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Park SK, Jeong YW. Relationship between hospital ethical climate, critical thinking disposition, and nursing task performance. BMC Nurs 2024; 23:696. [PMID: 39334039 DOI: 10.1186/s12912-024-02366-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2023] [Accepted: 09/24/2024] [Indexed: 09/30/2024] Open
Abstract
BACKGROUND As ethical conflicts increase in the ever-changing healthcare field, nursing task performance, which is the overall ability of a nurse's professional knowledge, attitude, and skills, is important for patient health and safety, the provision of quality nursing care, and the appropriate resolution of nursing ethical problems. This study aimed to evaluate the mediating effect of critical thinking disposition on the relationship between hospital ethical climate and nursing task performance. METHODS A cross-sectional study was conducted. A total of a convenience sample of 200 clinical nurses from two Korean cities were recruited between November and December 2021. Direct questionnaires and online surveys were used to collect the data. The study variables were analyzed using descriptive statistics, correlations, and a model tested using the Hayes PROCESS macro (Model 4) mediation model. RESULTS The mean scores for hospital ethical climate, critical thinking disposition, and nursing task performance were 91.86 ± 11.29, 97.74 ± 10.70, and 138.58 ± 14.95, respectively. Hospital ethical climate and critical thinking disposition were positively correlated with nursing task performance. In the mediation test model, hospital ethical climate was found to be positively and significantly associated with nursing task performance (ß = 0.46, p < .001) with the mediation of critical thinking disposition (ß = 0.70, p < .001). CONCLUSIONS Hospital ethical climate and critical thinking disposition may be important determinants of task performance among clinical nurses. Hospital administrators should make efforts to create a more positive ethical climate in hospitals and conduct education and campaigns on a positive hospital ethical climate for hospital staff to improve nurses' performance.
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Affiliation(s)
- Seul-Ki Park
- Department of Nursing, Graduate School, Dongguk University WISE, Gyeongsangbuk-Do, Gyeongju-Si, 38066, Republic of Korea
| | - Yeo-Won Jeong
- Department of Nursing, College of Nursing, Dongguk University WISE, 123 Dongdae-RoGyeongsangbuk-Do, Gyeongju-Si, 38066, Republic of Korea.
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Dokoohaki R, Rambod M, Pasyar N, Parviniannasab AM, Shaygan M, Kalyani MN, Mohebbi Z, Jaberi A. Comparison of professional competency and anxiety of nursing students trained based on two internship models: a comparative study. BMC MEDICAL EDUCATION 2024; 24:968. [PMID: 39232798 PMCID: PMC11376021 DOI: 10.1186/s12909-024-05956-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/13/2024] [Accepted: 08/26/2024] [Indexed: 09/06/2024]
Abstract
BACKGROUND Improving the professional competency of nursing students during the internship is critical. This study aimed to compare the professional competency and anxiety of nursing students trained based on two internship models. METHODS This is a two-group posttest-only quasi-experimental design study. One hundred nursing students who passed internship models A (a previous internship model) and B (an intervention with more educator support and a more planned and programmed process) were randomly enrolled in this study. Internship model groups A and B were conducted for the students in semesters 7 and 8. The outcomes assessed in both groups were "The Competency Inventory for Registered Nurses" and Spielberger "State-Trait Anxiety Inventory". T-test and MANOVA were used to analyze the data. RESULTS The mean scores of competency were 134.56 (SD = 43.23) and 160.19 (SD = 35.81) for the nursing students in the internship model groups A and B, respectively. The mean scores of nursing students' anxiety were 92.14 (SD = 15.36) and 80.44 (SD = 18.16) in the internship model groups A and B, respectively. MANOVA test showed a significant difference between the groups regarding professional competency (F = 10.34, p = 0.002) and anxiety (F = 11.31, p = 0.001). CONCLUSIONS The internship model group B could improve the professional competency of nursing students to a great extent and they experienced mild anxiety; it is suggested that this intervention should be done for nursing students. Conducting more studies to evaluate the effect of this model on the nursing students' competency and anxiety after graduation and as a novice nurse is suggested.
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Affiliation(s)
- Roya Dokoohaki
- Community Based Psychiatric Care Research Center, Nursing and Midwifery School, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Masoume Rambod
- Community Based Psychiatric Care Research Center, Nursing and Midwifery School, Shiraz University of Medical Sciences, Shiraz, Iran.
| | - Nilofar Pasyar
- Community Based Psychiatric Care Research Center, Nursing and Midwifery School, Shiraz University of Medical Sciences, Shiraz, Iran
| | | | - Maryam Shaygan
- Community Based Psychiatric Care Research Center, Nursing and Midwifery School, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Majid Najafi Kalyani
- Community Based Psychiatric Care Research Center, Nursing and Midwifery School, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Zinat Mohebbi
- Community Based Psychiatric Care Research Center, Nursing and Midwifery School, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Azita Jaberi
- Community Based Psychiatric Care Research Center, Nursing and Midwifery School, Shiraz University of Medical Sciences, Shiraz, Iran
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Park JH, Lee NJ, Lee H, Park G. Determinants of clinical nurses' patient safety competence: a systematic review protocol. BMJ Open 2024; 14:e080038. [PMID: 39174057 PMCID: PMC11340706 DOI: 10.1136/bmjopen-2023-080038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/22/2023] [Accepted: 07/25/2024] [Indexed: 08/24/2024] Open
Abstract
INTRODUCTION Patient safety has become a fundamental element of healthcare quality. However, despite the ongoing efforts of various organisations, patient safety issues remain a problem in the healthcare system. Given the crucial role of nurses in the healthcare process, improving patient safety competence among clinical nurses is important. In order to promote patient safety competence, it is essential to identify and strengthen the relevant factors. This protocol is for a systematic review aiming to examine and categorise the factors influencing patient safety competence among clinical nurses. METHODS AND ANALYSIS This review protocol is based on the Joanna Briggs Institute (JBI) Methodology for Systematic Reviews of Effectiveness and Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols. Four electronic databases, including Ovid-MEDLINE, CINAHL, Cochrane Library and EMBASE, will be used for the systematic review. After consulting with a medical librarian, we designed our search terms to include subject heading terms and related terms in the titles and abstracts. Databases from January 2012 to August 2023 will be searched.Two reviewers will independently conduct the search and extract data including the author(s), country, study design, sample size, clinical setting, clinical experience, tool used to measure patient safety competence and factors affecting patient safety competence. The quality of the included studies will be assessed using the JBI critical appraisal tool. Because heterogeneity of the results is anticipated, the data will be narratively synthesised and divided into two categories: individual and organisational factors. ETHICS AND DISSEMINATION Ethical review is not relevant to this study. The findings will be presented at professional conferences and published in peer-reviewed journals. PROSPERO REGISTRATION NUMBER CRD42023422486.
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Affiliation(s)
- Jong-Hyuk Park
- Seoul National University College of Nursing, Seoul, Republic of Korea
| | - Nam-Ju Lee
- Seoul National University College of Nursing, Seoul, Republic of Korea
- Research Institute of Nursing Science, Seoul National University, Seoul, Republic of Korea
| | - Hanseulgi Lee
- Seoul National University College of Nursing, Seoul, Republic of Korea
| | - Gihwan Park
- Seoul National University College of Nursing, Seoul, Republic of Korea
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Tomas N, Fillipus PN. Perceptions of undergraduate nursing students regarding their competency in administering medications: A qualitative study. Nurse Educ Pract 2024; 79:104098. [PMID: 39168028 DOI: 10.1016/j.nepr.2024.104098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2024] [Revised: 08/06/2024] [Accepted: 08/12/2024] [Indexed: 08/23/2024]
Abstract
AIM This study aims to explore and describe self-reported perceptions of nursing students' competence in the administration of medication. BACKGROUND Medication errors are a significant concern in hospitals, as they can result in serious harm and even death for patients. Nursing students play a crucial role in administering medication and preventing errors, but they are also prone to making mistakes. While numerous studies have extensively examined the factors that contribute to medication errors, few have focused on the assessment of competency among nursing students. DESIGN This study employed a qualitative exploratory and descriptive design. METHODS A total of 10 undergraduate nursing students at a higher education institution consented to participate in face-to-face, semi-structured individual interviews. Data were collected between August and September 2022 using an interview guide. The interviews were audio recorded and analysed using Braun and Clarke's six steps of thematic analysis. RESULTS The study revealed two major themes: (1) 'Perceived barriers to competency', which include participants' concerns regarding making errors, knowledge in pharmacology, self-efficacy in mathematics and level of supervision; and (2) 'Mechanisms for improvement', which centre on enhancing simulation proficiency, improving supervision and integrating pharmacology education in year two of nursing training. CONCLUSION The study findings suggest that student nurses face various barriers to competence, such as a fear of making mistakes, a lack of pharmacology knowledge and low self-confidence in calculating drug dosages. To address these issues, prioritising supervision is crucial to facilitate student learning and ensure safety. Future research should consider investigating the perspectives of nurse educators on pharmacology curricula.
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Affiliation(s)
- Nestor Tomas
- Department of General Nursing Science, School of Nursing, Faculty of Health Sciences, University of Namibia (UNAM), Rundu, Namibia.
| | - Penehafo Ndafapawa Fillipus
- Department of General Nursing Science, School of Nursing, Faculty of Health Sciences, University of Namibia (UNAM), Rundu, Namibia
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Mabunda NF. Nurses' perceptions of involving family members in the care of mental health care users. Curationis 2024; 47:e1-e9. [PMID: 39099289 PMCID: PMC11304185 DOI: 10.4102/curationis.v47i1.2538] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2023] [Revised: 03/28/2024] [Accepted: 04/25/2024] [Indexed: 08/06/2024] Open
Abstract
BACKGROUND Family involvement in mental health care is a therapeutic intervention in the management of mental illness. The global concern in long-term mental health is that families find it difficult to accept mental illness when their loved ones are admitted to receive care, treatment and rehabilitation. OBJECTIVES To describe nurses' perceptions of involving family members in the care of mental health care users in long-term institutions. METHOD A quantitative descriptive design was used. The population comprised nurses working at three mental health institutions (MHIs). Probability simple random sampling was used to select 360 respondents. Data were collected using self-administered questionnaires. RESULTS The findings revealed that most (86.9%) of the nurses acknowledged that challenges affect families' involvement in mental health care. A total of 91.4% of nurses complained that family members' involvement was insufficient and (80.6%) indicated that poor family contact affects the provision of quality mental health care. Therefore, the respondents believed that the families' involvement has an impact on the management of mental illness. CONCLUSION Engaging family members in mental health care helps both health professionals and families to participate in patient-centred care and mental health care services. However, MHCUs benefit when their families are involved.Contribution: The study contributed to mental health nursing as its results can be used to measure the quality of health services improvements, by involving the family members during hospitalisation of their loved ones for mental health care.
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Affiliation(s)
- Nkhensani F Mabunda
- Department of Nursing, Faculty of Health Care Sciences, Sefako Makgatho Health Science University, Pretoria.
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Liu T, Nakatani H, Chen H, Gao N. Development and psychometric testing of the nursing practice difficulty scale for nurses caring for patients with dementia in general hospitals. Int J Nurs Sci 2024; 11:357-365. [PMID: 39156679 PMCID: PMC11328995 DOI: 10.1016/j.ijnss.2024.06.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2023] [Revised: 04/14/2024] [Accepted: 06/06/2024] [Indexed: 08/20/2024] Open
Abstract
Objective As aging in the Chinese population increases, the hospitalization rates of patients with dementia have also risen. Research on the difficulties of nurses who care for patients with dementia in Chinese general hospitals is limited. This study aimed to develop a scale to measure the difficulties nurses face in nursing patients with dementia in Chinese general hospitals and to verify its reliability and validity. Methods Guided by the biopsychosocial theory, an initial scale was created through a literature review, qualitative interviews, and expert consultation. A web-based survey for psychometric testing was conducted with 394 nurses from 11 general hospitals during September to November 2021. Validity was verified using content validity, exploratory factor analysis, the known-groups method, and concurrent validity. Cronbach's α coefficient and split-half reliability were used to assess reliability. Results The Item-level Content Validity Index was 0.833-1.000. The Scale-level Content Validity Index was 0.929. Twenty-one items with four factors were extracted from the item analysis and exploratory factor analysis. According to the known-groups method, the difficulty of the experienced group and the group with training experience was significantly lower than that of the less experienced group and the group without training experience. Based on external standards, the correlation coefficient was 0.387 with the Nursing Job Stress Scale and -0.239 with the Dementia Care Attitude Scale. Cronbach's α coefficient for each factor ranged from 0.889 to 0.905, and the total was 0.959. The split-half reliability for each factor ranged from 0.814 to 0.894, and the total was 0.911. Conclusion This study discovered a four-factor structure related to the difficulty scale of dementia nursing practice, and the scale's reliability and validity were confirmed. The scale can be utilized to assess the difficulty of dementia nursing practice in general hospitals and may be employed in future research to improve dementia nursing practices.
