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For: Karlstedt M, Wadensten B, Fagerberg I, Pöder U. Is the competence of Swedish Registered Nurses working in municipal care of older people merely a question of age and postgraduate education? Scand J Caring Sci 2014;29:307-16. [DOI: 10.1111/scs.12164] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2014] [Accepted: 06/10/2014] [Indexed: 11/28/2022]

For:	Karlstedt M, Wadensten B, Fagerberg I, Pöder U. Is the competence of Swedish Registered Nurses working in municipal care of older people merely a question of age and postgraduate education? Scand J Caring Sci 2014;29:307-16. [DOI: 10.1111/scs.12164] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2014] [Accepted: 06/10/2014] [Indexed: 11/28/2022]

Number

Cited by Other Article(s)

Briggs MS, Gulla N, Howald H, Weber MD, Olson-Kellogg BJ, DeWitt JJ, Hensley CP, Harrington KL, Kidder MS, Farrell JP, Tichenor CJ. Comparisons of Clinical Competency and Job Responsibilities of Physical Therapists With and Without Postprofessional Training. JOURNAL, PHYSICAL THERAPY EDUCATION 2023;37:332-341. [PMID: 38478789 DOI: 10.1097/jte.0000000000000295] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/21/2022] [Accepted: 05/25/2023] [Indexed: 06/25/2024]

Abstract

INTRODUCTION

Understanding how educational pathways may influence clinical competence and work responsibilities is important in providing guidance to academic and clinic stakeholders and physical therapists (PTs) on PT career development. The purpose of this paper was to compare perceived clinical competency and job duties between PTs with formal mentored postprofessional clinical education with PTs without formal postprofessional clinical education.

REVIEW OF LITERATURE

The understanding of self-perceived clinical competence of PTs overall in the United States is limited, especially as related to the impact of postprofessional education. Furthermore, there is limited understanding of the career pathways and development of job duties of PTs in the United States.

SUBJECTS

Two thousand three hundred thirty-four PTs in the United States.

METHODS

An online survey was sent to licensed PTs. This survey included items measuring self-perceived clinical competency and questions related to weekly job responsibilities. Participants were categorized as residency trained, fellowship trained, or non-residency/fellowship trained. Frequency analyses and Kruskal-Wallis tests with pairwise post hoc tests were performed comparing the 3 groups.

RESULTS

Residency-trained (P < .007) and fellowship-trained (P < .001) groups demonstrated elements of higher self-perceived clinical competency compared with the non-residency-/fellowship-trained group. Both the residency- and fellowship-trained groups spent less time with patient care and more time with other responsibilities (e.g., teaching, mentoring, and research) (P < .02) during an average workweek. Fellowship-trained PTs (P < .001) spent more time with administrative duties compared with the non-residency-/fellowship-trained group.

DISCUSSION AND CONCLUSION

Results from this paper demonstrate that residency- and fellowship-trained PTs have elements of higher self-perceived clinical competency and spend more of their job duties outside of direct patient care compared with PTs who were not residency or fellowship trained. These results may help guide PTs, academic institutions, and employers in planning and achieving specific career paths.

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Affiliation(s)

