Professional Competence Of Nurses Research Articles

Pelatihan Kegawatdaruratan Berbasis Caring terhadap Kompetensi Profesional Perawat Emergency

This study aims to analyze the influence of caring-based emergency training on the professional competence of emergency nurses. The method used is quantitative with a quasi-experiment design (pre-post test with control group design). The research results showed that the caring-based emergency training given to the intervention group significantly influenced nurses' professional competence (p=0.000). The data testing results between groups after being given the intervention showed a significant change in the professional competence of nurses (p=0.000). In conclusion, caring-based emergency training effectively increases the professional competence of emergency nurses at RSUD Dr. Soetomo, Surabaya. An increase in nurse competency scores in both primary and secondary surveys demonstrates this.
 
 Keywords: Caring, Emergency, Professional Competency, Emergency Training, Nurse

Interprofessional collaboration of general practitioners and nurses in primary care: A qualitative study

Interprofessional collaboration of general practitioners and nurses in primary care: A qualitative study Abstract. Background: There is a need to strengthen interprofessional collaboration of general practitioners and home care nurses in the primary care of people with chronic diseases and long-term care needs. Aim: This study investigated a) how general practitioners and nurses in Germany perceive their collaboration in primary care and b) which development perspectives of collaboration exist from their point of view. Methods: Expert interviews were conducted with seven general practitioners and eight home care nurses. The data were analysed using thematic-structured qualitative content analysis. Results: The interviewees from both professional groups report that their collaboration is hindered by poor mutual accessibility. At the same time, they emphasise their appreciation of the professional exchange with the other professional group. Nevertheless, the perceptions of the professional competence of home care nurses differ. To improve their cooperation, the interviewees recommend the establishment of interprofessional meetings and cooperation in spatial proximity for regular professional exchange. They expect this to lead to a joint development of trust and competence and to an expansion of the area of responsibility of home care nurses in primary care. Conclusions: Binding communication structures, cooperation in spatial proximity and an expansion of the area of responsibility of home care nurses offer high potential for strengthening primary care in Germany.

Development of billing post competency evaluation index system for nurses in China: a Delphi study

AimThis study developed a set of competency evaluation indicators for billing nurses in China.BackgroundIn clinical practice, nurses often take up billing responsibilities that are accompanied by certain risks. However, the competency evaluation index system for billing nurses has not been established in China.MethodsThis study consisted of two main phases of research design: the first phase included a literature review and semi-structured interviews. Individual semi-structured interviews were conducted with 12 nurses in billing departments and 15 nurse managers in related departments. Concepts distilled from the literature review were linked to the results of the semi-structured interviews; this phase produced the first draft of indicators for assessing the professional competence of nurses in billing departments. In the second phase, two rounds of correspondence were conducted with 20 Chinese nursing experts using the Delphi method to test and evaluate the content of the index. The consensus was defined in advance as a mean score of 4.0 or above, with at least 75% agreement among participants. In this way, the final indicator framework was determined.ResultsUsing the iceberg model as a theoretical foundation, the literature review identified four main dimensions and associated themes. The semi-structured interviews confirmed all of the themes from the literature review while generating new themes, both of which were incorporated into the first draft of the index. Then two rounds of the Delphi survey were conducted. The positive coefficients of experts in the two rounds were 100% and 95%, respectively, while the authority coefficients were 0.963 and 0.961, respectively. The coefficients of variation were 0.00–0.33 and 0.05–0.24, respectively. The competency evaluation index system for billing nurses consisted of 4 first-level indicators, 16 s-level indicators, and 53 third-level indicators.ConclusionThe competency evaluation index system for billing nurses, which was developed on the basis of the iceberg model, was scientific and applicable.Implications for nursing managementThe competency assessment index system for billing nurses may provide an effective practical framework for nursing administration to evaluate, train, and assess the competency of billing nurses.

Assessment of the Competence of Nurses in Taking Care of a Dying Patient in Poland.

