Volume 31, Issue 111 (April 2018)
IJN 2018, 31(111): 52-64 |
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1- Professor, Trauma Nursing Research Center, School of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran. (Corresponding Author) Tel: +98 31 5550021 Email: adib1344@yahoo.com
2- Nursing Graduate Student, School of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran.
2- Nursing Graduate Student, School of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran.
Abstract: (9912 Views)
Background & Aim: Studies on nurses' clinical competence and its related contextual factors have controversial and sometimes unexpected results. Regarding the role of nurses' clinical competencies in the quality of nursing care, this study aimed to determine the clinical competency of nurses working in Shahid Beheshti Hospital in Kashan from their own point of view and that of head nurses.
Materials & Methods: In this cross- sectional study, in 2017, we analyzed clinical competence of 145 nurses working in different wards of Shahid Beheshti Hospital of Kashan, Iran, from their own perspectives and the perspectives of 19 head nurses. The instrument used was Nurse Competence Scale, which is a 73–item questionnaire organized into seven competence categories measuring helping role, teaching–coaching, diagnostic functions, managing situations, therapeutic interventions, ensuring quality and work role. The level of competence was assessed on a scoring scale of 0-100. The frequency of competency utilization in clinical practice was assessed on a four-point Likert scale. Data was analyzed by SPSS-13, using descriptive and inferential statistics.
Results: Nurses’ score of clinical competence was 67.08 ± 15.21 from their own viewpoint that was at the good level. They also possessed 77.0 ± 13.14% of competency utilization. However, with a mean score of 78.24 ± 11.80, head nurses believed that they are at the excellent level of clinical competence. A positive correlation was found between nurses' clinical competence and their skill utilization (r = 0.845, P = 0.001).
Conclusions: The level of clinical competencies and the extent to which nursing skills are employed by nurses was high from the viewpoint of nurses and head nurses. Moreover, a positive relationship was found between clinical competence and the level of competencies utilization in clinical settings.
Materials & Methods: In this cross- sectional study, in 2017, we analyzed clinical competence of 145 nurses working in different wards of Shahid Beheshti Hospital of Kashan, Iran, from their own perspectives and the perspectives of 19 head nurses. The instrument used was Nurse Competence Scale, which is a 73–item questionnaire organized into seven competence categories measuring helping role, teaching–coaching, diagnostic functions, managing situations, therapeutic interventions, ensuring quality and work role. The level of competence was assessed on a scoring scale of 0-100. The frequency of competency utilization in clinical practice was assessed on a four-point Likert scale. Data was analyzed by SPSS-13, using descriptive and inferential statistics.
Results: Nurses’ score of clinical competence was 67.08 ± 15.21 from their own viewpoint that was at the good level. They also possessed 77.0 ± 13.14% of competency utilization. However, with a mean score of 78.24 ± 11.80, head nurses believed that they are at the excellent level of clinical competence. A positive correlation was found between nurses' clinical competence and their skill utilization (r = 0.845, P = 0.001).
Conclusions: The level of clinical competencies and the extent to which nursing skills are employed by nurses was high from the viewpoint of nurses and head nurses. Moreover, a positive relationship was found between clinical competence and the level of competencies utilization in clinical settings.
Type of Study: Research |
Subject:
nursing
Received: 2018/01/17 | Accepted: 2018/04/18 | Published: 2018/04/18
Received: 2018/01/17 | Accepted: 2018/04/18 | Published: 2018/04/18
References
1. Azemian A. [The standards of professionalism in nursing: the nursing instructors' experiences]. Evidence Based Care. 2014;4(1):27-40.
2. Bahreini M, Moattari M, Ahmadi F, Kaveh MH, Hayatdavoudy P, Mirzaei M. [Comparison of head nurses and practicing nurses in nurse competence assessment]. Iran J Nurs Midwifery Res. 2011;16(3):227-34. [PMID] [PMCID]
3. Komeili-Sani M, Etemadi A, Boustani H, Bahreini M, Hakimi A. [The relationship between nurses' clinical competency and job stress in Ahvaz university hospital, 2013]. Journal of clinical nursing and midwifery. 2015;4(1): 39-49.