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Affiliation(s)
- Ting Liu
- Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan
- Hiroshima Red Cross Hospital & Atomic-bomb Survivors Hospital, Hiroshima, Japan
| | - Hisae Nakatani
- Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan
| | - Huifang Chen
- School of Nursing, Guangzhou Medical University, Guangzhou, Guangdong, China
| | - Nan Gao
- Operating Room, Hangzhou Hospital of Traditional Chinese Medicine, Hangzhou, Zhejiang, China
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Baik D, Yi N, Han O, Kim Y. Trauma nursing competency in the emergency department: a concept analysis. BMJ Open 2024; 14:e079259. [PMID: 38904130 PMCID: PMC11212115 DOI: 10.1136/bmjopen-2023-079259] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/26/2023] [Accepted: 06/04/2024] [Indexed: 06/22/2024] Open
Abstract
OBJECTIVES Despite numerous published concept analyses of nursing competency, the specific understanding of trauma nursing competency in emergency departments remains limited, with no clear definition. This study aimed to clarify the definitions and attributes of trauma nursing competencies in emergency departments. DESIGN Walker and Avant's method was used to clarify the concept of trauma nursing competency in emergency departments. DATA SOURCES PubMed, EMBASE, CINAHL and RISS were searched from inception to 23 April 2023. ELIGIBILITY CRITERIA Relevant studies that included combinations of the terms 'nurse', 'nursing', 'emergency', 'trauma', 'competency', 'capability' and 'skill' were selected. We restricted the literature search to English and Korean full-text publications, with no limit on the publication period; grey literature was excluded. DATA EXTRACTION AND SYNTHESIS This study uses defining attributes, antecedents and consequences extracted through data analysis. To aid comprehension of the model, related and contrary cases of the concept were created, and empirical referents were defined. RESULTS After excluding duplicates, irrelevant studies, incomplete texts and articles unrelated to the context and study population, 15 of the initial 927 studies were included. Five additional studies were added after a manual search of the references. The final concept analysis therefore included 20 studies. The attributes of trauma nursing competency for emergency nurses included 'rapid initial assessments considering injury mechanisms', 'priority determinations based on degrees of urgency and severity', 'clinical knowledge of trauma nursing', 'skills of trauma nursing', 'interprofessional teamwork' and 'emotional care'. CONCLUSIONS The concept analysis revealed that it is possible to promote the enhancement and development of trauma nursing competency in emergency departments across various contexts, such as clinical practice, education, research and organisational settings. This could ultimately improve trauma nursing quality and treatment outcomes.
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Affiliation(s)
- Dain Baik
- College of Nursing Science, Ewha Womans University, Seoul, Korea (the Republic of)
- Emergency Department, Ewha Womans University Seoul Hospital, Seoul, Korea (the Republic of)
| | - Nayeon Yi
- College of Nursing Science, Ewha Womans University, Seoul, Korea (the Republic of)
- Emergency Department, Inje University Ilsan Paik Hospital, Goyang, Gyeonggi-do, Korea (the Republic of)
| | - Ol Han
- College of Nursing Science, Ewha Womans University, Seoul, Korea (the Republic of)
- Nursing Department, Ewha Womans University Seoul Hospital, Seoul, Korea (the Republic of)
| | - Yeongeun Kim
- College of Nursing Science, Ewha Womans University, Seoul, Korea (the Republic of)
- Nursing Department, Dongnam Institute of Radiological & Medical Sciences, Gijang-gun, Busan, Korea (the Republic of)
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Lee M, Kim SK, Go Y, Jeong H, Lee Y. Positioning virtual reality as means of clinical experience in mental health nursing education: A quasi-experimental study. Appl Nurs Res 2024; 77:151800. [PMID: 38796255 DOI: 10.1016/j.apnr.2024.151800] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2022] [Revised: 10/30/2023] [Accepted: 05/13/2024] [Indexed: 05/28/2024]
Abstract
PURPOSE Virtual reality technology has been used to establish a risk-free environment in which students can practice psychiatric nursing. A quasi-experimental study was conducted to examine the effects of a virtual reality (VR) based mental health nursing simulation on practice performance of undergraduate nursing students. METHODS A quasi-experimental, pre- and post-test design was used. A total of 68 students were randomly assigned to an experimental group (n = 32) and a control group (n = 36). The control group received conventional simulation using text scenario-based role play. The intervention group received VR software consisting of 360° video clips and related quiz questions. RESULTS The self-reported perceived competency in nursing performance showed no statistically significant improvement in the experimental group, whereas the control group showed a statistically significant improvement in symptom management (t = 2.84, p = 0.007) and nurse-patient interaction (t = 2.10, p = 0.043). Scores from the assessor showed better performance scores in the experimental group in symptom management (t = -2.62, p = 0.011), violence risk management (t = -3.42, p = 0.001), and nurse-patient interaction (t = -3.12, p = 0.003). CONCLUSIONS The findings of this study indicate the potential of using VR for optimized mental health nursing simulation. VR technology allowed realistic experiences which may ensure students have a more comprehensive understanding of mentally ill patients and in doing so, overcome barriers of traditional simulation, resulting in better learning outcomes.
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Affiliation(s)
- Mihyun Lee
- Department of Nursing, Daejeon Health Institute of Technology, Daejeon 34504, Republic of Korea.
| | - Sun-Kyung Kim
- Department of Nursing, Department of Biomedicine, Health & Life Convergence Sciences, BK21 Four, Biomedical and Healthcare Research Institute, Mokpo National University, Muan-gun, Jeollanam-do 58554, Republic of Korea.
| | - Younghye Go
- Department of Nursing, Daejeon Health Institute of Technology, Daejeon 34504, Republic of Korea.
| | - Hyun Jeong
- Department of Nursing, Daejeon Health Institute of Technology, Daejeon 34504, Republic of Korea.
| | - Youngho Lee
- Department of Computer Engineering, Mokpo National University, Muan-gun, Jeollanam-do 58554, Republic of Korea.
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Lim SH, Ang SY, Aloweni F, Siow KCE, Koh SBL, Ayre TC. Factors associated with practice readiness among newly qualified nurses in their first two years of practice. NURSE EDUCATION TODAY 2024; 136:106143. [PMID: 38422796 DOI: 10.1016/j.nedt.2024.106143] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/23/2023] [Revised: 02/08/2024] [Accepted: 02/22/2024] [Indexed: 03/02/2024]
Abstract
BACKGROUND Newly graduated nurses undergo stress and role adjustment as they transition into practice during the first year and continue to struggle beyond the first year. Determining their practice readiness can aid in the development of interventions to facilitate workplace readiness for nurses in their first two years entering the nursing profession. OBJECTIVES To examine (i) extent of practice readiness of new nurses in their role; and (ii) associations between nurses' practice readiness and demographic and occupational variables, and reasons for choosing nursing profession. DESIGN A cross-sectional study. SETTINGS AND PARTICIPANTS A total of 445 registered nurses who graduated within the last two years and working in an academic medical centre in Singapore. METHODS Participants completed an online questionnaire with questions from Casey-Fink Readiness for Practice Survey and questions related to key competencies for future practice. RESULTS More than half (57.5 %) identified at least three skills and procedures which they were uncomfortable performing independently as they transition into the clinical practice, including: (i) responding to emergency (ii) tracheostomy care; and (iii) chest tube care. The top three reasons for choosing nursing as a career were: (i) nursing is a stable industry (54.2 %); (ii) I want to help people (52.1 %); and (iii) able to work anywhere in the world (44.3 %). Nurses were most concerned with areas of trials and tribulations (42.5 %) and clinical competency (36.6 %). When compared to nurses in their first-year post-graduation, those working in their second year reported more confidence in the ability to problem solve (p = 0.003), care for a person who is dying (p = 0.004), and less difficulties in prioritizing care needs (p = 0.04). They also perceived themselves as a good problem solver (p = 0.03). CONCLUSIONS It is critical to continue supporting nurses' practice readiness beyond their first year of practice in their confidence and development of skills of higher complexity.
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Affiliation(s)
- Siew Hoon Lim
- Division of Nursing, Singapore General Hospital, Singapore.
| | - Shin Yuh Ang
- Division of Nursing, Singapore General Hospital, Singapore.
| | - Fazila Aloweni
- Division of Nursing, Singapore General Hospital, Singapore.
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Ghobadi A, Sayadi L, Nayeri ND, Shabestari AN, Varaei S. The nurses' perception of the factors influencing professional misconduct: A qualitative study. Nurs Ethics 2024; 31:281-295. [PMID: 37599451 DOI: 10.1177/09697330231184469] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/22/2023]
Abstract
BACKGROUND Professional misconduct undermines safe and quality care; however, little is known about its nature and influential factors. AIM This study aimed to explain the factors influencing professional misconduct in nurses. RESEARCH DESIGN This qualitative study was conducted using the conventional content analysis method. PARTICIPANTS AND RESEARCH CONTEXT Data were collected using semi-structured interviews with 19 nurses working in the hospital selected through a purposeful method and analyzed by Graneheim and Lundman approach. ETHICAL CONSIDERATIONS The ethics committee of Tehran University of Medical Sciences approved this study with the ethics code IR.TUMS.FNM.REC.1400.187. Informed consent was obtained from all participants. Participants were assured of confidentiality. FINDINGS Factors influencing professional misconduct by nurses were categorized into three main categories: human factors (nurses' professional characteristics, personal characteristics of nurses and patient/companion, patient's clinical condition), procedural factors (procedural conditions, possibility of proving misconduct), and organizational factors (recruitment process, conditions of resources, managing misconduct, bureaucracy, and ward characteristics). CONCLUSION This study assists in explaining the factors influencing professional misconduct by nurses. Therefore this study's results can help managers and planners develop interventions to prevent and correct factors that contribute to misconduct and strengthen factors that prevent misconduct in order to ensure quality and safe patient care.
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Affiliation(s)
- Akram Ghobadi
- Department of Medical-Surgical, School of Nursing and Midwifery, Tehran University of Medical Science, Tehran, Iran
- School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Leila Sayadi
- Nursing and Midwifery Care Research Center, School of Nursing & Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Nahid Dehghan Nayeri
- Nursing and Midwifery Care Research Center, School of Nursing & Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | | | - Shokoh Varaei
- School of Nursing and Midwifery, Tehran University of Medical Science, Tehran, Iran
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Yezengaw TY, Debella A, Animen S, Aklilu A, Feyisa W, Hailu M, Sime B, Mohammed A, Deressa A, Mussa I, Alemu A, Mezmur H, Lami M, Eyeberu A. Clinical practice competence and associated factors among undergraduate midwifery and nursing sciences students at Bahir Dar city, Northwest Ethiopia. Ann Med Surg (Lond) 2024; 86:734-741. [PMID: 38333232 PMCID: PMC10849312 DOI: 10.1097/ms9.0000000000001518] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2023] [Accepted: 11/06/2023] [Indexed: 02/10/2024] Open
Abstract
Background Competence describes actions that will be demonstrated or observed and assessed while competency refers to the skill itself. Following appropriate theoretical and practical training, clinical experience is required to achieve the highest level of clinical competence. It is estimated that many women and newborns die each year due to a lack of qualified health professional around the world. As a result, the purpose of this study was to determine the prevalence and factors influencing clinical competency in the study area. Methods An Institutional-based cross-sectional study was conducted from 12 August to 12 September 2022, among 403 undergraduate health sciences students of Bahir Dar University. Participants were approached through simple random sampling technique. Data were collected using a pre-tested structured questionnaire through a face-to-face interview, and entered into Epidata version 3.1 and analyzed using SPSS version 22. The prevalence was reported using proportion with 95% CI and summary measures. Predictors were assessed using a multivariable logistic regression analysis model and reported using an adjusted odds ratio (AOR) with 95% CI. Statistical significance was declared at P value less than 0.05. Results Overall, the prevalence of clinical practice competency was 36.5% [95% CI; 33.5, 39.1]. Students who were provided a logbook (AOR=5.40, 95% CI 2.91, 10.02), adequate clinical cases in the clinical practice placement (AOR=2.72, 95% CI 1.60, 4.60), preceptor show different procedures (AOR=2.50, 95% CI 1.33, 4.71), student's confidence during conducting procedure (AOR=4.16, 95% CI 1.67, 10.35) and the suitability of the way of teaching to the learning styles of students during skills demonstration (AOR=2.10, 95% CI 1.00, 4.40) were factors statistically associated with clinical practice competence. Conclusions According to this study, more than three out of every five participants were found to be clinically incompetent. Providing logbooks, adequate clinical cases, preceptors showing different procedures, students' confidence, and suitability of the way of teaching to the learning styles of students were significantly associated with clinical practice competence. Implementing logbooks, selecting clinical sites, enhancing the confidence of students, preferred teaching/learning styles, and clinical preceptor support were important to improve the clinical competence of students.
