# Effect of a checklist-based core competency training and evaluation system on work-related alienation among critical care nurses

## TL;DR

A checklist-based training system improved critical care nurses' skills and reduced work-related alienation, boosting job satisfaction and organizational fit.

## Contribution

Introduces a checklist-based core competency training system that reduces work-related alienation in critical care nurses.

## Key findings

- Training satisfaction scores improved significantly after the intervention.
- Work-related alienation decreased, while perceived organizational support and person–organization fit increased.
- Theoretical and practical examination scores were significantly higher post-intervention.

## Abstract

To explore the effect of a checklist-based core competency training and evaluation system on work-related alienation among nurses in critical care settings.

A quasi-experimental design was used, involving 150 critical care nurses at a single institution between June 2020 and June 2021. During the initial phase (June–December 2020), participants received conventional training and routine interventions targeting work-related alienation (pre-intervention). In the subsequent intervention phase (January–June 2021), the same nurses underwent a checklist-based core competency training and evaluation system integrated into standard practice (post-intervention). Comparisons were made between the two phases regarding training satisfaction, theoretical and practical examination scores, and work-related alienation scale scores.

Post-intervention data indicated significantly higher training satisfaction scores across all dimensions (p < 0.05). Theoretical and practical examination scores were significantly improved (both, p < 0.001). Furthermore, work-related alienation decreased, while perceived organizational support and person–organization fit post-intervention increased compared with pre-intervention (all p < 0.001).

The implementation of a checklist-based core competency training and evaluation system was associated with improved professional competency and training satisfaction among critical care nurses. This approach contributed to enhanced perceived organizational support, better alignment between individual and organizational values, and a measurable reduction in work-related alienation. These outcomes suggest potential benefits for nursing workforce engagement and retention in high-acuity clinical settings.