4. Cowin LS, Hengstberger‐Sims C, Eagar SC, Gregory L, Andrew S, Rolley J. Competency measurements: testing convergent validity for two measures. J Adv Nurs. 2008;64(3):272-7. [DOI:10.1111/j.1365-2648.2008.04774.x] [PMID]
5. Nursing and Midwifery Board of Ireland. Competence assessment tool for nurses. 2015. https://www.nmbi.ie/NMBI/media/NMBI/competence-assessment-tool-for-Nurses.pdf?
6. Nursing Council of New Zealand. Competencies for registered nurses. 2012. https://www.tdhb.org.nz/services/nursing/documents/nursing-council-documents/Competencies%20for%20registered%20
7. Ghanbari A, Hasandoost F, Lyili EK, Khomeiran RT, Momeni M. [Assessing emergency nurses' clinical competency: An exploratory factor analysis study]. Iran J Nurs Midwifery Res. 2017;22(4):280-6. [DOI:10.4103/1735-9066.212990] [PMID] [PMCID]
8. Bahreini M, Moattari M, Kaveh MH, Ahmadi F. [A Comparison of Nurses' Clinical Competences in Two Hospitals Affiliated to Shiraz and Boushehr Universities of Medical Sciences: A Self-Assessment]. Iranian Journal of Medical Education. 2010;10(2): 101-10.
9. Department of Health. Responsibility and Accountability, moving on for new ways of working to a creative, capable workforce best practice guidance. 2010; https://www.rcpsych.ac.uk/pdf/Responsibility%20and%20Accountability%20Moving%20on%20for%20New%20Ways%20of%20Working%20to%20a%20Creative,%20Capable%20
10. Bloomfield J, Fordham-Clarke C, Pegram A, Cunningham B. The development and evaluation of a computer-based resource to assist pre-registration nursing students with their preparation for objective structured clinical examinations (OSCEs). Nurse Educ Today. 2010;30(2):113-7. [DOI:10.1016/j.nedt.2009.06.004] [PMID]
11. Elhami S, Ban M, Mousaviasl S, Zahedi A. Self-Evaluation of Nurses Clinical Competency based on Benner Theory. Middle East Journal of Family Medicine. 2018;7(10):191-7.
12. Wong P, Myers M. Clinical competence and EBP: An educator's perspective. Nurs Manage. 2015;46(8):16-8. [DOI:10.1097/01.NUMA.0000469358.02437.67] [PMID]
13. Mehrdad N, Bigdeli S, Ebrahimi H. A comparative study on self, peer and teacher evaluation to evaluate clinical skills of nursing students. Procedia Soc Behav Sci. 2012;47:1847-52. [DOI:10.1016/j.sbspro.2012.06.911]
14. Meretoja R, Isoaho H, Leino‐Kilpi H. Nurse competence scale: development and psychometric testing. J Adv Nurs. 2004;47(2):124-33. [DOI:10.1111/j.1365-2648.2004.03071.x] [PMID]
15. Chang L-C, Liu C-H. Employee empowerment, innovative behavior and job productivity of public health nurses: A cross-sectional questionnaire survey. Int J Nurs Stud. 2008;45(10):1442-8. [DOI:10.1016/j.ijnurstu.2007.12.006] [PMID]
16. Adib HM, Safa A, Fazel DA. [Nurses'self-Assessment of Skills in the cardiovascular physical Examination]. Medical- Surgical Nursing Journal. 2013; 2(1, 2): 19-25.
17. Moatary M, Akaberian S, Mirzaie K. [Determining nurses' clinical competence in hospitals of Bushehr University of Medical Sciences by self assessment method]. Ṭibb-i junūb. 2008;11(1):69-75.