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Affiliation(s)
| | | | - Simachew Animen
- College of Health Sciences, Department of Midwifery, Bahir Dar University, Bahir Dar
| | - Almaz Aklilu
- College of Health Sciences, Department of Midwifery, Bahir Dar University, Bahir Dar
| | - Wondu Feyisa
- College of Health Sciences, Department of Midwifery, Bahir Dar University, Bahir Dar
| | - Mickiale Hailu
- College of Medicine and Health science, Dire Dawa University, Dire Dawa
| | | | | | - Alemayehu Deressa
- School of Public Health, College of Health and Medical Sciences, Haramaya University
| | - Ibsa Mussa
- School of Public Health, College of Health and Medical Sciences, Haramaya University
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Kim HW, Roh YS. Perceived trauma nursing core competency, interprofessional collaborative competency, and associated barriers among regional trauma center nurses. Int Emerg Nurs 2024; 72:101388. [PMID: 38134844 DOI: 10.1016/j.ienj.2023.101388] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2023] [Revised: 10/30/2023] [Accepted: 11/16/2023] [Indexed: 12/24/2023]
Abstract
INTRODUCTION As key members of interprofessional teams working in complex settings, nurses in trauma centers require trauma nursing core competency. PURPOSE This study sought to determine the levels and relationships of the perceived importance and performance of trauma nursing core competency, as well as the interprofessional collaborative competency and associated barriers among Korean regional trauma center nurses. METHODS This cross-sectional, descriptive, and correlational survey involved a convenience sample of 190 Korean trauma center nurses. Data were collected using a web-based self-reporting questionnaire about the perceived importance and performance of trauma nursing core competency, as well as the interprofessional collaborative competency and associated barriers. Data were analyzed using descriptive statistics, Pearson's correlation, and multiple regression (Enter method) analyses. RESULTS The perceived performance and importance of interprofessional collaborative competency, the perceived importance of trauma nursing core competency, and the perceived barriers to resources, training, competency, and interest significantly affected trauma nursing core competency performance, accounting for 64.5 % of the variance. CONCLUSIONS Training programs are needed to improve the core and interprofessional collaborative competencies of trauma nurses. Individual, team, and organizational approaches are essential to addressing the perceived barriers. The effects of training programs on the core competency of trauma nurses should be validated.
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Affiliation(s)
- Hyo-Won Kim
- Graduate School of Nursing & Health Sciences, Chung-Ang University, Seoul, Republic of Korea
| | - Young Sook Roh
- Red Cross College of Nursing, Chung-Ang University, 84 Heukseok-ro Dongjak-gu, Seoul 06974, Republic of Korea.
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Kang J, Song J, Noh W. Global Health Competency of Nursing Personnel: A Cross-Sectional Study. SAGE Open Nurs 2024; 10:23779608241274189. [PMID: 39169995 PMCID: PMC11337185 DOI: 10.1177/23779608241274189] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2023] [Revised: 07/05/2024] [Accepted: 07/10/2024] [Indexed: 08/23/2024] Open
Abstract
Introduction As global health issues become more important, nursing education is undergoing change to reflect the changing global health environment and new knowledge. Nurses are required to be able to understand and interact with patients of diverse cultural backgrounds and characteristics and have relevant global health competencies. Objectives The aims of this study were to determine the GHC status of nurses and to analyze the association between GHC and nurse characteristics. Methods This study was a cross-sectional descriptive survey using a convenience sampling method. Data were collected from 473 nurses to collect information about participants' GHC and general characteristics, including gender, age, nursing experience (years), experience of caring for foreign patients, English communication skills, learning experience in global health, and global preparedness. Multiple regression analysis was used to determine the relationship between GHC and nurse characteristics. Results The mean GHC score of nurses was 2.21 out of 4. "Nursing practice in globalization" was the most important global health competency, while "resource management in globalization" was the one that was most necessary. In addition, "Resource management in globalization" was the highest priority for global health competency. Global preparedness (β = .25, p < .001) and the perceived necessity of GHC in nursing practice (β = .28, p < .001) were statistically significant factors influencing the global health competency of nurses. Conclusion Based on the relationship identified between GHC and the characteristics of nurses, it is essential to develop an education program for enhancing global preparedness and perception of the necessity of GHC.
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Affiliation(s)
- Jiwon Kang
- Department of Family, Health and Wellbeing, University of Minnesota Extension, Saint Paul, MN, USA
| | - Jeongeun Song
- College of Nursing, Korea University, Seoul, Republic of Korea
| | - Wonjung Noh
- College of Nursing, Gachon University, Incheon, Republic of Korea
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Wang S, Huang S, Yan L. Higher Vocational Nursing Students' Clinical Core Competence in China: A Cross-Sectional Study. SAGE Open Nurs 2024; 10:23779608241233147. [PMID: 38435341 PMCID: PMC10908234 DOI: 10.1177/23779608241233147] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2023] [Revised: 12/23/2023] [Accepted: 01/26/2024] [Indexed: 03/05/2024] Open
Abstract
Introduction Understanding the clinical core competence of nursing students in higher vocational colleges is crucial for adjusting the nursing core curriculum and training of nursing professionals. However, little is known about the level of clinical core competence of higher vocational nursing students in China. Objective To investigate nursing students' clinical core competence in the school of nursing and health at a vocational and technical college in Guangdong, China. Methods The Core Competency Scale for Registered Nurses in China was used to evaluate the clinical core competence of higher vocational nursing students from February to March 2022. Data were analyzed by descriptive statistics, Mann-Whitney U test and Kruskal-Wallis test. Results A total of 1,120 nursing students were investigated, 1,069 were valid questionnaires, and the response rate was 95.4%. The total score of core competence score of higher vocational nursing students was 176.55 ± 43.95, only 43.3% of students obtained an overall score more than 178, and 47.7% of students scored between 116 and 178 scores. The lowest score was on critical thinking and scientific research (2.72 ± 0.77) following by clinical nursing (2.85 ± 0.80), which had differences in gender, category of students, and years of study. There were differences in the total average score of core competence in terms of gender and category of students. Leadership and interpersonal relationships differ significantly by gender, while professional development, teaching, and coaching differ significantly by category of student. Conclusions The findings revealed the core competence of higher vocational nursing students is at a medium level. Moreover, critical thinking and scientific research, and clinical nursing ability are significantly insufficient.
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Affiliation(s)
- Siping Wang
- School of Nursing and Health, Guangdong Lingnan Institute of Technology, Qingyuan, China
| | - Shanshan Huang
- School of Nursing and Health, Guangdong Lingnan Institute of Technology, Qingyuan, China
| | - Lulu Yan
- School of Nursing and Health, Guangdong Lingnan Institute of Technology, Qingyuan, China
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Vázquez-Calatayud M, Olano-Lizarraga M, Quesada-Melero AM, Rumeu-Casares C, Saracíbar-Razquin M, Paloma-Mora B. Nursing capacity building in health coaching with hospitalised chronic heart failure patients: a quasi-experimental study. Contemp Nurse 2023; 59:443-461. [PMID: 37751247 DOI: 10.1080/10376178.2023.2262612] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2022] [Accepted: 09/18/2023] [Indexed: 09/27/2023]
Abstract
BACKGROUND Difficulty in adherence to treatment and self-care behaviours is a leading cause of preventable readmission in people with chronic heart failure (CHF). Although there is evidence of benefits of health coaching for the management of this situation, few interventions have been tested in the hospital setting. AIM To evaluate a coaching programme (H-Coaching) designed to develop nursing capacity in health coaching for chronic heart failure inpatients. METHODS A quasi-experimental pre-post study including all nurses in a single centre cardiology ward (N = 19). The intervention consisted of two training packages: (1) five theoretical-practical sessions on health-coaching competencies, emotional intelligence, communication and support of chronic heart failure patients in their illness in the hospital setting; and (2) training sessions seven months after the first training package to reinforce the theoretical and practical knowledge. On four occasions, the Competence Instrument of Health Education for the Nursing professional was used to measure nurses' knowledge, skills and attitudes in health coaching for chronic heart failure patients. RESULTS The difference between the preintervention and postintervention scores were statistically significant for knowledge [mean difference = 1.00 (95% CI -1.45 to -0.51; p = 0.000)], skills in general [mean difference = 0.50 (95% CI -1.41 to -0.21; p = 0.015)] and personal/social skills [mean difference = 1.00 (95% CI -1.10 to -0.01; p = 0.048)]. While attitudinal and affective domains did not differ, there were differences in knowledge and skills. CONCLUSION The H-Coaching programme proved to be effective for building nursing capacity in health coaching CHF inpatients. Similar programmes designed to improve knowledge in verbal and nonverbal communication techniques, and skills for coaching interventions adapted to meet the needs of individual patients, should be tested in future interventional experimental studies. CLINICAL TRIAL REGISTRATION NUMBER NCT05300880. IMPACT STATEMENT To our knowledge, this is the first nursing training intervention in health coaching for chronic heart failure the inpatient setting. This study has demonstrate improvements in both the knowledge and personal and social skills of cardiology nurses with regard to the development of health coaching in a hospital setting. Given the study design, further research is warranted. PLAIN LANGUAGE SUMMARY Many patients with chronic heart failure have problems in adhering to the treatment and self-care behaviours and this is one of the main causes of preventable readmission. To promote self-care, patients need to be empowered to integrate these habits into their daily lives and we should implement innovative strategies to achieve this. Health coaching is an ideal alternative to this but very few nurses in the hospital cardiology setting are experienced in health coaching. Our study has shown preliminary results demonstrating that a structured theoretical and practical training programme for nurses can improve nurses' knowledge and skills in health coaching for inpatient patients with chronic heart failure. This study provides an opportunity for future research to demonstrate whether nurses with this training have a positive impact on the health outcomes of chronic heart failure patients and, more specifically, on their levels of self-care and empowerment.
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Affiliation(s)
- Mónica Vázquez-Calatayud
- Clínica Universidad de Navarra, Avda. Pío XII 36, 31008 Pamplona, Spain
- School of Nursing, Universidad de Navarra, Campus Universitario, 31008 Pamplona, Spain
- University of Navarra, Innovation for a Person-Centred Care Research Group (ICCP-UNAV), Pamplona, Spain
- Navarra's Health Research Institute (IdiSNA), Pamplona, Spain
| | - Maddi Olano-Lizarraga
- School of Nursing, Universidad de Navarra, Campus Universitario, 31008 Pamplona, Spain
- University of Navarra, Innovation for a Person-Centred Care Research Group (ICCP-UNAV), Pamplona, Spain
- Navarra's Health Research Institute (IdiSNA), Pamplona, Spain
| | | | - Carmen Rumeu-Casares
- Clínica Universidad de Navarra, Avda. Pío XII 36, 31008 Pamplona, Spain
- University of Navarra, Innovation for a Person-Centred Care Research Group (ICCP-UNAV), Pamplona, Spain
| | - Maribel Saracíbar-Razquin
- School of Nursing, Universidad de Navarra, Campus Universitario, 31008 Pamplona, Spain
- University of Navarra, Innovation for a Person-Centred Care Research Group (ICCP-UNAV), Pamplona, Spain
- Navarra's Health Research Institute (IdiSNA), Pamplona, Spain
| | - Beatriz Paloma-Mora
- Clínica Universidad de Navarra, Avda. Pío XII 36, 31008 Pamplona, Spain
- University of Navarra, Innovation for a Person-Centred Care Research Group (ICCP-UNAV), Pamplona, Spain
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Almarwani AM, Alzahrani NS. Factors affecting the development of clinical nurses' competency: A systematic review. Nurse Educ Pract 2023; 73:103826. [PMID: 37951064 DOI: 10.1016/j.nepr.2023.103826] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2023] [Revised: 10/22/2023] [Accepted: 10/30/2023] [Indexed: 11/13/2023]
Abstract
AIM To synthesize and analyze the literature on nursing clinical competence to assess the factors affecting nursing clinical competency. BACKGROUND Nursing competence affects not only patients but also nurses themselves. Competent nurses contribute to patient safety. Prioritizing clinical competency enables nurses to deliver high-quality care. Clinical nursing competency is influenced by various factors including education and training, experience, professional development, clinical judgment, decision-making skills and communication. DESIGN This was a systematic review. METHODS This study utilized an extensive literature search of online databases, including SCOPUS, Web of Science and PubMed. This review followed the guidelines provided by the Effective Practice and Organization of Care (EPOC) Cochrane Group and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. RESULTS This systematic review provided 20 valuable articles, with a total of 6273 participants across the 20 studies, including 18 cross-sectional studies and two descriptive-correlational studies, predominantly using quantitative research methods. The analysis revealed several key factors that significantly affect nurses' clinical competency. These factors included years of experience, workplace environment, theoretical knowledge and educational level, marital status, clinical training, job satisfaction, turnover intention, job stress and critical thinking. CONCLUSIONS Understanding and addressing these factors are crucial for enhancing nurses' clinical competence and ultimately improving patient outcomes. Further research and interventions should be directed towards promoting supportive work environments, continuous education and the development of critical thinking skills among nurses to optimize their clinical competencies.
