• This chapter outlines the Clinical Competency Framework (CCF) developed by a regional nurse leadership group, offering a structured approach to nurse competence development through evidence-based preceptor support systems and standardized tools. Emphasizing preceptor development and adaptability across care settings, the framework addresses competency validation concerns and promotes safe, effective care, fostering collaboration among healthcare partners and educators in a ‘share and share back’ approach.

VNIP . (2021, October 9). Clincial Transition Framework: Core Components and Evidence Base . Retrieved from Vermont
Nurses in Partnership: https://www.vnip.org/documents/VNIP-CCF_EvidenceBase2021_000.pdf

• This innovative program started 20 years ago and has experienced two decades of significant research, analysis, and
  ongoing improvements. VNIP maintains this document to outline the history, evidence, grant projects, publications and ongoing research behind the CCF model.

Boyer, S., Mann-Salinas, E., Valdez-Delgado, K., & VanFosson, C. (2019). Using the Delphi Technique to Determine Core
Components of a Nurse Competency Program. Journal for Nurses in Professional Development, 35(5) 261-267. DOI: 10.1097/NND.0000000000000569 .

• VNIP collaborated with the military medical system to collect broad-based data on which components and competencies were crucial within a comprehensive model.

• A resource that guided concepts applied within building and improving the CCF model. This calls again for developing the thinking and decision-making process as well as building task capability.

Boyer, S. (2017). Clinical Transition Framework: Efficient Solutions for Transitional Support Systems. Nurse Leader, 15 (6).
https://doi.org/10.1016/j.mnl.2017.03.013 . Full text at: https://www.sciencedirect.com/science/article/pii/S1541461216302968 Ac.

• Publication of outcomes and model components that were proving effective for transition to initial practice, new specialties, AND orientation requirements. Using the same set of nurse competencies for each of these transitions is logical, but not often done. This resource and other publications provide one approach to sharing the CCF with others. Based on subsequent requests for resource use, the non-profit organization titled Alliance for Clinical Transition was established as a registered trade name and dissemination venue within the VNIP organization.

Kavanagh, J. M., & Szweda, C. (2017). A Crisis in Competency: The Strategic and Ethical Imperative to Assessing New Graduate Nurses’ Clinical Reasoning. Nursing Education Perspectives, 38(2), 57-62.

• An additional reference supporting application of concepts for developing and assessing the clinical reasoning capability of nurses.

Mann-Salinas, E., Hayes, E., Robbins, J., Sabido, J., Feider, L., Allen, D., & Yoder, L. (2014). A Systematic Review of the
Literature to Support an Evidence-based Precepting Program. Burns, 40(3), 374-387. DOI: http://dx.doi.org/10.1016/j.burns.2013.11.008.

• This article became the foundation for work with the military medical system. Their nurse scientists researched to determine available resources, impact of change project, and potential solutions for the significant issues they were experiencing with Burn ICU nurse turnover.

• Benner, et al’s text calls for changing how nurses are developed. This resource is foundational to changing the manner in which we teach nurses. Among other issues, the authors call for clinical development that targets the application of critical thinking and clinical reasoning capability.

• A core resource that ensures that critical thinking criteria become a central focus of the nurse competency tools and the full CCF model

• This resource was core to both initial and ongoing work with writing clinical nurse competency statements that address the full scope of nursing care and how critical thinking is viewed and validated within the clinical setting. The eight essential competencies identified by Lenburg, along with her guidance in writing observable performance criteria created the foundation for competency validation tools.