18. Bahreini M, Moattari M, Kaveh M, Ahmadi F. [Self assessment of the clinical competence of nurses in a major educational hospital of Shiraz University of Medical Sciences]. Journal of Jahrom University of Medical Sciences. 2010; 8(1): 28-36. [DOI:10.29252/jmj.8.1.28]
19. Adib-Hajbaghery M, Karbasi-Valashani K, Heidari-Haratmeh A. [Correlation of clinical skills self-assessment of nursing internship trainees with their teachers' evaluation]. Nurs Midwifery Stud. 2012;1(2):94-9. [DOI:10.5812/nms.8188]
20. Namadi-Vosoughi M, Tazakkori Z, Habibi A, Abotalebi-Daryasari G, Kazemzadeh R. [Assessing Nursing Graduates′ Clinical Competency from the Viewpoints of Graduates and Head Nurses]. Journal of Health and care. 2014;16(1):66-73.
21. Numminen O, Leino-Kilpi H, Isoaho H, Meretoja R. Congruence between nurse managers' and nurses' competence assessments: A correlation study. Journal of Nursing Education and Practice. 2014;5(1):142-50. [DOI:10.5430/jnep.v5n1p142]
22. Istomina N, Suominen T, Razbadauskas A, Martinkenas A, Meretoja R, Leino-Kilpi H. Competence of nurses and factors associated with it. Medicina (Kaunas). 2011;47(4):230-7. [DOI:10.3390/medicina47040033]
23. Mirlashari J, Qommi R, Nariman S, Bahrani N, Begjani J. [Clinical Competence and Its Related Factors of Nurses in Neonatal Intensive Care Units]. Journal of caring sciences. 2016;5(4):317. [DOI:10.15171/jcs.2016.033] [PMID] [PMCID]
24. Donilon DM. Nurses Perceptions of their Competence in Managing Patient Situations in Acute Care [A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of philosophy in nursing]. Island: University of Rhode Island; 2013. Available from: http://digitalcommons.uri.edu/oa_diss/13.
25. Hwang J-i, Park H-a. Factors associated with nurses' informatics competency. CIN: Computers, Informatics, Nursing. 2011;29(4):256-62.
26. Garde S, Harrison D, Hovenga E. Skill needs for nurses in their role as health informatics professionals: a survey in the context of global health informatics education. Int J Med Inform. 2005;74(11-12):899-907. [DOI:10.1016/j.ijmedinf.2005.07.008] [PMID]
27. Yang L, Cui D, Zhu X, Zhao Q, Xiao N, Shen X. Perspectives from nurse managers on informatics competencies. The Scientific World Journal. 2014;2014.
28. Kim MJ, Kim YJ. Variables Affecting Nursing Competency of Clinical Nurses. Indian J Sci Technol 2015;8(26). DOI: 10.17485/ijst/2015/v8i26/80758. [DOI:10.17485/ijst/2015/v8i26/80758]
29. Saeki K, Izumi H, Uza M, Murashima S. Factors associated with the professional competencies of public health nurses employed by local government agencies in Japan. Public Health Nurs. 2007;24(5):449-57. [DOI:10.1111/j.1525-1446.2007.00655.x] [PMID]
30. Nayeri ND, Jafarpour H. Relationship between clinical competence and motivation needs of nurses based on the McClelland theory. Nursing Practice Today. 2015;1(2):86-92.
31. Khdayaryan M. Vanaki Navi M. Hassan, preacher AA. [The effect of nursing management development program on nurses clinical competencies of cardiac intensive care]. Journal of Kermanshah University of Medical Sciences. 2011;15(1):40-50.
32. Fowler J. Experiential learning and its facilitation. Nurse Educ Today. 2008;28(4):427-33 [DOI:10.1016/j.nedt.2007.07.007] [PMID]
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