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- W2899291165 abstract "Abstract Background As a mechanism for assessing continuing competence, many regulatory jurisdictions have implemented continuing competence frameworks, using a variety of competence assessment indicators. It is argued that a well-developed competence framework provides assurance to the regulator and the public that the nurse or midwife is continuing to be competent to practise throughout their career. If these frameworks were indeed a guarantee of continuing competence, then no-one would present as a performance competence notification. This is not the case, so what is the missing indicator of continuing competence? Method This paper presents a critical discussion with regard to the purpose of continuing competence frameworks in terms of assuring public safety; the indicators currently used to measure competence and their relationship to behavioural attributes such as self-awareness and/or insight. Discussion It is argued that it is the professional responsibility of practising nurses and midwives to maintain their competence to practise. However, the literature indicates that health practitioners who lack personal insight are less likely to reflect on or assess their own performance, to seek CPD opportunities, or to recognise when their performance is unsafe. In addition, a lack of self-awareness or personal insight has been identified as a key contributor to unsafe performance. Conclusion The concept of insight or self-awareness, and its relationship to nursing and midwifery practice, and safety to practise warrant greater investigation. Insight or the lack of, has been identified as a key contributor to unsafe performance. How insight is demonstrated in nursing and midwifery practice and when is it sufficient to ensure that the practitioner will perform safely even when under pressure, requires clarification. If insight is to be considered an indicator of continuing competence, then an agreed and clear definition is required." @default.
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- W2899291165 date "2019-06-01" @default.
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- W2899291165 title "Assuring competence or ensuring performance" @default.
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- W2899291165 doi "https://doi.org/10.1016/j.colegn.2018.10.004" @default.
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