. 2020 Nov 22;77(2):742–754. doi: 10.1111/jan.14644

TABLE 2.

Number and examples of rated competencies in seven competency areas

Competency areas	1st Round rated (included) ^a	2nd Round rated (included) ^a	Final number included	Examples of final competencies
Clinical‐geriatric competencies	90 (18)	84 (31)	49	Conduct physical examination (e.g. of the lungs) Assess resident functional ability (e.g. ADL, IADL) Assess resident cognition (e.g. delirium)
Guidance and coaching	43 (37)	62 (19)	56	Provide staff training on e.g. conducting assessments, optimal care for dementia syndrome Serve as contact person for the relatives and residents in certain situations Educating residents in complex situations when the registered nurse needs support
Clinical and professional leadership	45 (31)	18 (7)	38	Support in the use of clinical guidelines in the routine workflow in the following areas Professionally active as an expert or member of professional nursing organizations Monitor medications
Consultation	3 (3)	‐	3	Arrange appointments with the relevant specialists e.g. if a resident's condition changes such that a psychiatrist specializing in geriatric care is needed Exchange information/consult with other RNXs or care experts
Collaboration	23 (19)	6 (3)	22	Interprofessional collaboration, with the emphasis on collaboration with department head or unit manager, registered nurses, licensed practical nurses, general physician, psychiatric service providers
Research competencies	6 (5)	1 (0)	5	Incorporating research findings into clinical practice e.g. guidelines, concept development Conduct literature searches of evidence‐based nursing care Recommend adjustments to treatment plan approaches based on research findings
Ethical decision making	19 (17)	2 (0)	17	Manage institutional efforts for pro‐active advanced care planning Identify and address ethical conflicts Conduct ethical case reviews
Total	229 (130)	173 (60)	190

ADL, activities of daily leaving; IADL, instrumental activities of daily living; RNXs, Registered nurses in expanded roles.

^{^a}

The number in brackets indicates how many competencies in a given set were rated as relevant after each round.