During nursing education, few practical hours are devoted to comprehensively preparing students to care for a dying patient. Contact with a dying patient is a key element of the job of every working nurse in the profession. Therefore, it is necessary to properly prepare nurses to care for a dying patient. This study aimed to assess the professional competence of nurses in caring for a dying patient and the factors that affect this preparation. This study involved 223 nurses during master's degree in nursing at the Medical University of Warsaw, receiving either full-time education (group I, N = 121) or hybrid education (group II, N = 102). The study used the FATCOD-BP ((Frommelt Attitudes Toward the Care Of the Dying scale Form B, Polish version)) questionnaire (Cronbach's alpha 0.75), an original questionnaire containing questions about feelings experienced during the SARS-CoV-2 virus pandemic and sociodemographic questions. FATCOD-BP for all groups was below average regarding caring for a dying patient (M = 109, SD = 11.68). Nurses pursuing full-time education were better prepared to care for a dying patient than were nurses pursuing hybrid education. Nurses who exhibited fear of their own deaths had a lower subjective level of preparation for caring for a dying patient. (1) Nurses are not sufficiently prepared to care for a dying patient. (2) The training of nurses should be provided in the form of in-patient education, and the methods of training should be modified by increasing the number of hours of practical and theoretical instruction in palliative care for a dying patient.

Effects of Anxiety, Resilience, and Self-efficacy on the Professional Competence of Nurses during the COVID-19 Pandemic

This study was conducted to examine the relationship of the COVID-19-related anxiety, self-efficacy, resilience, and professional competence of nurses working in hospitals where COVID-19 patients are hospitalized. Additionally, this study attempted to identify factors that affect the professional competence of nurses. Using a cross-sectional descriptive study design, an online survey of 120 nurses working at hospitals where COVID-19 patients were hospitalized was conducted between February 9 and February 19, 2021. Pearson's correlations were used to assess correlations between the main variables, and stepwise multiple regression was used to identify factors influencing professional competence. Results of the study showed that the professional competence of nurses was positively correlated with self-efficacy (r =.58, p <.001) and resilience (r =.56, p <.001). The correlation between professional competence and COVID-related anxiety was not significant (r =-.03, p =.766). Factors affecting professional competence included self-efficacy (β=.36, p =.004) and resilience (β=28, p =.021). The model explained approximately 35% of the variance in nurse professional competence (F=33.65, p <.001). To fully demonstrate the professional competence of nurses during the COVID-19 pandemic, institution-based programs should be developed and applied to improve their self-efficacy and resilience. In order to prevent the burnout of nurses in the longer-than-expected COVID-19 pandemic, efforts and policies at the nursing organization level are needed to systematically manage and monitor self-efficacy and resilience of nurses.

To the Issue of Improving the Psychological Competence of Nurses in Preschool Educational Institution

Today, the problem of maintaining and improving the health of children is especially acute. Nurses of preschool educational institutions are also involved in solving it. The article highlights the specifics of the work of nurses of preschool educational institutions and ways to improve psychological competence in order to increase the effectiveness of medical and health activities medical and health-improving activities with the pupils in preschool educational institutions. The study aimed to study the psychological specifics of the activities of nurses in preschool education. And the need to form the psychological competence of nurses of preschool educational institutions. Theoretical (analysis of scientific sources) and empirical (observation, experiment - a temporary research team, interview, questionnaire, testing, description) research methods were used. We analyzed the specifics of the professional activity of a nurse of a preschool educational institution and the peculiarities of the requirements for her work. We found that, given the specifics of work in the school, the nurse has completely different powers and responsibilities than the nurses of medical institutions. They have formed various professional qualities, as evidenced by the results of our study covered in the Content Analysis. The need for the formation of psychological competence in nurses of preschool educational institutions was clarified. In particular, the author formed the content and structure of personal qualities that underlie it, as well as factors that contribute to the formation of psychological competence (personal maturity, due to empathy, assertiveness, emotional stability, flexibility, friendliness). We have developed a program of postgraduate training of nurses in preschool educational institutions, which is valid and effective for assessing the effectiveness of education. In the participants of the experimental group, we formed psychological competence within the activities of the temporary research team. As a result of his work, it was found that nurses of preschool educational institutions have increased interest in professional growth. Improving the psychological specifics of the activity will contribute to improving the professional competence of nurses of preschool educational institutions.

THE APPLICATION OF THE THEORY OF FRACTALS FOR STUDYING THE REGULARITIES OF FORMING THE INFOSPHERE OF TRAINING APPLICANTS FOR NURSING SPECIALITIES

The research stems from challenges which are characteristic of contemporary post-industrial, information and technological stage of development of human civilization. With respect to the initiation of training Masters of nursing in Ukraine a great importance is attributed to the research component of the professional competence of nurses with higher education, i.e. Masters of nursing. Taking into account the insufficient theoretical and methodical status of the problem, the researchers aim their study at developing a new approach to forming the infosphere of nursing as a research speciality on the basis of the theory of fractals. To achieve the goal the authors have used the content analysis of Master’s theses of 150 Masters in accordance with 112 indices, Hurst index calculation included. The calculated Hurst index values testify to a high level of structural organization of Master’s theses, as well as to certain regularities in using information sources in contrast with chaos and the absence of prevailing tendencies. The use of information sources which were referred to by the students of Master’s course for conducting research and writing Master’s theses, as well as the application of the techniques of content-analysis and scientific prognostication have made it possible to determine a number of tendencies in forming the infosphere of nursing as a research speciality. One can observe a pronounced tendency to decreasing the use of paper media as information sources, as well as the tendency to increasing the part of electronic media and the part of information sources in foreign languages. Among the information sources in foreign languages, in comparison with Russian English sources, prevail considerably. The study does not cover all aspects of the mentioned pedagogical problem since the further prospects for studying relates to the analysis of the quantity and quality of intellectual property objects created by the Masters enabling to formulate scientometric criteria for assessing the significance of scientific research of the Masters, thus revealing their ability to create the objects of intellectual property.

Desenvolvimento e validação de uma ferramenta para avaliação por competência da inserção do dispositivo intrauterino

Abstract Objectives:. to develop and validate an instrument to assess the professional competence of nurses in the insertion of the intrauterine device (IUD) Methods: methodological study, developed in three stages: 1) tool development (Theoretical procedures); 2) evaluation of the tool by experts and judgment of the initially proposed items (Appearance validation and content validation); 3) test of the version resulting from the assessment by experts and assessment of internal consistency (Analytical procedures). Ten judges participated in the face and content validation, among obstetric nurses and gynecologists/obstetricians from the Sofa Feldman Hospital in Belo Horizonte (MG), while 38 nursing residency students were evaluated using the test tool, in the last stage of the study. Calculations of the Content Validity Index (CVI) and Cronbach’s alpha coefficient were performed as psychometric measures. Results: the initial tool covered 39 items. No item obtained CVI&lt;0.8; however, through suggestions from the judges, items were merged, totaling 34 items. The total Cronbach’s alpha coefficient for this version was 0.828. Conclusion: the tool developed is valid and reliable. It is believed that the implementation of this tool will contribute to the training of professionals and the improvement of knowledge, behaviors, and skills in nursing consultations with a focus on reproductive planning with an emphasis on the insertion of the IUD.

Relationships between Willingness to Participate in the Nursing Clinical Ladder Program and Its Related Factors among Clinical Nurses.

The professional nursing competence ladder system can effectively inspire nurses’ work morale, improve quality of life, and avoid the issue of senior staff leaving the clinical setting. The aim of this study was to explore the willingness to participate in the professional nursing competence ladder system and its related factors among nurses. A cross-sectional study design with a structured questionnaire was used. Purposive sampling was employed, and 696 nurses who qualified to be promoted as N2 were recruited from a medical center in southern Taiwan. The results showed most nurses were willing to participate in the nursing ladder system. There were significant differences between willingness to participate in the ladder system and age, education level, as well as promotion experience. This study emphasizes the importance of intensifying internal encouraging factors and strengthening external encouraging factors to improve participation rates. Healthcare institutions could provide instruction on case report writing to increase nurses’ willingness to participate in the clinical ladder program.