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Affiliation(s)
- Abdulaziz Mofdy Almarwani
- Department of Psychiatric Nursing, College of Nursing, Taibah University, Medina 42353, Saudi Arabia.
| | - Naif S Alzahrani
- Department of Medical-Surgical Nursing, College of Nursing, Taibah University, Medina 42353, Saudi Arabia
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Baluwa MA, Mndolo NCM, Yeboa NK, Mpeta-Phiri C, Haruzivishe C, Chirwa E. Clinical Competency During Undergraduate Midwifery Training in Malawi: A Concept Analysis. ADVANCES IN MEDICAL EDUCATION AND PRACTICE 2023; 14:1067-1075. [PMID: 37789928 PMCID: PMC10543071 DOI: 10.2147/amep.s426347] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/16/2023] [Accepted: 09/20/2023] [Indexed: 10/05/2023]
Abstract
Background The purpose of midwifery education is to produce clinically competent midwives. However, clinical training in Malawi faces multiple challenges, and the concept of Clinical Competency (CC) has not been analysed in this context. This article analyses CC during undergraduate midwifery training in Malawi to elucidate its attributes, antecedents, consequences, and empirical referents. Methods A literature search was performed on data bases, Google Scholar, PubMed, and CINAHL, using the following terms: clinical competency, midwifery competency, nursing competency, nursing and midwifery competency. Published articles were retrieved and clinical competency analysis was guided by Walker and Avant's strategy. Results CC attributes were knowledge, skills, attitudes, performance level, professionalism, and entrustable professional activity. Antecedents included motivation, role models, learning environment and personal traits. The consequences of CC include confidence, client safety, and quality of care. CC can be measured through a combination of four strategies: observing a student practising it in clinical area, simulation or Objective Structured Clinical Examination (OSCE), application through written essays or case presentations, and knowledge-based assessment. Conclusion CC is a multidimensional concept and its definition and defining attributes are contextual. Similarly, clinical competencies are a major determinant of educational decisions such as curriculum nucleus, length of clinical placement, teaching strategies, and student assessment methods. However, CC and its attributes have not been fully utilised in Malawi, especially in clinical teaching and student clinical assessments. There is a need to adequately prepare midwifery educators, clinical staff, and students to deliver quality clinical competencies consistent with competency-based education. Adoption of different assessment strategies and development of valid and reliable tools is necessary to comprehensively measure CC among midwifery students in Malawi.
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Affiliation(s)
- Masumbuko Albert Baluwa
- School of Maternal, Neonatal and Reproductive Health, Kamuzu University of Health Sciences, Blantyre, Malawi
- Department of Nursing and Midwifery, Mzuzu University, Mzuzu, Malawi
| | | | - Naomi Kyeremaa Yeboa
- School of Maternal, Neonatal and Reproductive Health, Kamuzu University of Health Sciences, Blantyre, Malawi
| | - Cynthia Mpeta-Phiri
- School of Maternal, Neonatal and Reproductive Health, Kamuzu University of Health Sciences, Blantyre, Malawi
| | - Clara Haruzivishe
- Departments of Primary Healthcare Services/Health Professions Education, Faculty of Medicine and Health Sciences, University of Zimbabwe, Harare, Zimbabwe
| | - Ellen Chirwa
- School of Maternal, Neonatal and Reproductive Health, Kamuzu University of Health Sciences, Blantyre, Malawi
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Yoon J, Seo HJ, Kim JE. Adaptation and Validation of the Korean Version of the Scope of School Nursing Practice Tool. J Sch Nurs 2023:10598405231195573. [PMID: 37605882 DOI: 10.1177/10598405231195573] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/23/2023] Open
Abstract
The scope of the school nursing practice tool (SSNPT) is needed to apply and explore the gap between what school nurses perceive as important and actual practices. This study adapted and validated the Korean version of SSNPT (K-SSNPT) among 360 Korean school nurses in January 2022. The reliable and valid K-SSNPT can inform school nurses' workforce policies by capturing the current scope of school nursing practice and setting priorities for improving school health in South Korea.
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Affiliation(s)
| | - Hyun-Ju Seo
- College of Nursing, Chungnam National University, Daejeon, South Korea
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McGarity T, Monahan L, Acker K, Pollock W. Nursing Graduates' Preparedness for Practice: Substantiating the Call for Competency-Evaluated Nursing Education. Behav Sci (Basel) 2023; 13:553. [PMID: 37504000 PMCID: PMC10376128 DOI: 10.3390/bs13070553] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2023] [Revised: 06/29/2023] [Accepted: 06/30/2023] [Indexed: 07/29/2023] Open
Abstract
Practice readiness continues to be a challenge in healthcare. This was especially evident during the COVID-19 pandemic. This focused descriptive-correlational study examined nurses' perceived preparedness for practice during the pandemic. One hundred and eighty-four registered nurses (RN) responded to Qualtrics survey questions addressing the competencies they perceived they had and the competencies they felt they needed that would have better prepared them to care for patients during the COVID-19 pandemic. The results demonstrated that although these nurses felt competent in certain areas, they perceived that they needed more education in those same areas to feel better prepared. Bivariate correlations and linear regression analysis indicated that institutional competency development, education, and work experience influenced perceived competency.
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Affiliation(s)
- Tammy McGarity
- College of Nursing, Texas A&M University Corpus Christi, Corpus Christi, TX 78412-5800, USA
| | - Laura Monahan
- College of Nursing, University of Illinois Chicago, Chicago, IL 60607, USA
| | - Katelijne Acker
- College of Nursing, Texas A&M University Corpus Christi, Corpus Christi, TX 78412-5800, USA
| | - Wendi Pollock
- Department of Social Sciences, Texas A&M University Corpus Christi, Corpus Christi, TX 78412-5800, USA
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Zainal NH, Musa KI, Rasudin NS, Mamat Z. Multilevel Modeling of Individual and Group Level Influences on Critical Thinking and Clinical Decision-Making Skills among Registered Nurses: A Study Protocol. Healthcare (Basel) 2023; 11:healthcare11081169. [PMID: 37108003 PMCID: PMC10137809 DOI: 10.3390/healthcare11081169] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2023] [Revised: 03/19/2023] [Accepted: 03/21/2023] [Indexed: 04/29/2023] Open
Abstract
Critical thinking and clinical decision-making are two essential components of nursing services. The practice of nursing requires both components at every level of nurses' daily tasks. This paper describes the protocol for an ongoing project, which aims to examine the prevalence of critical thinking and clinical decision-making among registered nurses and determine the factors that influence the skills at individual and group levels using a multilevel modeling approach. Survey data will be collected from approximately nine states, with nine general hospitals, nine district hospitals, one private hospital, and one educational hospital in Malaysia included. We aim to recruit 800 registered nurses working shifts in hospital settings. We will use questionnaires to measure the perceived nurses' knowledge, critical thinking skills, and clinical decision-making skills. The study will have three levels as the nurses are nested within the unit and further nested within the hospitals. This study will give an insight into the nursing profession today where critical thinking and clinical decision-making skills can play a significant role in patient safety and the quality of care in nursing practice.
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Affiliation(s)
- Nur Hidayah Zainal
- Department of Community Medicine, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian 16150, Kelantan, Malaysia
| | - Kamarul Imran Musa
- Department of Community Medicine, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian 16150, Kelantan, Malaysia
| | - Nur Syahmina Rasudin
- Biomedicine Programme, School of Health Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian 16150, Kelantan, Malaysia
| | - Zakira Mamat
- Nursing Programme, School of Health Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian 16150, Kelantan, Malaysia
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Vikström-Dahl I, Bing-Jonsson PC, Rauhala A, Fagerström L. Revealing a gap in the clinical competence of nursing staff in nursing homes: a cross-sectional study with the Ms. Olsen test. BMC Nurs 2023; 22:130. [PMID: 37072846 PMCID: PMC10111312 DOI: 10.1186/s12912-023-01297-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2022] [Accepted: 04/08/2023] [Indexed: 04/20/2023] Open
Abstract
BACKGROUND Nursing staff, caring for frail older people in long-term care, needs to have a certain level of clinical competence to identify diseases at an early stage and to assess and provide good nursing care. In Finland, nursing care is based on evidence-based and high-quality nursing care. However, earlier inspections by the National Supervisory Authority for Welfare and Health showed many discrepancies between the nursing staff's clinical competence and adequate and continuous education. AIM This study aimed to explore nursing staff, i.e. the clinical competence and decision-making skills of registered and practical nurses in nursing homes for older people in Finland and to analyse the association between nurses' clinical competence and fundamental background factors. METHODS We conducted a cross-sectional study of 337 participants in 50 nursing homes in the western part of Finland, between December 2020 and January 2021. The instrument used was the validated Ms. Olsen test, an extraction of NOP-CET. Statistical analyses were conducted with descriptive statistics and correlations and a cut-off for clinical competence. RESULTS This study with the Ms. Olsen test revealed that only one-fourth of the RNs and a third of the PNs passed the clinical competence test. In the self-evaluation, almost all participants evaluated themselves with good clinical competence. The Finnish Current Care Guidelines were used on a daily basis by 7.4% and weekly by 30%. Significant correlation was found between Swedish as a working language and mother tongue and the score for clinical competence. CONCLUSION The clinical competence test, the Ms. Olsen test, was used in Finland for the first time to evaluate the nursing staffs´ clinical competence in nursing homes. We found gaps in the clinical competence in Finnish nursing homes, both for PNs and RNs. The result differed remarkably from their self-assessments and the staff did not use the national nursing guidelines as required to develop their nursing skills and knowledge. Gaps in the clinical competence have been identified and can be used to develop targeted continuous education.
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Affiliation(s)
- Irén Vikström-Dahl
- Faculty of Education and Welfare Studies, Åbo Akademi University, Vaasa, Finland.
- Faculty of Health and Welfare, Novia University of Applied Sciences, Vaasa, Finland.
| | - Pia Cecile Bing-Jonsson
- Faculty of Health and Social Sciences, University of South-Eastern Norway (USN), Kongsberg, Norway
| | - Auvo Rauhala
- Faculty of Education and Welfare Studies, Åbo Akademi University, Vaasa, Finland
- Finnish Centre for Client and Patient Safety, Wellbeing Services County of Ostrobothnia, Vaasa, Finland
| | - Lisbeth Fagerström
- Faculty of Education and Welfare Studies, Åbo Akademi University, Vaasa, Finland
- Faculty of Health and Social Sciences, University of South-Eastern Norway (USN), Kongsberg, Norway
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Wan F, Yang L, Zhou N, He Y. Construction of learning objectives and content for newly graduated nurses in tertiary teaching hospitals: A Delphi study. NURSE EDUCATION TODAY 2023; 121:105716. [PMID: 36657320 DOI: 10.1016/j.nedt.2023.105716] [Citation(s) in RCA: 9] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/09/2022] [Revised: 12/21/2022] [Accepted: 01/07/2023] [Indexed: 06/17/2023]
Abstract
BACKGROUND Transition education is a robust strategy to improve the core competency of newly graduated nurses and the quality of clinical nursing and ensure people's safety. Limited information about the learning objectives and educational content for newly graduated nurses in China was available. OBJECTIVE Construct the learning objectives and educational content for newly graduated nurses based on defined core competencies. DESIGN We used a literature review and the e-Delphi method to conduct this study. SETTINGS Ten tertiary teaching hospitals and six nursing schools in Zhejiang Province, China, were selected. PARTICIPANTS Experts (n = 21) were invited to the e-Delphi study. METHODS Based on seven competencies from the literature review and the research group discussions, we formed an initial set of objectives and specific educational content for newly graduated nurses. Subsequently, experts provided supportive and modification advice on the competencies, objectives, and specific content in the two Delphi rounds. The consensus percentage and the weight of each first-level, second-level, and third-level item were calculated. RESULTS Consensus was achieved on seven core competencies, 44 learning objectives, and 60 components of educational content. The positive coefficient of the two Delphi rounds was 100 %, the authority coefficient was 0.83 and 0.87, the proportion of experts who made suggestions was 71.40 %, the coefficient of variation (CV) was <0.25 (P < 0.05) except for two items and the Kendall coefficient (W) was 0.15-0.48 (P < 0.01). CONCLUSION The developed objectives and content framework provide a reference for implementing systematic and standardized education for newly graduated nurses.
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Affiliation(s)
- Fangyuan Wan
- Department of Neurology, Sir Run Run Shaw Hospital, Zhejiang University, School of Medicine, Hangzhou, Zhejiang, China.
| | - Lili Yang
- Nursing Education Department, Sir Run Run Shaw Hospital, Zhejiang University, School of Medicine, Hangzhou, Zhejiang, China.
| | - Na Zhou
- Department of Gynecology, Sir Run Run Shaw Hospital, Zhejiang University, School of Medicine, Hangzhou, Zhejiang, China.
| | - Ying He
- Department of Gynecology, Sir Run Run Shaw Hospital, Zhejiang University, School of Medicine, Hangzhou, Zhejiang, China.
