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Allahverdi FZ, Bayer N. Cognitive Control/Flexibility, Social Isolation, and Intrinsic Job Satisfaction of Intensive Care Unit Nurses. Behav Sci (Basel) 2024; 14:605. [PMID: 39062428 PMCID: PMC11273799 DOI: 10.3390/bs14070605] [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: 06/21/2024] [Revised: 07/14/2024] [Accepted: 07/15/2024] [Indexed: 07/28/2024] Open
Abstract
Although cognitive control and flexibility have been examined in the past, this study examines their relationship in a stressful working environment, focusing on intrinsic job satisfaction using cognitive behavioral theory as a framework. This study examined cognitive factors (cognitive control and cognitive flexibility) and emotional state (intrinsic job satisfaction) while assessing the mediating role of social isolation, an external work environment variable. The study focused on intrinsic job satisfaction with extrinsic job satisfaction as a covariate. A cross-sectional questionnaire method was used. Two hundred and ten nurses from twelve intensive care units participated. Model one examined cognitive control while model two examined cognitive flexibility, accounting for 32% and 38% of the variance in intrinsic job satisfaction, respectively. Model one accounted for 13% of the variance in social isolation through cognitive control and extrinsic job satisfaction while model two accounted for approximately 14.91% of the variance in social isolation through cognitive flexibility and extrinsic job satisfaction. Combining the two models accounted for 17% of the variance in social isolation and 37.4% of the variation in intrinsic job satisfaction. The results emphasize the importance of training nurses in cognitive control and flexibility to increase intrinsic job satisfaction.
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Affiliation(s)
| | - Nukhet Bayer
- Department of Nursing Management, Lokman Hekim University, 06530 Ankara, Türkiye;
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Zhang Y, Wu C, Ma J, Liu F, Shen C, Sun J, Ma Z, Hu W, Lang H. Relationship between depression and burnout among nurses in Intensive Care units at the late stage of COVID-19: a network analysis. BMC Nurs 2024; 23:224. [PMID: 38561758 PMCID: PMC10983623 DOI: 10.1186/s12912-024-01867-3] [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: 07/16/2023] [Accepted: 03/13/2024] [Indexed: 04/04/2024] Open
Abstract
BACKGROUND Mental health problems are critical and common in medical staff working in Intensive Care Units (ICU) even at the late stage of COVID-19, particularly for nurses. There is little research to explore the inner relationships between common syndromes, such as depression and burnout. Network analysis (NA) was a novel approach to quantified the correlations between mental variables from the perspective of mathematics. This study was to investigate the interactions between burnout and depression symptoms through NA among ICU nurses. METHOD A cross-sectional study with a total of 616 Chinese nurses in ICU were carried out by convenience sampling from December 19, 2022 to January19, 2023 via online survey. Burnout symptoms were measured by Maslach Burnout Inventory-General Survey (MBI-GS) (Chinese version), and depressive symptoms were assessed by the 9-item Patient Health Questionnaire (PHQ-9). NA was applied to build interactions between burnout and depression symptoms. We identified central and bridge symptoms by R package qgraph in the network model. R package bootnet was used to examined the stability of network structure. RESULTS The prevalence of burnout and depressive symptoms were 48.2% and 64.1%, respectively. Within depression-burnout network, PHQ4(Fatigue)-MBI2(Used up) and PHQ4(Fatigue)-MBI5(Breakdown) showed stronger associations. MBI2(Used up) had the strongest expected influence central symptoms, followed by MBI4(Stressed) and MBI7 (Less enthusiastic). For bridge symptoms. PHQ4(Fatigue), MBI5(Breakdown) and MBI2(Used up) weighed highest. Both correlation stability coefficients of central and bridge symptoms in the network structure were 0.68, showing a high excellent level of stability. CONCLUSION The symptom of PHQ4(Fatigue) was the bridge to connect the emotion exhaustion and depression. Targeting this symptom will be effective to detect mental disorders and relieve mental syndromes of ICU nurses at the late stage of COVID-19 pandemic.
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Affiliation(s)
- Yinjuan Zhang
- Department of Nursing, Air Force Medical University, No. 169 Changle West Road, 710032, Xi'an, Shaanxi, China
- Department of Nursing, Shaanxi University of Chinese Medicine, Shiji Avenue, 712046, Xianyang, Shaanxi, China
| | - Chao Wu
- Department of Nursing, Air Force Medical University, No. 169 Changle West Road, 710032, Xi'an, Shaanxi, China
| | - Jin Ma
- Department of Aerospace Medicine, Air Force Medical University, No. 169 Changle West Road, 710032, Xi'an, Shaanxi, China
| | - Fang Liu
- Department of Nursing, Shaanxi University of Chinese Medicine, Shiji Avenue, 712046, Xianyang, Shaanxi, China
| | - Chao Shen
- Department of Computer Science and Engineering, Xi'an Technological University, No. 4 Jinhua North Road, 710021, Xi'an, Shaanxi, China
| | - Jicheng Sun
- Department of Aerospace Medicine, Air Force Medical University, No. 169 Changle West Road, 710032, Xi'an, Shaanxi, China
| | - Zhujing Ma
- Department of Military Medical Psychology, Air Force Medical University, No. 169 Changle West Road, 710032, Xi'an, Shaanxi, China
| | - Wendong Hu
- Department of Aerospace Medicine, Air Force Medical University, No. 169 Changle West Road, 710032, Xi'an, Shaanxi, China.
| | - Hongjuan Lang
- Department of Nursing, Air Force Medical University, No. 169 Changle West Road, 710032, Xi'an, Shaanxi, China.
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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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Shibiru S, Aschalew Z, Kassa M, Bante A, Mersha A. Clinical Competence of Nurses and the Associated Factors in Public Hospitals of Gamo Zone, Southern Ethiopia: A Cross-Sectional Study. Nurs Res Pract 2023; 2023:9656636. [PMID: 37795039 PMCID: PMC10547574 DOI: 10.1155/2023/9656636] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2023] [Revised: 09/05/2023] [Accepted: 09/20/2023] [Indexed: 10/06/2023] Open
Abstract
Introduction Nursing competency is an essential component for improving the quality of care in the healthcare system. However, assessing competency solely on the dimensions of skills and knowledge does not provide complete picture of a nurse ability to provide quality patient care. This is because it lacks focus on the nurse's attitudes and values, which are also important determinants of clinical competence. Therefore, this study aimed to assess the comprehensive clinical competence of nurses and its associated factors in public hospitals of Gamo Zone, Southern Ethiopia. Materials and Methods A cross-sectional study was conducted using a census method to collect information from nurses through self-administered questionnaires. The data were entered into EpiData version 3.1 and exported to Stata version 15 for analysis. A linear regression model was used to identify factors associated with clinical competence. Results In this study, the average clinical competence of nurses was 177.32, with a standard deviation of 19.19, and 31.2% of the respondents had a high level of clinical competence. Associated factors identified with clinical competence include gender, age, marital status, qualification, position, work experience, unit, interest in their profession, critical thinking disposition, clinical self-efficacy, and emotional intelligence. Conclusions The overall level of clinical competence among nurses in this study was moderate. As such, nurses improve their clinical competence by receiving training and development opportunities that focus on critical thinking, clinical self-efficacy, and emotional intelligence; working in a supportive work environment that encourages them to take risks and learn from their mistakes; and being monitored and coached on a regular basis.
