Management Competency Research Articles

Postpartum Hemorrhage Management in Canadian Emergency Nursing Practice

Background: Postpartum hemorrhage (PPH) remains a leading cause of maternal mortality globally, claiming approximately 70,000 lives annually. Despite preventive efforts, high-income countries, including Canada, have reported increasing rates of PPH. The rising incidence and associated complications indicate improved emergency nursing practices in managing PPH are needed. Methods: PPH guidelines from the Society of Obstetricians and Gynecologists of Canada, Federation of International Gynecologists and Obstetricians, and the Canadian Association of Perinatal, and Women’s Health Nurses were compared to National Emergency Nurses Association guidelines. The competencies, medications, and obstetric maneuvers for PPH that may be relevant to emergency nurses were extracted and categorized for the emergency nursing HIRAID (History & Red flags, Assessment, Interventions, & Diagnosis) framework. Findings/Results: We found 13 discrete skills across the PPH guideline recommendations that are applicable to emergency nurses. There is near perfect overlap in medical recommendations, but gaps exist between FIGO and SOGC guidelines and NENA and CAPWHN guidelines. There are SOGC and FIGO guidelines that apply to emergency nurses that are not addressed in NENA guidelines, Discussion: There was significant overlap on treatment recommendations from maternal health bodies such as uterotonic drugs, hemorrhage control, and hemostatic resuscitation. There were significant gaps in NENA recommendations. Conclusion: The comparison of PPH guidelines highlights where NENA guidelines need further detail. These skills are particularly significant for providing nursing care in rural and remote areas. Standardized protocols for PPH management, interprofessional collaboration, and regular competency assessments are included in most guidelines but are conspicuously absent for emergency nurses. To address the gap, NENA could integrate national emergency nursing PPH competencies standards or develop recommendations for the care of maternal emergencies.

Evaluation of the Effectiveness of the Competency Model for Nursing Managers in the Training of Newly Appointed Head Nurses

Objective: To explore the effectiveness of the competency model for nursing managers in the training of newly appointed head nurses. Methods: Eighteen newly appointed head nurses from Yichang Central People’s Hospital, selected between August 2023 and July 2024, were chosen as the research subjects. Based on the nursing manager competency model, corresponding training programs were developed, and these 18 head nurses were trained accordingly. Results: After the training, all newly appointed head nurses passed the theoretical assessments, with a pass rate of 100.00%. The pass rates for two rounds of assessment were 100.00% and 94.54%, respectively. There was no significant difference in the performance evaluation scores between new and senior head nurses in terms of standardized services, nursing quality, nursing research and teaching, and patient satisfaction (P > 0.05). Conclusion: The competency model for nursing managers has a significant effect on the training of newly appointed head nurses. It effectively enhances management awareness, facilitates role transition, and, to some extent, improves the management and leadership capabilities of head nurses. It holds high value for broader implementation.

Evaluation of a Project to Develop Learning Management Competency Using Digital Technology Among Teachers in a Bangkok School in Order to Facilitate the Learning Loss Recovery of Basic Education Level Students: Applying Kirkpatrick’s Concepts and Model

The spread of the coronavirus (COVID-19) strongly affected educational management in Thailand. This gave rise to the problem of how to improve the quality of students of all ages through 100% online learning, be this in areas of knowledge, abilities, skills, and attitudes towards learning. Therefore, the Secretariat of the Education Council of Thailand studied the learning loss of basic education students during COVID-19 and recommended ways to solve the problem using the seven measures derived from the RECOVER Model. Based on this, the researchers devised a project and conducted it along with agency administrators and school administrators under Bangkok Metropolitan Administration, Bang Khen District. Their objective was to evaluate the development of learning management competency using digital technology among teachers in a Bangkok school in order to facilitate the learning loss recovery of basic education level students. The results revealed that participants responded strongly to the overall project process and activities (Mean = 4.71, S.D. = 0.57) with the level of knowledge developed from the relative gain score at a high level (GS = 72.12) and 75.00 percent had the ability to create educational Line stickers for sale in the Sticker Shop. In addition, participants’ behavior changed as a result of applying the knowledge, abilities, and skills acquired to teaching and learning in their own subjects. Consequently, the schools to which they are affiliated were able to facilitate the learning loss recovery of students extremely well through the combined participation of administrators, teachers, students, and parents.

