The reason for the present uncertainty in defining nursing competency
is analysed. The prevailing educational philosophy underpinning nursin
g preparation for competence is subjected to a critique. The effect an
d outcome of this philosophy on clinical supervision, PREP and the law
are considered in relation to nursing competence. It is concluded tha
t because nursing competency is only vaguely and broadly defined, prep
aration and assessment of competency is haphazard and unstructured; an
d hence a potential safety hazard for both patient and nurse. It is su
ggested that the UKCC needs to assume responsibility for ascertaining
nursing competence; and a four-point framework is proposed for setting
and testing national standards of nursing competency.