From Chaos to Competency: Implementing a New Competency Model in a Multihospital System
Authors: Schanne Linda C. , Stern Sally , Hand Carol , Collins Michele , Kirk Gina , Kweeder Sarah , Brody Richard , LaPorta Patricia Hughes , Meehan Donna 
Published: March 2016

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contact hours will be awarded by Villanova University College of Nursing upon successful completion of this activity. A contact hour is a unit of measurement that denotes 60 minutes of an organized learning activity. This is a learner-based activity. Villanova University College of Nursing does not require submission of your answers to the quiz.

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Read the article, “From Chaos to Competency: Implementing a New Competency Model In a Multihospital System,” found on pages 111–117, carefully noting any tables and other illustrative materials that are included to enhance your knowledge and understanding of the content. Be sure to keep track of the amount of time (number of minutes) you spend reading the article and completing the quiz.

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Read and answer each question on the quiz. After completing all of the questions, compare your answers to those provided within this issue. If you have incorrect answers, return to the article for further study.

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Objectives

State four categories to use in identifying ongoing competencies.

Discuss the benefits and potential barriers to implementing Wright's competency model in a multihospital system.

Disclosure Statement
Neither the planners nor the authors have any conflicts of interest to disclose.

The demonstration of nurses' competency has been a challenge for nurse educators for a multitude of reasons. Standardizing competencies across a health care system is especially challenging. One multihospital health care system embarked on a journey to standardize and implement competencies across the system. Using a collaborative approach, the Wright model of competency assessment was selected and implemented across the system. Lessons learned include (a) the full engagement of Wright's model by all nursing stakeholders is essential, (b) indicators and outcomes must align with quality improvement data, and (c) the needs of each unit must be individualized, and the methods of verification must be closely aligned with the measurable competency. After implementation of this model, the health system now has a standard definition, identification, methodology, and evaluation for competencies. In addition, there are now standard time frames for assessment and evaluation and increased accountability for staff involvement.

J Contin Educ Nurs.
2016;47(3):111–117.