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Affiliation(s)
- Shitaye Shibiru
- School of Nursing, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia
| | - Zeleke Aschalew
- School of Nursing, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia
| | - Mekidim Kassa
- School of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia
| | - Agegnehu Bante
- School of Nursing, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia
| | - Abera Mersha
- School of Nursing, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia
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Niu A, Ma H, Chen Z, Zhang S, Deng J, Luo Y. Exploring the competencies of Chinese critical care nurses in mobile medical teams based on the onion model: A qualitative study. Nurs Crit Care 2023. [PMID: 37743055 DOI: 10.1111/nicc.12981] [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: 12/31/2022] [Revised: 08/20/2023] [Accepted: 09/07/2023] [Indexed: 09/26/2023]
Abstract
BACKGROUND With frequent conflicts, natural disasters, and public health emergencies globally, mobile medical teams (MMTs) are becoming increasingly critical. Importantly, the competency of critical care nurses in MMTs can substantially affect the effectiveness and quality of its rescue efforts. Yet, these nurses' competencies are not well understood. AIM This study examined the competencies of critical care nurses in MMTs using the Onion Model. DESIGN A qualitative descriptive method was used to describe the competencies of Chinese MMT critical care nurses. METHODS From April to May 2022, a convenience sample of 18 participants (14 critical care nurses and 4 surgeons) from 10 MMTs was recruited for semi-structured interviews. Deductive and inductive coding methods were combined for content analysis. RESULTS In total, 29 competencies were identified, which were grouped into four major domains using the Onion Model. From the outer to inner layers, these domains were knowledge and skills, professional abilities, professional quality, and personal traits. Several novel competencies emerged, including field medical equipment operation skills, on-site hazard identification and safety prevention skills, triage knowledge, and field survival skills. CONCLUSIONS Using the Onion Model, this study furthers the understanding of the competency of critical care nurses in MMTs, especially by revealing the novel competencies. Further, the results can be used to recruit, evaluate, and train critical care nurses for MMTs. RELEVANCE TO CLINICAL PRACTICE Understanding MMT critical care nurses' competencies can help managers plan and provide relevant training and education before deployment, which can improve nurses' performance, and especially reduce the mortalities and disabilities from trauma.
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Affiliation(s)
- Aifang Niu
- School of Nursing, Third Military University/Army Medical University, Chongqing, China
| | - Huijuan Ma
- School of Nursing, Third Military University/Army Medical University, Chongqing, China
| | - Zhe Chen
- Army Health Service Training Base, Third Military University/Army Medical University, Chongqing, China
| | - Suofei Zhang
- School of Nursing, Third Military University/Army Medical University, Chongqing, China
| | - Jing Deng
- School of Nursing, Third Military University/Army Medical University, Chongqing, China
| | - Yu Luo
- School of Nursing, Third Military University/Army Medical University, Chongqing, China
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Taşkıran N, Turk G. The relationship between the ethical attitudes and holistic competence levels of intensive care nurses: A cross-sectional study. PLoS One 2023; 18:e0287648. [PMID: 37440592 PMCID: PMC10343054 DOI: 10.1371/journal.pone.0287648] [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: 03/04/2023] [Accepted: 06/11/2023] [Indexed: 07/15/2023] Open
Abstract
BACKGROUND Intensive care units are directly associated with the competency level of nurses and are units where ethical problems are frequently experienced. This research aims to determine the relationship between intensive care nurses' ethical attitudes and holistic competence levels. METHODS This study was conducted as a cross-sectional design using self-report questionnaires distributed to 131 intensive care nurses in Turkey. The data of the study were collected with the "Nurses Information Form," "Holistic Nursing Competence Scale" and "Ethical Attitude Scale for Nursing Care". RESULTS The total mean score of the Holistic Nursing Competence of the nurses was 6.89±0.95. Holistic Nursing Competence level was significantly lower for those who had experienced less than one year in the profession, and it was higher for those who worked in the emergency intensive care unit and the nurses whose clinics had 21 and above nurses. The total mean score of the nurses' ethics attitude toward nursing care was 59.36±29.09. Ethical Attitude for Nursing Care was significantly lower for those who had a master's degree, and the nurses whose clinics had 21 and above nurses scored higher. There was a weak and negative correlation between the nurses' Holistic Nursing Competence Scale and the total mean score of the Ethical Attitude Scale for Nursing Care. The ethical attitude was predicted in 13.2% of the Holistic Nursing Competence of nurses. CONCLUSIONS It was concluded that nurses' holistic competence levels were high, their ethical attitudes were negative, and there was a weak negative correlation between their holistic competence levels and their ethical attitudes toward care.
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Affiliation(s)
- Nihal Taşkıran
- Department of Fundamentals of Nursing, Aydın Adnan Menderes University College of Nursing, Aydın, Turkey
| | - Gulengun Turk
- Department of Fundamentals of Nursing, Aydın Adnan Menderes University College of Nursing, Aydın, Turkey
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Taleghani F, Dehbozorgi R, Babashahi M, Monemian S, Masoumi M. Analysis of the concept of nurses' autonomy in intensive care units: A hybrid model. INVESTIGACION Y EDUCACION EN ENFERMERIA 2023; 41:e17. [PMID: 38589335 PMCID: PMC10599693 DOI: 10.17533/udea.iee.v41n2e17] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/13/2022] [Accepted: 05/25/2023] [Indexed: 04/10/2024]
Abstract
Objective To analyze the concept of autonomy of nurses in Intensive Care Units (ICU). Methods The hybrid model approach proposed by Schwartz-Barcott and Kim, which includes theoretical, fieldwork and analytical phases, was used for this study. For the theoretical and fieldwork phases, the Graneheim and Lundman stages and the CORE-Q checklist were used, and the results were combined in the final analysis phase. For the theoretical phase, 46 related articles, two instruments and four books were identified after using a search strategy in 7 bibliographic databases in English and one in Persian with the terms MESH: 'nursing', 'autonomy' and 'intensive care'. The information extracted in the theoretical phase served as the basis for the design of the questions used in the semi-structured interviews in the fieldwork phase. Eight nurses with ICU experience working in hospitals affiliated to Isfahan University of Medical Sciences (Iran) participated in the fieldwork phase. Results The antecedents of the concept of nurse autonomy in ICUs were: empowerment of the workforce, organizational platform, and social and individual views of the profession. Its attributes were professionalism and high personal capabilities. Finally, increased personal competencies, promotion of quality of care, improved attitudes towards the profession and professional outcomes were noted as consequences. Conclusion The autonomy of nurses in the ICU can facilitate their empowerment, which translates into the promotion of their caring behaviours, followed by the improvement of patient outcomes and quality of care.