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Kazemi S, Parizad N, Habibzadeh H. "We are really starving for respect and support," the struggle of Iranian nurses in adhering to professional values: A qualitative study. Nurs Open 2023; 10:3406-3414. [PMID: 36718126 PMCID: PMC10077361 DOI: 10.1002/nop2.1595] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2022] [Revised: 11/25/2022] [Accepted: 12/23/2022] [Indexed: 02/01/2023] Open
Abstract
AIMS To investigate nurses' experiences of adhering to professional values in clinical settings. DESIGN A qualitative study with a conventional content analysis approach. METHODS This study was conducted from January 2021 to March 2022. Semi-structured interviews were conducted with 12 nurses working in different wards of five public and private hospitals in West Azerbaijan of Iran. Data were analysed using the conventional content analysis approach proposed by Graneheim and Lundman (Nurse education today, 24, 2004, 105) RESULTS: "Barriers to nurses' professional values" emerged as the main category of Iranian nurses' experiences in adhering to professional values. Three subcategories of barriers were revealed: "nurses' challenges," "professional suppressors" and "poor working conditions." CONCLUSION Barriers in clinical settings can overshadow nurses' professional performance and disrupt their adherence to professional values. Nursing managers must pay attention to nurses' challenges, their professional suppressors and poor working condition to help them promote their professional performance in clinical settings. Thus, nursing managers should not neglect the continuous education of nurses to assist them in increasing their clinical skills by holding practical and theoretical workshops. Improving the working conditions and clinical atmosphere by recruiting a capable workforce and applying psychological and financial support for nurses are essential to increase the quality of nursing care.
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Affiliation(s)
- Sahar Kazemi
- School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran
| | - Naser Parizad
- Patient Safety Research Center, Clinical Research Institute, Nursing & Midwifery School, Urmia University of Medical Sciences, Urmia, Iran
| | - Hossein Habibzadeh
- Patient Safety Research Center, Clinical Research Institute, Nursing & Midwifery School, Urmia University of Medical Sciences, Urmia, Iran
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Lhadon T, Kitreerawutiwong N. Assessment of competencies in the prevention and control of chronic diseases and their influencing factors among health assistants in Bhutan: a cross-sectional study. BMC Health Serv Res 2022; 22:1334. [PMID: 36357904 PMCID: PMC9647919 DOI: 10.1186/s12913-022-08747-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2022] [Accepted: 10/27/2022] [Indexed: 11/11/2022] Open
Abstract
Background The morbidity and mortality of chronic diseases are increasing worldwide. The literature confirms that the prevention and control of chronic disease necessitates a robust primary health care system with a competent health care workforce. Studies on competencies in the prevention and control of chronic diseases and their determinants among health assistants (HAs) in Bhutan are scarce. This cross-sectional survey aimed to examine the level of competencies and investigate the factors influencing competencies in the prevention and control of chronic diseases among HAs. Methods The sample consisted of 330 HAs who were recruited through simple random sampling. A validated and reliable self-administered questionnaire was used to collect data through a web-based Google Form. Data were analysed using descriptive statistics and multiple regression analysis. Results The findings showed that the mean summed competency score was 191 (SD = 25.7). Approximately 96% of the participants perceived that they were competent in the prevention and control of chronic diseases. The multiple regression analysis indicated that work environment (β = 0.473), sex (β = 0.126), location of the health facility (β = − 0.114), and organizational support (β = 0.117) affected competencies in the prevention and control of chronic diseases by 31.4% with statistical significance (R2 = 0.314) (p < 0.05). Conclusions This study suggested that improving the number of staff and availability of learning resources, considering training for both sexes, especially female primary health care workers, enhancing mentorship and supervision in rural areas, and establishing the recognition and encouragement of primary health care workers are needed.
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Choe K, Kwon S, Kim S. How do ethically competent nurses behave in clinical nursing practice? A qualitative study. J Nurs Manag 2022; 30:4461-4471. [PMID: 36326092 DOI: 10.1111/jonm.13884] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2022] [Revised: 08/30/2022] [Accepted: 10/27/2022] [Indexed: 11/06/2022]
Abstract
AIM This study explored how ethically competent nurses behave in clinical nursing practice. BACKGROUND Nurses' ethical competency is crucial in nursing practice as it promotes patients' safety and quality of care. METHODS Using a purposive sampling technique, 20 clinical nurses in South Korea were interviewed via an online video platform. The data were analysed using a thematic analysis based on phenomenological approach. RESULTS The main theme found among the participating nurses' ethical competency was caring beyond egocentrism, with two subthemes: (1) patient-centred care based on compassion and (2) responsible behaviour based on nursing professionalism. Factors that enabled this included (1) reasonable work conditions, (2) interpersonal relationships, and (3) nurses' rich personal experiences. CONCLUSIONS Nurses' ethical competency depends on how far they can move away from their own egocentrism and act for their clients' benefit, wherein an appropriate workload and warm human relationships with one's colleagues are essential. Nurses should thus receive education on ethics and professionalism and participate in volunteer and leisure activities that cultivate their degree of empathy. IMPLICATION FOR NURSING MANAGEMENT Nursing leaders and managers should understand nurses' ethical competency and its enabling factors to devise effective strategies to promote it.
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Affiliation(s)
- Kwisoon Choe
- Department of Nursing, Chung-Ang University, Seoul, Republic of Korea
| | - Soojin Kwon
- Department of Nursing, Ansan University, Ansan, Republic of Korea
| | - Sunghee Kim
- Department of Nursing, Chung-Ang University, Seoul, Republic of Korea
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Wanchai A, Phrompayak D, Prompuk B. A needs assessment for competency development of nurse educators. Nurs Forum 2022; 57:1445-1451. [PMID: 36371674 DOI: 10.1111/nuf.12844] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2022] [Revised: 10/20/2022] [Accepted: 11/03/2022] [Indexed: 06/16/2023]
Abstract
OBJECTIVE The purposes of this study were to assess the current competencies and desired competency development of nurse educators and to examine differences in how they ranked their needs by participants' gender, age, educational qualification, and work experience. METHODS We conducted a cross-sectional study. Participants were 435 nurse educators working at nursing colleges under the Ministry of Public Health, Thailand, in 2021. RESULTS Participants had significantly higher desired scores for competency development than the actual condition scores (p < .05). They prioritized their competence development needs from highest to lowest scores as follows: (1) nursing knowledge, (2) teaching pedagogy, (3) learning activities preparation, (4) professional value, (5) learning atmosphere building, (6) educator professional ethics, (7) learning outcomes measures, and (8) learning plan. Participants with different gender, education levels, ages, and work experiences set similar priorities for competency development needs. CONCLUSION Nurse educators first emphasized knowledge and teaching skills improvement, followed by enhancing value. However, their needs were not different when categorized by gender, age, educational qualification, and work experience. Therefore, planning to develop all competencies is urged and prioritized. Similarly, future research should explore suitable competency development programs for these nurse educators in each area. Our study's findings could be an example applied to other nursing schools worldwide to improve nurse educators' competencies.
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Affiliation(s)
- Ausanee Wanchai
- Nursing Administration Department, Research and Academic Services, Faculty of Nursing, Boromarajonani College of Nursing, Buddhachinaraj, Praboromarajchanok Institute, Ministry of Public Health, Nonthaburi, Thailand
| | - Duangjai Phrompayak
- Adult and Elderly Nursing Department, Boromarajonani College of Nursing, Buddhachinaraj, Praboromarajchanok Institute, Ministry of Public Health, Faculty of Nursing, Nonthaburi, Thailand
| | - Benyapa Prompuk
- Adult and Elderly Nursing Department, Boromarajonani College of Nursing, Buddhachinaraj, Praboromarajchanok Institute, Ministry of Public Health, Faculty of Nursing, Nonthaburi, Thailand
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Kalsoom Z, Victor G, Virtanen H, Sultana N. What really matters for patient safety: Correlation of nurse competence with international patient safety goals. JOURNAL OF PATIENT SAFETY AND RISK MANAGEMENT 2022. [DOI: 10.1177/25160435221133955] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
Background Optimal level of nurse competence is imperative for patient safety and quality of care. A research gap exists in empirical evidence for associating nurses’ competencies with patient safety. Purpose The primary purpose of this study was to measure the association between general ward nurses' competencies with international patient safety goals. Method Correlational research design was adopted. Stratified random sampling was used to recruit (n = 182) nurses working in two JCIA accredited and non-JCIA hospitals. Data were collected using the Competency Inventory for Registered Nurses and International Patient Safety Goals. The research was approved by the Institutional review board and ethics committee. Findings The regression analysis showed enhancement of patient safety with an improvement in nurse competencies R2 = 0.238. Nurse competencies showed a moderate positive association with an overall patient safety such as critical thinking and research aptitude (r = 0.420, P – Value < 0.001), teaching coaching (r = 0.469, P- Value <0.01), professional development (r = 0.436, P – Value < 0.001), legal and ethical practices (r = 0.434, P –Value < 0.001), interpersonal relationships (r = 0.430, P –Value < 0.001), Leadership (r = 0.400, P –Value < 0.001), and Clinical Care (r = 0.541, P –Value < 0.001). Moreover, experience and professional education show positive association with both, patient safety and nurses’ competencies. Conclusion Nurses’ clinical competencies are crucial to enhance patient safety. Personal and professional attributes affect the competencies of nurses and patient safety. Hospital management should take mandatory steps to ensure improving nurses’ competencies for better patient safety.
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Affiliation(s)
| | - Gideon Victor
- Shifa Tameer-e-Millat University, Islamabad, Pakistan
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González García A, Pinto‐Carral A, Pérez González S, Marqués‐Sánchez P. A competency model for nurse executives. Int J Nurs Pract 2022; 28:e13058. [PMID: 35434853 PMCID: PMC9787642 DOI: 10.1111/ijn.13058] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2021] [Revised: 02/24/2022] [Accepted: 03/25/2022] [Indexed: 12/30/2022]
Abstract
BACKGROUND Nurses capable of adequately developing their competencies in the management field are essential for the sustainability of health-care organizations. Such competencies should be included in a model of specific competencies. AIM The aim of this research is to propose a competency model for nurse executives. METHODS The Delphi method was applied to reach a consensus on the required competencies, and Principal Component Analysis (PCA) was applied to determine the construct validity and reduce the data set's dimensionality. Consensus was defined based on at least 80% of the experts agreeing with the proposed competencies. For each competency, the development levels were beginner, advanced beginner, competent, highly competent and expert. RESULTS From among the 51 competencies that were identified to define a model for nurse executives, decision-making, leadership and communication stood out. The PCA indicated the structural validity of the proposed model by saturation of the principal components (Cronbach's α > 0.631). CONCLUSION Nurses wishing to develop their professional careers as nurse executives must first develop the competencies shown in the proposed model. Nurse executives should follow the educational programmes specified in this study, to adapt their knowledge to this role's requirements.
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Affiliation(s)
| | - Arrate Pinto‐Carral
- Faculty of Health Sciences, Nursing and Physiotherapy Department, Grupo SALBIS InvestigaciónUniversidad de LeónLeónSpain
| | | | - Pilar Marqués‐Sánchez
- Faculty of Health Sciences, Nursing and Physiotherapy Department, Grupo SALBIS InvestigaciónUniversidad de LeónLeónSpain
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An ethnographic evaluation of a speciality training pathway for general practice nursing in the UK. Nurse Educ Pract 2022; 62:103347. [DOI: 10.1016/j.nepr.2022.103347] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2021] [Revised: 02/02/2022] [Accepted: 03/29/2022] [Indexed: 11/21/2022]
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Lourdes GP, Ainhoa MM, Benito-Aracil L, Solà-Pola M, Pla I Consuegra M. "Spanish Palliative Care Nurses' Degree of Acceptance of a Proposal for Nursing Competencies in Palliative Care". J Palliat Care 2022; 37:419-433. [PMID: 34918570 DOI: 10.1177/08258597211047367] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Background: In Spain, palliative care (PC) nursing is not a recognized specialization and PC nurses do not receive systematic specialized academic training in PC. To ensure the quality of PC in Spain, the Spanish Association of Palliative Care Nursing has been working since 2011 to design a model of competencies for PC nurses. Objective: Verify whether a sample of Spanish PC nurses accepts the proposed model of PC nursing competencies describing their work. Methods: Descriptive cross-sectional observational study based on an ad-hoc questionnaire about 98 proposed competencies, which participants rated for whether they belong to the purview of PC nurses and for their degree of concordance with their own practice and their degree of importance in PC nursing. Competencies receiving approval by more than 75% of participants for the three dimensions were considered to have been accepted by consensus. Mixed logistical models were developed to study the association between demographic variables and the responses. Results: Sixty-two out of 98 proposed competencies were accepted by more than 75% of participants. We therefore considered these competencies to have been accepted by consensus. Thirty-six proposed competencies failed to meet the threshold of 75% acceptance. For competencies that were accepted overall, participants with more than 10 years of experience in PC and participants with specialized training in PC were more likely to report that these competencies were part of the purview of PC nursing. Participants age >50 were less likely to report that competencies related to research concorded with their practice. Participants accepted the importance of all 98 proposed competencies. Conclusion: The variables of experience, training and age had a statistically significant relationship with the acceptance or rejection of the proposed competencies on the basis of purview and concordance. Further research is necessary to understand more fully these relationships to eventually arrive at a consensus model for the competencies of PC nurses.
