scholarly journals The self‐assessment of clinical competence and the need for further training: A cross‐sectional survey of advanced practice nursing students

2019 ◽  
Vol 29 (3-4) ◽  
pp. 545-555 ◽  
Author(s):  
Ingrid Taylor ◽  
Pia Bing‐Jonsson ◽  
Sigrid Wangensteen ◽  
Elisabeth Finnbakk ◽  
Leiv Sandvik ◽  
...  
2018 ◽  
Vol 62 ◽  
pp. 101-106 ◽  
Author(s):  
Sigrid Wangensteen ◽  
Elisabeth Finnbakk ◽  
Annsofie Adolfsson ◽  
Gudrun Kristjansdottir ◽  
Petrie Roodbol ◽  
...  

2020 ◽  
Author(s):  
Renée Allvin ◽  
Birgitta Bisholt ◽  
Karin Blomberg ◽  
Carina Bååth ◽  
Sigrid Wangensteen

Abstract Background: Professional competence and continuous professional development is essential for ensuring high quality and safe nursing care, and it might be important for motivating nurses to stay in the profession. Thus, there is a need to identify the developmental process of nursing competency. Assessment of competence and need for further training helps to identify areas for quality improvement, and to design interventions in order to facilitate continuous competence development in different work contexts. The current study aimed to 1) describe registered nurses’ self-assessment of clinical competence as well as the need for further training, and 2) explore possible differences between registered nurses with varying lengths of professional experience as a nurse (≤ 0.5 year, >0.5-5 years, and ≥ 6 years).Methods: A cross-sectional survey design was applied, using the Professional Nurse Self-Assessment Scale of clinical core competencies II. Registered nurses (n=267) working in medical and surgical contexts in hospitals in Sweden responded (response rate 51 %). Independent student t-test and analysis of variance were carried out.Results: Registered nurses assessed their competence highest in statements related to cooperation with other health professionals; taking full responsibility; and acting ethically. They assessed their need for further training most for statements related to assessing patients’ health needs by telephone; giving health promotion advice and recommendations to patients by telephone; as well as improving a creative learning environment for staff at the workplace. For self-assessed competence and need for further training, differences between the groups for 35 and 46 items respectively, out of 50 were statistically significant.Conclusions: Although the registered nurses assessed their competence high for important competence components expected of professionals such as cooperation with other healthcare professionals, it is problematic that knowledge of interactions and side-effects of different types of medication were reported as having the highest need of training. Longitudinal follow up of newly graduated nurses regarding their continuous development of competence as well as further training is needed.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A Chiarenza ◽  
D Domenig ◽  
S Cattacin

Abstract Background Several sets of standards aiming at improving access and quality of care for service users have been published in recent years. Certain standards focused on improving healthcare providers’ responsiveness to specific target groups. The general goal of this research was to improve organisations’ awareness of equity standards that are not focused on specific groups, but on all contributing factors that put vulnerable groups at risk of exclusion. The specific objective was to evaluate the degree of compliance with a set of equity standards in 52 health care organisations from 16 countries. Methods A self-assessment tool (SAT) was developed to allow healthcare organisations to measure their capacity to provide equitable care for service users. The SAT indicates the main areas that should be addressed: equity in policy; equitable access and utilisation; equitable quality of care; equity in participation; promoting equity. A cross-sectional survey addressing participants from pilot-organisations was used for data collection, concerning both the self-reported compliance score with the standards, as well as the additional information provided to support the score assigned. Data were analysed quantitatively as well as qualitatively. Results The findings confirm that healthcare providers do invest in improving equity in the access and delivery of services to vulnerable groups. However, many health organisations have inadequate strategies to address inequities and are insufficiently engaged in improving equity in participation and promoting equity outside the organisation. Conclusions The participating organisations reported a significant impact from use of the self-assessment tool: some received the support from regional/national authorities to continue working on improving equity in healthcare; others linked the equity standards to existing performance-measurement strategies; others invested in new frameworks to improve service users engagement. Key messages The implementation of the SAT contributes to a self-reflective process, involving health professionals and managers, in which gaps and potential improvements are identified. Pilot organisations utilised the SAT as part of a process of increasing their awareness of equity issues and changing their organisational culture.


2020 ◽  
Author(s):  
Renée Allvin ◽  
Birgitta Bisholt ◽  
Karin Blomberg ◽  
Carina Bååth ◽  
Sigrid Wangensteen

