Modelo de competencias para la gestora enfermera

  1. Pilar Marqués-Sánchez
  2. Arrate Pinto Carral
  3. Jesús Sanz Villorejo
  4. Silvia Pérez González
  5. González García, Alberto
Metas de enfermería

ISSN: 1138-7262

Year of publication: 2019

Volume: 22

Issue: 10

Pages: 5-13

Type: Article

DOI: 10.35667/METASENF.2019.22.1003081511 DIALNET GOOGLE SCHOLAR

More publications in: Metas de enfermería


Objective: to identify the skills needed to play the role of Nurse Case Manager in Spain at each function level. Methodology: based on a bibliographic review conducted in specialized literature, a Delphi study was designed, structured into four rounds, in order to reach a consensus about the skills needed by the Nurse Case Manager. Results: a consensus was reached about 51 skills, classified into six domains. The level expert is achieved through master and doctorate courses. Nurse Case Managers must develop their skills at the following levels: Competent, Very Competent and Expert. Out of the panel members, 96% declared that in order to reach the expert level it is necessary to acquire master or doctorate degrees; 60.78% of the skills of the High Management Nurse Case Manager must be developed at Expert level, through Master, University Expert and University Specialty degrees, vs. 9.8% of logistical management and 21.57% of skills required for operational management. The Competent level requires Expert, University Specialist and Continuous Education degrees. Conclusions: the competency model for the Nurse Case Manager in Spain consists of 51 skills, including eight basic skills. The level of development for each skill is shown in results, as well as the training required to achieve said degree.

