This paper on competency-based training for pre-service nurse and the role of course content sequencing, was conceived because of the gaps and encounters by practicing nurses in the clinical education sites receiving graduates’ students for clinical placement. Also, by nurse educators expressing gaps in the training of students in nursing institutions. It was also conceived because of student’s dissatisfaction with their training and gaps in the expectations of stakeholders in the training of pre-service competent nurse in training institution. The purpose of this write up is to expose the gaps that have been found and fil out the gaps by exploring the previous model of pre-service training, exposing challenges and developing strategies for improved implementation of pre-service training in nursing education. Thus, the objectives of this paper are to explore the previous model of pre-service training of competent nurses, to explain the challenges of its implementation, to strategies solution to these challenges. Information has been sourced from published journals, books and internet. It has been observed that pre-service training of competent nurse in nursing education, is one factor of the theory practice gap, medical errors in the nursing work force. The solutions in published materials include,
-Provision of standard guidelines for the implementation of pre-service nursing training globally.
-Provision of an adaptable Three-Year competency based Regional prototype for pre-service nurse by WHO.
-Introduction of evidenced based prevention, care, and treatment related core competencies into curriculum and course content.
-Program intervention and innovation based on need of key stakeholders and targeting improvement of course content, and assessment, methodology within the existing curriculum.
-Introduction of course content sequencing in nursing education, orientation of new graduate transition to practice.