Managerial Competency and Social Competency of School Principals in Improving the Quality of Education in Vocational Schools

Successful education in achieving school goals requires the competence of the school principal. Principal competency is the ability possessed by the principal in terms of planning, organizing, developing and supervising educational institutions to be able to utilize existing resources to achieve quality learning and quality education..The aim of this research is to find outmanagerial competence and social competence of school principals in improving the quality of education at State Vocational Schools in Banda Aceh City. This research uses quantitative methods. Questionnaires, interviews, and observation are all used as data collection methods. Both qualitative and quantitative descriptive analysis are the methods of data analysis that are employed. The R-squared test, which shows that the management competency variable has an R-squared value of 0.893, indicating that 89% of the variation in this variable can be explained by the model research, makes it a powerful model. Based on research findings, it was found that managerial and social competencies have an influence on improving the quality of education in schools. In the meantime, the social competency variable is regarded as moderate because its R-squared value of 0.655 indicates that the model accounts for 65% of the variation.

Analysis of Knowledge Management and Instructor Competence on Training Satisfaction with Industrial Relations as Moderation Variables at LP3I Sidoarjo

The purpose of this study is to ascertain how knowledge management and instructor competency at LP3I Sidoarjo affect training satisfaction with industrial relations as a moderating variable. 94 respondents—representatives of the 2019 and 2020 Batch—who have completed a two-year professional education program were given questionnaires as part of a quantitative research project. SmartPLS was utilized for data processing, and disproportionate stratified random sampling was the sampling technique. The research's analysis's findings indicate that: 1) Knowledge management hasn't been able to directly raise training satisfaction. 2) Training satisfaction can be positively impacted by instructor competency. 3) Knowledge management and training satisfaction have not benefited from industrial relations. 4) Training satisfaction and instructor competency can both benefit from industrial relations.

A Model for Project Manager Competence Measurement in Iran Gas Engineering and Development Company

The purpose of this study is to build a Project Manager Competence Development (PMCD) model for Iran Gas Engineering and Development Company (IGEDC). The existent competence models in the related state-of-the-art are reviewed to generate and compile an initial list of project managers' competencies. Then, a Delphi analysis is used to complete the list and validate it. Further, the Best Worst Method (BWM) is employed to assign numerical weights to the competencies. As a result of the study, 16 competencies were identified in two categories: technical and behavioral. To show the applicability of the proposed PMCD, it is applied in a real-life study case. The results showed: (1) leadership competence has the highest weight, and (2) this fact that more than 99% of the total weight concerns only three competencies: leadership, project management knowledge, and judgment & decision making.

The Role of Soft Skills in Mediating the Relationship between Risk Management Competency and Work Readiness

The Role of Soft Skills in Mediating the Relationship between Risk Management Competency and Work Readiness

Leadership and Management Competencies of Nurse Managers: A Cross-sectional Study in Northern and Central Vietnam

Objective: The competence of nurse managers is essential to ensure outstanding patient care and the key contributors to the healthcare organization’s success. This study aimed to adapt the Chase Nurse Manager Competency Instrument (CNMCI) to Vietnamese situations and then to examine the leadership, management, and related characteristics of nurse managers. Material and Methods: A cross-sectional study was conducted in 17 Children and Obstetric and Pediatric hospitals in northern and central area of Vietnam using the CNMCI. Nurse managers (n=227) who were working in these hospitals participated in this study. Data were collected from July 2022 to August 2022. Results: Nurse managers had 3.51 ± 0.42 level of knowledge and 2.95 ± 0.48 level of ability to apply leadership and management competencies. However, only level of hospital and number of employees were significant related factors of leadership and management competencies of nurse manager. Conclusion: This study was the first in Vietnam which we examined the leadership competencies of nurse managers in Obstetric and Pediatric Hospitals. The results suggested that Vietnamese version of CNMCI was a reliable, valid instrument to assess competencies of nurse managers. It is necessary to have an effective leadership and manager training program to improve the competencies of nurse managers.