Impact of high-fidelity and virtual simulation experiences on nurses’ acquired knowledge and skills for triaging suspected COVID-19 patients

PurposeThis study compares the impact of high-fidelity simulation (HFS) and virtual simulation (VS) experiences on nurses for triaging suspected COVID-19 patients on the basis of their knowledge and skill acquisition. BackgroundThe essential tools for nurses' professional growth and development are not limited to participation in seminars or symposiums. Training, such as simulation, is also a crucial practice for improving nurses’ competency, especially during a pandemic. MethodsThis study employs a comparative research design. The nurses’ acquired knowledge and skills are evaluated by dividing them into Groups A and B, which are exposed to HFS and VS, respectively. ResultsThe mean scores obtained by both groups in their post-tests are significantly higher than that obtained in their pre-tests, by an average of −18.38 for Group A and 22.14 for Group B. The mean scores obtained in their post-Objective Structured Clinical Examination (OSCE) is significantly higher than that in their pre-OSCE, by an average of −23.00 for Group A and 20.67 for Group B. Moreover, Group B's mean score in the post-test is significantly higher than Group A's by an average of −3.00. Group A's post-OSCE mean score is significantly higher than Group B's by an average of 2.92. ConclusionsThe professional competence of nurses exposed to HFS and VS improves significantly. Nurses exposed to VS acquire more knowledge, whereas nurses exposed to HFS develop higher-level skills.

Professional Nursing Communication Competence: Theoretical procedures for instrument development and pilot test.

To describe the theoretical procedures for the development of the Professional Nursing Communication Competence instrument, determine the content validity and describe the pilot test application. Measuring instruments must be developed in accordance with the context and communication process by adopting theoretical procedures based on competence structures to support quality patient-centred care and nursing management. A methodological study was employed. The instrument was developed by using content-validated theoretical construct in accordance with 33 communication theories followed by semantic analysis and content validity by experts. The instrument was tested over three phases: before the lecture on professional nursing communication competence, after the simulation scenario experience and after debriefing. The instrument showed an extremely high agreement (CVI=0.99). Linear regression suggested three domains of the 46-item content-validated instrument comprising knowledge (18 items), skills (12 items) and attitudes (16 items). The instrument was found to measure professional communication competence with a high theoretical reliability of the contexts and processes through a simulation strategy. Nursing educators, managers and staff can adopt the Professional Nursing Communication Competence (IMC-CPE) instrument to improve the effectiveness level of knowledge, skills and attitudes to reduce misunderstanding among team members and health care errors.

Components of formation of professional competence of future nurses to work with persons of gerontological age

Components of formation of professional competence of future nurses to work with persons of gerontological age

Attributes associated with person-centered care competence among undergraduate nursing students.

Person-centered care is widely recognized as a promising practice to improve patient care quality. However, little is known about the competencies of nursing students who are essential to providing high-quality person-centered care. In this study, relevant attributes, including professional nursing competence, empathy, and self-awareness, were examined in relation to person-centered care competence among South Korean nursing students while controlling for individual characteristics, including age, gender, religion, and academic performance. Data were collected from 213 senior students enrolled in four nursing schools in South Korea from November 15 to 30, 2017. The mean age of the nursing students in the sample was 23 years. Data were analyzed using multiple regression analyses while accounting for the students nested in their schools. Professional nursing competence and empathy were strongly associated with person-centered care competence among nursing students. Of the five aspects of professional nursing competence, human understanding and communication skills were the most likely to be associated with person-centered care competence. Moreover, there were few variations across nursing schools in the levels of professional nursing competence. Our findings corroborate the importance of developing better communication skills and empathy to improve and maintain person-centered care competence among nursing students who belong to a new generation.