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Affiliation(s)
- Guanter-Peris Lourdes
- School of Nursing, Faculty of Medicine and Health Sciences, University of Barcelona, s/n Feixa LLarga. Pavelló de Govern 3a planta, 08907, L'Hospitalet de Llobregat, Barcelona, Spain
- Catalan Institute of Oncology (ICO), Hospital Duran i Reynals. Avinguda de la Gran Via de l'Hospitalet,199-203, 08908, L'Hospitalet de Llobregat, Barcelona, Spain
| | - Molins-Mesalles Ainhoa
- Subdirectorate General for Planning and Professional Development. Healh Departament of Generalitat de Catalunya, Spain
| | - Llúcia Benito-Aracil
- School of Nursing, Faculty of Medicine and Health Sciences, University of Barcelona, s/n Feixa LLarga. Pavelló de Govern 3a planta, 08907, L'Hospitalet de Llobregat, Barcelona, Spain
| | - Montserrat Solà-Pola
- School of Nursing, Faculty of Medicine and Health Sciences, University of Barcelona, s/n Feixa LLarga. Pavelló de Govern 3a planta, 08907, L'Hospitalet de Llobregat, Barcelona, Spain
| | - Margarida Pla I Consuegra
- School of Nursing, Faculty of Medicine and Health Sciences, University of Barcelona, s/n Feixa LLarga. Pavelló de Govern 3a planta, 08907, L'Hospitalet de Llobregat, Barcelona, Spain
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Boakye PN. 'No other alternative than to compromise': Experiences of midwives/nurses providing care in the context of scarce resources. Nurs Inq 2022; 29:e12496. [PMID: 35474629 DOI: 10.1111/nin.12496] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2022] [Revised: 04/06/2022] [Accepted: 04/08/2022] [Indexed: 11/26/2022]
Abstract
Midwives and nurses play a critical role in safeguarding the lives of women in resource-constrained African countries. Working within the context of scarce resources may undermine their moral agency and hinder their ability to care. The purpose of this paper is to understand the influence of resource scarcity on midwifery and nursing care and practice. A critical ethnography was conducted in the obstetric department of three tertiary-level facilities in Ghana. Purposive sampling was used to recruit 30 midwives and nurses and semistructured interviews, field notes and documentary materials were used to generate in-depth understanding. Ethical approval was granted from Canada and Ghana and written, and ongoing informed consent was obtained from the participants. Five conceptual themes depicting the impact of scarce resources on midwifery and nursing care were discovered: compromised care, constrained care, dehumanized care, missed care and disengaged care. Improving the maternal health of women and averting avoidable maternal morbidity and mortality require governments and institutions to invest in health infrastructure that will support the delivery of ethical and safe midwifery care for women in their most vulnerable period.
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Affiliation(s)
- Priscilla N Boakye
- Daphne Cockwell School of Nursing, Ryerson University, Toronto, Ontario, Canada
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32
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Kakemam E, Ghafari M, Rouzbahani M, Zahedi H, Roh YS. The association of professionalism and systems thinking with patient safety competency: A structural equation mode. J Nurs Manag 2022; 30:817-826. [DOI: 10.1111/jonm.13536] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2021] [Revised: 11/17/2021] [Accepted: 12/18/2021] [Indexed: 11/28/2022]
Affiliation(s)
- Edris Kakemam
- Tabriz Health Services Management Research Center Tabriz University of Medical Sciences Tabriz Iran
| | - Masoud Ghafari
- Department of Health Services Management, Health School Arak University of Medical Sciences Arak Iran
| | - Mahtab Rouzbahani
- Department of Health Management and Economics, School of Public Health Tehran University of Medical Sciences Tehran Iran
| | - Hamideh Zahedi
- Student Research Committee, Nursing & Midwifery Faculty Tabriz University of Medical Sciences Tabriz Iran
| | - Young Sook Roh
- Chung‐Ang University Red Cross College of Nursing Seoul Republic of Korea
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Tohmola A, Elo S, Mikkonen K, Kyngäs H, Lotvonen S, Saarnio R. Nursing students' competence profiles in gerontological nursing-A cross-sectional study. Nurs Open 2022; 9:199-209. [PMID: 34534403 PMCID: PMC8685838 DOI: 10.1002/nop2.1054] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2021] [Revised: 08/12/2021] [Accepted: 09/02/2021] [Indexed: 11/13/2022] Open
Abstract
AIM The study aimed to describe and explain the self-assessed gerontological nursing competence levels of Finnish nursing students and factors relating to it. DESIGN A cross-sectional study design, reported by The Strengthening the Reporting of Observational studies in Epidemiology guidelines. METHODS Data were collected with the GeroNursingCom instrument, which features 53 items relating to 11 competence factors. The K-clustering technique and the Chi-squared, Kruskal-Wallis and Mann Whitney tests were used to analyse the data. RESULTS Seven hundred and ninety-nine nursing students from nine randomly selected higher education institutions were invited to participate in 2019. Three distinct student profiles were identified according to the data (N = 274): Profile A-lower intermediate competence (23.1% of students), Profile B-intermediate competence (45.8%) and Profile C-high competence (31.1%). The strongest competence area for all students was appreciative encounter and interaction, and the weakest was supporting the older person's sexuality. Nursing students have diverse backgrounds and their overall competence in gerontological nursing is shaped in part by their previous education, motivations and work experience. RELEVANCE TO CLINICAL PRACTICE Recognizing students' different gerontological nursing competence profiles enables the implementation of targeted education to improve competence in clinical practice.
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Affiliation(s)
- Anniina Tohmola
- Research Unit of Nursing Science and Health ManagementUniversity of OuluOuluFinland
- Lapland UASKemiFinland
| | | | - Kristina Mikkonen
- Research Unit of Nursing Science and Health ManagementUniversity of OuluOuluFinland
| | - Helvi Kyngäs
- Research Unit of Nursing Science and Health ManagementUniversity of OuluOulu University HospitalOuluFinland
| | - Sinikka Lotvonen
- Research Unit of Nursing Science and Health ManagementGeroNursingCentreUniversity of OuluOuluFinland
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Hailu M, Welday M, Haftu A, Tadesse D, Weldeamanel T, Amsalu B, Guta A, Kassie N, Sema A, Mohammed A, Abdurashid N, Solomon Y, Bati F, Girma M, Sintayehu Y, Belay Y, Amsalu S. Clinical Practice Competence and its Associated Factors Among Midwifery and Nursing Students at Dire Dawa Health Sciences Colleges, East Ethiopia, 2020. ADVANCES IN MEDICAL EDUCATION AND PRACTICE 2021; 12:1539-1547. [PMID: 35002353 PMCID: PMC8722533 DOI: 10.2147/amep.s347080] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/05/2021] [Accepted: 12/15/2021] [Indexed: 06/14/2023]
Abstract
BACKGROUND Competence is defined as the ability to perform a task with desirable outcomes. Globally, an estimated 530,000 women and 2 million newborns die each year, because of no access to competent health professionals. But half of those deaths can be prevented with competent health professionals. However, the existing literature shows that most new graduates have a lack of competence in the clinical environment, none of them have assessed whether student or preceptor factors have an association with clinical competence or not. So, this study is crucial to fill data scarcity. OBJECTIVE To determine the clinical practice competence and associated factors among midwifery and nursing students at Dire Dawa. METHODS Institutional cross-sectional study was conducted on nursing and midwifery students from February 10/2020 to February 30/2020. Self-administered questionnaires were given to 318 students through a simple random lottery. Multivariate logistic regression analysis was done for variables with a p-value <0.2 in binary logistic regression. The odds ratio was used to measure the degree of association. RESULTS Only 19.2% are clinically competent. Students who were oriented about assessment methods were 4 times more likely competent [AOR = 4.096 p-value 0.035]. Students who have staff encouragement and have preceptors were 5 times [AOR = 4.900 p-value 0.12] and 11 times [AOR = 11.052 p-value 0.00] more likely competent, respectively. Confident students were 4 times more likely competent [AOR = 4.460, p-value 0.005]. CONCLUSION The prevalence of clinical competence is very minimal. This is due to assessment methods orientation, staff encouragement, clinical preceptor support and students' confidence. This finding contributes to the federal ministry of health should work closely with teaching institutions, health facilities, and other stakeholders to overcome those gaps.
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Affiliation(s)
- Mickiale Hailu
- Midwifery Department, Dire Dawa University, Dire Dawa, Ethiopia
| | - Mengstu Welday
- College of Health Sciences, Department of Midwifery, Mekelle University, Mekelle, Ethiopia
| | - Abera Haftu
- College of Health Sciences, Department of Midwifery, Mekelle University, Mekelle, Ethiopia
| | - Daniel Tadesse
- Midwifery Department, Dire Dawa University, Dire Dawa, Ethiopia
| | | | - Bezabih Amsalu
- Midwifery Department, Dire Dawa University, Dire Dawa, Ethiopia
| | - Alemu Guta
- Midwifery Department, Dire Dawa University, Dire Dawa, Ethiopia
| | - Nigus Kassie
- Midwifery Department, Dire Dawa University, Dire Dawa, Ethiopia
| | - Alekaw Sema
- Midwifery Department, Dire Dawa University, Dire Dawa, Ethiopia
| | - Aminu Mohammed
- Midwifery Department, Dire Dawa University, Dire Dawa, Ethiopia
| | - Neil Abdurashid
- Midwifery Department, Dire Dawa University, Dire Dawa, Ethiopia
| | - Yonatan Solomon
- Midwifery Department, Dire Dawa University, Dire Dawa, Ethiopia
| | - Feyso Bati
- Midwifery Department, Dire Dawa University, Dire Dawa, Ethiopia
| | - Meklit Girma
- College of Health Sciences, Department of Midwifery, Mekelle University, Mekelle, Ethiopia
| | | | - Yalelet Belay
- Midwifery Department, Dire Dawa University, Dire Dawa, Ethiopia
| | - Sewmehon Amsalu
- Midwifery Department, Dire Dawa University, Dire Dawa, Ethiopia
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Leong FF, He HG, Premarani K, Lim SH. Nurses' perceptions of nursing education transformation and its impact on care delivery in Singapore. Int Nurs Rev 2021; 69:340-349. [PMID: 34921738 DOI: 10.1111/inr.12733] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2021] [Accepted: 10/27/2021] [Indexed: 11/27/2022]
Abstract
AIMS To explore nurses' perceptions of the transformation in Singapore's nursing education and its impact on the delivery of nursing care. BACKGROUND Nursing education in Singapore has sailed through a sea of changes, from the apprenticeship model of training in hospitals to institutions of higher learning. Limited primary studies have explored the evolution of nursing education, and none have explored its impact on the delivery of nursing care, based on nurses' perceptions. METHODS A descriptive qualitative design with purposive and snowball sampling was used to recruit 18 experienced nurses from local teaching institutions and healthcare clusters. Semistructured individual face-to-face interviews were conducted using an interview guide. Data were analysed using thematic analysis. The Consolidated Criteria for Reporting Qualitative Research reporting guideline was used to report the study. FINDINGS Five themes emerged: 'evolution of the nursing education approach', 'clinical learning environments', 'evaluation of changes in the nursing education approach', 'attitudes toward the provision of various levels of education' and 'influences of various competencies on the delivery of nursing care'. CONCLUSION Changes in teaching pedagogies, learning, assessment, curriculum structure, content and clinical learning environment were commonly reported, which provided insights into understanding nursing education transformation and its impact on nursing practice. IMPLICATIONS FOR NURSING EDUCATION The findings could better prepare nurses for the demanding needs of the contemporary healthcare landscape. Nurse educators and leaders should evaluate gaps in nursing education and implement strategies to improve students' learning experiences and outcomes. IMPLICATIONS FOR NURSING POLICY Policy-makers can draw on our findings to revise the core competencies guidelines and improve future training by supporting the healthcare needs of society.
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Affiliation(s)
- Felice Fangie Leong
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, National University Health System, Singapore.,Division of Nursing, Singapore General Hospital, Singapore
| | - Hong-Gu He
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, National University Health System, Singapore
| | | | - Siew Hoon Lim
- Division of Nursing, Singapore General Hospital, Singapore
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Chicoine G, Côté J, Pepin J, Fontaine G, Maheu-Cadotte MA, Hong QN, Rouleau G, Ziegler D, Jutras-Aswad D. Effectiveness and experiences of the Extension for Community Healthcare Outcomes (ECHO) Model in developing competencies among healthcare professionals: a mixed methods systematic review protocol. Syst Rev 2021; 10:313. [PMID: 34911579 PMCID: PMC8675457 DOI: 10.1186/s13643-021-01832-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/29/2020] [Accepted: 10/10/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The Extension for Community Healthcare Outcomes (ECHO) Model of continuing tele-education is an innovative guided-practice model aiming at amplifying healthcare professionals' competencies in the management of chronic and complex health conditions. While data on the impact of the ECHO model is increasingly available in the literature, what influences the model effectiveness remains unclear. Therefore, the overarching aim of this systematic review is to identify, appraise, and synthesize the available quantitative (QUAN) and qualitative (QUAL) evidence regarding the ECHO Model effectiveness and the experiences/views of ECHO's participants about what influences the development of competencies in healthcare professionals. METHODS The proposed systematic review was inspired by the Joanna Briggs Institute (JBI) methodology for Mixed Methods Systematic Reviews (MMSR) and will follow a convergent segregated approach. A systematic search will be undertaken using QUAN, QUAL and mixed methods (MM) studies of ECHO-affiliated programs identified in six databases. A publication date filter will be applied to find the articles published from 2003 onwards. Sources of unpublished studies and gray literature will be searched as well. Retrieved citations will independently be screened by two reviewers. Disagreements will be resolved through discussion until a consensus is reached or by including a third reviewer. Studies meeting the predefined inclusion criteria will be assessed on methodological quality and the data will be extracted using standardized data extraction forms. Separate QUAN and QUAL synthesis will be performed, and findings will be integrated using a matrix approach for the purpose of comparison and complementarity. DISCUSSION This MMSR will fulfill important gaps in the current literature on the ECHO Model as the first to provide estimates on its effectiveness and consider simultaneously the experiences/views of ECHO's participants. As each replication of the ECHO Model greatly varies depending on the context, topic, and targeted professionals, a better understanding of what influences the model effectiveness in developing healthcare professionals' competencies is crucial to inform future implementation. SYSTEMATIC REVIEW REGISTRATION PROSPERO CRD42020197579.