Path Analysis: Interrelationships Between Nurse Manager Competencies, Practice Environment Perceptions, and Frontline Nurses' Intent to Stay.

To examine the correlation between nurse manager (NM) competencies, work environment (Practice Environment Scale of the Nursing Work Index [PES-NWI]), and frontline nurses' intent to stay; the direct effect of NM competency on frontline nurses' intent to stay; and the indirect effect of NM competency on frontline nurses' intent to stay, mediated by PES-NWI. PES-NWI and NMs' competency can impact frontline nurses' intent to stay. Cross-sectional study with secondary analysis of NM Competency and NDNQI® (National Database of Nursing Quality Indicators®) RN Survey data with path analysis for effects of the model's variables. Positive, weak correlations between NM competencies and frontline nurses' practice environments were found; NM competencies and frontline nurses' intent to stay were not correlated. Paths were NM competency/PES-NWI (β = 0.20, P = 0.001) and PES-NWI/intent to stay (β = 0.55, P < 0.001); NM competency/intent to stay was not significant. Indirect effect of NM competency on frontline nurses' intent to stay was mediated through PES-NWI (β = 0.11, P = 0.002; 95% confidence interval, 0.05-0.17). Investing in NMs' competency can help create supportive work environments and frontline nurses' intent to stay.

INTERACTIONS OF EDUCATIONAL INSTITUTIONS WITH THE EXTERNAL ENVIRONMENT AND SOCIAL ORGANIZATIONS

Strategic directions of the cluster approach (collaborative activity) of the educational process carried out in educational organizations, means of using the power of the globalization process "against oneself", best practices of foreign countries, external environment of educational institutions and social organizations relationship with, the infrastructure of innovative activity, the characteristics of educational organizations, the innovative management competency of the head of the educational organization.

Moderating Effects of Information Literacy Ability in The Relationship Between Resilience and Nursing Management Competency of Nurse Managers in Small and Medium-Sized Hospitals

This study aimed to explore ways to improve the nursing management competency of nurse managers in small and medium-sized hospitals and examine the relationship between variables based on information literacy ability in the structural model linking the resilience of nurse managers and nursing management competency. The data was collected from November 6, 2023, to December 6, 2023, using cluster sampling in four cities with similar urban settings, and surveys were conducted with the consent of nurse managers working in small to medium-sized hospitals with 100 to 300 beds. A total of 207 collected data points were analyzed using the moderating effect technique of structural equation modeling. The hypothesis testing results revealed that nurse managers in small and medium-sized hospitals partially affect on nursing management competency. Furthermore, it was observed that the impact of nurse managers' resilience on nursing management competency varies based on their level of information literacy ability. Therefore, it is recommended that combined training in interpersonal skills and information literacy is offered to develop a competency improvement program for nurse managers in small and medium-sized hospitals.

Effect of self-directed versus traditional learning model on nurses’ airway management competencies and patients’ airway-related incidents

