirement of skilled professional has also gone up.Many new hospitals in private health sector are developing; always there is shortage ofdoctors and trained nurses. Nursing colleges are producing nurses; however they are stillless in number and most of them are not well versed with critical or emergency care due todeficiency of such teaching and training programs across most of India. Main reason of suchdeficiency is lack of competency based training in the system and shortage of well trainedteachers. Nurses are doing their best in patient care but due to lack of special trainingprogramme regarding critical care/BLS and ACLS (Advanced cardiac life support)/ATLS(Advanced trauma life support) they cannot provide timely, safe, effective and efficientpatient-centered care. Critically ill and injured persons receive care from experts and multi-professional teams; they use knowledge, technology and compassion to provide patient-centered care. It is a very important fact that nurses play a very important role in patientcare after doctor has seen the patient and directed the treatment, in routine cares. If a patientbecomes serious at any time and at that time emergency doctor is busy or unable to attendthe case immediately, a trained nurse can take the necessary basic measures to rescue thepatient in case of arrest, till further help could arrive. This is possible only when the nursingstaff is trained and competent. This is where we are deficient to consideration extent in ourcountry. Saving of life in such emergency is the most noble and required task. This is possibleonly through special competency based training programs in all nursing colleges.Competency based training is a style of education that focuses on what we can achieve in theworkplace after completing a course. These types of training programs/workshops have wellestablished in foreign countries many years earlier. It is high time for us to implement suchprograms across the country this will serve to save lives of many patients who land up inarrest in emergency room (ER) or intensive care unit (ICU) and each minute is counted.Competencies are a method for describing the knowledge, skills, attitudes, and behaviorexpected of specialists in terms of what they are able to do. The National Organization ofNurse Practitioner Faculties has developed a national program of competencies that includesdiagnostic algorithms and treatment based on protocols, and many of the competencies arecentered on management of acutely ill or physiologically unstable patients. So, nationalregulatory bodies for nurses have to start or modify their training programs from syllabus-based to competency based in the workplace.References (101)
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