Matthew S Briggs Matthew S. Briggs is the Director of The Ohio State University Wexner Medical Center Sports Physical Therapy Residency and is an Assistant Professor-Practice in the Department of Orthopaedics, Jameson Crane Sports Medicine Institute, 2835 Fred Taylor Drive, Columbus, OH 43202 ( ). Please address all correspondence to Matthew S. Briggs Nicholas Gulla is a physical therapist at The Ohio State University Wexner Medical Center, and is a faculty member at the Ohio State University Wexner Medical Center Orthopaedic Residency and Orthopaedic Manual Physical Therapy Fellowship Heidi Howald is a physical therapist at the Shirley Ryan Ability Lab Mark D. Weber is the Interim Director at the School of Physical Therapy Texas Woman's University Becky J. Olson-Kellogg is an Associate Professor and is the Director of the Geriatric Residency at the University of Minnesota Medical School, Program in Physical Therapy John J. DeWitt is the Associate Director of Education and Professional Development at The Ohio State University Wexner Medical Center and Assistant Clinical professor at The Ohio State University, Division of Physical Therapy Craig P. Hensley is an Assistant Professor at Northwestern University in the Department of Physical Therapy and Human Movement Sciences Kendra L. Harrington is the Director of APTA Residency/Fellowship Education and Accreditation at the American Physical Therapy Association Melissa S. Kidder is the Director of The Ohio State University Wexner Medical Center Orthopaedic Residency and Assistant Professor of Practice, School of Health and Rehabilitation Sciences Physical Therapy Division Joseph P. Farrell is a faculty emeritus at the Kaiser Northern California Orthopaedic Manual Physical Therapy Residency & Fellowship Programs, and is a clinical instructor at the Northwestern Department of Physical Therapy and Human Movement Science OMPT Fellowship Program Carol Jo Tichenor is a contributed service faculty, assistant clinical professor in the Department of Physical Therapy at Creighton University
Nicholas Gulla Matthew S. Briggs is the Director of The Ohio State University Wexner Medical Center Sports Physical Therapy Residency and is an Assistant Professor-Practice in the Department of Orthopaedics, Jameson Crane Sports Medicine Institute, 2835 Fred Taylor Drive, Columbus, OH 43202 ( ). Please address all correspondence to Matthew S. Briggs Nicholas Gulla is a physical therapist at The Ohio State University Wexner Medical Center, and is a faculty member at the Ohio State University Wexner Medical Center Orthopaedic Residency and Orthopaedic Manual Physical Therapy Fellowship Heidi Howald is a physical therapist at the Shirley Ryan Ability Lab Mark D. Weber is the Interim Director at the School of Physical Therapy Texas Woman's University Becky J. Olson-Kellogg is an Associate Professor and is the Director of the Geriatric Residency at the University of Minnesota Medical School, Program in Physical Therapy John J. DeWitt is the Associate Director of Education and Professional Development at The Ohio State University Wexner Medical Center and Assistant Clinical professor at The Ohio State University, Division of Physical Therapy Craig P. Hensley is an Assistant Professor at Northwestern University in the Department of Physical Therapy and Human Movement Sciences Kendra L. Harrington is the Director of APTA Residency/Fellowship Education and Accreditation at the American Physical Therapy Association Melissa S. Kidder is the Director of The Ohio State University Wexner Medical Center Orthopaedic Residency and Assistant Professor of Practice, School of Health and Rehabilitation Sciences Physical Therapy Division Joseph P. Farrell is a faculty emeritus at the Kaiser Northern California Orthopaedic Manual Physical Therapy Residency & Fellowship Programs, and is a clinical instructor at the Northwestern Department of Physical Therapy and Human Movement Science OMPT Fellowship Program Carol Jo Tichenor is a contributed service faculty, assistant clinical professor in the Department of Physical Therapy at Creighton University
Heidi Howald Matthew S. Briggs is the Director of The Ohio State University Wexner Medical Center Sports Physical Therapy Residency and is an Assistant Professor-Practice in the Department of Orthopaedics, Jameson Crane Sports Medicine Institute, 2835 Fred Taylor Drive, Columbus, OH 43202 ( ). Please address all correspondence to Matthew S. Briggs Nicholas Gulla is a physical therapist at The Ohio State University Wexner Medical Center, and is a faculty member at the Ohio State University Wexner Medical Center Orthopaedic Residency and Orthopaedic Manual Physical Therapy Fellowship Heidi Howald is a physical therapist at the Shirley Ryan Ability Lab Mark D. Weber is the Interim Director at the School of Physical Therapy Texas Woman's University Becky J. Olson-Kellogg is an Associate Professor and is the Director of the Geriatric Residency at the University of Minnesota Medical School, Program in Physical Therapy John J. DeWitt is the Associate Director of Education and Professional Development at The Ohio State University Wexner Medical Center and Assistant Clinical professor at The Ohio State University, Division of Physical Therapy Craig P. Hensley is an Assistant Professor at Northwestern University in the Department of Physical Therapy and Human Movement Sciences Kendra L. Harrington is the Director of APTA Residency/Fellowship Education and Accreditation at the American Physical Therapy Association Melissa S. Kidder is the Director of The Ohio State University Wexner Medical Center Orthopaedic Residency and Assistant Professor of Practice, School of Health and Rehabilitation Sciences Physical Therapy Division Joseph P. Farrell is a faculty emeritus at the Kaiser Northern California Orthopaedic Manual Physical Therapy Residency & Fellowship Programs, and is a clinical instructor at the Northwestern Department of Physical Therapy and Human Movement Science OMPT Fellowship Program Carol Jo Tichenor is a contributed service faculty, assistant clinical professor in the Department of Physical Therapy at Creighton University
Mark D Weber Matthew S. Briggs is the Director of The Ohio State University Wexner Medical Center Sports Physical Therapy Residency and is an Assistant Professor-Practice in the Department of Orthopaedics, Jameson Crane Sports Medicine Institute, 2835 Fred Taylor Drive, Columbus, OH 43202 ( ). Please address all correspondence to Matthew S. Briggs Nicholas Gulla is a physical therapist at The Ohio State University Wexner Medical Center, and is a faculty member at the Ohio State University Wexner Medical Center Orthopaedic Residency and Orthopaedic Manual Physical Therapy Fellowship Heidi Howald is a physical therapist at the Shirley Ryan Ability Lab Mark D. Weber is the Interim Director at the School of Physical Therapy Texas Woman's University Becky J. Olson-Kellogg is an Associate Professor and is the Director of the Geriatric Residency at the University of Minnesota Medical School, Program in Physical Therapy John J. DeWitt is the Associate Director of Education and Professional Development at The Ohio State University Wexner Medical Center and Assistant Clinical professor at The Ohio State University, Division of Physical Therapy Craig P. Hensley is an Assistant Professor at Northwestern University in the Department of Physical Therapy and Human Movement Sciences Kendra L. Harrington is the Director of APTA Residency/Fellowship Education and Accreditation at the American Physical Therapy Association Melissa S. Kidder is the Director of The Ohio State University Wexner Medical Center Orthopaedic Residency and Assistant Professor of Practice, School of Health and Rehabilitation Sciences Physical Therapy Division Joseph P. Farrell is a faculty emeritus at the Kaiser Northern California Orthopaedic Manual Physical Therapy Residency & Fellowship Programs, and is a clinical instructor at the Northwestern Department of Physical Therapy and Human Movement Science OMPT Fellowship Program Carol Jo Tichenor is a contributed service faculty, assistant clinical professor in the Department of Physical Therapy at Creighton University
