Learning Objective 1: To reflect on and understand the role of the regulatory authorities with regard to the "protection of the public" and "continuing competence of nurses".
Learning Objective 2: To learn about the consensus view of international regulatory experts and professional nurses leaders with regard to the assessment and demonstration of continuing competence.
Methods: The research was undertaken using the Delphi Technique. Delphi rounds were administered until consensus was determined. Four rounds were administered commencing with key stakeholder interviews with fourteen regulatory experts drawn from the six focus countries. The findings of round one formed the basis of the development of the subsequent Delphi rounds that were administered via electronic surveys. A participant group of 51 international experts experienced in the development, implementation or assessment of continuing competence frameworks was recruited.
Results: There is general consensus with regard to the purpose, definition, and indicators of continuing competence however inconsistency exists over the level to which continuing competence should be demonstrated, the criteria against which continuing competence should be assessed and the relationship continuing competence has to public safety.
Conclusion: In addition the permissiveness of legislative, political and fiscal priorities have a significant impact on the implementation of appropriate frameworks.
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