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Affiliation(s)
- Fariba Taleghani
- Nursing and Midwifery School, Isfahan University of Medical Sciences, Isfahan, Iran.
| | - Raziye Dehbozorgi
- Nursing and Midwifery School, Isfahan University of Medical Sciences, Isfahan, Iran.
| | - Monire Babashahi
- Nursing and Midwifery School, Isfahan University of Medical Sciences, Isfahan, Iran.
| | - Sharife Monemian
- Nursing and Midwifery School, Isfahan University of Medical Sciences, Isfahan, Iran.
| | - Masoume Masoumi
- Department of Operation Room, School of Allied Medical Sciences, Bushehr University of Medical Sciences, Bushehr, Iran.
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Vikström-Dahl I, Bing-Jonsson PC, Rauhala A, Fagerström L. Revealing a gap in the clinical competence of nursing staff in nursing homes: a cross-sectional study with the Ms. Olsen test. BMC Nurs 2023; 22:130. [PMID: 37072846 PMCID: PMC10111312 DOI: 10.1186/s12912-023-01297-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2022] [Accepted: 04/08/2023] [Indexed: 04/20/2023] Open
Abstract
BACKGROUND Nursing staff, caring for frail older people in long-term care, needs to have a certain level of clinical competence to identify diseases at an early stage and to assess and provide good nursing care. In Finland, nursing care is based on evidence-based and high-quality nursing care. However, earlier inspections by the National Supervisory Authority for Welfare and Health showed many discrepancies between the nursing staff's clinical competence and adequate and continuous education. AIM This study aimed to explore nursing staff, i.e. the clinical competence and decision-making skills of registered and practical nurses in nursing homes for older people in Finland and to analyse the association between nurses' clinical competence and fundamental background factors. METHODS We conducted a cross-sectional study of 337 participants in 50 nursing homes in the western part of Finland, between December 2020 and January 2021. The instrument used was the validated Ms. Olsen test, an extraction of NOP-CET. Statistical analyses were conducted with descriptive statistics and correlations and a cut-off for clinical competence. RESULTS This study with the Ms. Olsen test revealed that only one-fourth of the RNs and a third of the PNs passed the clinical competence test. In the self-evaluation, almost all participants evaluated themselves with good clinical competence. The Finnish Current Care Guidelines were used on a daily basis by 7.4% and weekly by 30%. Significant correlation was found between Swedish as a working language and mother tongue and the score for clinical competence. CONCLUSION The clinical competence test, the Ms. Olsen test, was used in Finland for the first time to evaluate the nursing staffs´ clinical competence in nursing homes. We found gaps in the clinical competence in Finnish nursing homes, both for PNs and RNs. The result differed remarkably from their self-assessments and the staff did not use the national nursing guidelines as required to develop their nursing skills and knowledge. Gaps in the clinical competence have been identified and can be used to develop targeted continuous education.
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Affiliation(s)
- Irén Vikström-Dahl
- Faculty of Education and Welfare Studies, Åbo Akademi University, Vaasa, Finland.
- Faculty of Health and Welfare, Novia University of Applied Sciences, Vaasa, Finland.
| | - Pia Cecile Bing-Jonsson
- Faculty of Health and Social Sciences, University of South-Eastern Norway (USN), Kongsberg, Norway
| | - Auvo Rauhala
- Faculty of Education and Welfare Studies, Åbo Akademi University, Vaasa, Finland
- Finnish Centre for Client and Patient Safety, Wellbeing Services County of Ostrobothnia, Vaasa, Finland
| | - Lisbeth Fagerström
- Faculty of Education and Welfare Studies, Åbo Akademi University, Vaasa, Finland
- Faculty of Health and Social Sciences, University of South-Eastern Norway (USN), Kongsberg, Norway
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Al Jabri F, Kvist T, Turunen H. Core competencies of healthcare professionals in Oman: Research and evidence-based practice needs attention. Nurs Open 2023; 10:2053-2065. [PMID: 36323624 PMCID: PMC10006615 DOI: 10.1002/nop2.1453] [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: 06/30/2021] [Revised: 05/14/2022] [Accepted: 10/11/2022] [Indexed: 11/05/2022] Open
Abstract
AIM The aim of the study was to examine (1) the perceptions on core competencies of healthcare professionals working at clinical settings in Oman and (2) which demographic characteristics explain the overall core competency. DESIGN A cross-sectional design. METHODS Healthcare Professional Core Competency Instrument, consisting of 11 sub-scales with 81 items, was distributed to healthcare professionals (n = 1,543; 826 nurses and 717 physicians) who worked at primary, secondary and tertiary healthcare institutions. Descriptive statistics, t-test, ANOVA and linear regression were used for data analysis. RESULTS Altogether 1,078 healthcare professionals (628 nurses and 450 physicians) responded representing 70% overall response rate. Healthcare professionals perceived their overall core competence as excellent, safety being the highest, and research and evidence-based practice was the lowest. The multiple linear regression analysis revealed that ethnicity, gender and years of working experience were the characters that explained the overall core competence, where expatriate senior professionals reported higher competency levels compared with counterparts.
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Affiliation(s)
- Fatma Al Jabri
- Department of Nursing Science, University of Eastern Finland, Kuopio, Finland
| | - Tarja Kvist
- Department of Nursing Science, University of Eastern Finland, Kuopio, Finland
| | - Hannele Turunen
- Department of Nursing Science, University of Eastern Finland, Kuopio, Finland
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Salameh B, Amarneh DBS, Abdallah J, Ayed A, Hammad BM. Evaluation of Clinical Competence and Job Satisfaction and Their Related Factors Among Emergency Nurses in Palestinian Hospitals. SAGE Open Nurs 2023; 9:23779608231208581. [PMID: 37881812 PMCID: PMC10594956 DOI: 10.1177/23779608231208581] [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: 03/03/2023] [Revised: 09/23/2023] [Accepted: 09/29/2023] [Indexed: 10/27/2023] Open
Abstract
Introduction Nurses are responsible for providing primary care to millions of patients, and emergency nurses serve on the frontline in providing care for mildly to severely critically ill patients. Objectives This study aims to assess and evaluate the clinical competence and its related factors among emergency nurses in Palestinian hospitals. Methods A cross-sectional study was conducted among 170 nurses working in the emergency units of hospitals in the West Bank, Palestine. Data collection utilized the Nurse Competence Scale, and the Job Satisfaction Scale. Results The results showed that only 33(19.4%) of the participants exhibited a good level of clinical competence, with none reaching the very good level. Among them, the highest proportion of good level 60 (35.3%) was in the helping role, while the lowest 38 (22.4%) was in ensuring quality. About 35% of nurses reported very low or low job satisfaction, while 58% had high or very high job satisfaction. Additionally, the results revealed a statistically significant relationship between clinical competence and job satisfaction (P < 0.05). Both clinical competence and job satisfaction were positively correlated with age and experience. Conclusion The study found a significant relationship between demographic characteristics (e.g., education, experience, and marital status) and clinical competency among emergency nurses. Notably, less than half of the participants demonstrated good clinical competency, with none reaching a very good level. The highest scores were observed in the helping role domain, while the lowest were in the ensuring quality domain. Furthermore, clinical competence was found to be significantly associated with job satisfaction. Consequently, enhancing nurses' clinical competency will lead to an improvement in the quality of patient care.