Abstract Background: Professional competence and continuous professional development is essential for ensuring high quality and safe nursing care, and it might be important for motivating nurses to stay in the profession. Thus, there is a need to identify the developmental process of nursing competency. Assessment of competence and need for further training helps to identify areas for quality improvement, and to design interventions in order to facilitate continuous competence development in different work contexts. The current study aimed to 1) describe registered nurses’ self-assessment of clinical competence as well as the need for further training, and 2) explore possible differences between registered nurses with varying lengths of professional experience as a nurse (≤ 0,5 year, >0,5-5 year, and ≥ 6 year). Methods: A cross-sectional survey design was applied, using the Professional Nurse Self-Assessment Scale of clinical core competencies II. Registered nurses (n=267) working in medical and surgical contexts in hospitals in Sweden responded (response rate 51 %). Independent student t-test and analysis of variance were carried out. Results: Registered nurses assessed their competence highest in statements related to cooperation with other health professionals; taking full responsibility; and acting ethically. They assessed their need for further training most for statements related to assessing patients’ health needs by telephone; giving health promotion advice and recommendations to patients by telephone; as well as improving a creative learning environment for staff at the workplace. For self-assessed competence and need for further training, differences between the groups for 35 and 46 items respectively, out of 50 were statistically significant. Conclusions: Although the registered nurses assessed their competence high for important competence components expected of professionals such as cooperation with other healthcare professionals, it is problematic that knowledge of interactions and side-effects of different types of medication were reported as having the highest need of training. Longitudinal follow up of newly graduated nurses regarding their continuous development of competence as well as further training is needed.


2020 ◽  
Author(s):  
Renée Allvin ◽  
Birgitta Bisholt ◽  
Karin Blomberg ◽  
Carina Bååth ◽  
Sigrid Wangensteen

Abstract Background: Professional competence and continuous professional development is essential for ensuring high quality and safe nursing care, and it might be important for motivating nurses to stay in the profession. Thus, there is a need to identify the developmental process of nursing competency. Assessment of competence and need for further training helps to identify areas for quality improvement, and to design interventions in order to facilitate continuous competence development in different work contexts. The current study aimed to 1) describe registered nurses’ self-assessment of clinical competence as well as the need for further training, and 2) explore possible differences between registered nurses with varying lengths of professional experience as a nurse (≤ 0,5 year, >0,5-5 year, and ≥ 6 year). Methods: A cross-sectional survey design was applied, using the Professional Nurse Self-Assessment Scale of clinical core competencies II. Registered nurses (n=267) working in medical and surgical contexts in hospitals in Sweden responded (response rate 51 %). Independent student t-test and analysis of variance were carried out. Results: Registered nurses assessed their competence highest in statements related to cooperation with other health professionals; taking full responsibility; and acting ethically. They assessed their need for further training most for statements related to assessing patients’ health needs by telephone; giving health promotion advice and recommendations to patients by telephone; as well as improving a creative learning environment for staff at the workplace. For self-assessed competence and need for further training, differences between the groups for 35 and 46 items respectively, out of 50 were statistically significant. Conclusions: Although the registered nurses assessed their competence high for important competence components expected of professionals such as cooperation with other healthcare professionals, it is problematic that knowledge of interactions and side-effects of different types of medication were reported as having the highest need of training. Longitudinal follow up of newly graduated nurses regarding their continuous development of competence as well as further training is needed.


2017 ◽  
Author(s):  
Samantha Ismaile ◽  
Fuad Alhosban ◽  
Sana Hawamdeh

BACKGROUND In response to the increased use of computers and technology in health-care settings and the development of communication technologies, nursing educators are constantly seeking ways to improve the informatics competencies, skills, and knowledge of undergraduate nurses. Indeed, informatics competencies impact quality of care and patient safety. OBJECTIVE We assessed informatics competencies among nursing undergraduates in Saudi Arabia and provided recommendations to improve informatics training for nurses. METHODS We conducted a cross-sectional survey of 108 female fourth-year undergraduate nurses using the 30-item Self-Assessment of Nursing Informatics Competencies Likert Scale, which evaluated basic computer knowledge and skills, attitudes to clinical informatics, and wireless device skills. Data were collected between October and December 2016, and analyzed using descriptive statistics. The response rate was 100%. Most respondents (98%) were aged 20–22 years. RESULTS All students reported that they used the computer several times a day, and that they had more than 2 years of computer experience. They reported competencies in attitudes to clinical informatics (mean: 4.6 ± 0.71), basic computer knowledge and skills (mean: 4.4 ± 0.69), and wireless device skills (mean: 4.3 ± 0.41). They exhibited least competency in applied computer skills (mean: 4.03 ± 0.9), which include the collection, interpretation, and extraction of patient care data. CONCLUSIONS Our results highlight the informatics competencies of undergraduate nurses, and reveal how medical technologies and informatics applications can improve their future working experience. Improving informatics competencies will lead to a better, error-free service and a safer environment for patients.


2003 ◽  
Vol 15 (9) ◽  
pp. 424-431 ◽  
Author(s):  
Frances E. Crosby ◽  
Joan Dolce Dunn ◽  
Michael D. Fallacaro ◽  
Connie Jozwiak-Shields ◽  
Ann Marie Maclsaac

2021 ◽  
pp. 105258
Author(s):  
Paolo Ferrara ◽  
Stefano Terzoni ◽  
Federico Ruta ◽  
Alessandro Delli Poggi ◽  
Anne Destrebecq ◽  
...  

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