Becky J Olson-Kellogg Matthew S. Briggs is the Director of The Ohio State University Wexner Medical Center Sports Physical Therapy Residency and is an Assistant Professor-Practice in the Department of Orthopaedics, Jameson Crane Sports Medicine Institute, 2835 Fred Taylor Drive, Columbus, OH 43202 ( ). Please address all correspondence to Matthew S. Briggs Nicholas Gulla is a physical therapist at The Ohio State University Wexner Medical Center, and is a faculty member at the Ohio State University Wexner Medical Center Orthopaedic Residency and Orthopaedic Manual Physical Therapy Fellowship Heidi Howald is a physical therapist at the Shirley Ryan Ability Lab Mark D. Weber is the Interim Director at the School of Physical Therapy Texas Woman's University Becky J. Olson-Kellogg is an Associate Professor and is the Director of the Geriatric Residency at the University of Minnesota Medical School, Program in Physical Therapy John J. DeWitt is the Associate Director of Education and Professional Development at The Ohio State University Wexner Medical Center and Assistant Clinical professor at The Ohio State University, Division of Physical Therapy Craig P. Hensley is an Assistant Professor at Northwestern University in the Department of Physical Therapy and Human Movement Sciences Kendra L. Harrington is the Director of APTA Residency/Fellowship Education and Accreditation at the American Physical Therapy Association Melissa S. Kidder is the Director of The Ohio State University Wexner Medical Center Orthopaedic Residency and Assistant Professor of Practice, School of Health and Rehabilitation Sciences Physical Therapy Division Joseph P. Farrell is a faculty emeritus at the Kaiser Northern California Orthopaedic Manual Physical Therapy Residency & Fellowship Programs, and is a clinical instructor at the Northwestern Department of Physical Therapy and Human Movement Science OMPT Fellowship Program Carol Jo Tichenor is a contributed service faculty, assistant clinical professor in the Department of Physical Therapy at Creighton University
John J DeWitt Matthew S. Briggs is the Director of The Ohio State University Wexner Medical Center Sports Physical Therapy Residency and is an Assistant Professor-Practice in the Department of Orthopaedics, Jameson Crane Sports Medicine Institute, 2835 Fred Taylor Drive, Columbus, OH 43202 ( ). Please address all correspondence to Matthew S. Briggs Nicholas Gulla is a physical therapist at The Ohio State University Wexner Medical Center, and is a faculty member at the Ohio State University Wexner Medical Center Orthopaedic Residency and Orthopaedic Manual Physical Therapy Fellowship Heidi Howald is a physical therapist at the Shirley Ryan Ability Lab Mark D. Weber is the Interim Director at the School of Physical Therapy Texas Woman's University Becky J. Olson-Kellogg is an Associate Professor and is the Director of the Geriatric Residency at the University of Minnesota Medical School, Program in Physical Therapy John J. DeWitt is the Associate Director of Education and Professional Development at The Ohio State University Wexner Medical Center and Assistant Clinical professor at The Ohio State University, Division of Physical Therapy Craig P. Hensley is an Assistant Professor at Northwestern University in the Department of Physical Therapy and Human Movement Sciences Kendra L. Harrington is the Director of APTA Residency/Fellowship Education and Accreditation at the American Physical Therapy Association Melissa S. Kidder is the Director of The Ohio State University Wexner Medical Center Orthopaedic Residency and Assistant Professor of Practice, School of Health and Rehabilitation Sciences Physical Therapy Division Joseph P. Farrell is a faculty emeritus at the Kaiser Northern California Orthopaedic Manual Physical Therapy Residency & Fellowship Programs, and is a clinical instructor at the Northwestern Department of Physical Therapy and Human Movement Science OMPT Fellowship Program Carol Jo Tichenor is a contributed service faculty, assistant clinical professor in the Department of Physical Therapy at Creighton University
Craig P Hensley Matthew S. Briggs is the Director of The Ohio State University Wexner Medical Center Sports Physical Therapy Residency and is an Assistant Professor-Practice in the Department of Orthopaedics, Jameson Crane Sports Medicine Institute, 2835 Fred Taylor Drive, Columbus, OH 43202 ( ). Please address all correspondence to Matthew S. Briggs Nicholas Gulla is a physical therapist at The Ohio State University Wexner Medical Center, and is a faculty member at the Ohio State University Wexner Medical Center Orthopaedic Residency and Orthopaedic Manual Physical Therapy Fellowship Heidi Howald is a physical therapist at the Shirley Ryan Ability Lab Mark D. Weber is the Interim Director at the School of Physical Therapy Texas Woman's University Becky J. Olson-Kellogg is an Associate Professor and is the Director of the Geriatric Residency at the University of Minnesota Medical School, Program in Physical Therapy John J. DeWitt is the Associate Director of Education and Professional Development at The Ohio State University Wexner Medical Center and Assistant Clinical professor at The Ohio State University, Division of Physical Therapy Craig P. Hensley is an Assistant Professor at Northwestern University in the Department of Physical Therapy and Human Movement Sciences Kendra L. Harrington is the Director of APTA Residency/Fellowship Education and Accreditation at the American Physical Therapy Association Melissa S. Kidder is the Director of The Ohio State University Wexner Medical Center Orthopaedic Residency and Assistant Professor of Practice, School of Health and Rehabilitation Sciences Physical Therapy Division Joseph P. Farrell is a faculty emeritus at the Kaiser Northern California Orthopaedic Manual Physical Therapy Residency & Fellowship Programs, and is a clinical instructor at the Northwestern Department of Physical Therapy and Human Movement Science OMPT Fellowship Program Carol Jo Tichenor is a contributed service faculty, assistant clinical professor in the Department of Physical Therapy at Creighton University
