J Korean Acad Psychiatr Ment Health Nurs.  2012 Mar;21(1):67-78.

Study on Core Competencies of Community Mental Health Nurses

  • 1Department of Nursing, Kyungwon Campus, Gachon University, Seongnam, Korea. illine@paran.com


The purpose of this study was to identify core competencies for community mental health nurses and investigate their perception of importance and need for training for each competency item.
Sixty-five core competency items were drawn from a literature review and content validity analysis. A survey on importance and need for training for the 65 competency items was conducted with 99 community mental health nurses.
From 65 core competencies, 3 categories emerged: 1) Attitude: 9 items on values and attitudes, and 5 items on personal characteristics, 2) Knowledge: 15 items related to knowledge of signs, symptoms and maladaptive behaviors, 3) Skill: 36 items including skills of assessment, and medication management. Knowledge of signs, symptoms and maladaptive behaviors were the most important. Nine items on need for training in the attitude category were included in the upper 25% of the items. Some items show significant differences (p<.05) depending on the level of education, length of career year, and case loading
The results of this study suggest further research a) identifying core competency items from client and family members, b) introduce competencies that nurses can develop over time through an educational base as well as a multitude of experiences.


Knowledge; Attitude; Skill; Community mental health; Nursing practice

MeSH Terms

Mental Health


1. Aubry TD, Flynn RJ, Gerber G, Dostaler T. Identifying the core competences of community support providers working with people with psychiatric disabilities. Psychiatr Rehabil J. 2005. 28:346–353.
2. Benner P. From novice to expert: Excellence and power in clinical nursing practice. 1984. California: Adison-Wesley.
3. Coursey RD, Curtis L, March DT, Campbell J, Harding C, Spaniol L, et al. Competencies for direct service staff members who work with adults with severe mental illnesses in outpatient public mental health/managed care systems. Psychiatr Rehabil J. 2000-a. 23:370–377.
4. Coursey RD, Curtis L, March DT, Harding C, Spaniol L, Lucksted A, et al. Other Members of the Adult Panel of the Managed Care Initiative. Competencies for direct service staff members who work with adults with severe mental illnesses: Specific knowledge, attitudes, skills, and bibliography. Psychiatr Rehabil J. 2000-b. 23:378–392.
5. Gyeonggi Welfare Foundation. Study on development of Gyeonggi province mental health service outcome indicator. 2009. Suwon: Author.
6. Harding CM, Brooks GW, Ashikaga T, Strauss JS, Bier A. The vermont longitudinal study of persons with severe mental illness II: Long-term outcome of subjects who retrospectively met DAM-III criteria for schizophrenia. Am J Psychiatry. 1987. 144:727–735.
7. Jacobson N, Greenley D. What is recovery? A conceptual model and explication. Psychiatr Serv. 2001. 52:482–485.
8. Kim HJ. Meaning of recovery from mental illness: Findings of a qualitative study. J Korean Acad Psychiatr Ment Health Nurs. 2009. 18:379–389.
9. Kim HJ, Kim GH. Psychiatric mental health professional perception of recovery state from the psychiatric disability. J Korean Acad Psychiatr Ment Health Nurs. 2002. 11:452–461.
10. Kim HJ, Nam HK. A study of community psychiatric mental health nurse's activity. J Korean Acad Psychiatr Ment Health Nurs. 2007. 16:489–501.
11. Kreyenbuhl J, Buchanan RW, Dickerson FB. The schizophrenia patient outcomes research team (PORT): Updated treatment recommendations 2009. Schizophr Bull. 2010. 36:94–103.
12. Lee JS, Park SM, Chun SS, Choi JS, Kim MO, Kim R, et al. Communication experiences between psychiatric nurses and patients. J Korean Acad Psychiatr Ment Health Nurs. 2002. 11:596–608.
13. Lee KS, Ha YS, Kim MJ, Ro CH, Yang S, Lee JS, et al. Psychiatric mental health nursing. 2000. Seoul: Hyunmoonsa.
14. Lysaght RM, Altschuld JW. Beyond initial certification: The assessment and maintenance of competency in professions. Eval Program Plann. 2000. 23:95–113.
15. Ministry of Health, Welfare and Family Affairs, The Central Mental Health Committee. 2011 Standard community mental health center evaluation index: In community mental health center evaluation committee workshop. 2011. 06. 18. In : Workshop conducted at the meeting for the 2011 Community Mental Health Program Evaluation Committee Education; Seoul.
16. Korea Ministry of Government Legislation. Precautionary Act of Suicide and Creating Culture of Respect for Life. 2011. 03. 30. Retrieved October 10, 2011. from http://likms.assembly.go.kr/law/jsp/law/Law.jsp.
17. Resnick SG, Rosenheck RA, Lehman AF. An exploratory analysis of correlates of recovery. Psychiatr Serv. 2004. 55:540–547.
18. Young AS, Forquer SL, Tran A, Starzynski M, Shatkin J. Identifying clinical competencies that support rehabilitation and empowerment in individuals with severe mental illness. J Behav Health Serv Res. 2000. 27:321–333.
19. World Health Organization. Human resources and training in mental health, Mental health policy and service guidance package module 9. 2005. Geneva, Switzerland: Author.
Full Text Links
export Copy
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr