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Hiyama A. Using the Analytic Hierarchy Process to Measure Nurses' Decision-Making Regarding Fall Risks and Care Strategies for Fall Prevention. J Nurs Meas 2024; 32:424-433. [PMID: 38216211 DOI: 10.1891/jnm-2023-0006] [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: 01/14/2024]
Abstract
Background and Purpose: Visualizing the thought processes of nurses is useful in forming evidence to prevent falls. This study aimed to quantify nursing judgment by comparing the choices made by nurses with different experiences regarding fall prevention. Methods: Questionnaires were administered to participants with <9 and ≥10 years of nursing experience to examine their importance ratings regarding fall prevention using an analytic hierarchy process (AHP). Results: Compared with the group with <9 years of experience, the group with ≥10 years of experience viewed habitual behavior in unstable activity as the most important fall risk. They also viewed early detection and alleviation of symptoms that lead to fall risk due to side effects of drugs and diseases as an important nursing practice. Conclusion: Since differences in nursing judgment between experienced and inexperienced nurses were revealed, it is possible that nursing judgment can be measured using AHP.
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Affiliation(s)
- Akiko Hiyama
- School of Nursing, Graduate School of Nursing, Sapporo City University, Sapporo, Hokkaido, Japan
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2
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Workneh M, Kassa M, Mihrete S, Belege F, Nigussie J, Goshiye D, Biset G. Level of clinical competency and associated factors of nursing students in Ethiopia: systematic review and meta-analysis. BMC Nurs 2024; 23:738. [PMID: 39390574 PMCID: PMC11465900 DOI: 10.1186/s12912-024-02377-y] [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: 05/08/2024] [Accepted: 09/25/2024] [Indexed: 10/12/2024] Open
Abstract
BACKGROUND Assessing the clinical level of competency in nursing students is crucial as it represents the ultimate goal of nursing education. Poor competency result in low performance and can be affected by various factors. Thus, the aim of this study was to identify level of clinical competency and associated factors of nursing students in Ethiopia. METHODS systematic review and meta-analysis was employed. Searching strategy was conducted from January up to march 2024 from Web of Science, PubMed and Google Scholar. The quality of studies was assessed using PRISMA checklist. A meta-analysis was performed using R Studio with the meta package Version 1.4.1106. RESULTS in total, 145 studies were identified through database search, and only 7 studies were included in the meta-analysis representing 1937 nursing students. The pooled effect size of clinical competency of nursing students was 28%. Three factors were found to be associated with clinical competency: a positive clinical learning environment, student confidence in performing procedures, and effective staff-student interaction. The effect sizes of these factors were 6.30, 2.23, and 7.76, respectively. CONCLUSION AND RECOMMENDATION The clinical competency of nursing students was 28%, and it was associated with clinical learning environment, student confidence in performing procedures, and staff-student interaction. Nursing education programs should focus on enhancing students' competency levels by addressing specific factors. (PROSPERO) INTERNATIONAL PROSPECTIVE REGISTER OF SYSTEMATIC REVIEWS: CRD42022367057.
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Hu T, Yan Q, Wang X, Yue G, Yu P, Cheng X, Yan P. Assessment of nurse practitioners' capacity of using the ABC/2 formula for intracranial lesion volume measurement. BMC Nurs 2024; 23:641. [PMID: 39256738 PMCID: PMC11389227 DOI: 10.1186/s12912-024-02323-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2024] [Accepted: 09/03/2024] [Indexed: 09/12/2024] Open
Abstract
BACKGROUND This study investigates the precision of nurse practitioners (NPs) in measuring intracranial lesion volumes using the ABC/2 method, a simple yet widely used technique in neurosurgical practices. Amidst physician workforce shortages, the role of NPs in clinical practice, including specialized tasks like lesion volume estimation, is gaining importance. METHODS We conducted a retrospective study involving patients treated for intracranial meningiomas. NPs estimated tumor volumes using the ABC/2 method, which was then compared with automated ABC/2 estimations considered as the gold standard. Statistical analyses, including paired sample t-tests, Bland-Altman analysis, and Intraclass Correlation Coefficient (ICC) analysis, were employed to assess measurement accuracy and consistency. RESULTS Among the 265 meningioma patients included, NPs measured the average tumor volume as 36.95 ml, generally underestimating it compared to the 39.57 ml average obtained by the automated ABC/2 method. This underestimation, however, was clinically modest, indicated by an average percentage difference of 6.59% and a Cohen's d value of 0.08. Consistency in measurements, assessed using Bland-Altman and ICC analyses, demonstrated a high level of agreement between NPs measurements and the automated method. Additionally, no significant differences in measurement accuracy were observed either among different NPs or across NPs with varying levels of work experience. CONCLUSIONS Nurse practitioners can effectively employ the ABC/2 method for estimating intracranial lesion volumes with reasonable accuracy and consistency, irrespective of their work experience. This finding is pivotal in enhancing the role of NPs in neurosurgical practices and could be significant in alleviating the strain caused by the global shortage of physicians. Future research may explore extending NPs' roles in other clinical diagnostic and therapeutic tasks.
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Affiliation(s)
- Tingting Hu
- Department of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Avenue, Wuhan, 430022, Hubei, China
- Department of Nursing, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Avenue, Wuhan, 430022, Hubei, China
| | - Qiong Yan
- Department of Surgery Center, NHC Key Laboratory of Hormones and Development, Tianjin Key Laboratory of Metabolic Diseases, Tianjin Institute of Endocrinology, Chu Hsien-I Memorial Hospital, Tianjin Medical University, Tianjin, 300134, China
| | - Xianke Wang
- Department of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Avenue, Wuhan, 430022, Hubei, China
- Department of Nursing, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Avenue, Wuhan, 430022, Hubei, China
| | - Gefen Yue
- Department of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Avenue, Wuhan, 430022, Hubei, China
- Department of Nursing, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Avenue, Wuhan, 430022, Hubei, China
| | - Peng Yu
- Department of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Avenue, Wuhan, 430022, Hubei, China
- Department of Nursing, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Avenue, Wuhan, 430022, Hubei, China
| | - Xiangwei Cheng
- Department of Nursing, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Avenue, Wuhan, 430022, Hubei, China.
| | - Pengfei Yan
- Department of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Avenue, Wuhan, 430022, Hubei, China.
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Zaitoun RA. Assessing nurses' professional competency: a cross-sectional study in Palestine. BMC Nurs 2024; 23:379. [PMID: 38840144 PMCID: PMC11151622 DOI: 10.1186/s12912-024-02064-y] [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: 01/14/2024] [Accepted: 06/04/2024] [Indexed: 06/07/2024] Open
Abstract
BACKGROUND Evaluating nurses' professional competence is critical for ensuring high-quality patient care. Therefore, this study aimed to evaluate the nurses' professional competence level and to identify differences based on demographics in three West Bank hospitals. METHODS A cross-sectional design was used, and a convenient sample of 206 nurses participated in the study. The Nurse Professional Competence (NPC) Scale was used to assess the competency level. The investigator distributed the questionnaire and explained the aim of the research. Consent forms were signed before the data collection. RESULTS The average competency level was 79% (SD = 11.5), with 90% being professionally competent nurses. The average "nursing care" competency was 79% (SD = 12.98), and the competency level in providing value-based care was 80% (SD = 13.35). The average competency level in technical and medical care was 78% (SD = 13.45), whereas 79% (SD = 12.85) was the average competence level in "Care Pedagogics" and "Documentation and Administration ". The average competence level in the development and leadership subscale was 78% (SD = 12.22). Nurses who attended three to five workshops had a higher level of Nursing Care Competency, (H = 11.98, p = 0.003), and were more competent in value-based care (H = 9.29, p = 0.01); in pedagogical care and patient education (H = 15.16, P = 0.001); and in providing medical and technical care (H = 12.37, p = 0.002). Nurses attending more than five workshops were more competent in documentation and administration (H = 12.55, p = 0.002), and in development and leadership subscale ( H = 7.96, p = 0.20). CONCLUSION The study revealed that participants lacked development and leadership skills. Engagement in workshops positively impacted the level of competencies among nurses. Notably, those attending more than five workshops exhibited greater competence in documentation, administration, development, and leadership in nursing care. IMPLICATIONS This study emphasized the role of continuing education in improving nurses' competencies and highlighted the need to conduct the study at a wider aspect to involve more hospitals with various affiliations to help structure more sensitive professional development and adopt the competencies as an integral part of staff development.
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Affiliation(s)
- Rasha Abu Zaitoun
- Health Sciences Department, Faculty of Graduate Studies, Arab American University of Palestine, Ramallah Campus, Ramallah, Palestine.
- Department of Nursing, An-Najah National University Hospital, Nablus, 44839, Palestine.
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Shoja M, Arsalani N, Fallahi-Khoshknab M, Mohammadi-Shahboulaghi F. The barriers and facilitators to nursing care for patients with permanent colostomy in outpatient centers: A qualitative study. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2024; 13:72. [PMID: 38559476 PMCID: PMC10979781 DOI: 10.4103/jehp.jehp_272_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/27/2023] [Accepted: 04/24/2023] [Indexed: 04/04/2024]
Abstract
BACKGROUND Ostomy care nurses are responsible for the management of patients with colostomy from the time of diagnosis. Currently, most ostomy care services are provided in outpatient ostomy care centers in order to reduce patients' hospital stay and reduce hospitalization-related costs. Many different factors can affect colostomy nursing care provision in these centers. Identification of these factors can facilitate quality care provision. MATERIALS AND METHODS This descriptive qualitative study was conducted in 2020-2021 to explore the barriers and facilitators to nursing care for patients with permanent colostomy in Tehran and Qom ostomy centers. Participants were twelve nurses with ostomy care licenses, two adult patients with permanent colostomy for at least two years, and one family caregiver of a patient with permanent colostomy purposefully selected from outpatient ostomy care centers in Iran. RESULT Data were collected via fifteen in-depth semi-structured interviews and were analyzed using Graneheim and Lundman's conventional content analysis. The barriers and facilitators to nursing care for patients with permanent colostomy in outpatient centers came into three main categories, namely specialized capabilities of colostomy care, care continuity, and caring status in the family. CONCLUSION These findings imply that not only nurses, but also patients, family caregivers, and referral systems can influence nursing care provision to permanent colostomy. Effective management of these factors can improve the quality of ostomy nursing care.
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Affiliation(s)
- Maryam Shoja
- Nursing Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Narges Arsalani
- Nursing Department, Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | | | - Farahnaz Mohammadi-Shahboulaghi
- Nursing Department, Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
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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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Pallangyo AS, Seif SA. Knowledge and Attitude of Healthcare Providers on Managing Pre-Eclampsia and Eclampsia During Antenatal Care in Mwanza Region-Tanzania. SAGE Open Nurs 2023; 9:23779608231193745. [PMID: 37637868 PMCID: PMC10454751 DOI: 10.1177/23779608231193745] [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: 11/15/2022] [Revised: 07/07/2023] [Accepted: 07/22/2023] [Indexed: 08/29/2023] Open
Abstract
Background Pre-eclampsia and eclampsia are the second-leading causes of maternal death. Health care providers have a critical role in preventing and managing these conditions. Lack of knowledge among healthcare providers on managing pre-eclampsia and eclampsia has been reported in other parts of Tanzania, but more information is needed in other parts of the country so as to design appropriate targeted interventions. Hence, this study assessed the knowledge and attitude of healthcare providers on the management of pre-eclampsia and eclampsia in the Mwanza region of Tanzania. Method A facility-based analytical cross-sectional study was conducted from April to May 2022 among 157 health care providers in the Mwanza region. A simple random sampling method was used to select districts and dispensaries, while a census method was used to recruit health care providers. A self-administered questionnaire was used for data collection. A descriptive statistics analysis was used to determine the distribution of background information of healthcare providers. Inferential statistics were used to determine the association between variables by using a chi-square test and logistic regression. A statistically significant variable in the final model was declared with a 95% confidence interval and a p-value of 0.05. Results The study results showed that only 40 (25%) of healthcare providers had adequate knowledge and 56.69% had positive attitude towards the management of pre-eclampsia and eclampsia. Knowledge was predicted by having more years of working experience (1-5 years) (AOR: 0.12, 95% CI 0.03-0.53, p-value 0.005) and working in a health center (AOR: 4.58, 95% CI 1.14-18.36, p-value 0.023). For attitude, no variable was significantly associated with it. Conclusion The study showed that the majority of the participants had inadequate knowledge of the management of pre-eclampsia or eclampsia, despite the positive attitude they possessed. This implies that HCP may be struggling to identify the signs and symptoms of the condition in pregnant women, and this could lead to delays in diagnosis despite believing that it is important to early diagnose the condition. To address this issue, it's crucial to invest in continuing medical education and training programs for healthcare providers to update their knowledge.
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Affiliation(s)
- Anna Sangito Pallangyo
- Department of Clinical Nursing, School of Nursing and Public Health, University of Dodoma, Dodoma, Tanzania
| | - Saada Ali Seif
- Department of Nursing Management and Education, School of Nursing and Public Health, University of Dodoma, Dodoma, Tanzania
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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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Chrzan-Rodak A, Ślusarska B, Niedorys-Karczmarczyk B, Nowicki GJ. Level of Social Competencies of Nurses in Primary Healthcare and their Selected Work Related Determinants - a cross-sectional study. J Nurs Manag 2022; 30:3273-3285. [PMID: 35939066 DOI: 10.1111/jonm.13762] [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: 12/11/2021] [Revised: 07/26/2022] [Accepted: 08/03/2022] [Indexed: 11/30/2022]
Abstract
AIM The aim of our study was to assess the level of social competencies among primary healthcare nurses, and to identify the work-related determinants. BACKGROUND Developing social skills of nurses are necessary to establish better relations with patients. Improving these skills allows for higher quality of patient care, as well as patient and nurse satisfaction. METHODS For the study, 253 Primary Healthcare Centers were randomly chosen in the Eastern Poland. 600 questionnaires were sent to the nurses employed in these facilities. After checking whether the data met the requirements, 446 nurses took part in the survey. The data were collected using the Social Competencies Profile; the Copenhagen Psychosocial Questionnaire and the Catalog of primary healthcare nurse activities. RESULTS Older nurses possess lower level of social skills (r=-0.10, p=0.04). Postgraduate education in the last two years differentiated the results of social competencies (p=0.03) as well as place of residence in the subscale community awareness (p=0.04). The predictors of social skills among psychosocial work conditions were: Influence at Work (p=0.02), Possibilities for Development (p<0.001), Meaning of Work (p<0.001), Social Support (p=0.001), Quality of Leadership (p=0.03), Job Satisfaction (p<0.001) and General Health (p=0.001). On the other hand, tasks like: Activities in the treatment room (p=0.003) and Promotion and prevention (p<0.001) carried out by a nurse anticipated higher level of social skills. CONCLUSIONS The results of the research proved that work-related factors such as: influence at work, professional development, sense of social support, understanding of the meaning of work, perception of the quality of leadership and higher job satisfaction influence the development of social competencies of nurses, therefore, shaping an appropriate work environment is an important task, especially for leaders and managers of nursing. IMPLICATIONS FOR NURSING MANAGEMENT We recommend that nursing leaders and health policy makers adopt new strategies and educational programs which include social skills training as part of the curriculum for the development of the social competencies of nurses.
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Affiliation(s)
- Agnieszka Chrzan-Rodak
- Department of Family and Geriatric Nursing, Medical University of Lublin, Lublin, Poland
| | - Barbara Ślusarska
- Department of Family and Geriatric Nursing, Medical University of Lublin, Lublin, Poland
| | | | - Grzegorz Józef Nowicki
- Department of Family and Geriatric Nursing, Medical University of Lublin, Lublin, Poland
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Electronic medication administration records and nursing administration of medications: An integrative review. Collegian 2022. [DOI: 10.1016/j.colegn.2022.06.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Validity and Reliability of the Korean Version of the Holistic Nursing Competence Scale. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19127244. [PMID: 35742493 PMCID: PMC9223244 DOI: 10.3390/ijerph19127244] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/23/2022] [Revised: 06/08/2022] [Accepted: 06/10/2022] [Indexed: 12/10/2022]
Abstract
This methodological study aimed to verify the validity and reliability of the Korean version of the Holistic Nursing Competence Scale (HNCS), which comprises five dimensions and 36 items. The English version of the HNCS was forward and backward translated and administered to 251 participants with more than a year of work experience in a general hospital. Data were analyzed using SPSS WIN 24.0(Chicago, IL, USA), and AMOS program was used for confirmatory factor analysis. Additionally, the “Task Performance Evaluation Instrument for Clinical Nurses” was used for concurrent validity. Reliability assessed using Cronbach’s α was 0.969. Convergent, discriminant, and concurrent validity were good. Average variance extracted and construct reliability ranged from 0.845 to 0.932 and 0.980 to 0.987, respectively. The model was suitable with the chi-square value being 1216.563 (df = 584, p < 0.001), and Q value being less than three. Goodness-of-fit index, root mean square residual, and root mean square error of approximation were 0.784, 0.066, and 0.066, respectively. Moreover, comparative fit index, Tucker−Lewis index, and incremental fit index were 0.913, 0.906, and 0.913, respectively. Thus, this study verified the validity and reliability of the Korean version of the HNCS. Our findings suggest that the scale is helpful in measuring and developing the holistic nursing competence of clinical nurses.
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Alenezi A, Kimpton A, McGrath I, Livesay K. Confidence, skills and barriers to ostomy patient care by nursing staff in Saudi Arabia. Nurs Forum 2022; 57:403-411. [PMID: 35106775 PMCID: PMC9302684 DOI: 10.1111/nuf.12701] [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: 10/12/2021] [Revised: 01/11/2022] [Accepted: 01/19/2022] [Indexed: 11/27/2022]
Abstract
Aim This study examined the confidence level and perceived barriers to providing ostomy care among staff nurses in Saudi Arabia. Background Patients with ostomies experience increased comfort and satisfaction when nurses are confident in their knowledge and skills. Design A descriptive, cross‐sectional design was used to conduct the research. The study included a convenience sample of 214 staff nurses from five hospitals in Riyadh, Saudi Arabia. The researchers used a survey questionnaire to gauge participants’ confidence in their knowledge and skills, as well as identify any perceived barriers to ostomy care. Result Overall, 95.1% of participants worked in adult care and 82.2% worked in surgical areas. There were significant relationships between the nurses’ confidence in their ostomy care knowledge and skills and their years of nursing experience and having received ostomy care training in nursing school (p < .05); however, the nurses’ level of education had no correlation (p > .05). Conclusion While the majority of nurses were confident in their ability to care for patients with ostomies, they were concerned about causing stoma problems. This suggests that improving the quality of ostomy care provided by nurses may result in fewer negative outcomes for patients with ostomies.
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Affiliation(s)
- Aishah Alenezi
- Applied Health Department, Discipline of Nursing, RMIT University, Melbourne, Victoria, Australia
| | - Amanda Kimpton
- Applied Health Department, Discipline of Nursing, RMIT University, Melbourne, Victoria, Australia
| | - Ian McGrath
- Chiropractic and Exercise Sciences Department, RMIT University, Victoria, Melbourne, Australia
| | - Karen Livesay
- Applied Health Department, Discipline of Nursing, RMIT University, Melbourne, Victoria, Australia
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Gunawan J, Marzilli C. Senior first, junior second. Nurs Forum 2021; 57:182-186. [PMID: 34541668 DOI: 10.1111/nuf.12654] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2021] [Revised: 09/08/2021] [Accepted: 09/10/2021] [Indexed: 12/01/2022]
Abstract
The seniority system exists in most companies, including in healthcare industries. Seniority often plays an essential role in the organizational success and career advance of employees. However, there are pros and cons in the application of the seniority system in all organizations, especially in the healthcare industry. This article prompts a discussion about seniority in nursing and provides some particular concerns and recommendations for consideration, and this begs the question, should senior be first and junior second?
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Affiliation(s)
- Joko Gunawan
- Department of Publication, Belitung Raya Foundation, Manggar, Bangka Belitung, Indonesia
| | - Colleen Marzilli
- The University of Texas at Tyler, School of Nursing, Tyler, Texas, USA
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14
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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: 14] [Impact Index Per Article: 4.7] [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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Nakano Y, Tanioka T, Yokotani T, Ito H, Miyagawa M, Yasuhara Y, Betriana F, Locsin R. Nurses' perception regarding patient safety climate and quality of health care in general hospitals in Japan. J Nurs Manag 2020; 29:749-758. [PMID: 33220135 DOI: 10.1111/jonm.13215] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2020] [Revised: 09/24/2020] [Accepted: 11/14/2020] [Indexed: 11/28/2022]
Abstract
AIM To clarify perceptions of nurses towards patient safety climate and quality of health care in Japan. BACKGROUND Nurses' perceptions of patient safety climate and quality of health care services are not well-known. METHOD The survey was conducted at general hospitals with 200 beds or more using the Patient Safety Climate Scale and the Modified multiple-item scale for consumer perceptions of health care service quality. RESULTS Significant positive correlations were found among nurses' perception towards patient safety and health care service quality. The experience of nurses as members of the committee on patient safety and their employment position did not show any significant difference in the perception towards patient safety and health care services quality. Perceptions of health care service quality were lower among those with 6- to 10-year experience than with over 21 years. CONCLUSION In the perception of nurses and nurse managers' continuous improvement, perceptions towards patient safety were related to reliability, assurance, responsiveness and empathy in health care service quality. IMPLICATIONS FOR NURSING MANAGEMENT Generalist nurses with 21 years or more experiences in multiple departments showed high perception towards health care service quality. Experienced nurses' perceptions of activities to improve patient safety and quality of health care services are important.
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Affiliation(s)
- Youko Nakano
- Kagawa University Hospital, Kagawa, Japan.,Graduate School of Health Sciences, Tokushima University, Tokushima, Japan
| | - Tetsuya Tanioka
- Department of Nursing, Institute of Biomedical Sciences, Graduate School, Tokushima University, Tokushima, Japan
| | - Tomoya Yokotani
- Tokushima University Hospital, Tokushima, Japan.,Graduate School of Health Sciences, Tokushima University, Tokushima, Japan
| | - Hirokazu Ito
- Department of Nursing, Institute of Biomedical Sciences, Graduate School, Tokushima University, Tokushima, Japan
| | - Misao Miyagawa
- Department of Nursing, Faculty of Health and Welfare, Tokushima Bunri University, Tokushima, Japan
| | - Yuko Yasuhara
- Department of Nursing, Institute of Biomedical Sciences, Graduate School, Tokushima University, Tokushima, Japan
| | - Feni Betriana
- Graduate School of Health Sciences, Tokushima University, Tokushima, Japan
| | - Rozzano Locsin
- Department of Nursing, Institute of Biomedical Sciences, Graduate School, Tokushima University, Tokushima, Japan
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Huang J, Lu H, Li J, Zhou N, Zang Y, Ren L, Wang J. Comparison of midwives' self-perceived essential competencies between low and high maternal mortality ratio provinces in China. J Clin Nurs 2020; 29:4733-4747. [PMID: 32979861 DOI: 10.1111/jocn.15514] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2020] [Revised: 09/12/2020] [Accepted: 09/16/2020] [Indexed: 11/30/2022]
Abstract
AIMS AND OBJECTIVES To present and compare midwives' self-perceived essential competencies in regions with different maternal mortality ratios, and explore possible competency-related factors. BACKGROUND In China, there is an urgent need for high-quality maternal health care with equal access, as the regional disparity in the maternal mortality ratio remains a big challenge. Midwives' essential competencies refer to the minimum knowledge, skills, and professional behaviours required by midwives, and directly affect the quality of maternal care they provide. However, there is very limited literature evaluating Chinese midwives' essential competencies, especially for midwives working in regions with high maternal mortality ratios. DESIGN A cross-sectional survey design. METHODS The national cross-sectional study using an online questionnaire was conducted with a convenience sample of 2,022 midwives working in regions with different maternal mortality ratios. The STROBE guideline for cross-sectional studies was used in this study. RESULTS Midwives rated themselves higher on their essential competencies in intrapartum care and lower on their essential competencies in assisting or performing the operative vaginal delivery. Specifically, when compared to those from regions of low maternal mortality ratios, midwives from regions with high maternal mortality ratios reported comparatively poor self-perceived essential competencies, especially in the area of detecting and treating pregnancy and childbirth-related complications. The factors influencing midwives' self-perceived essential competencies included majors, education levels, years of experience as a midwife, participation in teaching, and access to in-service training. CONCLUSION In regions with high maternal mortality ratios, improving midwives' essential competencies is a key priority. Furthermore, it is recommended that midwifery education could be conducted in universities, and relevant regulations could be developed to enable midwives to provide a wider scope of care, thereby promoting the development of the midwifery workforce in China. RELEVANCE TO CLINICAL PRACTICE Understanding self-perceived essential competencies of Chinese midwives working in regions with different maternal mortality ratios could guide the midwifery workforce, management, especially midwives' capability building.
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Affiliation(s)
- Jing Huang
- School of Nursing, Peking University, Beijing, China
| | - Hong Lu
- School of Nursing, Peking University, Beijing, China
| | - Jie Li
- School of Nursing, Peking University, Beijing, China
| | - Nan Zhou
- School of Nursing, Peking University, Beijing, China
| | - Yu Zang
- School of Nursing, Peking University, Beijing, China.,School of Nursing, Hebei Medical University, Shijiazhuang, China
| | - Lihua Ren
- School of Nursing, Peking University, Beijing, China
| | - Jianying Wang
- Delivery Room, The Xibei Hospital for Women and Children, Xian, China
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17
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Allvin R, Bisholt B, Blomberg K, Bååth C, Wangensteen S. Self-assessed competence and need for further training among registered nurses in somatic hospital wards in Sweden: a cross-sectional survey. BMC Nurs 2020; 19:74. [PMID: 32774153 PMCID: PMC7397675 DOI: 10.1186/s12912-020-00466-2] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2020] [Accepted: 07/27/2020] [Indexed: 02/07/2023] Open
Abstract
BACKGROUND Professional competence and continuous professional development is essential for ensuring high quality and safe nursing care, and it might be important for motivating nurses to stay in the profession. Thus, there is a need to identify the developmental process of nursing competency. Assessment of competence and need for further training helps to identify areas for quality improvement, and to design interventions in order to facilitate continuous competence development in different work contexts. The current study aimed to 1) describe registered nurses' self-assessment of clinical competence as well as the need for further training, and 2) explore possible differences between registered nurses with varying lengths of professional experience as a nurse (≤ 0,5 year, > 0,5-5 years, and ≥ 6 years). METHODS A cross-sectional survey design was applied, using the Professional Nurse Self-Assessment Scale of clinical core competencies II. Registered nurses (n = 266) working in medical and surgical contexts in hospitals in Sweden responded (response rate 51%). Independent student t-test and analysis of variance were carried out. RESULTS Registered nurses assessed their competence highest in statements related to cooperation with other health professionals; taking full responsibility for own activities; and acting ethically when caring for patients. They assessed their need for further training most for statements related to assessing patients' health needs by telephone; giving health promotion advice and recommendations to patients by telephone; as well as improving a creative learning environment for staff at the workplace. For self-assessed competence and need for further training, differences between the groups for 35 and 46 items respectively, out of 50 were statistically significant. CONCLUSIONS Although the registered nurses assessed their competence high for important competence components expected of professionals such as cooperation with other healthcare professionals, it is problematic that knowledge of interactions and side-effects of different types of medication were reported as having the highest need of training. Longitudinal follow up of newly graduated nurses regarding their continuous development of competence as well as further training is needed.
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Affiliation(s)
- Renée Allvin
- Clinical Skills Center, Örebro University Hospital, S-701 85 Örebro, Sweden
- Faculty of Medicine and Health, School of Health Sciences, Örebro University, S-702 81 Örebro, Sweden
| | - Birgitta Bisholt
- Department of Health Science, Faculty of Health, Science and Technology, Karlstad University, S-651 88 Karlstad, Sweden
- Department of Health care Sciences, Ersta Sköndal Bräcke University College, S-100 61 Stockholm, Sweden
| | - Karin Blomberg
- Faculty of Medicine and Health, School of Health Sciences, Örebro University, S-702 81 Örebro, Sweden
| | - Carina Bååth
- Department of Health Science, Faculty of Health, Science and Technology, Karlstad University, S-651 88 Karlstad, Sweden
- Faculty of Health and Welfare, Östfold University College Fredrikstad, N-1757 Halden, Norway
| | - Sigrid Wangensteen
- Department of Health Sciences in Gjøvik, NTNU, Norwegian University of Science and Technology, Trondheim, Norway
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Charette M, McKenna LG, Maheu-Cadotte MA, Deschênes MF, Ha L, Merisier S. Measurement properties of scales assessing new graduate nurses' clinical competence: A systematic review of psychometric properties. Int J Nurs Stud 2020; 110:103734. [PMID: 32810719 DOI: 10.1016/j.ijnurstu.2020.103734] [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] [Received: 03/26/2020] [Revised: 07/21/2020] [Accepted: 07/22/2020] [Indexed: 12/30/2022]
Abstract
BACKGROUND New graduate nurses' competence is a concern for all healthcare organizations. Previous reports show heterogeneous levels of competency amongst them. As a positive association between competency and quality of care in clinical settings has been suggested, it is essential for researchers and clinicians to select valid, reliable, and responsive scales to assess new nurses' competence. However, a systematic evaluation of the measurement properties of scales measuring new nurses' competence had yet to be published. OBJECTIVE To analyse, evaluate and synthesize the measurement properties of scales used to assess new nurses' clinical competence. DESIGN A systematic psychometric review based on the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) methods. DATA SOURCES The search strategy included a combination of keywords and thesaurus terms related to new graduate nurses, clinical competence, and competence assessment. Five databases were searched: Embase, CINAHL, MEDLINE, PsycINFO and Web of Science. The search was limited to full-text papers published in English or French, from 2010 to 2019. REVIEW METHODS Two independent reviewers screened eligible papers, extracted data related to validity, reliability, and responsiveness of each scale, and evaluated the quality of their measurement properties as well as risk of bias in their psychometric evaluation. Divergences were solved through discussion. RESULTS Ten scales were included: eight original scales, one culturally adapted and one modified. Of these scales, eight were developed or adapted in the 2010s decade and the other two scales were developed earlier. Most scales are divided into 6 to 8 subscales and use an adjectival scale with either 4, 5 or 7 points. The content validity study of all scales in this review was deemed to be doubtful or inadequate quality. Reliability was almost exclusively assessed by calculating the internal consistency with Cronbach's alpha coefficient which gives no information on equivalence or stability of the measure. Responsiveness was never properly assessed in the reviewed studies. CONCLUSIONS There is little evidence on the measurement properties for each scale regarding their validity and reliability; responsiveness was not assessed for any scale. Every scale evaluated in this review had different characteristics (length, subscales, response options). Therefore, selection of the most appropriate scale depends on the context and purpose of the assessment. Prospero registration number: CRD42018109711 Tweetable Abstract: Systematic review of scales measuring new nurses' competence: we must do better and conduct more validity/reliability testing of existing scales.
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Affiliation(s)
- Martin Charette
- School of Nursing and Midwifery, La Trobe University, Plenty Rd & Kingsbury Dr, Bundoora (Melbourne), Victoria, Australia, 3086; Center for Innovation in Nursing Education (CIFI), Faculty of Nursing, University of Montréal, 2900 Boulevard Edouard-Montpetit, Montréal, Québec, Canada, H3T 1J4.
| | - Lisa G McKenna
- School of Nursing and Midwifery, La Trobe University, Plenty Rd & Kingsbury Dr, Bundoora (Melbourne), Victoria, Australia, 3086.
| | - Marc-André Maheu-Cadotte
- Center for Innovation in Nursing Education (CIFI), Faculty of Nursing, University of Montréal, 2900 Boulevard Edouard-Montpetit, Montréal, Québec, Canada, H3T 1J4; Faculty of Nursing, University of Montréal, 2900 Boulevard Edouard-Montpetit, Montréal, Québec, Canada, H3T 1J4.
| | - Marie-France Deschênes
- Center for Innovation in Nursing Education (CIFI), Faculty of Nursing, University of Montréal, 2900 Boulevard Edouard-Montpetit, Montréal, Québec, Canada, H3T 1J4; Faculty of Nursing, University of Montréal, 2900 Boulevard Edouard-Montpetit, Montréal, Québec, Canada, H3T 1J4.
| | - Laurence Ha
- Faculty of Nursing, University of Montréal, 2900 Boulevard Edouard-Montpetit, Montréal, Québec, Canada, H3T 1J4.
| | - Sophia Merisier
- Center for Innovation in Nursing Education (CIFI), Faculty of Nursing, University of Montréal, 2900 Boulevard Edouard-Montpetit, Montréal, Québec, Canada, H3T 1J4; Faculty of Nursing, University of Montréal, 2900 Boulevard Edouard-Montpetit, Montréal, Québec, Canada, H3T 1J4.
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Nyikuri M, Kumar P, English M, Jones C. "I train and mentor, they take them": A qualitative study of nurses' perspectives of neonatal nursing expertise and its development in Kenyan hospitals. Nurs Open 2020; 7:711-719. [PMID: 32257258 PMCID: PMC7113502 DOI: 10.1002/nop2.442] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2019] [Revised: 11/18/2019] [Accepted: 12/15/2019] [Indexed: 12/19/2022] Open
Abstract
Aims and Objectives Neonatal inpatient care is reliant on experienced nursing care, yet little is known about how Kenyan hospitals foster the development of newborn nursing experience in newborn units. Design A Qualitative ethnographic design. Methods Face to face 29 in depth interviews were conducted with nurses providing neonatal care in one private, one faith based and one public hospital in Nairobi, Kenya between January 2017 and March 2018. All data were transcribed verbatim, coded in the original language and analysed using a framework approach. Results Across the sectors, nurses perceived experience as important to the provision of quality care. They noted that hospitals could foster experience through recruitment, orientation, continuous learning and retention. However, while the private hospital facilitated experience building the public and faith-based hospitals experienced challenges due to human resource management practices and nursing shortages. Conclusion Health sector context influenced how experience was developed among nurses. Implications Nurturing experience will require that different health sectors adopt better recruitment for people interested in NBU work, better orientation and fewer rotations even without specialist nurse training.
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Affiliation(s)
- Mary Nyikuri
- Strathmore University Business SchoolNairobiKenya
- KEMRI‐Wellcome Trust Research ProgrammeNairobiKenya
| | - Pratap Kumar
- Strathmore University Business SchoolNairobiKenya
| | - Mike English
- KEMRI‐Wellcome Trust Research ProgrammeNairobiKenya
- Nuffield Department of Clinical MedicineCentre for Tropical Medicine and Global HealthUniversity of OxfordOxfordUK
| | - Caroline Jones
- KEMRI‐Wellcome Trust Research ProgrammeNairobiKenya
- Nuffield Department of Clinical MedicineCentre for Tropical Medicine and Global HealthUniversity of OxfordOxfordUK
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Hinton JE, Randolph P, Hagler D, Mays MZ, Brooks R, DeFalco N, Kastenbaum B, Miller K. The Nature of Nursing Competency in Simulation of Adult Medical-Surgical Nursing: Exploratory Factor Analysis. J Nurs Meas 2020; 28:JNM-D-18-00078. [PMID: 32245910 DOI: 10.1891/jnm-d-18-00078] [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: 11/25/2022]
Abstract
BACKGROUND AND PURPOSE Educators, employers, and regulatory agencies face substantive challenges in evaluating nursing competency. Evidence on what competency is and how to measure it can mitigate the challenges. METHODS Participants (N = 67) completed three high-fidelity simulation tests. Each video-recorded test was scored by three raters using a 41-item instrument. Exploratory factor analysis was used to define the latent structure of the instrument. RESULTS A five-factor solution accounted for 56% of the variance, minimized negative loadings, and minimized the number of cross-loadings. The factors were minimally correlated (each r < .30). CONCLUSIONS The factors, Vigilant Action, Role Nuances, Precision, Procedural Skills, and Risk Reduction, represent integrated dimensions of competency that can be linked to specific tasks underlying safe practice.
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Affiliation(s)
| | | | | | | | | | - Nick DeFalco
- Scottsdale Community College, Scottsdale, Arizona
| | | | - Kathy Miller
- Scottsdale Community College, Scottsdale, Arizona
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21
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Chiang HH, Ting CW, Chao E, Chen KJ. Using tabletop exercises to evaluate nurses' clinical performance of hazardous materials disaster management: A cross-sectional study. NURSE EDUCATION TODAY 2020; 87:104358. [PMID: 32058885 DOI: 10.1016/j.nedt.2020.104358] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/05/2019] [Revised: 11/25/2019] [Accepted: 01/27/2020] [Indexed: 06/10/2023]
Abstract
BACKGROUND Hazardous materials (Hazmat) disaster is a specific event with low probability but may be a heavy burden on public health. Competence in Hazmat disaster emergency management is necessary for nurses who care about mass casualties in the first line, especially for nurses in military hospitals. However, less attention has been paid to evaluation of competence of Hazmat disaster emergency responses using tabletop exercises. OBJECTIVE To identify competence in Hazmat disaster emergency response and factors influencing performance on tabletop exercises. METHODS A cross-sectional design was employed in this study. Competence of nurses responding to a hazardous materials invasion was evaluated by a tabletop exercise. In each case the "Task Based Checklist" was used for evaluation. Multivariate analysis of covariance was conducted to detect the effects of traditional training on performance in Hazmat disaster tabletop exercises. RESULTS A total of 161 nurses were recruited for this study. A checklist with 12 items comprised of two dimensions of disaster management was created and validated (CVI = 0.90). Inter-rater reliability for the evaluators ranged from 0.88 to 1. Performance on Hazmat site control, debris management and individual skills in decontamination were found to be suboptimal. Traditional disaster nursing training had no significant influence either on performance on Hazmat site control or patient care after controlling for differences in education level, age and gender. CONCLUSIONS The tabletop exercise is an innovative method for disaster nursing educators seeking to evaluate response competence in Hazmat disaster simulation exercises. It is necessary to consider the characteristics of the participants when designing the training program and educational strategies. Participants from the military hospital were shown to have limited competence in Hazmat disaster emergency management.
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Affiliation(s)
- Hui-Hsun Chiang
- School of Nursing, National Defense Medical Center, Taipei, Taiwan.
| | - Chen-Wen Ting
- Department of Nursing, Tri-Service General Hospital, Taipei, Taiwan
| | - En Chao
- Department of Medical Affairs, SongShan branch, Tri-Service General Hospital, Taipei, Taiwan
| | - Kuan-Jung Chen
- Department of Nursing, Tri-Service General Hospital, Taipei, Taiwan
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Jing W, Zhang X, Chi R, Sun X, Lv S. Exploration of Factors Influencing Nurse Competence Through Nursing Profile Analysis. J Contin Educ Nurs 2019; 50:572-580. [PMID: 31774929 DOI: 10.3928/00220124-20191115-09] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2019] [Accepted: 07/17/2019] [Indexed: 11/20/2022]
Abstract
BACKGROUND Nurse competence is a combination of knowledge, performance, skills, and attitudes that are required in fulfilling one's role as a nurse. So far, few comprehensive studies have explored the influencing factors of nurse competence. METHOD The competence levels of 160 RNs in a Chinese hospital were evaluated using a questionnaire method, and the relationship between competence results and nursing characteristics was analyzed. RESULTS The competence of participating nurses was at a medium level. Among all the characteristics, education and staffing levels were two main factors influencing nurse competence. CONCLUSION Quantity of nurses and quality of nursing service are two main issues facing the modern nursing system. The findings from this study provide useful information and suggestions on how to improve nurse competence to nurse industry personnel, including nurses, nursing employers, educators, and students. [J Contin Educ Nurs. 2019;50(12):572-580.].
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Faraji A, Karimi M, Azizi SM, Janatolmakan M, Khatony A. Evaluation of clinical competence and its related factors among ICU nurses in Kermanshah-Iran: A cross-sectional study. Int J Nurs Sci 2019; 6:421-425. [PMID: 31728395 PMCID: PMC6838869 DOI: 10.1016/j.ijnss.2019.09.007] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2019] [Revised: 09/06/2019] [Accepted: 09/09/2019] [Indexed: 11/18/2022] Open
Abstract
Objectives The present study was conducted to evaluate the clinical competence and its related demographic factors among critical care nurses in Kermanshah, Iran. Methods In this cross-sectional study, 155 Iranian nurses were selected by stratified random sampling. The data collection tools included a personal information form and the “Nurse Competence Scale”. Data were analyzed using descriptive and analytical statistics. Results The mean score of nurses' clinical competence was equal to 76.14 ± 1.59 out of 100, which was at a “very good level”. The mean score of using clinical competence in practice was equal to 70.38 ± 15.25 out of 100, which was at a “good level”. Among the subscales of clinical competence, the highest mean score was related to “managing situation”. The mean score of “using clinical competence in practice” was related to the subscale of “therapeutic interventions”. There was no statistically significant difference among the score of clinical competence of nurses varying with different gender, age, academic degree, and work experience. Conclusions The clinical competence of critical care nurses in Kermanshah was at a “very good” level, and the use of clinical competence in practice was at a “good level.” Given the importance of clinical competencies in practice, nurses' clinical competence should be evaluated objectively and positive measures should be taken to promote the application of their clinical competence.
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Affiliation(s)
- Azam Faraji
- Nursing Department, Nursing and Midwifery School, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Mahtab Karimi
- Student Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Seyyed Mohsen Azizi
- Clinical Research Development Center of Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Maryam Janatolmakan
- Clinical Research Development Center of Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Alireza Khatony
- Health Institute, Social Development and Health Promotion Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
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Patient assessment responses in nursing practice to enhance patient safety: A systematic review. ENFERMERIA CLINICA 2019. [DOI: 10.1016/j.enfcli.2019.04.068] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Aydin A, Hiçdurmaz D. Holistic nursing competence scale: Turkish translation and psychometric testing. Int Nurs Rev 2019; 66:425-433. [PMID: 31049974 DOI: 10.1111/inr.12514] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
AIM This study aimed to culturally adapt and evaluate the reliability and validity of the Holistic Nursing Competence Scale for application in the Turkish context. BACKGROUND Nurses are expected to assess well-being of individuals by considering physical, social, psychological, cultural and spiritual dimensions to enhance adaptation to diseases. In Turkey, no tools have been developed to date for the evaluation of competencies in holistic nursing in the country. METHODS The study was conducted with 288 nurses working in two hospitals in Ankara equipped with over 500 beds. A confirmatory factor analysis was performed in order to identify whether the items and the sub-dimensions of the adapted scale complied with the original structure comprising 36 items and five sub-scales, namely 'general aptitude', 'staff education and management', 'ethically oriented practice', 'nursing care in a team' and 'professional development'. Cronbach's alpha value was used as an estimate for reliability analysis. RESULTS Opinions of 11 experts were obtained for content validation of the scale, and the content validity index was 0.90. The adaptation was observed to be acceptable on the basis of structural equation model fit indices in confirmatory factor analysis. Cronbach's alpha value was estimated to be 0.97 and 0.90, respectively, for the complete scale. CONCLUSION The study identified the Turkish version of Holistic Nursing Competence Scale as a valid and reliable tool for the evaluation of competence in holistic nursing among nurses. IMPLICATIONS FOR NURSING AND NURSING POLICY The instrument may now be utilized as a tool of measurement in nursing practice, as well as in education and research, for identifying the level of competence in the holistic nursing practices among the nurses in Turkey.