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Affiliation(s)
- Basma Salameh
- Department of Nursing, Arab American University of Jenin, Jenin, Palestine
| | | | - Jihad Abdallah
- Department of Animal Production & Animal Health, An-najah National University, Nablus, Palestine
| | - Ahmad Ayed
- Department of Nursing, Arab American University of Jenin, Jenin, Palestine
| | - Bahaaeddin M. Hammad
- Department of Nursing, Faculty of Nursing, Arab American University, Jenin, Palestine
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Laitinen AM, Pasanen M, Wasenius E, Stolt M. Foot self-care competence reported by patients with rheumatoid arthritis: a cross-sectional study. J Foot Ankle Res 2022; 15:93. [PMID: 36527154 PMCID: PMC9758871 DOI: 10.1186/s13047-022-00599-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/27/2022] [Accepted: 12/12/2022] [Indexed: 12/23/2022] Open
Abstract
BACKGROUND Foot self-care is important for preventing foot problems and maintaining one's foot health. Foot self-care requires competence to identify foot problems, knowledge and skills to care for those problems, and a willing attitude to care for one's foot health. However, there is major gap in the research evidence of foot self-care competence among patients with rheumatoid arthritis. This study aimed to analyse self-reported levels of competence in foot self-care among patients with rheumatoid arthritis. METHODS A cross-sectional study design was used. Data were collected using a survey consisting of a self-reported competence in foot self-care competence scale (response options on 5-point Likert scale, higher values indicate higher competence) and background questions. The data were analysed with descriptive and inferential statistics and the psychometric properties of the scale using Rasch analysis. RESULTS The participants' (n = 251) self-reported level of competence in foot self-care was moderate (mean 3.50, standard deviation [SD], 0.66). On the sum variable level, the highest mean score was for attitude towards foot self-care (3.98; SD, 0.69), followed by foot self-care knowledge (3.45; SD, 0.67) and experience providing foot self-care (3.38; SD, 0.69). Higher self-reported foot self-care knowledge and female sex were associated with higher self-reported competence in every sum variable. CONCLUSIONS Patients with rheumatoid arthritis evaluated their level of competence in foot self-care as moderate and some deficiencies were identified. These results indicate the importance of educating patients with rheumatoid arthritis about how to advance their foot self-care skills and knowledge. In the future, patients with rheumatoid arthritis could benefit from interventions that increase their knowledge of foot self-care together with practical examples, such as online videos, that demonstrate the practical conduct of foot self-care skills in daily life.
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Affiliation(s)
- Anne-Marie Laitinen
- grid.1374.10000 0001 2097 1371Department of Nursing Science, University of Turku, Turku, 20014 Finland ,grid.410552.70000 0004 0628 215XTurku University Hospital, Turku, Finland
| | - Miko Pasanen
- grid.1374.10000 0001 2097 1371Department of Nursing Science, University of Turku, Turku, 20014 Finland
| | - Elina Wasenius
- grid.425628.f0000 0001 1913 4955Podiatry, Metropolia University of Applied Sciences, Helsinki, Finland
| | - Minna Stolt
- grid.1374.10000 0001 2097 1371Department of Nursing Science, University of Turku, Turku, 20014 Finland ,grid.9668.10000 0001 0726 2490Department of Nursing Science, University of Eastern Finland, Kuopio, Finland
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Doelger M, Kesten K, Sakallaris B. Just-in-Time Orientation of Non-Critical Care Nurses to the Critical Care Environment. J Contin Educ Nurs 2022; 53:465-472. [PMID: 36178762 DOI: 10.3928/00220124-20220907-08] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
During the COVID-19 pandemic, non-critical care nurses assisted in the provision of care to critically ill patients. Just-in-time education was needed for these nurses to effectively assist in the care of these patients. A 12-hour educational program was offered to non-critical care nurses. During this multi-modal program, instructors delivered information to participants through unique didactic classroom learning, simulation engagement, and hands-on experience in a critical care unit. After completing this innovative program, participants demonstrated a significant improvement in knowledge, confidence, and perception of competence in caring for critically ill patients. Participants were highly satisfied with the program. Implementation of a just-in-time, multi-modal critical care nursing program is an effective method of providing non-critical care nurses with basic levels of skills, knowledge, and competency during a crisis to enable them to assist with providing care to critically ill patients. [J Contin Educ Nurs. 2022;53(10):465-472.].
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Santana-Padilla YG, Bernat-Adell MD, Santana-Cabrera L. Nurses’ perception on competency requirement and training demand for intensive care nurses. Int J Nurs Sci 2022; 9:350-356. [PMID: 35891902 PMCID: PMC9305005 DOI: 10.1016/j.ijnss.2022.06.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2021] [Revised: 05/29/2022] [Accepted: 06/13/2022] [Indexed: 11/19/2022] Open
Affiliation(s)
- Yeray Gabriel Santana-Padilla
- Complejo Hospitalario Universitario Insular Materno Infantil, Las Palmas de Gran Canaria, Canary Islands, Spain
- Corresponding author.
