Core Great Eight Competencies of a Nursing Major

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In research originally published in 2002, psychologists David Bartram, Rainer Kurz, and Helen Baron presented a case for eight broad competency factors (the Great Eight) defined as “sets of behaviors instrumental in delivering desired results or outcomes.” 

The Great Eight is linked to observable behavior, giving businesses and higher education a common language for discussing potential development and career issues. They also provide a way to express goals, culture, and values in terms of the expected behavior of employees and students. 

As the nation’s largest healthcare profession, registered nurses (RNs) are the backbone of the U.S. healthcare system and show no signs of slowing down regarding projected job growth, influence, and leadership demand.

If you embody any of the following Great Eight competencies, a nursing major may be the right path for you. 

Organizing & Executing

Part of the Great Eight Competencies, organizing and executing in a healthcare setting means setting objectives, managing time and resources, monitoring progress, meeting patient expectations, showing awareness of safety issues, complying with legal obligations, and ensuring results.

Nurses with excellent organizational skills manage their time more effectively to provide the best possible care for their patients. Good organizational skills help nurses handle their workload, understand what supplies they need, keep track of patient information, and make better overall decisions. 

Additionally,  time management helps nurses organize and prioritize patient care, internal administrative tasks, educational responsibilities, and personal obligations. 

Leading & Deciding

In healthcare, a good leader knows when to decide, when to consult their team members and gather opinions on a particular matter, and, most importantly, when to step back and let others decide.

According to the American Nurses Association, strong leaders in nursing are vital to help navigate the constant evolution of health care. Nurses do more than monitor productivity and maintain patient and staff satisfaction, they serve as role models and influence healthcare organizations at all levels.

Additionally, clinical decision-making is one of the most important skills that nurses bring to the profession. When nurses have the authority to make evidence-based care decisions that follow best practices, many benefits accrue. Patients have better outcomes, nurses have higher job satisfaction, and hospitals benefit by improving their patient care metrics.

Adapting & Coping

Bartram and Kurz define adapting and coping as responding well to change, managing pressure effectively, and coping well with setbacks. 

In healthcare, someone who can effectively adapt and cope is cross-culturally aware, deals well with ambiguity, shows emotional self-control in high-stakes situations, balances work and life, maintains a positive outlook, and handles criticism. 

Adapting and coping are two critical attributes that equip nurses to manage challenges and be flexible with their practices in the face of rapidly changing and unpredictable circumstances. A willingness to shift focus to create comprehensive patient-centered care is fundamental. 


Student Select AI’s patent-pending technology was developed alongside world-renowned industrial-organizational (IO) psychology researchers, using the latest breakthroughs and research in IO, data science, and machine learning to provide admission decision markers with meaningful and predictive analytics, so you can identify and admit your ideal students faster.

Building on decades of established research in language psychology, our innovative AI technology leverages cutting-edge IO psychology science, using Natural Language Processing (NLP) to analyze the specific words prospective students use to provide an accurate, objective, and unbiased assessment of their unique skills, personality traits, and competencies.

“Student Select AI accurately measures traits that are important and useful variables for admission selectors — attributes that research has shown to correlate with classroom performance,” said Michael A. Campion, Ph.D. The Herman C. Krannert Distinguished Professor of Management, Purdue University, and world-renowned I/O psychologist. 

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The top three Great Eight competencies of a nursing major include organizing and executing, leading and deciding, and adapting and coping.

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