IntroductionSelf-directed learning (SDL) stands as a contemporary approach to learning, offering efficient and sustainable strategies for enhancing knowledge and practices. Given the pivotal role of nurses in ensuring patient safety and care effectiveness, this study aims to assess the impact of the SDL model compared to the traditional learning model (TLM) on elevating nurses’ airway management (AM) competencies and minimizing airway-related incidents.MethodologyThe study employed an experimental research design using a posttest-only control group structure within a two-group comparison framework. Seventy-two nurses participated, with 35 in the study group and 37 in the control group at the Obstetrics and Gynecology Hospital affiliated with Cairo University, Egypt. The trial was carried out between February 2020 and July 2021. Following an assessment of SDL readiness for the intervention group, they received SDL model training based on Knowles’ SDL principles, while the control group received TLM. The primary endpoint was a significant elevation in nurses’ airway management competency, with the secondary outcome being a significant decrease in airway-related incidents reported by nurses. Competency assessments occurred immediately after completion of the intervention and again three months later.ResultsA statistically significant difference was observed between the control and intervention groups regarding their practice and knowledge scores, with p-values of 0.02 and < 0.01, respectively. Additionally, the clinically relevant difference between control and intervention groups was evidenced by the effect size (ES) Cohen’s d in both practices and knowledge levels (-0.56 and − 1.55, respectively). A significant difference was also noted between the first post-assessment and the paired second post-assessment concerning nurses’ knowledge and practices among control and intervention groups, as indicated by the paired t-test with p < .01. Over three months, the intervention group reported 18 airway incidents, while the control group reported 24, with no statistically significant difference (> 0.05).ConclusionThe SDL model significantly enhanced nurses’ competencies in AM compared to the TLM. However, the efficacy of both learning models diminishes over time. Although nurses who underwent SDL model reported fewer airway incidents compared to those who received TLM approach of learning, no statistically significant difference was detected.Trial registrationThe study has been registered with Clinical Trials.gov under the registration number (NCT04244565) on 28/01/2020.

The game management framework for sports refereeing: a structured perspective on officiating performance and its development

AbstractThe Game Management Framework for Sports Refereeing (GMFSR) provides a comprehensive and novel approach to understanding the performance of on-field interactor referees in competitive sports. It highlights key performance factors and focuses on the holistic integration of essential elements. According to the GMFSR, officiating performance is based on a referee’s embodied concepts: rules, laws and regulations and game knowledge; contextual judgment; physical fitness, positioning, and signaling; and dynamic communication and arbitration. These elements underpin the four skills of administering the game, decision-making, creating presence, and guiding the game, which together make up a referee’s game management competency. In addition, the framework emphasizes the importance of a referee mindset, stressing the influence of personal attributes and adaptive strategies on overall performance. Developed by integrating empirical evidence, different conceptual and theoretical perspectives, and expert knowledge from academia and practice, the GMFSR aims to provide a comprehensive foundation on which to stimulate ideas for the education and training of referees. It is hoped that by considering all elements of the GMFSR at the novice level and developing them throughout a referee’s career, it will provide holistic yet focused training, and serve as a valuable resource for future research.

Enhancing pre-service teachers’ classroom management competency in a large class context: the role of fully immersive virtual reality

Effective classroom management is essential for creating an optimal learning environment, particularly in large classes. However, pre-service teachers often struggle to develop this competency through traditional training methods such as instructional videos and role-playing, which fail to provide authentic practice opportunities. This study investigated the efficacy of an innovative Immersive Virtual Reality (IVR) system, ClassMaster, in enhancing pre-service teachers’ classroom management skills. A quasi-experimental design was employed, involving 57 pre-service teachers randomly assigned to either an IVR group using ClassMaster or a control group using video-based learning. Participants’ classroom management competencies, self-efficacy, attitudes, and reflective thinking were assessed through pre-tests, post-tests, and delayed tests. Results revealed that while both methods improved immediate classroom management competencies equally, the IVR group demonstrated significantly better performance on delayed tests, indicating enhanced long-term knowledge retention. The IVR group also reported more positive attitudes towards classroom management. Reflective thinking levels were comparable between the two groups. Qualitative interviews highlighted the perceived benefits of the IVR system, including its innovative, immersive, and practical nature, which contributed to a profound and lasting impact on participants’ learning experiences. The study concludes that IVR-based learning, through systems like ClassMaster, offers a promising approach to enhancing pre-service teachers’ classroom management competencies, particularly in large class contexts. The research underscores the potential of IVR as a transformative tool in teacher education, warranting further exploration and integration into teacher training programs.