Kendra L Harrington Matthew S. Briggs is the Director of The Ohio State University Wexner Medical Center Sports Physical Therapy Residency and is an Assistant Professor-Practice in the Department of Orthopaedics, Jameson Crane Sports Medicine Institute, 2835 Fred Taylor Drive, Columbus, OH 43202 ( ). Please address all correspondence to Matthew S. Briggs Nicholas Gulla is a physical therapist at The Ohio State University Wexner Medical Center, and is a faculty member at the Ohio State University Wexner Medical Center Orthopaedic Residency and Orthopaedic Manual Physical Therapy Fellowship Heidi Howald is a physical therapist at the Shirley Ryan Ability Lab Mark D. Weber is the Interim Director at the School of Physical Therapy Texas Woman's University Becky J. Olson-Kellogg is an Associate Professor and is the Director of the Geriatric Residency at the University of Minnesota Medical School, Program in Physical Therapy John J. DeWitt is the Associate Director of Education and Professional Development at The Ohio State University Wexner Medical Center and Assistant Clinical professor at The Ohio State University, Division of Physical Therapy Craig P. Hensley is an Assistant Professor at Northwestern University in the Department of Physical Therapy and Human Movement Sciences Kendra L. Harrington is the Director of APTA Residency/Fellowship Education and Accreditation at the American Physical Therapy Association Melissa S. Kidder is the Director of The Ohio State University Wexner Medical Center Orthopaedic Residency and Assistant Professor of Practice, School of Health and Rehabilitation Sciences Physical Therapy Division Joseph P. Farrell is a faculty emeritus at the Kaiser Northern California Orthopaedic Manual Physical Therapy Residency & Fellowship Programs, and is a clinical instructor at the Northwestern Department of Physical Therapy and Human Movement Science OMPT Fellowship Program Carol Jo Tichenor is a contributed service faculty, assistant clinical professor in the Department of Physical Therapy at Creighton University
Melissa S Kidder Matthew S. Briggs is the Director of The Ohio State University Wexner Medical Center Sports Physical Therapy Residency and is an Assistant Professor-Practice in the Department of Orthopaedics, Jameson Crane Sports Medicine Institute, 2835 Fred Taylor Drive, Columbus, OH 43202 ( ). Please address all correspondence to Matthew S. Briggs Nicholas Gulla is a physical therapist at The Ohio State University Wexner Medical Center, and is a faculty member at the Ohio State University Wexner Medical Center Orthopaedic Residency and Orthopaedic Manual Physical Therapy Fellowship Heidi Howald is a physical therapist at the Shirley Ryan Ability Lab Mark D. Weber is the Interim Director at the School of Physical Therapy Texas Woman's University Becky J. Olson-Kellogg is an Associate Professor and is the Director of the Geriatric Residency at the University of Minnesota Medical School, Program in Physical Therapy John J. DeWitt is the Associate Director of Education and Professional Development at The Ohio State University Wexner Medical Center and Assistant Clinical professor at The Ohio State University, Division of Physical Therapy Craig P. Hensley is an Assistant Professor at Northwestern University in the Department of Physical Therapy and Human Movement Sciences Kendra L. Harrington is the Director of APTA Residency/Fellowship Education and Accreditation at the American Physical Therapy Association Melissa S. Kidder is the Director of The Ohio State University Wexner Medical Center Orthopaedic Residency and Assistant Professor of Practice, School of Health and Rehabilitation Sciences Physical Therapy Division Joseph P. Farrell is a faculty emeritus at the Kaiser Northern California Orthopaedic Manual Physical Therapy Residency & Fellowship Programs, and is a clinical instructor at the Northwestern Department of Physical Therapy and Human Movement Science OMPT Fellowship Program Carol Jo Tichenor is a contributed service faculty, assistant clinical professor in the Department of Physical Therapy at Creighton University
Joseph P Farrell Matthew S. Briggs is the Director of The Ohio State University Wexner Medical Center Sports Physical Therapy Residency and is an Assistant Professor-Practice in the Department of Orthopaedics, Jameson Crane Sports Medicine Institute, 2835 Fred Taylor Drive, Columbus, OH 43202 ( ). Please address all correspondence to Matthew S. Briggs Nicholas Gulla is a physical therapist at The Ohio State University Wexner Medical Center, and is a faculty member at the Ohio State University Wexner Medical Center Orthopaedic Residency and Orthopaedic Manual Physical Therapy Fellowship Heidi Howald is a physical therapist at the Shirley Ryan Ability Lab Mark D. Weber is the Interim Director at the School of Physical Therapy Texas Woman's University Becky J. Olson-Kellogg is an Associate Professor and is the Director of the Geriatric Residency at the University of Minnesota Medical School, Program in Physical Therapy John J. DeWitt is the Associate Director of Education and Professional Development at The Ohio State University Wexner Medical Center and Assistant Clinical professor at The Ohio State University, Division of Physical Therapy Craig P. Hensley is an Assistant Professor at Northwestern University in the Department of Physical Therapy and Human Movement Sciences Kendra L. Harrington is the Director of APTA Residency/Fellowship Education and Accreditation at the American Physical Therapy Association Melissa S. Kidder is the Director of The Ohio State University Wexner Medical Center Orthopaedic Residency and Assistant Professor of Practice, School of Health and Rehabilitation Sciences Physical Therapy Division Joseph P. Farrell is a faculty emeritus at the Kaiser Northern California Orthopaedic Manual Physical Therapy Residency & Fellowship Programs, and is a clinical instructor at the Northwestern Department of Physical Therapy and Human Movement Science OMPT Fellowship Program Carol Jo Tichenor is a contributed service faculty, assistant clinical professor in the Department of Physical Therapy at Creighton University
Carol Jo Tichenor Matthew S. Briggs is the Director of The Ohio State University Wexner Medical Center Sports Physical Therapy Residency and is an Assistant Professor-Practice in the Department of Orthopaedics, Jameson Crane Sports Medicine Institute, 2835 Fred Taylor Drive, Columbus, OH 43202 ( ). Please address all correspondence to Matthew S. Briggs Nicholas Gulla is a physical therapist at The Ohio State University Wexner Medical Center, and is a faculty member at the Ohio State University Wexner Medical Center Orthopaedic Residency and Orthopaedic Manual Physical Therapy Fellowship Heidi Howald is a physical therapist at the Shirley Ryan Ability Lab Mark D. Weber is the Interim Director at the School of Physical Therapy Texas Woman's University Becky J. Olson-Kellogg is an Associate Professor and is the Director of the Geriatric Residency at the University of Minnesota Medical School, Program in Physical Therapy John J. DeWitt is the Associate Director of Education and Professional Development at The Ohio State University Wexner Medical Center and Assistant Clinical professor at The Ohio State University, Division of Physical Therapy Craig P. Hensley is an Assistant Professor at Northwestern University in the Department of Physical Therapy and Human Movement Sciences Kendra L. Harrington is the Director of APTA Residency/Fellowship Education and Accreditation at the American Physical Therapy Association Melissa S. Kidder is the Director of The Ohio State University Wexner Medical Center Orthopaedic Residency and Assistant Professor of Practice, School of Health and Rehabilitation Sciences Physical Therapy Division Joseph P. Farrell is a faculty emeritus at the Kaiser Northern California Orthopaedic Manual Physical Therapy Residency & Fellowship Programs, and is a clinical instructor at the Northwestern Department of Physical Therapy and Human Movement Science OMPT Fellowship Program Carol Jo Tichenor is a contributed service faculty, assistant clinical professor in the Department of Physical Therapy at Creighton University

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Mathiesen KL, Lindberg E, Nässén K, Cowdell F, Palmér L. "A becoming in the meeting": the interpretations of competence in home care from the perspectives of older people and registered nurses - a meta-ethnography. Int J Qual Stud Health Well-being 2023;18:2262170. [PMID: 37771312 PMCID: PMC10543340 DOI: 10.1080/17482631.2023.2262170] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/06/2023] [Accepted: 09/09/2023] [Indexed: 09/30/2023] Open

Yadav A, Kylberg M, Granbom M, Malmgren Fänge A, Iwarsson S. Support Needs Among Older Tenants Living in Public Housing in Sweden: Perspectives of Janitors and Maintenance Staff. J Appl Gerontol 2023:7334648231169130. [PMID: 37098132 PMCID: PMC10394964 DOI: 10.1177/07334648231169130] [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: 04/27/2023] Open

Häger M, Boman E, Forsman AK. Meeting the Needs of Older Adults with Mental Ill-Health in Non-Psychiatric Care Settings: Self-Rated Confidence in Helping and its Co-Variates within a Multiprofessional Study Sample. Gerontol Geriatr Med 2023;9:23337214231179819. [PMID: 37457398 PMCID: PMC10338893 DOI: 10.1177/23337214231179819] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2023] [Revised: 06/14/2023] [Accepted: 05/15/2023] [Indexed: 07/18/2023] Open