| | | | - Luciano Santana-Cabrera
- Complejo Hospitalario Universitario Insular Materno Infantil, Las Palmas de Gran Canaria, Canary Islands, Spain
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Nakweenda M, Anthonie R, van der Heever M. Staff shortages in critical care units: critical care nurses experiences. INTERNATIONAL JOURNAL OF AFRICA NURSING SCIENCES 2022. [DOI: 10.1016/j.ijans.2022.100412] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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15
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Carbone R, Ferrari S, Belperio S, Bravi S, Mancinelli C, Soave E, Di Bartolomeo M, Andreassi L, Perondi L, Tamba M, Astolfi M, Ossola C, Artioli G, Sarli L. Advanced competence in intensive care unit: expectations, role ambiguity between physicians and nurses in intensive care units. Multi - method survey. ACTA BIO-MEDICA : ATENEI PARMENSIS 2022; 92:e2021332. [PMID: 35037632 PMCID: PMC10938854 DOI: 10.23750/abm.v92is2.12670] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 12/09/2021] [Accepted: 12/21/2021] [Indexed: 06/14/2023]
Abstract
BACKGROUND AND AIM The roles of physicians and nurses have undergone profound changes in recent years, becoming more complex and creating, at times, overlapping competencies with consequent negative repercussions in terms of problems related to autonomy and inter-professional collaboration. The study aims to detect the opinions of intensive care physicians and nurses with respect to their skills and role expectations. METHOD The study was conducted in two phases. In the first phase, with a qualitative design, data were collected through the focus group. In the second phase, with quantitative design, an ad hoc questionnaire was constructed from the results of the previous phase. Results: 3 main themes emerged from the focus groups: the need to increase the system of inter-professional collaboration; autonomy and professional role; and the need for a shared advanced training system for physicians and nurses. The results of the questionnaire show that both professionals believe that the development of advanced skills does not lead to conflicting situations and role ambiguity unless the skills are recognized and respected. Both professionals agree that it is useful and necessary to implement a shared educational pathway. Conclusion: Inter-professional collaboration, specialist skills and specific training are a key element of the ICU teamwork.
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Affiliation(s)
| | | | | | - Sofia Bravi
- Master in Nursing, University of Parma, Italy.
| | | | | | | | | | | | | | | | | | | | - Leopoldo Sarli
- Department of Medicine and Surgery, University of Parma, Italy.
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San José Arribas A, Santana-Padilla Y. La formación de las enfermeras en cuidados intensivos: indispensable para el paciente crítico. ENFERMERÍA INTENSIVA 2022. [DOI: 10.1016/j.enfi.2021.10.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
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San José Arribas A, Santana-Padilla YG. Training of nurses in intensive care: essential for the critical patient. ENFERMERIA INTENSIVA 2022; 33:1-3. [PMID: 35131211 DOI: 10.1016/j.enfie.2021.10.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2021] [Accepted: 10/28/2021] [Indexed: 06/14/2023]
Affiliation(s)
- A San José Arribas
- Escola Universitari Sant Pau, Hospital Universitari de la Santa Creu i Sant Pau, Barcelona, Spain
| | - Y G Santana-Padilla
- Complejo Hospitalario Universitario Insular Materno-Infantil, Las Palmas de Gran Canaria, Spain.
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Santana-Padilla YG, Bernat-Adell MD, Santana-Cabrera L. The training needs of critical care nurses: A psychometric analysis. Sci Prog 2022; 105:368504221076823. [PMID: 35147050 PMCID: PMC10306148 DOI: 10.1177/00368504221076823] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND/OBJECTIVE Nurses develop the care methods they learn through specific training and this enables them to provide care in a safe, effective and efficient manner. Intensive Care Units (ICU), as complex areas in terms of care, require nurses with specific training. Due to this fact, we set ourselves the objective to validate a questionnaire that detects the training needs of intensive care nurses in Spain. METHODS A cross-sectional descriptive study, using an electronic questionnaire, adapted and validated through the Delphi technique, in 85 ICUs in Spain, for which a psychometric analysis is conducted. To explore the dimensions and determine the factorial structure, an Exploratory Factor Analysis (EFA) and a Confirmatory Factor Analysis (CFA) were carried out. Internal consistency was determined through ordinal alpha. The statistical treatment was carried out using the statistical programmes Factor Analysis 10.9.02 and IBM AMOS version 24. RESULTS A total of 568 Spanish intensive care nurses, randomly divided into two samples, participated in the study. The EFA presented a factorial solution with suitable values for both the Kaiser-Meyer-Olsen Index and Bartlett's Sphericity. In the CFA, the model fit achieved close to ideal values with a Comparative Fit Index (CFI) and Tucker-Lewis Index (TLI) close to values of 0.9. The values of individual reliability, internal consistency and average variance extracted were appropriate for this type of analysis. CONCLUSION The dimensions detected are close to the construct that encompasses the training needs of ICU nurses. The analyses carried out indicate that there are reasonable realities for incorporating these dimensions into the field of nursing training. This study opens the possibility of incorporating new items to adjust the model to improve the explanatory variables. Our findings help us to understand the dimensions that the training programmes should incorporate.
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Affiliation(s)
- Yeray Gabriel Santana-Padilla
- Surgery Unit of the Complejo Hospitalario Universitario Insular Materno Infantil de Gran Canaria, Canary Islands, Spain
| | | | - Luciano Santana-Cabrera
- Intensive Care Unit of the Complejo Hospitalario Universitario Insular Materno Infantil de Gran Canaria, Canary Islands, Spain
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Kurebayashi Y. Self-compassion and nursing competency among Japanese psychiatric nurses. Perspect Psychiatr Care 2021; 57:1009-1018. [PMID: 33078412 DOI: 10.1111/ppc.12649] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/25/2020] [Revised: 10/02/2020] [Accepted: 10/04/2020] [Indexed: 12/22/2022] Open
Abstract
PURPOSE This study examined the association of self-focus and self-compassion with nursing competency. DESIGN AND METHODS Data of 433 psychiatric nurses comprising demographics, other-consciousness, self-compassion, self-focus, and nursing competency were analyzed using the Other-Consciousness Scale (OCS), Self-Compassion Scale (SCS), Japanese version of the Rumination-Reflection Questionnaire (RRQ), and Oriented Problem Solving Behavior (OPSN). FINDINGS Higher internal aspect and lower fantastic aspect in OCS, higher reflection in RRQ, and lower SCS negative subscales predicted a higher OPSN score. The account rate of variance was 12.5%. PRACTICE IMPLICATIONS Psychiatric nursing education should facilitate other-consciousness and reflection enhancement, and assuage uncompassionate attitude towards self.
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Affiliation(s)
- Yusuke Kurebayashi
- Department of Nursing, Faculty of Nursing, Niigata University of Health and Welfare, Niigata City, Niigata, Japan
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Karlsson J, Eriksson T, Lindahl B, Schildmeijer K, Fridh I. Critical care nurses' lived experiences of interhospital intensive care unit-to-unit transfers: A phenomenological hermeneutical study. Intensive Crit Care Nurs 2020; 61:102923. [PMID: 32859478 DOI: 10.1016/j.iccn.2020.102923] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2019] [Revised: 06/21/2020] [Accepted: 07/11/2020] [Indexed: 01/10/2023]
Abstract
OBJECTIVE To explore critical care nurses' lived experiences of transferring intensive care patients between hospitals. METHODS A phenomenological hermeneutic approach using data generated through individual interviews with 11 critical care registered nurses. SETTING Two general intensive care units in Sweden. FINDINGS Five themes were identified: it depends on me; your care makes a difference; being exposed; depending on interprofessional relationships; and sensing professional growth. These themes were synthesised into a comprehensive understanding showing how transferring intensive care patients between hospitals meant being on an ambivalent journey together with the patient but also on a journey within yourself in your own development and growth, where you, as a nurse, constantly are torn between contradictory feelings and experiences. CONCLUSION Interhospital intensive care unit-to-unit transfers can be a challenging task for critical care nurses but also an important opportunity for professional growth. During the transfer, nurses become responsible for the patient, their colleagues and the entire transfer process. In a time of an increasing number of interhospital intensive care unit-to-unit transfers, this study illuminates the risk for missed nursing care, showing that the critical care nurse has an important role in protecting the patient from harm and safeguarding dignified care.