The expertise of medical nurse care as a basis of medical care quality management

The strategy focused on activating and strengthening human resources, including nurses, is extremely relevant in the modern health care of the Russian Federation. In this regard, the issue of the medical organization performance provides an emphasis on the problem related to the status of medical personnel, which is especially significant in the context of the need to implement new approaches and innovative management techniques. The purpose of study is to develop an expertise system for quality evaluation of nursing care. Three available approaches were applied: structural, procedural and end-point estimation. The structural approach was based on the quality indicators of the professional competence of nurses, their accreditation and certification, as well as personal qualities that determine the level of organizational culture and self-discipline. The procedural approach was based on the assessment of the technological processes carried out by nurses, consistency, timeliness and adequacy of their accomplishment. The result assessment approach was based on evaluation of the degree of compliance of the actual results achieved with the approved normative value. The article presents the elaborated genuine model of quality assessment, which allows to evaluate objectively all areas of the nurse's professional activities, taking into account the proposed criteria to identify defects that influence the performance efficiency of the nurse; to determine the factors influencing the level of patient satisfaction with medical care, which resulted in the development a quality management system for nursing care, allowing to evaluate the resources, the technological process and the final result of nursing care.

Professional competence of nurses in emergency services: evidence of content validity.

To verify the evidence of content validity of the Identifying Issues (Identification questions) elaborated from the theoretical-logical model of the Matrix and the Profile of Professional Competence of the emergency nurse. Descriptive and methodological study of a quantitative approach with a psychometric reference as a precursor in the elaboration of a measurement instrument for the evaluation of competencies. The study was conducted in 2013 in Brazil, with a national sample of nurses specialized in emergency services and/or with professional competence in the area. Three stages were considered: questionnaire development; data collection with Delphi, appropriate statistics for Likert; and interpretative analysis of the comments/suggestions of the analyzed issues. Delphi was used in four stages. There were minor adjustments to the content and inclusion of a new Competence. They obtained 90% of Score Percentage and 98.61 of Content Validity Index. There was consensus among the experts and the research demonstrated evidence of content validity, suggesting pertinence and adequacy to represent the constructs of competencies.

INNOVATIVE TECHNOLOGIES IN PERSONNEL DEVELOPMENT

The aim of the article is to substantiate the innovative approaches in the work of nurses, because their competence ensures availability and quality of medical and preventive care to the population. The subject is defined as the stages of development of nursing personnel, including education, career growth, and employee motivation. In order to achieve the set aim and to solve the chosen tasks, modern research methods have been used. They include scientific abstraction (in the study of the categories of “core competencies”, “competence”); systematic approach (to substantiate the principles influencing the professional development of the worker), sociological survey (questionnaire) (to determine the methods of motivating nursing personnel), etc. The provisions and conclusions of the work are presented as a system of measures aimed at improving the competence, capacity building and utilization of the intellectual capital of health institutions. It is revealed that the core professional competencies of nursing staff are the basis of employee development in the organization, and they help determine the level of professional competence of nurses, their practical skills. Innovative technologies for the development of nursing staff are disclosed, including: building core competencies, individual development plan, performance appraisal, career planning, training and staff development, employee motivation. It is established that the employee clearly defines his needs, goals, expectations in the individual development plan to know how to develop in the future and properly plan the steps and necessary measures to achieve the goals. Performance appraisal allows the assessor to determine the professional competence of the nurse. When planning nursing careers, it is necessary to take into account the specifics of the healthcare sector, the constant increase of requirements for the quality of medical services, the introduction of new medical technologies, etc. Motivation behind the career choice is often founded upon the principles of charity, assistance, care, compassion, and being altruistic.

Area of Competence of Primary Healthcare Specialists in the Implementation of Person-Centered Programs of Educational and Behavior Modification in Chronic Dermatoses

Due to a significant shortage in both physicians and practical nurses that is of special relevance for healthcare services in rural areas, the distribution and cooperation of health production functions are of great importance.In this context, the effectiveness of EMB is associated, on the one hand, with the patient adherence to the substantiated recommendations and, on the other hand, with the qualification level of medical personnel in the GFM ambulatories while carrying out EBM.The objective of the research was to conduct the problem-oriented analysis of cooperating and distributing the duties of specialists in the implementation of EBM among patients with CD at the stage of primary healthcare.ResultsThere was conducted the problem-oriented analysis of qualification competencies to verify the possibility of implementing EBM by practical nurses considering typical activities of professionals. The analysis revealed the compliance of the main components of professional competence of physicians and nurses with their involvement in the process of EBM implementation among patients with CD.

Assessment of professional competence of nurses in emergencies: created and validated instrument.

