Nurses' Competence and Job Related Factors among Nurses in University Hospitals: A Cross Sectional Descriptive Design
Advances in Nursing & Midwifery,
Vol. 28 No. 3 (2019),
5 July 2019
,
Page 28-34
Abstract
Introduction: Nurses' Competence is a critical factor for providing safe and quality care and self- assessment is a key issue in maintenance of competence. This study was conducted to identify the level of competence and its associations with some job related factors.
Methods: A cross sectional and descriptive design was conducted at seven university hospitals in Rasht during September 2015. This study included 230 nurses working in university hospitals who were selected using stratified sampling method. The majority of nurses was female and had a bachelor's degree. Nurses' competence was measured using self reported competency inventory for registered nurses (Persian version). Data was analyzed with Spearman correlation, Mann-Whitney-U SPSS /21 software.
Results: The average score of competence was 173.59±26.72 and was considered in high level. The highest and the lowest competence were in dimensions of 'ethical-legal performance' (M=3.23±.52) and 'Critical thinking/research aptitude' (M=3.11±.51) respectively. There were significant associations between nurses' competence and some job related factors consisting work experience (p = 0.001), monthly salary (p = 0.001), working hours per month (p = 0.004), Nurses' shift work (p = 0.021), and employment type (p = 0.003).
Conclusions: Nurses assessed their competence at a desirable level, which may be due to self-assessment tool. Some job related factors associated with nurses' competence. Exploring the competence level and its relationship with these factors could be helpful in managerial interventions for professional competency.
- Clinical Competence
- Self Assessment
- Staff development
- Professional Competence
- Nurses
How to Cite
References
O'leary J. Comparison of self‐assessed competence and experience among critical care nurses. J Nurs Manag 2012; 20:607-14. https://doi.org/10.1111/j.1365-2834.2012.01394.x
Aued GK, Bernardino E, Peres AM, Lacerda MR, Dallaire C, Ribas ED. Clinical competences of nursing assistants: a strategy for people management. Revista brasileira de enfermagem 2016; 69:142-9. http://dx.doi.org/10.1590/0034-7167.2016690119i
Flinkman M, Leino‐Kilpi H, Numminen O, Jeon Y, Kuokkanen L, Meretoja R. Nurse Competence Scale: a systematic and psychometric review. J Adv Nurs 2017; 73:1035-50. https://doi.org/10.1111/jan.13183
Levett-Jones T, Gersbach J, Arthur C, Roche J. Implementing a clinical competency assessment model that promotes critical reflection and ensures nursing graduates’ readiness for professional practice. J Nurs Educ Pract 2011; 11: 64-9. https://doi.org/10.1016/j.nepr.2010.07.004
Aqtash S, Robb WF, Hunter LH, Almuhtasib M, Hamad A, Brownie SM. Self-Assessed Competence of Experienced Expatriate Nurses in a Rural and Remote Setting. SAGE Open Nurs 2017; 3:2377960817702382.
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 2017; 73: 653-64. https://doi.org/10.1111/jan.13171
Smith SA. Nurse competence: a concept analysis. Int J Nurs Knowl 2012; 23: 172-82. https://doi.org/10.1111/j.2047-3095.2012.01225.x
Bahreini M, Moattari M, Shahamat S, Dobaradaran S, Ravanipour M. Improvement of Iranian nurses' competence through professional portfolio: A quasi‐experimental study. Nurs Health Sci 2013; 15: 51-7. doi/full/10.1111/j.1442-2018.2012.00733.x
Benner P (1984). From novice to expert. Menlo Park.
Meretoja R, Numminen O, Isoaho H, Leino‐Kilpi H. Nurse competence between three generational nurse cohorts: A cross‐sectional study. Int J Nurs Pract 2015; 21: 350-8. https://doi.org/10.1111/ijn.12297
Hamström N, Kankkunen P, Suominen T, Meretoja R. Short hospital stays and new demands for nurse competencies. Int J Nurs Pract 2012; 18: 501-8. https://doi.org/10.1111/j.1440-172X.2012.02055.x
Wilkinson CA. Competency assessment tools for registered nurses: an integrative review. The J Contin Educ Nurs 2012; 44: 31-37.
Numminen O, Meretoja R, Isoaho H, Leino‐Kilpi H. Professional competence of practising nurses. J Clin Nurs 2013; 22: 1411-23. https://doi.org/10.1111/j.1365-2702.2012.04334.x
Cruz JP. Quality of life and its influence on clinical competence among nurses: a self‐reported study. J Clin Nurs 2017; 26: 388-99.