Katja L, Terhi L, Minna S, Jouko K, Riitta S. Nurse competence provides more individuality in the care of older hospitalized people. Nurs Open 2022;10:3191-3200. [PMID: 36572665 PMCID: PMC10077381 DOI: 10.1002/nop2.1569] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2021] [Revised: 07/20/2022] [Accepted: 12/10/2022] [Indexed: 12/28/2022] Open

Stake-Nilsson K, Almstedt M, Fransson G, Masoumi D, Elm A, Toratti-Lindgren M, Björkman A. Medication dosage calculation among nursing students: does digital technology make a difference? A literature review. BMC Nurs 2022;21:123. [PMID: 35599313 PMCID: PMC9125812 DOI: 10.1186/s12912-022-00904-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2021] [Accepted: 05/11/2022] [Indexed: 11/10/2022] Open

Hayes N, Naughton C. Developing a competency framework for early career nurses undertaking post-registration education in care for older people. Nurs Older People 2022;34:20-27. [PMID: 35195375 DOI: 10.7748/nop.2022.e1374] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/03/2021] [Indexed: 11/09/2022]

Larsson Gerdin A, Hellzén O, Rising-Holmström M. Nurses' experiences of encounters in home care: a phenomenological hermeneutic study. Int J Qual Stud Health Well-being 2021;16:1983950. [PMID: 34633907 PMCID: PMC8525981 DOI: 10.1080/17482631.2021.1983950] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 09/19/2021] [Indexed: 11/21/2022] Open

Pavloff M, Labrecque ME. Continuing Education for Home Care Nurses: An Integrative Literature Review. Home Healthc Now 2021;39:310-319. [PMID: 34738966 DOI: 10.1097/nhh.0000000000001005] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]

Bing-Jonsson PC, Boman E, Melin J. The Ms. Olsen test: Measurement properties of a short test of nursing staffs' competence in clinical decision-making. J Adv Nurs 2021;77:4268-4278. [PMID: 34427002 DOI: 10.1111/jan.15025] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2021] [Revised: 07/14/2021] [Accepted: 08/11/2021] [Indexed: 11/28/2022]

Abstract

AIMS

To assess the measurement properties of the Ms. Olsen test for registered nurses and assistant nurses, respectively, and suggest cut-off points between competence levels.

DESIGN

Cross-sectional study. The results were analysed by implementing the Rasch Measurement Theory.

METHODS

Nursing staff working in various health care settings participated (n = 757). To measure the competence of nursing staff in clinical decision-making, a 19-item scale from the Nursing Older People-Competence Evaluation Tool-the 'Ms. Olsen test'-was used. Data were collected in October 2017, 2018 and 2019.

RESULTS

The Ms. Olsen test showed reasonably good measurement properties for registered nurses and assistant nurses respectively. Results show slightly better measurement properties for registered nurses than for assistant nurses. The cut-off for registered nurses, 0.62, corresponds to managing approximately two-thirds of the items while, for assistant nurses, the cut-off of 0.01 corresponds to managing approximately half of the items.

CONCLUSION

The Ms. Olsen test is a short (7- to 10-min) test measuring competence in clinical decision-making among nursing staff working in older people nursing. Despite reasonably good measurement properties, this should be considered an initial validation in the development of a short test for assessing clinical decision-making among nursing staff in various health care setting.

IMPACT

Several scales aiming to measure nursing competence have been developed over the last decade, but measurement properties (beyond classical test theory) are seldom evaluated, few scales concern other staff groups than registered nurses and few scales have proposed or established cut-offs for safe practice. The Ms. Olsen test is a short test of clinical decision-making that demonstrates reasonably good measurement properties. Cut-off points for registered nurses and assistant nurses were established. The Ms. Olsen test may be used to measure and evaluate competence in clinical decision-making among nursing staff working in older people nursing and educational settings.

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Claesson M, Josefsson K, Jonasson LL. 'My registered nurse': Older people's experiences of registered nurses' leadership close to them in community home care in Sweden. Int J Older People Nurs 2021;16:e12399. [PMID: 34216188 DOI: 10.1111/opn.12399] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2020] [Revised: 05/20/2021] [Accepted: 06/10/2021] [Indexed: 01/10/2023]

Kirca N, Ozgonul ML, Bademli K. The relationship between the competence of nurses and their attitudes in medical errors: a cross‐sectional survey. J Nurs Manag 2020;28:1144-1152. [DOI: 10.1111/jonm.13013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2019] [Revised: 02/13/2020] [Accepted: 03/14/2020] [Indexed: 11/27/2022]

Leonardsen ACL, Svendsen EJ, Heitmann GB, Dhayyat A, Morris A, Sjøborg KD, Olsen RM, Hardeland C. Development and validation of a questionnaire to assess healthcare personnel competence in cardiac arrest and resuscitation in pregnancy. PLoS One 2020;15:e0232984. [PMID: 32396569 PMCID: PMC7217426 DOI: 10.1371/journal.pone.0232984] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2020] [Accepted: 04/24/2020] [Indexed: 01/10/2023] Open

Abstract

BACKGROUND

Cardiac arrest is rare in pregnancy, and up-to date competence can be difficult to assess and maintain. The objective of this study was to develop and validate a questionnaire to assess healthcare personnel experiences, self-assessed competence and perception of role and resposibility related to cardiac arrest and cardio-pulmonary resuscitation (CPR) in pregnancy.