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Affiliation(s)
- Jonas Karlsson
- Faculty of Caring Science, Work Life and Social Welfare, University of Borås, 501 90 Borås, Sweden. https://orcid.org/0000-0002-4844-5266
| | - Thomas Eriksson
- Faculty of Caring Science, Work Life and Social Welfare, University of Borås, 501 90 Borås, Sweden
| | - Berit Lindahl
- Faculty of Caring Science, Work Life and Social Welfare, University of Borås, 501 90 Borås, Sweden
| | - Kristina Schildmeijer
- School of Health and Caring Sciences, Faculty of Health and Life Sciences, Linnaeus University, 391 82 Kalmar, Sweden
| | - Isabell Fridh
- Faculty of Caring Science, Work Life and Social Welfare, University of Borås, 501 90 Borås, Sweden; Department of Anesthesiology and Intensive Care, Sahlgrenska University Hospital, Blå Stråket 5, 413 45 Gothenburg, Sweden
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Prasetya TAE, Mukhadiroh L, Farapti, Chesoh S, Lim A. Factors Contributing to Nurse Productivity in Public Hospitals in Surabaya, Indonesia. Hosp Top 2020; 98:145-154. [PMID: 32783603 DOI: 10.1080/00185868.2020.1798317] [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: 10/23/2022]
Abstract
This study aimed at examining the factors that contribute to nursing productivity in public hospitals in Surabaya. Data relating to the respondents' characteristics and their productivity were collected using a questionnaire incorporating the Behaviorally Anchored Rating Scale. The samples were drawn from 31 nurses form the emergency room (ER) and 29 nurses from the intensive care unit (ICU) wards of a public hospital in Surabaya, Indonesia, of whom, 52 nurses participated voluntarily and indicated their willingness to respond by signing an informed consent form. The chi-square and Fisher's exact test was used to determine associations between the determinants (demographic characteristics, lifestyle and nutritional status) and productivity and the strength of association was identified by using logistic regression. The results from this study found that gender had borderline significant and duration of work experience had a significant association with nurse productivity. Therefore, gender and duration of working experience are factors which should be taken into consideration when managing human resources working in ERs and ICUs while basic nursing competencies are clearly also important factors in maintaining productivity.
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Affiliation(s)
- Tofan Agung Eka Prasetya
- Department of Health, Faculty of Vocational Studies, Universitas Airlangga, Surabaya, Indonesia.,Research Methodology, Department of Mathematics and Computer Science, Faculty of Science and Technology, Prince of Songkla University, Pattani Campus, Thailand
| | - Lailiya Mukhadiroh
- Department of Nutrition, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia
| | - Farapti
- Department of Nutrition, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia
| | - Sarawuth Chesoh
- Research Methodology, Department of Mathematics and Computer Science, Faculty of Science and Technology, Prince of Songkla University, Pattani Campus, Thailand
| | - Apiradee Lim
- Research Methodology, Department of Mathematics and Computer Science, Faculty of Science and Technology, Prince of Songkla University, Pattani Campus, Thailand
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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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Kurebayashi Y. Comparison of factors predicting nursing skills between general and psychiatric nurses. Perspect Psychiatr Care 2019; 55:183-189. [PMID: 30040136 DOI: 10.1111/ppc.12316] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/31/2018] [Revised: 06/16/2018] [Accepted: 07/03/2018] [Indexed: 11/27/2022] Open
Abstract
PURPOSE I examined whether nursing skills are related to occupational stress, self-focus, and other-consciousness, and whether these relationships differ between general and psychiatric nurses. DESIGN AND METHODS Two hundred seventy-one general and 317 psychiatric nurses completed a questionnaire assessing the aforementioned variables. Regression analysis was used to explore the predictors of nursing skills. FINDINGS Internal and fantastic aspects (other-consciousness subscales) and psychological burden (occupational stress subscale) predicted nursing skills in both groups, while lower rumination and higher reflection scores predicted them only in psychiatric nurses. PRACTICE IMPLICATIONS Nursing education should facilitate other-consciousness in general nurses, but self-focus in psychiatric nurses.
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Affiliation(s)
- Yusuke Kurebayashi
- Faculty of Nursing, Niigata University of Health and Welfare, 1398, Shimami, Kita, Niigata city, Niigata, Japan
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24
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Safdar SA, Aqeel L. Grooming and etiquette as part of nurse's professionalism: An essential curricular competency. Pak J Med Sci 2019; 35:404-408. [PMID: 31086523 PMCID: PMC6500824 DOI: 10.12669/pjms.35.2.647] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
Objective: The B.Sc. Nursing has limited hours dedicated to grooming and personal development. A smartly turned out, trained empathetic and efficient nurse helps in alleviating the miseries of the patients. The objective of this study was to see the acceptability and perceived usefulness of a course on grooming and etiquette. Methods: A proforma based qualitative study was carried out at College of Nursing, AFPGMI & National University of Medical Sciences (NUMS), Rawalpindi, from Jan to Dec, 2017. An eight week course, with weekly lectures was conducted for first to fourth year classes. At the end a semi-structured proforma with simple open ended questions was administered. The questions were both in English and Urdu. The results were analyzed by finding percentages of positive and negative responses. The descriptive responses were grouped in recurring themes and analyzed for content and their constructive value. Results: There were 186 nursing cadets who completed the course and filled the proforma (55, 52, 45 and 34 from first year to fourth year, respectively). Out of 186, 98.9% (184) thought that this was a useful course. All topics were considered useful. Most liked were communication skills, teaching visits to wards, hostels and balancing home and work. About 7% disagreed about the strict dress codes, but agreed with the proper demeanor. Many suggested that senior nurses also have a dire need of these grooming lectures as many used derogatory language. Also pointed out was absence of a mechanism to report a lapse in ethical conduct seen in a colleague or a senior. Conclusion: Nursing is a demanding profession. It is important that our training includes sensitization to the non-technical attributes. They have to be groomed to become role models for young talented girls to join this noble profession. Even a short course may help to sensitize these young ladies to a very important aspect of their lives and profession.