Executive Work Experience and Company Investment Efficiency

Objective - The growth as well as the longevity of a firm are determined by the investment in fixed assets. This strategy requires a competent manager to ensure the optimal utilization of investment options. According to the upper echelon theory, performance can be influenced by experience. Managerial experience and competence can result in effective resource allocation, reduce resource wastage, increase profitability, and accelerate company growth. Our study aims to investigate how the job experience in accounting and/or finance of the Chief Executive Officer (CEO) and Chief Financial Officer (CFO) affects investment efficiency.Design/Methodology - The study was conducted on 171 manufacturing companies listed on the Indonesia Stock Exchange (IDX) from 2015 to 2019. We used generalized least square regression to test the hypotheses.Results - The study found that CEOs with work experience in accounting and/or finance tend to reduce inefficient investments. However, this relationship does not hold true for CFOs.Research limitations/implications - The study indicates that the CEO's accounting and financial expertise is vital in facilitating effective investment choices. Therefore, companies should consider work experience, particularly in the field of accounting and/or finance, to enhance managerial performance in achieving investment efficiency, consequently leading to an increase in profitability and growth for the company.Novelty/Originality - Prior research examined the influence of the work experience of CEOs and CFOs as auditors on the efficiency of a company's investments. This study incorporates the work experience of CEOs and CFOs in accounting and/or other financial domains.

Gambaran Kompetensi Mahasiswa Rekam Medis dan Informasi Kesehatan Universitas Esa Unggul

Knowledge is the result of curiosity through the process of perception, especially the sense of sight and hearing of certain objects. The D-III Medical Records and Health Information Study Program is a program that prepares students skilled in managing health information management. The aim of the research is to determine the competency description of Esa Unggul University Medical Records and Health Information students. Descriptive research method with a quantitative analysis approach. The population in this study were Esa Unggul University Medical Records and Health Information students from the 2020 and 2019 regular and parallel classes with a total of 94 students. Research results: the characteristics of the majority of students were female (73.6%), student age ≤ 22 years (63.7%), the largest campus base was regular Kebon Jeruk (51.6%), the largest class of 2020 (73.6%). The results for competency in Clinical Classification Skills, Codification of Diseases and other Health Problems, and Clinical Procedures showed that the percentage of competent was 51.3%, while the percentage of incompetent was 48.7%. Competency in the Application of Health Statistics, Basic Epidemiology and Biomedicine obtained a competent percentage of 49.9% while the percentage of incompetent was 50.1%. RMIK Service Management Competency obtained a competent percentage of 50.3% while the percentage of incompetent was 49.7%. Conclusion: The number of competent Medical Records and Health Information students was 55 students and 36 students who were not competent. Suggestion: Registration officers improve and understand more in serving and conveying more precise and clear information. It is recommended to maintain and improve the quality of learning and increase student learning motivation in order to increase the percentage of competency.

Turfgrass Management Professional Development Needs Assessment of Extension Agents

Turfgrass management includes many different components and without proper management turfgrass aesthetics will diminish. In addition, mismanagement of turfgrass systems could lead to negative environmental impacts. This situation creates the need for Extension agents to deliver turfgrass management educational and outreach programs to the various stakeholders and the general public. However, Extension agents require professional development in terms of turfgrass management. A needs assessment of [State] Extension agents was conducted at the University of Florida to determine the professional development needs relating to turfgrass management. Through this needs assessment, there were 51 individual competencies identified that were categorized into nine distinct competency domains. In general, the highest priority relative to professional development needs were related to the pest management (i.e., disease, insect, weeds, and nematodes) competency domains. Extension specialists can use the information from this needs assessment to adjust current and tailor new turfgrass management professional development programs to address the identified needs with the highest priority [i.e., greatest mean weighted discrepancy score (MWDS)]. Professional development programs could include creating new or adjusting educational materials and resources for the needs identified, in-service trainings for Extension agents to provide additional education, series of academies to provide baseline knowledge to Extension agents, and an online database to provide information and guidance. In addition, the results and needs identified from this needs assessment can be used as a basis for obtaining educational funding.