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Affiliation(s)
- Gabrielle Chicoine
- Faculty of Nursing, Université de Montréal, Pavillon Marguerite-d’Youville, C.P. 6128 succ. Centre-ville, Montreal, QC H3C 3J7 Canada
- Université de Montréal Hospital Research Centre, Montreal, QC Canada
| | - José Côté
- Faculty of Nursing, Université de Montréal, Pavillon Marguerite-d’Youville, C.P. 6128 succ. Centre-ville, Montreal, QC H3C 3J7 Canada
- Université de Montréal Hospital Research Centre, Montreal, QC Canada
- Research Chair in Innovative Nursing Practices, Université de Montréal Hospital Research Centre, Montreal, QC Canada
| | - Jacinthe Pepin
- Faculty of Nursing, Université de Montréal, Pavillon Marguerite-d’Youville, C.P. 6128 succ. Centre-ville, Montreal, QC H3C 3J7 Canada
- FUTUR Team-FRQSC, Faculty of Nursing, Université de Montréal, Montreal, QC Canada
| | - Guillaume Fontaine
- Centre for Implementation Research, Psychology and Health Research Group, Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON Canada
| | - Marc-André Maheu-Cadotte
- Faculty of Nursing, Université de Montréal, Pavillon Marguerite-d’Youville, C.P. 6128 succ. Centre-ville, Montreal, QC H3C 3J7 Canada
- Research Centre, Montreal Heart Institute, Montreal, QC Canada
| | - Quan Nha Hong
- EPPI-Centre, UCL Social Research Institute, University College London, London, England
| | - Geneviève Rouleau
- FUTUR Team-FRQSC, Faculty of Nursing, Université de Montréal, Montreal, QC Canada
- Women’s College Hospital, Toronto, ON Canada
| | - Daniela Ziegler
- Université de Montréal Hospital Research Centre, Montreal, QC Canada
| | - Didier Jutras-Aswad
- Université de Montréal Hospital Research Centre, Montreal, QC Canada
- Faculty of Medicine, Department of Psychiatry and Addiction, Université de Montréal, Montreal, QC Canada
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Abate HK, Abate AT, Tezera ZB, Beshah DT, Agegnehu CD, Getnet MA, Yazew BG, Alemu MT, Mekonenn CK, Kassahun CW. The Magnitude of Perceived Professionalism and Its Associated Factors Among Nurses in Public Referral Hospitals of West Amhara, Ethiopia. NURSING: RESEARCH AND REVIEWS 2021. [DOI: 10.2147/nrr.s328749] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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Feliciano EE, Feliciano AZ, Maniago JD, Gonzales F, Santos AM, Albougami A, Ahmad M, Al‐Olah H. Nurses' competency in Saudi Arabian healthcare context: A cross-sectional correlational study. Nurs Open 2021; 8:2773-2783. [PMID: 33755335 PMCID: PMC8363372 DOI: 10.1002/nop2.853] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2019] [Revised: 01/06/2021] [Accepted: 02/19/2021] [Indexed: 11/13/2022] Open
Abstract
AIM To measure the competence and characteristics of nurses in Saudi Arabia delivering health care with significant correlations. DESIGN A cross-sectional correlational study. METHODS Data were collected in 2019 using a standardized questionnaire, Competency Inventory for Registered Nurses (CIRN), that included a purposive sample of 621 nurses working in Saudi Arabia. RESULTS A positive evaluation of nurses' overall core competency components is recognizably measured with greater competency levels in their workplace, scoring highest in "legal/ethical practice" while "critical thinking and research aptitude" represented the lowest dimension. Nurses' marital status, years of graduation, length of service, duty hours and nurse-patient ratio affect their competency level. Nurses' competence and their sociodemographic characteristics are significantly correlated attributes. Medical ward nurses are likely to have the greatest competence in delivering safe nursing care within training's legal borders.
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Affiliation(s)
- Evelyn E. Feliciano
- Department of NursingCollege of Applied Medical SciencesMajmaah UniversitySaudi Arabia
- College of NursingAngeles University FoundationAngelesPhilippines
| | | | - Jestoni D. Maniago
- Department of NursingCollege of Applied Medical SciencesMajmaah UniversitySaudi Arabia
| | | | - Adelina M. Santos
- Department of NursingCollege of Applied Medical SciencesMajmaah UniversitySaudi Arabia
| | - Abdulrhman Albougami
- Department of NursingCollege of Applied Medical SciencesMajmaah UniversitySaudi Arabia
| | - Mehrunnisha Ahmad
- Department of NursingCollege of Applied Medical SciencesMajmaah UniversitySaudi Arabia
| | - Hadeel Al‐Olah
- Department of NursingCollege of Applied Medical SciencesMajmaah UniversitySaudi Arabia
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Yoon J, Son H. Factors Associated with School Nurses' Triage Competency in South Korea. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18168279. [PMID: 34444029 PMCID: PMC8392305 DOI: 10.3390/ijerph18168279] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/21/2021] [Revised: 08/03/2021] [Accepted: 08/03/2021] [Indexed: 01/18/2023]
Abstract
This study examined the factors associated with triage competency among school nurses in South Korea. Using a convenience sampling method, 386 school nurses employed in elementary, middle, or high schools completed a cross-sectional survey that included a modified version of the Triage Competency Scale for emergency room nurses. Information regarding experience working in schools and hospitals, education level, school types, age, emergency nursing care certifications, school locations, and serious emergency experience at school was collected. Analyses were performed using SPSS version 25.0, independent t-tests, analyses of variance, Spearman’s correlation, and ordinal logistic regression. Triage competency was higher for school nurses who were employed in metropolitan regions (odds ratio [OR] = 1.63, p = 0.017) and had serious emergency experience (OR = 1.76, p = 0.008). As the participants’ experience at schools or hospitals increased by one year, their triage competency score increased by 2% (OR = 1.02, p = 0.037) and 14% (OR = 1.14, p < 0.001), respectively. These findings could be used to develop policies and educational programs that promote school nurses’ triage competency. Further, they suggest the importance of establishing an organizational support system to develop guidelines and a feedback system to improve school nurses’ triage competency.
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Affiliation(s)
- Jaehee Yoon
- Wolchon Elementary School, 132, Mokdongjungang-ro, Yangcheon-gu, Seoul 07980, Korea;
| | - Heesook Son
- Red Cross College of Nursing, Chung-Ang University, 84 Heukseok-ro, Dongjak-gu, Seoul 06974, Korea
- Correspondence:
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Fitri N, Efendi D. Factors that impact the accuracy with which nurses place preterm infants with respiratory distress syndrome in the prone position. LA PEDIATRIA MEDICA E CHIRURGICA 2021; 43. [PMID: 37184323 DOI: 10.4081/pmc.2021.268] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2021] [Indexed: 11/23/2022] Open
Abstract
Prone positioning is an important treatment procedure for preterm infants with Respiratory Distress Syndrome (RDS). However, the accuracy with which preterm infants in the Neonatal Intensive Care Unit (NICU) are placed in the prone position is impacted by several factors. The current study aimed to identify these factors. One hundred and twenty-eight nurses were included in this cross-sectional study. Direct observations of the research subjects were used to collect the research data. The participants completed a research questionnaire that included their demographic data and three others to obtain information on their clinical experience, knowledge of positioning, caring behaviors, and efficacy. Independent factors likely to affect preterm infant positioning were evaluated using multivariate logistic regression. The alpha level was set at 5%. Knowledge (p=0.002) and caring behavior (p=0.009) significantly influenced the accuracy with which nurses placed preterm infants with RDS in the prone position. Nursing efficacy, infant’s bodyweight, gestational age, the institution, and DNR decisions did not significantly impact accuracy. NICU nursing staff require interventions to increase their knowledge of the accurate positioning of preterm infants with RDS.
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Kajander‐Unkuri S, Koskinen S, Brugnolli A, Cerezuela Torre M, Elonen I, Kiele V, Lehwaldt D, Löyttyniemi E, Nemcová J, de Oliveira CS, Palese A, Rua M, Salminen L, Šateková L, Stubner J, Sveinsdóttir H, Visiers‐Jiménez L, Leino‐Kilpi H. The level of competence of graduating nursing students in 10 European countries-Comparison between countries. Nurs Open 2021; 8:1048-1062. [PMID: 34482660 PMCID: PMC8046055 DOI: 10.1002/nop2.712] [Citation(s) in RCA: 28] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2020] [Revised: 10/01/2020] [Accepted: 11/03/2020] [Indexed: 11/12/2022] Open
Abstract
AIM To analyse graduating nursing students' self-assessed competence level in Europe at graduation, at the beginning of nursing career. DESIGN An international cross-sectional evaluative design. METHODS Data were collected in February 2018-July 2019 from graduating nursing students in 10 European countries. Competence was assessed with a validated instrument, the Nurse Competence Scale (NCS). The sample comprised 3,490 students (response rate 45%), and data were analysed statistically. RESULTS In all countries, graduating nursing students assessed their competence as good (range 50.0-69.1; VAS 0-100), albeit with statistically significant differences between countries. The assessments were highest in Iceland and lowest in Lithuania. Older students, those with working experience in health care, satisfied with their current degree programme, with excellent or good study achievements, graduating to 1st study choice and having a nursing career plan for future assessed their competence higher.
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Affiliation(s)
- Satu Kajander‐Unkuri
- Department of Nursing scienceUniversity of TurkuTurkuFinland
- Diaconia University of Applied SciencesHelsinkiFinland
| | - Sanna Koskinen
- Department of Nursing scienceUniversity of TurkuTurkuFinland
| | - Anna Brugnolli
- Department of Public HealthAzienda Provinciale per i Servizi SanitariTrentoItaly
| | | | - Imane Elonen
- Department of Nursing scienceUniversity of TurkuTurkuFinland
| | - Viktorija Kiele
- Department of Nursing scienceUniversity of TurkuTurkuFinland
- Faculty of MedicineInstitute of Health SciencesVilnus UniversityVilnusLithuania
| | - Daniela Lehwaldt
- School of Nursing, Psychotherapy and community HealthDublin City UniversityDublinIreland
| | | | - Jana Nemcová
- Department of nursingJessenius Faculty of Medicine in MartinComenius University in BratislavaBratislavaSlovakia
| | | | - Alvisa Palese
- Department of Medical SciencesUniversity of UdineUdineItaly
| | - Marília Rua
- School of Health SciencesUniversity of AveiroAveiroPortugal
| | - Leena Salminen
- Department of Nursing scienceUniversity of TurkuTurkuFinland
| | - Lenka Šateková
- Department of NursingPalacký UniversityOlomoucCzech Republic
| | - Juliane Stubner
- Institute for Health and Nursing ScienceMartin Luther University Halle‐WittenbergHalleGermany
| | | | - Laura Visiers‐Jiménez
- Fundación San Juan de DiosCentro de CC de la Salud San RafaelUniversidad Antonio de NebrijaMadridSpain
| | - Helena Leino‐Kilpi
- Department of Nursing scienceUniversity of TurkuTurkuFinland
- Turku University HospitalTurkuFinland
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González-García A, Pinto-Carral A, Villorejo JS, Marqués-Sánchez P. Competency Model for the Middle Nurse Manager (MCGE-Logistic Level). INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:3898. [PMID: 33917699 PMCID: PMC8067971 DOI: 10.3390/ijerph18083898] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/08/2021] [Revised: 04/06/2021] [Accepted: 04/07/2021] [Indexed: 11/17/2022]
Abstract
Healthcare systems are immersed in transformative processes, influenced by economic changes, together with social and health instability. The middle nurse manager plays a fundamental role, since he or she is responsible for translating the strategic vision, values and objectives of the organization. The objective of this study was to propose the model of competencies to be developed by the middle nurse manager in the Spanish healthcare system. Our methodology consisted in the application of the Delphi method in order to reach an agreement on the necessary competencies, and principal component analysis (PCA) was used to determine the construct validity, reducing the dimensionality of the set of data. Fifty-one competencies were identified for the definition of the model, highlighting decision-making, leadership and communication. The PCA pointed out the structural validity of the proposed model through the saturation of the main components (α Cronbach > 0.631). The results show the model of competencies which the middle nurse manager in the Spanish healthcare system must develop. Middle nurse managers may use these as criteria to plan their professional strategies in the context of management. This model of competencies can be applied to establishing selection processes or training programs for the role of middle nurse manager.
