• Heather DeGrande, Fuqin Liu, Pamela Greene, and Jo-Ann Stankus.
• Texas A&M University: CONHS, 6300 Ocean Dr., Corpus Christi, TX 78412, United States. Electronic address: heather.degrande@tamucc.edu.
• Intensive Crit Care Nurs. 2018 Dec 1; 49: 65-71.

BackgroundProfessional competence is the ability to base clinical decisions on prior experiences with particular clinical situations.MethodsAn integrative review of the literature using the methodology of Whittemore and Knafl. The guiding question was: What is the extent and nature of the published literature on intensive care nurses developing professional competence?ResultsThis review analysed 21 peer-reviewed articles obtained from electronic databases. The three main domains of professional competence were managing situations, decision-making and teamwork. Three instruments, the Critical Care Competency Assessment instrument, the Self-Assessment Competence Tool, and the Intensive and Critical Care Nursing Competence Scale (intensive care unit), measure professional and/or clinical competence. Demographic factors are experience, education, age, figure tow near here certification status, gender and location.ConclusionPerception of self-competence, seeing beyond the technical aspects of care to the patient, and perceptions of and bonding with intensive care patients and their families are other facets of professional competence that warrant further study.Copyright © 2018 Elsevier Ltd. All rights reserved.

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