To create an instrument to assess the professional competence of nurses in emergencies. Methodological study carried out between 2013 and 2016 in a Brazilian university. We used the Pasquali's model and Psychometrics as references because they allow subjective phenomena to be measured. The survey covered defining steps of the behavior to be measured, the formulation of the items in the instrument, development of instructions for using the instrument and elements necessary to demonstrate validity evidence. Although we have previously performed, in a distinct and consecutive way, the literature review, definition of the Core (or Matrix) Competence and the Competence Profile, and identification of validity with Delphi, essential components to structure a technology, in this step we continued the conclusion of these Theoretical Procedures. We created an instrument for self- and/or hetero-evaluation containing: personal/professional/academic characterization, Competency Scale, fictitious cases and actions representing the practice. We created a new soft-hard technology based on the validity evidence of contents according to experts of the five regions of Brazil.

Job stress in new nurses during the transition period: an integrative review.

This review appraised and synthesized evidence relating to new nurses' stress experiences during the transition period. Although stress among nursing professionals has been a subject of several systematic reviews in the recent years, there is still scarcity of systematic evidence examining job stress in new nurses. This is an integrative review of original studies conducted from 2002 onwards examining new nurses' stress experiences. Five databases were used to retrieve relevant articles such as CINAHL, SCOPUS, PubMed, PsycINFO and MEDLINE. Twenty-one articles were included in this review. New nurses perceived low to moderate levels of stress mainly from heavy workloads and lack of professional nursing competence. Individual and organizational factors that might contribute to their stress experiences were rarely explored. This integrative review evaluated and synthesized available evidence examining stress in new nurses and contributed to the literature regarding stress in nursing professionals. The findings of this review may offer specific information to nurse administrators that can relate to the stress encountered by new nurses who enter into healthcare facilities. Findings of this review may provide valuable input to assist nurse administrators in developing and implementing organizational measures to reduce stress in new nurses while maximizing and facilitating their integration into the nursing workforce. Such measures may include the following: establishment of a well-structured transition programme, provision of an adequate orientation and senior staff mentorship, stress management programmes, in-service educational programmes and exposure to clinical simulation scenarios.

Wiedza studentów Warszawskiego Uniwersytetu Medycznego na temat rozszerzenia kompetencji zawodowych pielęgniarek i położnych w zakresie ordynowania leków, wystawiania recept i kierowania na badania diagnostyczne

Background. Starting on January 1, 2016, specific groups of nurses and midwives have gained rights with respect to writing out prescriptions on medical orders and prescribing certain drugs, including writing out prescriptions for these medicines, as well as referring patients for diagnostic tests independently.Objectives. The aim of this study was to assess the knowledge of MUW students about the expanding professional competence of nurses and midwives.Material and Methods. Four hundred seventeen students, 83% women; mean age: 23 years (min. 18, max. 58, median: 23) took part in this study. Among them were students of: Medicine 35%, Nursing 25%, Public Health 20%, Midwifery 19%. First-year students comparised 30% of the participants, third-year – 28%, fourth-year – 14%, second-year – 12%, fifth-year – 10%, and sixth-year – 5%. Forty-three per cent of the study participants had already taken part in a medical law course. A voluntary and anonymous questionnaire study, a questionnaire developed by the authors, consisted of 3 parts: 13 close-ended questions on knowledge, 26 statements concerning attitudes assessed using the Likert scale, 8 demographic questions. The approval of the Ethical Review Board of Warsaw Medical University was not necessary.Results. Forty-two per cent of the students knew which legal act had been amended and 31% of the total knew the date of its entry into force. Fifty-three per cent knew that the new regulations were their rights. Twenty-five per cent of the study participants knew that their new powers concerned prescribing medicines, foodstuffs intended for particular nutritional uses and medical devices.Conclusion. The level of knowledge of students about the expanding professional competence of nurses and midwives with reference to prescribing medicines, writing out prescriptions, and referring for diagnostic tests is insufficient and needs to be improved. The study of students’ knowledge of and attitudes towards the new professional competence of nurses and midwives should be continued not only among Nursing and Midwifery students, but also among students of Medicine, Pharmacy, and Public Health.