METHODS

The study had a cross-sectional design, developing and validating a questionnaire: the Competence in cardiac arrest and CPR in pregnancy (ComCA-P). Development and validation of the ComCA-P was conducted in three stages: 1) Literature review and expert group panel inputs, 2) a pilot study and 3) a cross-sectional questionnaire study. In stage one, the ComCA-P was developed over several iterations between the researchers, including inputs from an expert group panel consisting of highly competent professionals (n = 11). In stage two, the questionnaire was piloted in a group of healthcare personnel with relevant competence (n = 16). The ComCA-P was then used in a baseline study including healthcare personnel potentially involved in CPR in pregnancy (n = 527) in six hospital wards. Based on these data, internal consistency, intra-class correlations, and confirmatory factor analysis were utilized to validate the questionnaire.

RESULTS

The expert group and pilot study participants evaluated the appropriateness, relevance and accuracy to be high. Formulation of the items was considered appropriate, with no difficulties identified related to content- or face validity. Cronbach's alpha was 0.8 on the thematic area self-assessment, and 0.73 on the theoretical knowledge area of the ComCA-P. On both the self-assessed competence items and the teoretical knowledge items, Kaiser-Meyer-Olkin was 0.8. Moreover, the Bertletts' test of sphericity was greater than the critical value for chi-square, and significant (p < .0001).

CONCLUSIONS

Findings indicate that the ComCA-P is a valid questionnaire that can be used to assess healthcare personnel competence in cardiac arrest and resuscitation in pregnancy.

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Claesson M, Jonasson LL, Lindberg E, Josefsson K. What implies registered nurses' leadership close to older adults in municipal home health care? A systematic review. BMC Nurs 2020;19:30. [PMID: 32336946 PMCID: PMC7171838 DOI: 10.1186/s12912-020-00413-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2020] [Accepted: 03/12/2020] [Indexed: 12/31/2022] Open

Abstract

BACKGROUND

Registered nurses are key figures in municipal home health care for older adults. Thus, registered nurses' leadership is crucial to a successful and preventive care process as well as a supportive organization in order to achieve safe care. However, there is limited research on what registered nurses' leadership implies close to older adults in municipal home health care. Thus, the aim is to compile and critically evaluate how international research results describe registered nurses' leadership close to older adults in municipal home health care.

METHODS

A systematic literature review was performed in accordance with a qualitative research study. The main search was conducted on 20 April 2018. The review was reported according to the PRISMA guidelines and is registered in the PROSPERO database (ID# CRD42019109206). Nine articles from PubMed and CINAHL meet the quality criteria. A synthesis of data was performed in four stages according to qualitative research synthesis.

RESULTS

Ten themes describe what registered nurses' leadership close to older adults in municipal home health care entails: trust and control; continuous learning; competence through knowledge and ability; nursing responsibility on an organizational level; application of skills; awareness of the individual's needs and wholeness; mutual support; mutual relationships; collaborating on organizational and interpersonal levels; and exposure to challenges.

CONCLUSIONS

Registered nurses leading close to older adults in municipal home health care implies being multi-artists. Nursing education, including specialist education for registered nurses, should prepare individuals for their unique and complex leadership role as a multi-artist. Municipal employers require knowledge about what registered nurses' leadership implies in order to create adequate conditions for their leadership objectives to achieve safe care. Further research is warranted to explore registered nurses' leadership close to older adults in municipal home health care from different perspectives, such as older adults and next of kin.

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Boman E, Levy‐Malmberg R, Fagerström L. Differences and similarities in scope of practice between registered nurses and nurse specialists in emergency care: an interview study. Scand J Caring Sci 2019;34:492-500. [DOI: 10.1111/scs.12753] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2019] [Accepted: 08/12/2019] [Indexed: 12/01/2022]

Juntasopeepun P, Turale S, Kawabata H, Thientong H, Uesugi Y, Matsuo H. Psychometric evaluation of the Nurse Competence Scale: A cross-sectional study. Nurs Health Sci 2019;21:487-493. [PMID: 31317622 DOI: 10.1111/nhs.12627] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2018] [Revised: 04/01/2019] [Accepted: 05/10/2019] [Indexed: 11/29/2022]

Kiljunen O, Partanen P, Välimäki T, Kankkunen P. Older people nursing in care homes: An examination of nursing professionals' self-assessed competence and its predictors. Int J Older People Nurs 2019;14:e12225. [PMID: 30729686 DOI: 10.1111/opn.12225] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2018] [Revised: 11/29/2018] [Accepted: 12/31/2018] [Indexed: 11/28/2022]

Lehtoaro S, Josefsson K, Sinervo T. Professionals' self-rated quality of care and its relation to competence, national guidelines and policies - a cross-sectional study among Finnish elderly care workers. BMC Health Serv Res 2018;18:896. [PMID: 30477487 PMCID: PMC6260572 DOI: 10.1186/s12913-018-3705-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2018] [Accepted: 11/12/2018] [Indexed: 11/19/2022] Open

Abstract

Background

In the future, elderly care workers need to have competence of various different conditions due to greater amount of multimorbid elderly. Further, knowledge of national level guidelines is important since they are closely linked to improving quality of care and implementing better practices at work places. The impact of national level guidelines on quality of care at care units is, however, not widely examined in the Finnish context. In this study, the aim was to find out if worker’s experience of his/her own competence is associated with quality of care. Secondly, we aimed to see how common is addressing national guidelines and policies at workplaces, and if they are associated with quality of care. Thirdly, we aimed to see whether there are differences between different occupational statuses in competence and addressing national guidelines and policies.

