Current Literature Review of Registered Nurses' Competency in the Global Community.

PURPOSE: In order to enhance international standards of nursing service, this article aims to analyze the English full-text peer-reviewed published articles from the past 10 years that describe contemporary registered nurses' (RNs') competency in the global community.

DESIGN: An integrative review of literature was conducted between June 2016 and January 2017.

METHODS: A systematic search was completed using four databases (Science Direct, Scopus, Web of Science, and the Cumulative Index to Nursing and Allied Health Literature) that covered the years between 2007 and 2017, and used the key words nurs* OR (staff nurs* ) OR (register nurs* ) AND competenc* AND international OR global. Ultimately, 32 studies meeting inclusion and exclusion criteria were selected for analysis.

FINDINGS: Nursing competency trended towards definitions using a holistic lens and behavior statements reflecting the skills, knowledge, attitudes, and judgment required for effective performance in the nursing profession. By using inductive content analysis, 11 components emerged. Additionally, six instruments were found to measure generalist RNs' competencies across countries. The variables related to generalist nursing competency included sociodemographic variables, professional-related variables, and work environment variables.

CONCLUSIONS: This review provides the research evidence for updating definitions, components, measurements, and variables related to RNs' competency in the global community. Further research should consider cross-cultural validation of instruments and influencing factors related to nursing competency.

CLINICAL RELEVANCE: The components and measurements identified in this review can be used by nursing administrators to select or evaluate qualified nurses. The multivariables related to nursing competency can assistant hospital administrators to recognize and find effective ways to improve nursing competency.