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Affiliation(s)
- A Aydin
- Sinop University Health College Nursing Department, Sinop, Turkey
| | - D Hiçdurmaz
- Hacettepe University Faculty of Nursing, Psychiatric Nursing Department, Ankara, Turkey
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Nurses' Competence Caring for Hospitalized Patients With Ventricular Assist Devices. Dimens Crit Care Nurs 2019; 38:38-49. [PMID: 30499791 DOI: 10.1097/dcc.0000000000000332] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
BACKGROUND Nursing care is an essential component of the delivery of high-quality patient care for advanced heart failure patients with ventricular assist devices (VADs). However, there is little information about how VAD patient care competence is formed, and there are no empirical data regarding the bed nurses' competence. OBJECTIVES The aim of this study was to explain how nurses perceived their competence related to VAD technology and how they utilized resources to equip themselves for the management of patients with implantable VADs. METHODS An exploratory correlational research design was used in this study. Online surveys including demographic and work characteristics questionnaires as well as VAD Innovation in Nursing Appraisal Scale (knowledge, adoption, and communication) were completed by 237 critical-care unit and progressive care unit (PCU) nurses. RESULTS Ventricular assist device knowledge, adoption, and communication of innovation mean scores were 3.9 ± 0.6, 3.9 ± 0.8, and 3.7 ± 0.9, respectively, indicating moderate/high levels. Critical-care unit nurses reported higher levels of knowledge (3.7 vs 3.6) and adoption (4.0 vs 3.8; P < .05) of innovation than did the PCU nurses, with no differences in communication. Compared with PCU nurses, critical-care unit nurses were more likely to seek VAD competence-related information using mass media. Innovation and adoption were associated with years of nursing experience and some hospital characteristics. CONCLUSION Critical-care unit nurses have higher self-reported VAD care competence than PCU nurses. Further research is needed to confirm the findings and link nurse competence with VAD patient outcomes.
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Mangi NG, Ter Goon D, Yako EM. Self-efficacy and Clinical Performance of Nurses Initiated and Management of Antiretroviral Therapy: Narrative Review. ACTA ACUST UNITED AC 2019. [DOI: 10.2174/1874944501912010086] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Introduction:
Self-efficacy plays a major role in the behaviour of a human being by how he/she approaches a goal, task or a challenge so that a desired level of performance is produced. The objective of this paper is to review and analyse literature on self-efficacy and clinical performance among professional nurses regarding quality of care in implementation of NIMART programme.
Methodology:
A literature review was conducted using online resources. Search engines included EBSCO, Google Scholar, Medline, PubMed, Psych info and BIOMED Central articles and journals published between 2007 and 2017. Relevant papers on self-efficacy and clinical performance regarding the implementation of NIMART programme in South Africa were analysed.
Results:
278 papers were identified and 22 eligible papers were selected for analysis. Reviewed literature exhibited that self-efficacy is very crucial in the clinical performance of nurses in the implementation of NIMART. Self-efficacy helps to predict motivation and performance of individuals. Lack of mentoring, support and exposure to clinical practice had negative effect on nurse’s self-efficacy.
Conclusion:
Given the paucity of information on self-efficacy and clinical performance of NIMART in the South African context, future studies are warranted to gain more understanding of self-efficacy in the clinical performance of professional nurses.
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Kiekkas P, Tsekoura V, Aretha D, Samios A, Konstantinou E, Igoumenidis M, Stefanopoulos N, Fligou F. Nurse understaffing is associated with adverse events in postanaesthesia care unit patients. J Clin Nurs 2019; 28:2245-2252. [PMID: 30790377 DOI: 10.1111/jocn.14819] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2018] [Revised: 01/19/2019] [Accepted: 02/09/2019] [Indexed: 11/30/2022]
Abstract
AIMS AND OBJECTIVES To investigate the associations between nurse staffing and the incidence and severity of hypoxaemia, arterial hypotension and bradycardia of postoperative patients during their postanaesthesia care unit stay. BACKGROUND Nurse understaffing has been associated with adverse patient outcomes in a variety of hospital settings. In the postanaesthesia care unit, nursing shortage is common and can be related to compromised prevention, detection and treatment of adverse events. DESIGN Observational, single-centre, prospective study that adhered to Strengthening the Reporting of Observational studies in Epidemiology checklist (see Supporting information Appendix S1); 2,207 patients admitted to the postanaesthesia care unit of a tertiary care hospital over a 5-month period were enrolled. METHODS Incidence of hypoxaemia (arterial oxygen saturation <95%), arterial hypotension (systolic blood pressure <90 mmHg) and bradycardia (heart rate <50 beats per minute), along with episode severity, was recorded. Patients were classified into three groups as follows: sufficient staffing, low and high understaffing. Risk for hypoxaemia, arterial hypotension and bradycardia was adjusted according to patient, anaesthesia and operation characteristics. RESULTS The incidence of hypoxaemia was significantly higher in the high understaffing group patients, while the incidence of arterial hypotension was significantly higher in both low and high understaffing group patients, compared to sufficient staffing group ones. In the high understaffing group patients, hypoxaemia and arterial hypotension episodes were of significantly higher severity. CONCLUSIONS These associations between hypoxaemia and arterial hypotension and postanaesthesia care unit understaffing indicate that care quality and patient safety can be compromised in case patient acuity is not matched with sufficient nursing resources. RELEVANCE TO CLINICAL PRACTICE Higher incidence of hypoxaemia and arterial hypotension advocates for the prevention of imbalances between patient number and care demands and the number of available nurses.
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Affiliation(s)
- Panagiotis Kiekkas
- Nursing Department, Western Greece University of Applied Sciences, Patras, Greece
| | - Vasiliki Tsekoura
- Department of Anesthesiology and Critical Care Medicine, Patras University Hospital, Patras, Greece
| | - Diamanto Aretha
- Department of Anesthesiology and Critical Care Medicine, Patras University Hospital, Patras, Greece
| | - Adamantios Samios
- Department of Anesthesiology and Critical Care Medicine, Patras University Hospital, Patras, Greece
| | | | - Michael Igoumenidis
- Nursing Department, Western Greece University of Applied Sciences, Patras, Greece
| | | | - Fotini Fligou
- Department of Anesthesiology and Critical Care Medicine, Patras University Hospital, Patras, Greece
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Birks M, Ralph N, Cant R, Chun Tie Y, Hillman E. Science knowledge needed for nursing practice: A cross-sectional survey of Australian Registered Nurses. Collegian 2018. [DOI: 10.1016/j.colegn.2017.05.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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31
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Trinkoff AM, Storr CL, Lerner NB, Yang BK, Han K. CNA Training Requirements and Resident Care Outcomes in Nursing Homes. THE GERONTOLOGIST 2018; 57:501-508. [PMID: 27059825 DOI: 10.1093/geront/gnw049] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2015] [Accepted: 12/03/2015] [Indexed: 11/13/2022] Open
Abstract
Purpose of the Study To examine the relationship between certified nursing assistant (CNA) training requirements and resident outcomes in U.S. nursing homes (NHs). The number and type of training hours vary by state since many U.S. states have chosen to require additional hours over the federal minimums, presumably to keep pace with the increasing complexity of care. Yet little is known about the impact of the type and amount of training CNAs are required to have on resident outcomes. Design and Methods Compiled data on 2010 state regulatory requirements for CNA training (clinical, total initial training, in-service, ratio of clinical to didactic hours) were linked to 2010 resident outcomes data from 15,508 NHs. Outcomes included the following NH Compare Quality Indicators (QIs) (Minimum Data Set 3.0): pain, antipsychotic use, falls with injury, depression, weight loss and pressure ulcers. Facility-level QIs were regressed on training indicators using generalized linear models with the Huber-White correction, to account for clustering of NHs within states. Models were stratified by facility size and adjusted for case-mix, ownership status, percentage of Medicaid-certified beds and urban-rural status. Results A higher ratio of clinical to didactic hours was related to better resident outcomes. NHs in states requiring clinical training hours above federal minimums (i.e., >16hr) had significantly lower odds of adverse outcomes, particularly pain falls with injury, and depression. Total and in-service training hours also were related to outcomes. Implications Additional training providing clinical experiences may aid in identifying residents at risk. This study provides empirical evidence supporting the importance of increased requirements for CNA training to improve quality of care.