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Affiliation(s)
- Sachal Aqeel Safdar
- Sachal Aqeel Safdar, MBBS (Final Year), Shifa College of Medicine, Shifa Tameer e Millat University, Islamabad, Pakistan
| | - Lubna Aqeel
- Lubna Aqeel, BSc (Hom Econ), College of Nursing, Armed Forces Postgraduate Medical Institute (AFPGMI), National University of Medical Sciences (NUMS), Rawalpindi, Pakistan
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Skorobogatova N, Žemaitienė N, Šmigelskas K, Tamelienė R, Markūnienė E, Stonienė D. Limits of Professional Competency in Nurses Working in NICU. Open Med (Wars) 2018; 13:410-415. [PMID: 30426080 PMCID: PMC6227841 DOI: 10.1515/med-2018-0060] [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: 04/03/2018] [Accepted: 08/20/2018] [Indexed: 11/15/2022] Open
Abstract
Our study aimed to find out the views of nurses working in neonatal intensive care units about the limits of professional competencies and to identify situations where the limits are crossed. Methods The research employed the focus group method. For this research we had three focus groups with nurses working in neonatal intensive care units. The results of the study were analysed using the thematic analysis described in Braun and Clarke. Results and conclusions Based on our research findings, it can be stated that the limits of professional competence of nursing staff working in neonatal intensive care units are defined and clear, but nurses often perform actions exceeding their competencies. This is usually done on the initiative of the nurses themselves, in cases of the deterioration of the state of the newborn, or when doctors delegate their functions to them. Confidence expressed by doctors leads to conflicting feelings of concern and, at the same time, pride in themselves.
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Affiliation(s)
| | | | | | - Rasa Tamelienė
- Lithuanian University of Health Sciences, Kaunas, Lithuania
| | | | - Dalia Stonienė
- Lithuanian University of Health Sciences, Kaunas, Lithuania
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Shouryabi AA, Ghahrisarabi A, Anboohi SZ, Nasiri M, Rassouli M. Psychometric properties of the Persian version of the Intensive and Critical Care Nursing Competence Scale version-1 (ICCN-CS-1). Electron Physician 2017; 9:5785-5792. [PMID: 29403620 PMCID: PMC5783129 DOI: 10.19082/5785] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2016] [Accepted: 06/01/2017] [Indexed: 11/20/2022] Open
Abstract
Background Nursing competence is highly related to patient outcomes and patient safety issues, especially in intensive care units. Competence assessment tools are needed specifically for intensive care nursing. Objective This study was performed to determine psychometric properties of the Intensive and Critical Care Nursing Competence Scale version-1 between Iranian Nurses. Methods The present study was a methodological research in which 289 nurses of Intensive Care Units from nine hospitals in Shahid Beheshti University of Medical Sciences in Tehran were selected between 2015 and 2016. The original version of the scale was translated into Persian and back-translated into English, and the comments of the developer were applied. The validity of the scale was the determined quality (content validity and face validity) and quantity (confirmatory factor analysis). Reliability of the scale was reported by Cronbach’s alpha coefficient and Intra class Correlation Coefficient. SPSS-PC (v.21) and LISREL (v.8.5) were used to analyze the data. Results The intensive and critical care nursing competence scale version-1 is a self-assessment test that consists of 144 items and four domains which are the knowledge base, the skill base, the attitudes and values base and the experience base, which are divided into clinical competence and professional competence. Content and face validity was confirmed by 10 experts and 10 practitioner nurses in the intensive care units. In confirmatory factor analysis, all fitness indexes, except goodness of fit index (0.64), confirmed the four-factor structure of the ICCN-CS-1. The results of the factor analysis, load factor between 0.304 and 0.727 items was estimated; only 4 items out of 144 items, that were loaded were less than 0.3 due to high Cronbach’s alpha coefficient (0.984–0.986), all items were preserved, no item was removed and 4 subscales of the original scale were confirmed. Conclusion The results of this study indicated that the Persian version of “The Intensive and Critical Care Nursing Competence Scale version-1” is a valid and reliable scale for the assessment of competency among Iranian nurses, and it can be used as a reliable scale in nursing management, education and research.
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Affiliation(s)
- Ali Asghar Shouryabi
- M.Sc. of Critical Care Nursing, Nursing and Midwifery College, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Alireza Ghahrisarabi
- M.Sc. of Nursing, Instructor, Department of Anesthesia & Operating Room, Faculty of Nursing and Midwifery, Nursing and Midwifery College, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Sima Zohari Anboohi
- Ph.D. of Nursing, Assistant Professor, Faculty of Nursing and Midwifery, Nursing and Midwifery College, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Malihe Nasiri
- Ph.D. of Biostatistics, Department of Biostatistics, Nursing and Midwifery College, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Maryam Rassouli
- Ph.D. of Nursing, Associate Professor, Faculty of Nursing and Midwifery, Nursing and Midwifery College, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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Karami A, Farokhzadian J, Foroughameri G. Nurses' professional competency and organizational commitment: Is it important for human resource management? PLoS One 2017; 12:e0187863. [PMID: 29117271 PMCID: PMC5678726 DOI: 10.1371/journal.pone.0187863] [Citation(s) in RCA: 84] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2016] [Accepted: 10/27/2017] [Indexed: 11/18/2022] Open
Abstract
Background Professional competency is a fundamental concept in nursing, which has a direct relationship with quality improvement of patient care and public health. Organizational commitment as a kind of affective attachment or sense of loyalty to the organization is an effective factor for professional competency. Objective This study was conducted to evaluate the nurses´ professional competency and their organizational commitment as well as the relationship between these two concepts. Methods and materials This descriptive-analytic study was conducted at the hospitals affiliated with a University of Medical Sciences, in the southeast of Iran in 2016. The sample included 230 nurses who were selected using stratified random sampling. Data were gathered by three questionnaires including socio-demographic information, competency inventory for registered nurse (CIRN) and Allen Meyer's organizational commitment. Results Results showed that professional competency (Mean±SD: 2.82±0.53, range: 1.56–4.00) and organizational commitment (Mean±SD: 72.80±4.95, range: 58–81) of the nurses were at moderate levels. There was no statistically significant correlation between professional competency and organizational commitment (ρ = 0.02; p = 0.74). There were significant differences in professional competency based on marital status (p = 0.03) and work experience (p<0.001). Conclusion The results highlighted that the nurses needed to be more competent and committed to their organizations. Developing professional competency and organizational commitment is vital, but not easy. This study suggests that human resource managers should pursue appropriate strategies to enhance the professional competency and organizational commitment of their nursing staff. It is necessary to conduct more comprehensive studies for exploring the status and gaps in the human resource management of healthcare in different cultures and contexts.
