According to Evidenced-based practice, Melnyk (2014) is a problem-solving asset to the delivery of quality health care by the integration of best evidence with patients’ values, preferences, and clinician’s expertise. This includes internal evidence obtained from patients’ data. Competencies which is the ability to do something well or be competent are mechanisms supporting health professional to provide high-quality safe care. Competencies can be assessed holistically by their clinical contexts and attributes which include knowledge, psychomotor skills, and affective skills Incorporation of evidenced-based competencies promotes high-value health care, enhance the quality and reliability of health care, and improves health outcomes while reducing variations in costs and care.
The development of evidenced-based competencies included technical skills and praising literature, clinical reasoning in decision making, and problem-solving to make recommendations for practice changes and the ability to adapt to variations in the environment. A successful competency is evaluated from the health professional’s high quality of care, by the culture or environment in which the nurses practice. Also, by the level of performance relayed to patients by registered professionals (Laura et al 2022).
Laura Caramanica, Lynn Gallagher-Ford, Lynda Idelman, Diana Mindrila, Sally Richter, Bindu Koshy Thomas, Establishment of Nurse Manager Leadership Competencies to Support Clinicians in Evidence-Based Practice, JONA: The Journal of Nursing Administration, 10.1097/NNA.0000000000001099, 52, 1, (27-34), (2022).
Melnyk, B. M., Gallagher‐Ford, L., Long, L. E., & Fineout‐Overholt, E. (2014). The establishment of evidence‐based practice competencies for practicing registered nurses and advanced practice nurses in real‐world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence‐Based Nursing, 11(1), 5-15.