The relationship of perceived nurse manager competence with job satisfaction and turnover intention among clinical nurses: an analytical cross-sectional study

BackgroundNursing managers have the potential to significantly impact the outcomes of nurses, patients, and organizations. Their competencies for effective performance are crucial. The global nursing workforce is facing a severe shortage of nurses. Dissatisfaction with management is one of the most important reasons for nurses’ inclination to leave their jobs. Therefore, this study examines the relationship between nursing managers’ competencies, job satisfaction and intention to leave among clinical nurses.MethodsAn analytical cross-sectional study was conducted on 354 nurses in five hospitals affiliated with Ardabil University of Medical Sciences from May to August 2023. This research used web-based software to design demographic information forms, nurse manager competency scale, turnover intention, and single-item job satisfaction questionnaires. The significance level for the study was set at p < 0.05.ResultsThis study revealed that participants had an average score of 3.06 out of 5 in perceived nurse manager competence. Only one-fourth of the participants (25.7%) were satisfied with their current job, and less than half (46.9%) intended to leave. Employee support and development, change and resource management, supervision and quality monitoring, and personal mastery positively influenced nurses’ job satisfaction. These competencies hurt employees’ intention to leave their jobs.ConclusionsThe research findings indicate that nursing managers in Iran have lower competency than in previous studies. Developing and strengthening these competencies is very important, as it significantly improves job satisfaction and reduces nurses’ tendency to leave their jobs. Additionally, the results show that nursing managers who excel in supporting and developing staff, resource management, quality supervision, and personal mastery positively impact nurses’ job satisfaction. However, these competencies can also help reduce employees’ intention to leave their jobs. Retaining and maintaining nurses in the healthcare field is of utmost importance.

미래교육 실천을 위한 교수역량 진단도구 개발 및 타당화

This study aimed to develop a scale that could diagnose the appropriate level of teaching competency, taking into account the value of future education due to changes in the educational environment. To do this, a provisional model of the teaching competency of university faculty was derived, and two Delphi surveys were conducted to confirm the content validity of the competency groups, competencies, and sub-elements. In addition, preliminary questions were developed through the review of an expert panel, and a questionnaire survey was conducted on D University faculty, and a question goodness analysis and exploratory factor analysis were conducted based on the questionnaire responses of 336 people. As a result, a scale with 53 questions for three competency groups and seven competencies was developed. The basic competency group (S) consisted of educational philosophy and university understanding competency (5 questions) and innovative attitude competency (12 questions), the instructional competency group (U) consisted of teaching strategy competency (5 questions), class management competency (14 questions), and class improvement competency (9 questions). The shared competency group (N) consisted of teaching learning mutual cooperation competency (4 questions) and knowledge sharing practice competency (4 questions). This allows the scale to be used to diagnose instructors' teaching competencies from the perspective of future teaching, identify areas for improvement, and support instructors' insights to improve their overall teaching competencies.

Empowering and Building the Capabilities of Mid-Level Health Service Managers to Lead and Support the Health Workforce-A Study Protocol.

(1) Background: Mid-level managers in healthcare are central to improving safety and quality of care. Their ability in demonstrating leadership and management competency in their roles and supporting frontline managers and frontline staff has a direct effect on staff retention and turn-over. Yet, investment in their professional development and support for mid-level managers is often neither adequate nor effective, and high rates of staff turnover are evident. This study, set in northern Queensland, Australia, takes a strength-based approach to explore the role and strengths of mid-level managers and organisations' existing mechanisms in supporting managers. With broad involvement and contribution from managers at different management level and frontline staff, the project will identify strategies to address the challenges mid-level managers face while building on their capabilities. (2) Methods: Using co-design principles, a situation analysis approach will guide a mixed-methods, multiphase design. Qualitative data will be collected using transcripts of focus groups and quantitative data will be collected by surveys that include validated scales. (3) Results: Thematic analysis of the transcripts will be guided by the framework of Braun and Clarke. Quantitative data will employ descriptive and inferential analysis, including chi-squared, t-tests, and univariate analyses of variance. (4) Conclusions: This study will generate evidence to guide two partner organisations, and other similar organisations, to develop strategies to improve support for mid-level managers and build their capabilities to support and lead frontline managers and staff. Competent mid-level managers are critical to high-quality patient care and improve the outcomes of the population they serve.