FEATURE
The Competency Model for Professional
Rehabilitation Nursing
Stephanie Vaughn
1
, PhD, RN, CRRN, Kristen L. Mauk
2
, DNP, PhD, RN, CRRN, FAAN, GCNS-BC,
GNP-BC, ACHPN, Cynthia S. Jacelon
3
, PhD, RN-BC, CRRN, FAAN, Pamala D. Larsen
4
, PhD, RN,
Jill Rye
5
, MA, RN, CRRN, CNL, Wendy Wintersgill
6
, MSN, RN, CRRN, ACNS-BC, Christine E. Cave
7
,
MSN, RN, CRRN, HFS & David Dufresne
8
, BS
1 School of Nursing, California State University Fullerton, Fullerton, CA, USA
2 Nursing, Valparaiso University, Valparaiso, IN, USA
3 School of Nursing, University of Massachusetts, Amherst, MA, USA
4 Nursing, University of Wyoming, Laramie, WY, USA
5 Nursing, Avera McKennan Hospital & University Health Center, Sioux Falls, SD, USA
6 Rehabilitation, Christiana Care Health System, Wilmington, DE, USA
7 Rehabilitation, El Camino Hospital Los Gatos, Los Gatos, CA, USA
8 Professional Development, Association of Rehabilitation Nurses, Chicago, IL, USA
Keywords
Rehabilitation nursing practice; model;
competency.
Correspondence
Stephanie A. Vaughn, School of Nursing,
California State University at Fullerton,
Fullerton, CA 92831.
E-mail: svaughn@fullerton.edu
Accepted June 8, 2015.
doi: 10.1002/rnj.225
Abstract
Background: Rehabilitation nursing is practiced in various settings along the
healthcare continuum. No framework is noted in the literature that defines the
necessary competencies of the rehabilitation nurse.
Purpose: To develop a Competency Model for Professional Rehabilitation
Nursing and its application to clinical and educational practice.
Method/design: A seven-member Association of Rehabilitation Nurses (ARN)
task force was convened; conducted a literature review, reviewed current and
historical ARN documents, including the Strategic Plan, and developed a Com-
petency Model for Professional Rehabilitation Nursing practice.
Findings: The Competency Model for Professional Rehabilitation Nursing
delineates four domains of rehabilitation nursing practice and essential role
competencies.
Conclusion: The Competency Model for Professional Rehabilitation Nursing
addresses this diverse specialty practice in the current healthcare arena. This
framework can be used to guide nurses practicing at different levels of profi-
ciency in various settings.
Clinical Relevance: The Competency Model can be used as a structure for staff
orientation, evaluation tools, clinical ladder components, role descriptions and
rehabilitation nursing courses.
Introduction
According to Fawcett and DeSanto Madeya (2013), most
disciplines or professions purport a single metaparadigm,
which represents the global perspective of the discipline
and identifies the discipline’s practice. Nursing is no excep-
tion, with a metaparadigm that highlights the concepts of
person, health, environment, and nursing. The multiple
conceptual models in nursing provide the lens through
which nurses view their practice. Rehabilitation nurses,
© 2015 Association of Rehabilitation Nurses
Rehabilitation Nursing 2016, 41, 33–44 33