The impact of professionalism on the assessment of clinical competence
Critical Comparative Nursing Assessment (CCNA) is a Grounded Theory explaining how decisions about practice competence are formulated. This theory emerged as an outcome of research undertaken to discover how practice competence was determined for completing Bachelor of Nursing students. The study revealed that comparative assessment was central to determining competence. This involves a process of gathering, benchmarking, using comparative decision making to weigh assessment outcomes, and validation of professional judgement. While presenting a summary of the theory, this presentation will focus on the impact of professionalism on the assessment of clinical competence. This will highlight the influence of subjective information and the impact this may have on competency assessment outcomes. The presentation will explore how professional judgement and processes surrounding the assessment of competence may be managed to avoid compromising the assessment process. While this study was initially designed to investigate how student nurse competence was assessed, results have relevance to the assessment of students in other health professions. This presentation will be of interest to people involved in the assessment of clinical skills and competence in practice, and professional decision making.