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Affiliation(s)
- Alison M Trinkoff
- Department of Family and Community Health, University of Maryland School of Nursing, Baltimore, Maryland
| | - Carla L Storr
- Department of Family and Community Health, University of Maryland School of Nursing, Baltimore, Maryland
| | - Nancy B Lerner
- Department of Organizational Systems & Adult Health, University of Maryland School of Nursing, Baltimore, Maryland
| | - Bo Kyum Yang
- Department of Family and Community Health, University of Maryland School of Nursing, Baltimore, Maryland
| | - Kihye Han
- Red Cross College of Nursing, Chung-Ang University, Seoul, South Korea
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32
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Rizany I, Hariyati RTS, Handayani H. Factors that affect the development of nurses’ competencies: a systematic review. ENFERMERIA CLINICA 2018. [DOI: 10.1016/s1130-8621(18)30057-3] [Citation(s) in RCA: 34] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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33
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Abstract
AIM The aim of this article is to analyze the concept of action competence and comprise a definition of the concept suitable to apply to virtual simulation in nursing education. BACKGROUND Virtual simulation has become an instructional method increasingly used in nursing education which creates a challenge for assessment of clinical competence. DESIGN This concept analysis was performed using Walker and Avant's eight stages of concept analysis. DATA SOURCE A literature search was conducted using search engines and included peer-reviewed articles from various disciplines. RESULTS The concept analysis resulted in an operational definition of action competence that is useful in nursing education. CONCLUSION The use of action competence during virtual simulation sessions provides a means for knowledge transfer, accountability of actions on the part of the students, self-awareness, and reflection. Through this process, students gain critical problem-solving skills that, through sustainability, can be applied to varying future patient scenarios. Action competence contains concrete components applicable to sustainability of knowledge gained by nursing students during virtual simulation.
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Affiliation(s)
- Jennie Bergen
- School of Nursing, Clayton State University, GA, USA
| | - LaTonya Santo
- School of Nursing, Clayton State University, GA, USA
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34
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Liu Y, Aungsuroch Y. Current Literature Review of Registered Nurses’ Competency in the Global Community. J Nurs Scholarsh 2018; 50:191-199. [DOI: 10.1111/jnu.12361] [Citation(s) in RCA: 32] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/15/2017] [Indexed: 11/30/2022]
Affiliation(s)
- Ying Liu
- Phi Omega at Large; Post-doctoral fellowship; Faculty of Nursing; Chulalongkorn University; Bangkok Thailand
- Instructor, School of Nursing; Dalian Medical University; Dalian China
| | - Yupin Aungsuroch
- Phi Omega at Large; Associate Professor, Faculty of Nursing; Chulalongkorn University; Bangkok Thailand
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35
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Abstract
OBJECTIVE Oral medicines are frequently modified (eg, tablets crushed) for older adults. However, these modifications can have clinical, legal and/or ethical implications. Nurses bear responsibility for medicine administration and hence, perform these modifications. The aim of this study was to investigate the knowledge, attitudes and beliefs of nurses about oral medicine modification for older adults. DESIGN A qualitative study was conducted using semi-structured, face-to-face interviews with nurses providing care to older adults in acute and long-term care settings. Interviews were audio-recorded, transcribed verbatim and analysed thematically. SETTINGS Sixteen purposively selected care settings; 4 acute-care and 12 long-term care settings were included. Nurses were recruited by convenience sampling at these sites. PARTICIPANTS Eighteen nurses participated (83% female, 67% long-term care, 33% acute-care, median age (IQR) 38 years (32.5-52.0)). RESULTS Three major themes: modifying-a necessary evil, nurses' role as patient advocate and modifying-we are working very much as a team and two minor themes: fractional dosing, and covert administration emerged from the data. Nurses viewed oral medicine modifications as being a routine and necessary occurrence in geriatric patient care due to limitations of available formulations and the presence of age-related challenges in drug administration. Nurses' knowledge of residents' requirements ensured that they advocate for those with individualised formulation needs, however, nurses rely on pharmacists for information about modifications. Nurses expressed a desire for supports including increased education and ward-specific, pharmacist-developed recommendations on common modifications. CONCLUSIONS This study has provided useful insights into the views of nurses regarding oral medicine modification for older adults. The unique and varied formulation requirements of older adults must be acknowledged. Increased engagement by healthcare professionals, the pharmaceutical industry, regulatory agencies and policy-makers is required to facilitate the development of age-appropriate formulations. In the interim, practical interventions, informed by the findings of this study, are required.
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Affiliation(s)
- Aoife Mc Gillicuddy
- Pharmaceutical Care Research Group, School of Pharmacy, University College Cork National University of Ireland, Cork, Republic of Ireland
| | - Abina M Crean
- Synthesis and Solid State Pharmaceutical Centre, School of Pharmacy, University College Cork, Cork, Republic of Ireland
| | - Maria Kelly
- Pharmaceutical Care Research Group, School of Pharmacy, University College Cork National University of Ireland, Cork, Republic of Ireland
| | - Laura Sahm
- Pharmaceutical Care Research Group, School of Pharmacy, University College Cork National University of Ireland, Cork, Republic of Ireland
- Pharmacy Department, Mercy University Hospital, Cork, Republic of Ireland
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36
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Numminen O, Leino-Kilpi H, Isoaho H, Meretoja R. Development of Nurses' Professional Competence Early in Their Career: A Longitudinal Study. J Contin Educ Nurs 2017; 48:29-39. [DOI: 10.3928/00220124-20170110-08] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2016] [Accepted: 09/02/2016] [Indexed: 11/20/2022]
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37
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Flinkman M, Leino-Kilpi H, Numminen O, Jeon Y, Kuokkanen L, Meretoja R. Nurse Competence Scale: a systematic and psychometric review. J Adv Nurs 2016; 73:1035-1050. [PMID: 27731918 DOI: 10.1111/jan.13183] [Citation(s) in RCA: 111] [Impact Index Per Article: 13.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/27/2016] [Indexed: 11/28/2022]
Abstract
AIM The aim of this study was to report a systematic and psychometric review. BACKGROUND The Nurse Competence Scale is currently the most widely used generic instrument to measure Registered Nurses' competence in different phases of their careers. Based on a decade of research, this review provides a summary of the existing evidence. DESIGN A systematic literature review of research evidence and psychometric properties. DATA SOURCES Nine databases from 2004 - October 2015. REVIEW METHODS We retrieved scientific publications in English and Finnish. Two researchers performed data selection and appraised the methodological quality using the COnsensus-based Standards for the selection of health status Measurement INstruments checklist. RESULTS A total of 30 studies reported in 43 publications were included. These consisted of over 11,000 competence assessments. Twenty studies were from Europe and 10 from outside Europe. In addition to experienced nurses, the Nurse Competence Scale has been used for the competence assessment of newly graduated nurses and nursing students, mainly in hospital settings. Length of work experience, age, higher education, permanent employment and participation in educational programmes correlated positively with competence. Variables including empowerment, commitment, practice environment, quality of care and critical thinking were also associated with higher competence. The Nurse Competence Scale has demonstrated good content validity and appropriate internal consistency. CONCLUSION The value of Nurse Competence Scale has been confirmed in determining relationships between background variables and competence. The instrument has been widely used with experienced and newly graduated nurses and their managers. Cross-cultural validation must be continued using rigorous methods.
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Affiliation(s)
- Mervi Flinkman
- Corporate Headquarters, Helsinki University Hospital, Finland.,Department of Nursing Science, University of Turku, Finland
| | - Helena Leino-Kilpi
- Department of Nursing Science, University of Turku, Turku University Hospital, Finland
| | - Olivia Numminen
- Corporate Headquarters, Helsinki University Hospital, Finland.,Department of Nursing Science, University of Turku, Finland
| | - Yunsuk Jeon
- Corporate Headquarters, Helsinki University Hospital, Finland.,Department of Nursing Science, University of Turku, Finland
| | - Liisa Kuokkanen
- Corporate Headquarters, Helsinki University Hospital, Finland.,Department of Nursing Science, University of Turku, Finland
| | - Riitta Meretoja
- Corporate Headquarters, Helsinki University Hospital, Finland.,Department of Nursing Science, University of Turku, Finland
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Casey M, Cooney A, O' Connell R, Hegarty JM, Brady AM, O' Reilly P, Kennedy C, Heffernan E, Fealy G, McNamara M, O' Connor L. Nurses', midwives' and key stakeholders' experiences and perceptions on requirements to demonstrate the maintenance of professional competence. J Adv Nurs 2016; 73:653-664. [DOI: 10.1111/jan.13171] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/30/2016] [Indexed: 11/28/2022]
Affiliation(s)
- Mary Casey
- UCD School of Nursing Midwifery & Health Systems; University College Dublin; Ireland
| | | | - Rhona O' Connell
- Catherine McAuley School of Nursing and Midwifery; University College Cork; Ireland
| | | | | | - Pauline O' Reilly
- Department of Nursing and Midwifery; University of Limerick; Ireland
| | - Catriona Kennedy
- School of Nursing and Midwifery; Robert Gordon University; Aberdeen Scotland
| | - Elizabeth Heffernan
- Kerry Centre of Nurse and Midwifery Education; Kerry General Hospital; Tralee Ireland
| | - Gerard Fealy
- UCD School of Nursing, Midwifery & Health Systems; University College Dublin; Ireland
| | - Martin McNamara
- UCD School of Nursing, Midwifery & Health Systems; University College Dublin; Ireland
| | - Laserina O' Connor
- UCD School of Nursing, Midwifery & Health Systems; University College Dublin; Ireland
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Takase M, Yamamoto M, Sato Y, Imai T, Kawamoto M. Effects of Nurses’ Perceptions of Actual and Demanded Competence on Turnover Intentions. West J Nurs Res 2016; 39:1330-1347. [DOI: 10.1177/0193945916670893] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
With the growing focus on continuous professional development, demands placed on nurses to uphold nursing competence have been increasing. This study examined how nurses with different lengths of clinical experience perceived the relationship between their actual competence and the competence they felt was demanded of them, and how this relationship was related to their turnover intentions. Survey questionnaires were distributed to 1,377 nurses, of whom 765 returned usable completed forms. The results showed that across all the groups of clinical experience, nurses perceived the demanded competence levels to be higher than their actual competence levels. However, turnover intentions were not related to nurses’ perceptions of demanded competence and were negatively related to perceptions of actual competence. The levels of competence demanded should not be considered as threats for nurses. Improving nurses’ competence may reduce their turnover intentions.