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Affiliation(s)
- Abbas Karami
- Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran
- Department of Angiography, Ali-ibn Abi Talib Hospital, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
| | - Jamileh Farokhzadian
- Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran
- Department of Community Health Nursing, School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran
- * E-mail: (JF); (GF)
| | - Golnaz Foroughameri
- Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran
- Department of Community Health Nursing, School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran
- * E-mail: (JF); (GF)
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Takiguchi C, Yatomi Y, Inoue T. Development of the Nurses' Care Coordination Competency Scale for mechanically ventilated patients in critical care settings in Japan: Part 2 Validation of the scale. Intensive Crit Care Nurs 2017; 43:30-38. [PMID: 28911833 DOI: 10.1016/j.iccn.2017.08.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2017] [Revised: 07/26/2017] [Accepted: 08/05/2017] [Indexed: 11/27/2022]
Abstract
OBJECTIVES To confirm the validity and reliability of the nurses' care coordination competency draft scale for mechanically ventilated patients in Japan. DESIGN/METHOD In this cross sectional observational study, a draft scale measuring care coordination was distributed to 2189 nurses from 73 intensive care units in Japan from February-March 2016. Based on the valid 887 responses, we examined construct validity including structural validity (exploratory and confirmatory factor analysis), convergent and discriminant validity and internal consistency reliability. SETTINGS 73 Intensive care units. RESULTS Exploratory factor analyses yielded four factors with 22 items: 1) promoting team cohesion, 2) understanding care coordination needs, 3) aggregating and disseminating information, 4) devising and clearly articulating the care vision. The four-factor model was confirmed using a confirmatory factor analysis (confirmatory fit index=0.942, root mean square error of approximation=0.062). Scale scores positively correlated with team leadership and clearly identified and discriminated nurses' attributes. Cronbach's alpha coefficient for each subscale was between 0.812 and 0.890, and 0.947 for the total scale. CONCLUSIONS The Nurses' Care Coordination Competency Scale with four factors and 22 items had sufficient validity and reliability. The scale could make care coordination visible in nursing practice. Future research on the relationship between this scale and patient outcomes is needed.
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Affiliation(s)
- Chie Takiguchi
- Toho University, Miyama 2-2-1, Funabashi, Chiba 274-8510, Japan
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AllahBakhshian M, Alimohammadi N, Taleghani F, Nik AY, Abbasi S, Gholizadeh L. Barriers to intensive care unit nurses' autonomy in Iran: A qualitative study. Nurs Outlook 2017; 65:392-399. [PMID: 28069249 DOI: 10.1016/j.outlook.2016.12.004] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2016] [Revised: 11/18/2016] [Accepted: 12/05/2016] [Indexed: 02/03/2023]
Abstract
BACKGROUND The acute nature of the intensive care unit (ICU) environment necessitates that urgent clinical decisions are frequently made by the health care team. Therefore, it is important that critical care nurses have the authority to make decisions about their patient care. PURPOSE The purpose of this study was to explore perceived barriers to the practice of professional autonomy from the perspectives of ICU nurses in Iran. METHODS In this qualitative study, 28 critical care nurses were interviewed using a semistructured in-depth interview method. The interviews were recorded, transcribed verbatim, and analyzed using content analysis. DISCUSSION Data analysis led to identification of two main themes and five subthemes: (a) the profession-related barriers with two associated subthemes of "lack of capacity to exercise autonomy" and "lack of strong professional bodies"; (b) organizational barriers with the associated subthemes of "role ambiguity," "a directive rather than supportive workplace," and "lack of motivation." CONCLUSION ICU nurses in Iran may face many challenges in gaining professional autonomy. The identified inter- and intraprofessional barriers to the exercise of autonomy need to be addressed to promote critical thinking, job satisfaction, and motivation of ICU nurses, which can in turn lead to improved patient outcomes.
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Affiliation(s)
- Maryam AllahBakhshian
- Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Nasrollah Alimohammadi
- Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
| | - Fariba Taleghani
- Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Ahmadreza Yazdan Nik
- Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Saeed Abbasi
- Department of Anesthesiology and Critical Care Medicine, Critical care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Leila Gholizadeh
- Faculty of Health, University of Technology Sydney, Sydney, Australia
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Beogo I, Rojas BM, Gagnon MP, Liu CY. Psychometric evaluation of the French version of the Clinical Nursing Competence Questionnaire (CNCQ-22): A cross-sectional study in nursing education in Burkina Faso. NURSE EDUCATION TODAY 2016; 45:173-178. [PMID: 27529835 DOI: 10.1016/j.nedt.2016.08.007] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/13/2016] [Revised: 07/05/2016] [Accepted: 08/04/2016] [Indexed: 06/06/2023]
Abstract
BACKGROUND Clinical nursing competence (CNC) is the essence of the nursing profession. It has received attention as a central component of nursing education; however, most instruments of measure were developed in high income countries and essentially in English. To gauge the CNC of nursing students attending Bachelor of Science in Nursing programs, a specialized scale is needed. This study aimed to validate a French version of the 22-item Clinical Nursing Competence Questionnaire (CNCQ-22), designed and implemented in Taiwan. METHODS A cross-sectional descriptive survey was carried out to assess the psychometric properties of the CNCQ-22. A total of 255 pre-graduate nursing students of three nursing campuses of Burkina Faso (École Nationale de Santé Publique) participated in the study from June to October 2009. In addition to descriptive analysis, the reliability of the instrument, test-retest, and convergent and discriminant validity were examined. RESULTS Most participants were pre-registered nursing students (66.3%), predominantly male (68.2%), and their mean age was 30.54 (±5.66) (range 21-48). The original English version of the CNCQ-22 was translated into French and yielded an internal consistency coefficient of 0.89. The instrument revealed solid stability through a test-retest that yielded a Spearman's rho of 0.61 and supported good convergent and discriminant validity. Exploratory and confirmatory factor analyses resulted in a three-factor solution. CONCLUSION The French version of the CNCQ-22 demonstrates promising psychometric integrity and can be considered as a reliable and valid instrument to evaluate CNC in a French nursing education context. An accurate assessment of CNC provided by an adapted, easy-to-use CNCQ-22 may help nursing educators and academics improve the quality of training.
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Affiliation(s)
- Idrissa Beogo
- École Nationale de Santé Publique, Ouagadougou, Burkina Faso; Faculté des sciences infirmières, Université Laval, Pavillon Ferdinand-Vandry, 1050 Avenue de la Médecine, Québec City, Québec G1V 0A6, Canada.
| | - Bomar Mendez Rojas
- International Health Program, National Yang Ming University, 155, Sec 2, Linong St., 112 Taipei, Taiwan.
| | - Marie-Pierre Gagnon
- Faculté des sciences infirmières, Université Laval, Pavillon Ferdinand-Vandry, 1050 Avenue de la Médecine, Québec City, Québec G1V 0A6, Canada.
| | - Chieh-Yu Liu
- School of Nursing, National Taipei University of Nursing and Health Sciences, No. 365, Mingde Rd, Beitou District, Taipei City 112, Taiwan.
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