Methods

Total number of respondents was 1997 from 273 different units. Xtreg procedure was used for examining the associations of age, occupational status, unit type, professional competence and addressing the guidelines and policies with quality of care.

Results

Higher grade for QoC was associated with age, supervisor position, working in institutionalized care, better competence in supporting the self-determination of a person with memory disorders and falls prevention and addressing the act for elderly care and memory policy.

Conclusion

This study demonstrated that national policies and guidelines are not widely addressed among Finnish elderly care workers. The study also showed that experienced competence of workers and discussion of policies and guidelines are related to quality of care. Especially competence related to memory disorders was associated with higher QoC. However, the relationship between quality of care and things influencing it seems complex and a major part of the variation in QoC remained unexplained. Although the relationships between guidelines, competences and quality of care are weak, national policies and competences seem to have impact on actual care provided. Therefore, sufficient time to address the guidelines should be provided at workplace and competences developed, which can be seen as a supervisor’s task. With knowledge about the guidelines, workers are able to change their practices at work places.

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Hovland G, Kyrkjebø D, Andersen JR, Råholm MB. Self-assessed competence among nurses working in municipal health-care services in Norway. Br J Community Nurs 2018;23:162-169. [PMID: 29633878 DOI: 10.12968/bjcn.2018.23.4.162] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]

Stolt M, Eloranta S, Elo S, Isola A, Suhonen R. A scoping review of Finnish doctoral dissertations in older people nursing science. ACTA ACUST UNITED AC 2017. [DOI: 10.1177/2057158517691919] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]

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]

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]

Kirsebom M, Hedström M, Pöder U, Wadensten B. Transfer of nursing home residents to emergency departments: organizational differences between nursing homes with high vs. low transfer rates. Nurs Open 2016;4:41-48. [PMID: 28078098 PMCID: PMC5221446 DOI: 10.1002/nop2.68] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2015] [Accepted: 08/08/2016] [Indexed: 11/06/2022] Open

Johansson-Pajala RM, Gustafsson LK, Jorsäter Blomgren K, Fastbom J, Martin L. Nurses' use of computerised decision support systems affects drug monitoring in nursing homes. J Nurs Manag 2016;25:56-64. [DOI: 10.1111/jonm.12430] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/27/2016] [Indexed: 01/23/2023]

Johansson-Pajala RM, Jorsäter Blomgren K, Bastholm-Rahmner P, Fastbom J, Martin L. Nurses in municipal care of the elderly act as pharmacovigilant intermediaries: a qualitative study of medication management. Scand J Prim Health Care 2016;34:37-45. [PMID: 26846298 PMCID: PMC4911024 DOI: 10.3109/02813432.2015.1132891] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open

Abstract

OBJECTIVE

To explore registered nurses' experience of medication management in municipal care of the elderly in Sweden, with a focus on their pharmacovigilant activities.

DESIGN

A qualitative approach using focus-group discussions was chosen in order to provide in-depth information. Data were analysed by qualitative content analysis.

SETTING

Five focus groups in five different long-term care settings in two regions in Sweden.

SUBJECT

A total of 21 registered nurses (RNs), four men and 17 women, aged 27-65 years, with 4-34 years of nursing experience.

RESULTS

The findings reveal that RNs in municipal long-term care settings can be regarded as "vigilant intermediaries" in the patients' drug treatments. They continuously control the work of staff and physicians and mediate between them, and also compensate for existing shortcomings, both organizational and in the work of health care professionals. RNs depend on other health care professionals to be able to monitor drug treatments and ensure medication safety. They assume expanded responsibilities, sometimes exceeding their formal competence, and try to cover for deficiencies in competence, experience, accessibility, and responsibility-taking.

CONCLUSION

The RNs play a central but also complex role as "vigilant intermediaries" in the medication monitoring process, including the issue of responsibility. Improving RNs' possibility to monitor their patients' drug treatments would enable them to prevent adverse drug events in their daily practice. New strategies are justified to facilitate RNs' pharmacovigilant activities.

KEY POINTS

This study contributes to the understanding of registered nurses' (RNs') role in medication management in municipal care of the elderly (i.e. detecting, assessing, and preventing adverse drug events or any drug-related problems). RNs can be considered to be "vigilant intermediaries" in elderly patients' drug treatments, working at a distance from staff, physicians, and patients. RNs occasionally take on responsibilities that exceed their formal competence, with the patients' best interests in mind. In order to prevent adverse drug events in municipal care of the elderly, new strategies are justified to facilitate RNs' pharmacovigilant activities.

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