Creating Competency Statements for Your Nursing  Program: Models, Tips and Tools

At some point, nearly every nurse educator has written a reference letter describing a student as “competent”. Likewise, when discussing students who are struggling, we might say “She hasn’t yet reached the expected level of competence.”  While we usually know what we mean by “competent”, it’s not always clear to others. This lack of clarity, along with the complexity of the current health care system, is driving the shift toward Competency-Based Education (CBE) in nursing programs.

Although some nursing programs—like other health professions —have incorporated competency-based approaches for many years, it has become more common. One catalyst was the AACN’s 2021 publication: The Essentials: Core Competencies for Professional Nursing Education. (https://www.aacnnursing.org/Portals/0/PDFs/Publications/Essentials-2021.pdf). Other nursing/accreditation organizations are also encouraging the use of competencies to prepare and evaluate nursing students. For example, NLN has published a Competency -Based Education Toolkit to support nursing faculty in implementing this approach. (https://www.aacnnursing.org/Portals/0/PDFs/Publications/Essentials-2021.pdf).

Competency-Based Education (CBE)

As promised in our February 2025 Collaborative Momentum Consulting blog, we’re diving deeper into CBE- starting with a discussion of competency statements. Traditionally, nursing programs have used program goals, or student learning outcomes, to define the knowledge, skills and attitudes students should demonstrate by graduation. However, these outcomes are frequently too broad or abstract to support reliable measurement. In addition, course objectives are often not aligned with program goals, making it difficult to accurately assess learners’ competency.

Clear, measurable exit competency statements help faculty develop desired competencies which articulate behaviors necessary for successful practice post-graduation. Once these exit competencies are established, more specific competence statements (often referred to as sub-competencies) can suggest assessment measures to evaluate learners’ abilities as they move through the course of study. This backward design of the curriculum provides a roadmap to guide learners and faculty in assessing the knowledge and behaviors necessary for practice.

How to Develop Effective Competency Statements in Nursing Education

Creating effective competency statements requires three essential actions: Continue reading “Creating Competency Statements”