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Affiliation(s)
- Alberto González-García
- Department of Nursing and Physiotherapy, Leon University, 24071 León, Spain; (A.G.-G.); (P.M.-S.)
| | - Arrate Pinto-Carral
- Department of Nursing and Physiotherapy, Leon University, 24071 León, Spain; (A.G.-G.); (P.M.-S.)
| | | | - Pilar Marqués-Sánchez
- Department of Nursing and Physiotherapy, Leon University, 24071 León, Spain; (A.G.-G.); (P.M.-S.)
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Sterner A, Ramstrand N, Palmér L, Hagiwara MA. A study of factors that predict novice nurses' perceived ability to provide care in acute situations. Nurs Open 2021; 8:1958-1969. [PMID: 33798279 PMCID: PMC8186698 DOI: 10.1002/nop2.871] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2020] [Revised: 02/17/2021] [Accepted: 03/15/2021] [Indexed: 01/10/2023] Open
Abstract
AIMS To explore factors that predict novice nurses' trust in their ability to provide care in acute situations and identify factors that are related to their perceived ability to make clinical judgements in acute situations. DESIGN Exploratory cross-sectional study. METHODS Novice nurses employed within somatic care in Swedish hospitals completed an online survey. Univariate analysis facilitated exploration of the data and identification of predictor variables with the greatest association with: (1) trust in their own ability (one item) and (2) ability to make clinical judgements (four items). Multivariate binary logistic regression modelling was used to model the likelihood of outcomes based on each predictor variable. RESULTS The two most important predictors related to trust in ability to provide care were duration of work experience and participation in acute situations during nursing education. For clinical judgement, duration of work experience was significant in all four models and experience of acute situations post-graduation was significant in two models.
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Affiliation(s)
- Anders Sterner
- Faculty of Caring Sciences, Work Life and Social Welfare, University of Borås, Borås, Sweden
| | - Nerrolyn Ramstrand
- Department of Rehabilitation, School of Health Sciences, Jönköping University, Jönköping, Sweden
| | - Lina Palmér
- Faculty of Caring Sciences, Work Life and Social Welfare, University of Borås, Borås, Sweden
| | - Magnus Andersson Hagiwara
- Faculty of Caring Science, Work Life and Social Welfare, Centre for Prehospital Research, University of Borås, Borås, Sweden
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Corriveau G, Couturier Y, Camden C. Developing Competencies of Nurses in Wound Care: The Impact of a New Service Delivery Model Including Teleassistance. J Contin Educ Nurs 2020; 51:547-555. [PMID: 33232502 DOI: 10.3928/00220124-20201113-05] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2019] [Accepted: 06/08/2020] [Indexed: 02/07/2023]
Abstract
BACKGROUND The implementation of a new wound care model of service delivery, including training and teleassistance, provided us with the opportunity to study nursing competencies in a primary health care context. METHOD A mixed-methods study was chosen to address the complexity related to the development of competencies from two complementary perspectives. RESULTS Nurses' self-perceived knowledge and skills improved immediately after training. Factors identified as influencing the development process were grouped into three themes: Acquired Skills and Knowledge, Personal Factors, and Work Organization Factors. CONCLUSION Our study demonstrates that the skills and knowledge can be enhanced through integrated continuing education efforts, and brings a deeper understanding of factors that influence the competency development. Finally, the research team highlighted the potential of telehealth technologies. [J Contin Educ Nurs. 2020;51(12):547-555.].
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Amsalu B, Fekadu T, Mengesha A, Bayana E. Clinical Practice Competence of Mettu University Nursing Students: A Cross-Sectional Study. ADVANCES IN MEDICAL EDUCATION AND PRACTICE 2020; 11:791-798. [PMID: 33122958 PMCID: PMC7590970 DOI: 10.2147/amep.s267398] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/22/2020] [Accepted: 10/05/2020] [Indexed: 06/11/2023]
Abstract
INTRODUCTION Clinical practice competence is the ability to effectively integrate cognitive, affective and psychomotor skills during the delivery of health care. It is the concern and the center of attention for the managers, professional associations, government, and society as a whole. Therefore, identifying the level of clinical practice competence of students and taking appropriate action is crucial. The aim of the present study was to investigate clinical practice competence of nursing students in Mettu University. METHODS A cross-sectional study was employed on 105 nursing students at Mettu University from February to April, 2019. Systematic random sampling technique was used to select study participants. Data were entered into EpiData manager version 4.2.2 and exported to statistical package for the social science (SPSS) version 20.0 and analyzed using descriptive statistics, bivariate and multivariate logistic regressions. The statistical significance was set at p<0.05. RESULTS Out of the total participants involved, 102 participants returned the questionnaire making response rate of 97.1%. Majority 78 (76.5%) of participants were males with the mean age of 23.05 (SD = 1.11) years. The overall clinical practice competence of participants was 2.03 (SD = 0.54) which indicates clinical practice incompetence. Year of study [AOR 4.9; 95%, CI: 0.04, 16.53] and clinical practice placement [AOR: 2.7; 95% CI: 0.1, 14.86] were the identified associated factors of clinical practice competence at p<0.05. CONCLUSION Clinical practice competence of nursing students was inadequate to provide quality, safe and satisfying nursing care. This could not meet patients holistic needs and may even bringfear, stress, anxiety and unnecessary errors by students at clinical sites. Nursing schools and teaching hospitals should collaborate to enhance the nursing students clinical practice competence.
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Affiliation(s)
- Bonsa Amsalu
- Department of Nursing, Faculty of Public Health and Medical Science, Mettu University, Mettu, Ethiopia
| | - Tadele Fekadu
- Department of Nursing, Faculty of Public Health and Medical Science, Mettu University, Mettu, Ethiopia
| | - Ayelign Mengesha
- Department of Nursing, College of Health Sciences, Woldia University, Woldia, Ethiopia
| | - Ebissa Bayana
- School of Nursing, Faculty of Health Sciences, Institute of Health, Jimma University, Jimma, Ethiopia
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Relationship Between Nurses' Decision-Making Style and Their Disaster Response Competencies. Disaster Med Public Health Prep 2020; 16:19-24. [PMID: 32962775 DOI: 10.1017/dmp.2020.225] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
Nurses are the first respondents to the critical situations and therefore must be able to effectively manage the critical situations using their competencies. Given that the decision-making style under the stressful critical situations is an important component of the care process in these situations, this study was conducted with the aim of determining the relationship between decision-making style and nurses' disaster response competencies.This descriptive, analytical study was conducted in Shahr-e Kord city in 2018. A total of 300 nurses were selected from Ayatollah Kashani and Hajar hospitals by multistage sampling and from the Emergency Medical Services Center by the census method. Data were collected using the Disaster Nursing Competence Assessment and the decision-making style questionnaires and analyzed with SPSS 21 (IBM Corp, Armonk, NY).Most of the nurses used the intuitive decision-making style and the total score of disaster nursing competencies was 162.58 ± 22.70. Pearson's correlation coefficient indicated that there was a positive relation between decision-making style and nurses' disaster response competencies.The results show that decision-making style affects nurses' competencies for disaster response and provides evidence for the development of educational policies in disaster nursing education.
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Gunawan J, Aungsuroch Y, Fisher ML, Marzilli C, Liu Y. Factors Related to the Clinical Competence of Registered Nurses: Systematic Review and Meta-Analysis. J Nurs Scholarsh 2020; 52:623-633. [PMID: 32862486 DOI: 10.1111/jnu.12594] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/08/2020] [Indexed: 01/08/2023]
Abstract
PURPOSE To determine the factors associated with the clinical competence of registered nurses. METHODS Systematic review and meta-analysis was used. The search strategy was limited to 10 years, ranging from January 2009 to December 2019, in Science Direct, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed, ProQuest, and Google Scholar. A meta-analysis was performed using R Studio with the metafor package (Boston, MA, USA; https://rstudio.com/products/rstudio/older-versions/). RESULTS A total of 22 studies were included, representing 33,961 nurses. There were 28 factors associated with clinical competence. Of those, 13 factors were significantly supported and included for meta-analysis, grouped into (a) individual-related factors, (b) job satisfaction, (c) bullying, (d) burnout, and (d) specific knowledge. The effect size of those factors ranged from -0.14 to 0.50. CONCLUSIONS Among individual-related factors, salary has the largest effect size on competence and is considered important. Clinical competence is positively affected by job satisfaction, but negatively influenced by bullying and burnout. Although specific knowledge has a large effect size, it does not significantly affect the clinical competence of registered nurses. CLINICAL RELEVANCE It is critical to understand factors related to the clinical competence of registered nurses to maintain quality care and patient outcomes in clinical settings. The findings serve as data to help nurse managers find effective ways to improve the knowledge, skill, attitudes, and performance of registered nurses.
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Affiliation(s)
- Joko Gunawan
- Postdoctoral Researcher, Faculty of Nursing, Chulalongkorn University Bangkok, Thailand
| | - Yupin Aungsuroch
- Associate Professor, Faculty of Nursing, Chulalongkorn University Bangkok, Thailand
| | - Mary L Fisher
- Professor Emeritus, Visiting Professor and Interim Director of the FINE Center, Indiana University School of Nursing, Indianapolis, IN, and Clinical Professor, College of Nursing, University of Florida, Gainesville, FL, USA
| | - Colleen Marzilli
- Associate Professor, The University of Texas at Tyler, School of Nursing, Tyler, TX, USA
| | - Ying Liu
- Assistant Professor, School of Nursing, Dalian Medical University, Dalian, China and Postdoctoral Researcher, Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand
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Nurse Manager Core Competencies: A Proposal in the Spanish Health System. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17093173. [PMID: 32370186 PMCID: PMC7246551 DOI: 10.3390/ijerph17093173] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/27/2020] [Revised: 04/29/2020] [Accepted: 04/30/2020] [Indexed: 12/02/2022]
Abstract
Nurses who are capable of developing their competencies appropriately in the field of management are considered fundamental to the sustainability and improvement of health outcomes. These core competencies are the critical competencies to be developed in specific areas. There are different core competencies for nurse managers, but none in the Spanish health system. The objective of this research is to identify the core competencies needed for nurse managers in the Spanish health system. The research was carried out using the Delphi method to reach a consensus on the core competencies and a Principal Component Analysis (PCA) to determine construct validity, reducing the dimensionality of a dataset by finding the causes of variability in the set and organizing them by importance. A panel of 50 experts in management and healthcare engaged in a four-round Delphi study with Likert scored surveys. We identified eight core competencies from an initial list of 51: decision making, relationship management, communication skills, listening, Leadership, conflict management, ethical principles, collaboration and team management skills. PCA indicated the structural validity of the core competencies by saturation into three components (α Cronbach >0.613): communication, leadership and decision making. The research shows that eight competencies must be developed by the nursing managers in the Spanish health system. Nurse managers can use these core competencies as criteria to develop and plan their professional career. These core competencies can serve as a guideline for the design of nurse managers’ development programs in Spain.
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Willman A, Bjuresäter K, Nilsson J. Newly graduated registered nurses' self-assessed clinical competence and their need for further training. Nurs Open 2020; 7:720-730. [PMID: 32257259 PMCID: PMC7113520 DOI: 10.1002/nop2.443] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2019] [Accepted: 12/15/2019] [Indexed: 01/05/2023] Open
Abstract
Aim To explore and describe changes in self-assessed clinical competence and the need for further training among newly graduated Registered Nurses during their first 15 months of professional work in acute care hospital settings. Design Quantitative longitudinal design. Methods The 50-item Professional Nurse Self-Assessment Scale of clinical core competencies II was used. A total of 45 newly graduated Registered Nurses answered the questionnaire at four different occasions. Data were collected after 2, 5, 9 and 15 months of working experience. Result The components "ethical decision-making," "cooperation and consultation" and "clinical leadership" were rated highest in clinical competence and lowest in need for further training. The components "professional development" and "critical thinking" were rated lowest in clinical competence and "direct clinical practice" rated highest in need for further training. The clinical competence increased significant between 9-15 months, with the exception of "critical thinking" and need for further training decreased significantly between 9-15 months, with the exception of "critical thinking."
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Affiliation(s)
- Anna Willman
- Department of Health SciencesFaculty of Health, Science, and TechnologyKarlstad UniversityKarlstadSweden
| | - Kaisa Bjuresäter
- Department of Health SciencesFaculty of Health, Science, and TechnologyKarlstad UniversityKarlstadSweden
| | - Jan Nilsson
- Department of Health SciencesFaculty of Health, Science, and TechnologyKarlstad UniversityKarlstadSweden
- Department of Health Promotion SciencesSophiahemmet UniversityStockholmSweden
- Japanese Red Cross Institute for humanitarian StudiesTokyoJapan
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50
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Development of core competencies and a recognition program for gerontological nursing educators. J Prof Nurs 2019; 35:452-460. [DOI: 10.1016/j.profnurs.2019.04.003] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2018] [Revised: 03/26/2019] [Accepted: 04/04/2019] [Indexed: 11/18/2022]
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