Kuokkanen L, Leino-Kilpi H, Numminen O, Isoaho H, Flinkman M, Meretoja R. Newly graduated nurses’ empowerment regarding professional competence and other work-related factors. BMC Nurs 2013; 15: 22. https://doi.org/10.1186/s12912-016-0143-9
Numminen O, Ruoppa E, Leino‐Kilpi H, Isoaho H, Hupli M, Meretoja R. Practice environment and its association with professional competence and work‐related factors: perception of newly graduated nurses. J Nurs Manag 2016; 24: E1–E11. https://doi.org/10.1111/jonm.12280
Tahghighi M, Rees CS, Brown JA, Breen LJ, Hegney D. What is the impact of shift work on the psychological functioning and resilience of nurses? An integrative review. J Adv Nurs 2017; 73: 2065-2083. https://doi.org/10.1111/jan.13283
Chang ES, Simon M, Dong X. Integrating cultural humility into health care professional education and training. Adv Health Sci Educ 2012; 17: 269-78.
Farsi Z, Dehghan‐Nayeri, N, Negarandeh R, Broomand S. Nursing profession in Iran: an overview of opportunities and challenges. Jpn J Nurs Sci 2010; 7: 9-18. https://doi.org/10.1111/j.1742-7924.2010.00137.x
Emami A, Nasrabadi AN. Two approaches to nursing: a study of Iranian nurses. Int Nurs Rev 2007; 54: 137-43. https://doi.org/10.1111/j.1466-7657.2007.00517.x
Mirlashari J, Qommi R, Nariman S, Bahrani N, Begjani J. Clinical Competence and Its Related Factors of Nurses in Neonatal Intensive Care Units. J Caring Sci 2016; 5: 317. doi: 10.15171/jcs.2016.033
Cheraghi MA, Salasli M, Ahmadi F. Factors influencing the clinical preparation of BS nursing student interns in Iran. Int J Nurs Pract 2008; 14: 26-33. https://doi.org/10.1111/j.1440-172X.2007.00664.x
Nesami M, Rafiee F, Parvizi S, Esmaeili R. Concept analysis of competency in nursing: Qualitative research. J Mazandaran Univ Med Sci 2008; 18: 35-42.
Liu M, Kunaiktikul W, Senaratana W, Tonmukayakul O, Eriksen L. Development of competency inventory for registered nurses in the People's Republic of China: scale development. Int J Nurs Stud 2007;44: 805-13. https://doi.org/10.1016/j.ijnurstu.2006.01.010
Liu M, Yin L, Ma E, Lo S, Zeng L. Competency inventory for registered nurses in Macao: instrument validation. J Adv Nurs 2009; 65: 893-900. https://doi.org/10.1111/j.1365-2648.2008.04936.x
Ghasemi E, Janani L, Dehghan Nayeri N, Negarandeh R. Psychometric Properties of Persian Version of the Competency Inventory for Registered Nurse (CIRN). Iran J Nurs 2014; 27:1-3. DOI: 10.29252/ijn.27.87.1
Heydari A, Kareshki H, Armat MR. Is nurses' professional competence related to their personality and emotional Intelligence? A cross-sectional study. J Caring Sci 2016; 5:121. . doi: 10.15171/jcs.2016.013
Davidson PM, Daly J, Hill MN. Looking to the future with courage, commitment, competence and compassion. J Clin Nurs 2013; 22: 2665-7. https://doi.org/10.1111/jocn.12302
Takase M. The relationship between the levels of nurses’ competence and the length of their clinical experience: a tentative model for nursing competence development. J Clin Nurs 2013; 22: 1400-10. https://doi.org/10.1111/j.1365-2702.2012.04239.x
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. J Clin Nurs Midwif 2015; 4: 39-49.
Schaefer R, Junges JR. The construction of ethical competence in the perception of primary care nurses. Rev Esc Enferm USP 2014; 48: 329-34. http://dx.doi.org/10.1590/S0080-6234201400002000019
Kangasniemi M, Pakkanen P, Korhonen A. Professional ethics in nursing: an integrative review. J Adv Nurs 2015; 71: 1744-57. https://doi.org/10.1111/jan.12619
Kim K, Han Y, Kwak Y, Kim JS. Professional quality of life and clinical competencies among Korean nurses. Asian Nurs Res 2015; 9: 200-6. https://doi.org/10.1016/j.anr.2015.03.002
Mustafaei Najaf‐Abadi H, Rezaei B. Health‐promoting behaviours of Iranian nurses and its relationship with some occupational factors: A cross sectional study. J nurs manage, 26 (6):717-725. https://doi.org/10.1111/jonm.12610
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