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Affiliation(s)
| | | | - Yoko Sato
- Hiroshima University Hospital, Japan
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40
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Kaspar R, Hartig J. Emotional competencies in geriatric nursing: empirical evidence from a computer based large scale assessment calibration study. ADVANCES IN HEALTH SCIENCES EDUCATION : THEORY AND PRACTICE 2016; 21:105-119. [PMID: 26108300 DOI: 10.1007/s10459-015-9616-y] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/05/2015] [Accepted: 06/11/2015] [Indexed: 06/04/2023]
Abstract
The care of older people was described as involving substantial emotion-related affordances. Scholars in vocational training and nursing disagree whether emotion-related skills could be conceptualized and assessed as a professional competence. Studies on emotion work and empathy regularly neglect the multidimensionality of these phenomena and their relation to the care process, and are rarely conclusive with respect to nursing behavior in practice. To test the status of emotion-related skills as a facet of client-directed geriatric nursing competence, 402 final-year nursing students from 24 German schools responded to a 62-item computer-based test. 14 items were developed to represent emotion-related affordances. Multi-dimensional IRT modeling was employed to assess a potential subdomain structure. Emotion-related test items did not form a separate subdomain, and were found to be discriminating across the whole competence continuum. Tasks concerning emotion work and empathy are reliable indicators for various levels of client-directed nursing competence. Claims for a distinct emotion-related competence in geriatric nursing, however, appear excessive with a process-oriented perspective.
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Affiliation(s)
- Roman Kaspar
- Department of Educational Quality and Assessment, German Institute for International Educational Research, Schloßstraße 29, 60486, Frankfurt am Main, Germany.
- Interdisciplinary Ageing Research, Goethe University, Frankfurt am Main, Germany.
| | - Johannes Hartig
- Department of Educational Quality and Assessment, German Institute for International Educational Research, Schloßstraße 29, 60486, Frankfurt am Main, Germany
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Takase M, Yamamoto M, Sato Y, Niitani M, Uemura C. The relationship between workplace learning and midwives’ and nurses’ self-reported competence: A cross-sectional survey. Int J Nurs Stud 2015; 52:1804-15. [DOI: 10.1016/j.ijnurstu.2015.06.016] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2015] [Revised: 06/24/2015] [Accepted: 06/26/2015] [Indexed: 11/26/2022]
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Numminen O, Leino-Kilpi H, Isoaho H, Meretoja R. Newly Graduated Nurses' Competence and Individual and Organizational Factors: A Multivariate Analysis. J Nurs Scholarsh 2015. [DOI: 10.1111/jnu.12153] [Citation(s) in RCA: 38] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Olivia Numminen
- Clinical Researcher, Corporate Headquarters; Hospital District of Helsinki and Uusimaa; Finland
| | - Helena Leino-Kilpi
- Professor, Department of Nursing Science, University of Turku, and Nurse Director; Turku University Hospital; Finland
| | | | - Riitta Meretoja
- Adjunct Professor, Corporate Headquarters; Hospital District of Helsinki and Uusimaa, University of Turku; Finland
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43
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Pool IA, Poell RF, Berings MG, ten Cate O. Strategies for continuing professional development among younger, middle-aged, and older nurses: A biographical approach. Int J Nurs Stud 2015; 52:939-50. [DOI: 10.1016/j.ijnurstu.2015.02.004] [Citation(s) in RCA: 37] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2014] [Revised: 02/04/2015] [Accepted: 02/06/2015] [Indexed: 11/30/2022]
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44
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Tsutsumi K, Sekido K. Relationship of Clinical Nursing Competence to Nursing Occupational Experience in Hospice/Palliative Care Nurses in Japan. Health (London) 2015. [DOI: 10.4236/health.2015.72032] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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45
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Takase M, Teraoka S, Kousuke Y. Investigating the adequacy of the Competence-Turnover Intention Model: how does nursing competence affect nurses' turnover intention? J Clin Nurs 2014; 24:805-16. [PMID: 25421915 DOI: 10.1111/jocn.12711] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/14/2014] [Indexed: 11/29/2022]
Abstract
AIMS AND OBJECTIVES The aim of this study was to test the adequacy of the Competence-Turnover Intention Model, which was developed to identify how nursing competence could affect nurses' turnover intention (nurses' intention to voluntarily leave an organisation). BACKGROUND Recent studies have suggested that the level of nursing competence is negatively related to nurses' intention to leave their jobs, suggesting that a lack of competence threatens both the quality and quantity of the nursing workforce. However, the mechanism of how nursing competence affects nurses' turnover intention has not been explored previously. DESIGN A cross-sectional survey design was used. METHODS Surveys were distributed to 1337 Japanese registered nurses/midwives in October, 2013. The adequacy of the model was analysed using structural equation modelling. RESULTS In total, 766 questionnaires were returned, with a return rate of 57%. The model fitted well with the data. The results showed that the level of nursing competence was related positively to the quantity of organisational rewards they felt they had received, and negatively related to the level of exhaustion they experienced. Moreover, the perceived organisational rewards and exhaustion were correlated with nurses' turnover intention through affective commitment. CONCLUSIONS The Competence-Turnover Intention Model is useful for explaining how nursing competence impacts on their turnover intention. RELEVANCE TO CLINICAL PRACTICE Clinical implications derived from the findings are that: promoting nursing competence is key to improving not only the quality of care provided by nurses, but also to retaining the nursing workforce, and the model can be used to develop strategies that would mitigate their turnover intention.
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Affiliation(s)
- Miyuki Takase
- Institute of Biomedical & Health Sciences, Hiroshima University, Hiroshima City, Hiroshima, Japan
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Takase M, Nakayoshi Y, Yamamoto M, Teraoka S, Imai T. Competence development as perceived by degree and non-degree graduates in Japan: a longitudinal study. NURSE EDUCATION TODAY 2014; 34:451-456. [PMID: 23683811 DOI: 10.1016/j.nedt.2013.04.017] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/05/2012] [Revised: 04/09/2013] [Accepted: 04/17/2013] [Indexed: 06/02/2023]
Abstract
BACKGROUND A degree programme is believed to prepare graduates with a higher level of competence than their diploma counterparts. However, there have been inconsistent findings reported as to whether or not degree-graduates outperformed those who take diplomas. OBJECTIVES This study aimed to identify graduates' perceptions of competence development in their first year of employment, and to compare the competence levels of graduates with different educational backgrounds. DESIGN This study adopted a longitudinal design. SETTINGS This study has been performed in five hospitals in Japan. PARTICIPANTS 122 Japanese graduates participated in this study. METHODS The self-assessed competence of the graduates was collected in the 3rd, 6th, 9th, and 12th months of their employment using a survey method. The data were analysed using a linear mixed model. RESULTS The results suggested that the graduates perceived their competence to be rapidly growing during the first half of the graduate year, and slowly later. The results also indicated that the graduates' perception of their competence showed a significant variation. The most striking finding of the study was that, on average, the non-degree graduates rated their competence higher than their degree counterparts. CONCLUSIONS The current university orientation on emphasising intellectual and theoretical components of education, with less focus on practical components might have led to the development of lower competence among the BN graduates. A fine balance between theoretical and practical components needs to be established in a university curriculum.
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Affiliation(s)
- Miyuki Takase
- Institute of Biomedical & Health Sciences, Hiroshima University, 1-2-3, Kasumi, Minami-ku, Hiroshima City, Hiroshima 734-8551, Japan.
| | - Yoko Nakayoshi
- School of Nursing, Hiroshima International University, Japan
| | | | - Sachiko Teraoka
- School of Nursing, Kawasaki University of Medical Welfare, Japan
| | - Takiko Imai
- School of Nursing, Prefectural University of Hiroshima, Japan
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