• Kathleen G Burke, Tonya Johnson, Christine Sites, and Jane Barnsteiner.
• Kathleen G. Burke is corporate director of nursing professional development and innovation at the University of Pennsylvania Health System (UPHS), assistant dean of clinical nurse learning and innovation at the University of Pennsylvania School of Nursing, and senior fellow at the Leonard Davis Institute of Health Economics, University of Pennsylvania, all in Philadelphia. Tonya Johnson is associate chief nursing officer at Southcoast Health System, New Bedford, MA; at the time of this study, she was nursing clinical director at the UPHS's Pennsylvania Hospital. Christine Sites is a nursing professional development specialist at the UPHS. Jane Barnsteiner is a professor emerita of pediatric nursing at the University of Pennsylvania School of Nursing, Philadelphia, and editor of translational research and quality improvement at AJN. Contact author: Kathleen G. Burke, kathleen.burke@uphs.upenn.edu. The authors and planners have disclosed no potential conflicts of interest, financial or otherwise.
• Am J Nurs. 2017 May 1; 117 (5): 22-35.

Abstract: Background: The Institute of Medicine (IOM) and the Quality and Safety Education for Nurses (QSEN) project have identified six nursing competencies and supported their integration into undergraduate and graduate nursing curricula nationwide. But integration of those competencies into clinical practice has been limited, and evidence for the progression of competency proficiency within clinical advancement programs is scant. Using an evidence-based approach and building on the competencies identified by the IOM and QSEN, a team of experts at an academic health system developed eight competency domains and 186 related knowledge, skills, and attitudes (KSAs) for professional nursing practice.

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