Bibliographic References

  • Scoble KB, Russell G. Vision 2020, part I: profile of the future nurse leader. J Nurs Adm. 2003; 33(6):324-30
  • AONE, AONL. 2015. [internet] AONL Nurse Manager Competencies. Chicago, IL: AONE, AONL. [cited 15 Nov 2019]. Available from:
  • Thomas J, Collins A, Collins D, Herrin D, Dafferner D, Gabriel J. The language of business: A key nurse executive competency. Nurs Econ. 2008; 26(2):122-7.
  • Shuman CJ, Ploutz-Snyder RJ, Titler MG. Development and Testing of the Nurse Manager EBP Competency Scale. West J Nurs Res. 2018; 40(2):175-90.
  • Krugman M, Smith V. Charge nurse leadership development and evaluation. J Nurs Adm. 2003; 33(5):284-92.
  • Aiken LH, Cimiotti JP, Sloane DM, Smith HL, Flynn L, Neff DF. Effects of nurse staffing and nurse education on patient deaths in hospitals with different nurse work environments. Med Care. 2011; 49(12):1047-53.
  • Weatherford B, Bower KA, Vitello-Cicciu J. The CNO and Leading Innovation: Competencies for the Future. Nurs Adm Q. 2018; 42(1):76-82.
  • Pihlainen V, Kivinen T, Lammintakanen J. Management and leadership competence in hospitals: a systematic literature review. Leadersh Heal Serv. 2016; 29(1):95-110.
  • Miltner RS, Patrician PA, Dawson M, Jukkala A. Incorporating Quality and Safety Education Into a Nursing Administration Curriculum. J Nurs Adm. 2012; 42(10):478-82.
  • American Nurses Association. Draft Nursing Administration: Scope and Standards of Practice. 2nd ed. Nursesbooks. org; 2016.
  • Erjavec K, Starc J. Competencies of Nurse Managers in Slovenia: a Qualitative and Quantitative Study. Cent Eur J Nurs Midwifery. 2017; 8(2):632.
  • Leach LS, McFarland P. Assessing the professional development needs of experienced nurse executive leaders. J Nurs Adm. 2014; 44(1):51-62.
  • Porter-O’Grady T. A different age of leadership: Part 2: New rules, new roles. J Nurs Adm. 2003; 33(3):102-78.
  • Organización para la Cooperación y el Desarrollo Económico. La definición y selección de competencias clave. Resumen ejecutivo. DeSeCo [internet]. 2005 [citado 15 nov 2019]; 1-20. Disponible en:
  • Katz RL. Skills of an effective administrator. Harv Bus Rev. 1955; 33(1):33-42.
  • Katz RL. Skills of an Effective Administrator. Harv Bus Rev. 1974; 33(1):90-102.
  • Chase LK. Are you confidently competent? Nurs Manage. 2012; 43(5):50-3.
  • Chase LK. Nurse manager competencies. University of Iowa; 2010.
  • MacMillan-Finlayson S. Competency development for nurse executives: Meeting the challenge. J Nurs Adm. 2010; 40(6):254-7.
  • Kantanen K, Kent B, Kaunonen M, Helminen M, Suominen T. The development and pilot of an instrument for measuring nurse managers’ leadership and management competencies. J Res Nurs. 2015; 20(8):667-77.
  • American Organization of Nurse Executives. AONE Nurse Manager Competencies. [internet]. The American Organization of Nurse Executives. Chicago, IL.; 2015. [cited 15 Nov 2019]; 1-20. Available from:
  • Varela-Ruiz M, Díaz-Bravo L, García-Durán R. Descripción y usos del método Delphi en investigaciones del área de la salud. Inv Ed Med. 2012; 1(2):90-5.
  • Linstone HA, Turoff M, Helmer O. The Delphi Method. Addison-Wesley [internet] 1975. [cited 15 Nov 2019]. Available from:
  • Shirey MR. Executive presence for strategic influence. J Nurs Adm. 2013; 43(7-8):373-6.
  • Hagbaghery MA, Salsali M, Ahmadi F. The factors facilitating and inhibiting effective clinical decision-making in nursing: a qualitative study. BMC Nurs. 2004; 3(1):2.
  • AONE. AONE Nurse Executive Competencies. 2015 [internet]. Chicago, IL. [cited 15 Nov 2019]. Available from:
  • American Nurses Association’s Leadership Institute. Competency Model. 2013 [internet]. [cited 15 Nov 2019]. Available from:
  • Lussier R. Management Fundamentals: Concepts, Applications, and Skill Development. 8th ed. SAGE Publications, Inc; 2018.
  • Herrin D, Hathaway D, Jacob S, McKeon L, Norris T, Spears P, et al. A model academic-practice partnership. JONA: The Journal of Nursing Administration. 2006; 36(12):547-50.
  • AONE. Competencies Assessment [internet]. 2018 [cited 15 Nov 2019]. Available from:
  • Waxman KT, Roussel L, Herrin-Griffith D, D’Alfonso J. The AONE Nurse Executive Competencies: 12 Years Later. Nurse Lead. 2017; 15(2):120-6.
  • Romyn DM, Linton N, Giblin C, Hendrickson B, Limacher LH, Murray C, et al. Successful transition of the new graduate nurse. Int J Nurs Educ Scholarsh. 2009; 6:Article 34.
  • Kleinman CS. Leadership roles, competencies, and education: how prepared are our nurse managers? J Nurs Adm. 2003; 33(9):451-5.
  • Pawlak RP, Scott ES, Murphy LS. Crossing our quality chasm: continuing the case for graduate preparation of nurse managers and leaders. J Nurs Adm. 2013; 43(12): 627-9.
  • Baxter C, Warshawsky N. Exploring the acquisition of nurse manager competence. Nurse Lead. 2014; 12(1): 46-59.
  • AONE. Nurse Manager Leadership Partnership [internet]. 2018 [cited 15 Nov 2019]. Available from:
  • Pillay R. Towards a competency-based framework for nursing management education. Int J Nurs Pract. 2010; 16(6):545-54.
  • Kantanen K, Kaunonen M, Helminen M, Suominen T. Leadership and management competencies of head nurses and directors of nursing in Finnish social and health care. J Res Nurs. 2017; 22(3).