The correlation between professional competencies and self-efficacy among nursing students and registered nurses. An observational cross-sectional study

The correlation between professional competencies and self-efficacy among nursing students and registered nurses. An observational cross-sectional study

Authors

  • Emanuela Prendi University of Rome “Tor Vergata”
  • Alessandro Stievano Centre of Excellence for Nursing Scholarship, OPI, Rome, Italy
  • Rosario Caruso Department of Biomedical Sciences for Health, University of Milan, Milan, Italy
  • Blerina Duka University of Rome “Tor Vergata”
  • Florian Spada University of Rome “Tor Vergata”
  • Gennaro Rocco Centre of Excellence for Nursing Scholarship OPI, Rome, Italy
  • Ippolito Notarnicola Centre of Excellence for Nursing Scholarship OPI, Rome, Italy

Keywords:

clinical practice, nursing competencies, nursing professional competence scale, observational study, professional competence, self-efficacy.

Abstract

Background and aim of the work: The assessment and application of professional skills in registered nurses and undergraduate nursing students during clinical practice are essential in nursing education. Self-efficacy positively affects the professional competence of nursing students and registered nurses, but studies have yet to focus on the relationship between professional competence and self-efficacy. This study examined professional competence and its association with self-efficacy among undergraduate nursing students and registered nurses. Research and Methods: A cross-sectional, observational, and correlational study was conducted through a two-questionnaire-based survey. Sampling was conventional. Data was collected through the Italian version of the Nurses’ Professional Competence Scale Short Form (I-NPCS-SF), which investigates professional competencies, and Nursing Professional Self-Efficacy Scale (NPSES), which investigates self-efficacy and a socio-demographic questionnaire. The study was based on a convenience sample of 320 individuals: nursing students (n=116) in Albania and Italian nurses (n=204). Results: Factors associated with professional competence, particularly ethical values, of nursing students (M = 77.57) and registered nurses (M = 83.18) obtained the lowest average score, while other factors were almost the same for the two groups of nurses. Self-efficacy did not play an essential role in the development of professional competence of nursing students and registered nurses, as our investigation found no correlation between these two elements. Conclusions: The results of this study can be applied as a reference for improving nursing education programs by augmenting students' professional competence and, consequently, future nurses. 

Author Biographies

Gennaro Rocco, Centre of Excellence for Nursing Scholarship OPI, Rome, Italy

.

Ippolito Notarnicola, Centre of Excellence for Nursing Scholarship OPI, Rome, Italy

.

References

National Academies of Sciences, Engineering, and Medicine; National Academy of Medicine; Committee on the Future of Nursing 2020–2030. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity. Flaubert JL, Le Menestrel S, Williams DR, Wakefield MK, editors. Washington (DC): National Academies Press (US); 2021 May 11. PMID: 34524769.

Nilsson J, Johansson E, Carlsson M, et al. Disaster nursing: Self-reported competence of nursing students and registered nurses, with focus on their readiness to manage violence, serious events and disasters. Nurse Educ Pract. 2016 Mar;17:102-8. doi: 10.1016/j.nepr.2015.09.012.

Yun H, Jie S, Anli J. Nursing shortage in China: State, causes, and strategy. Nurs Outlook. 2010 May-Jun;58(3):122-8. doi: 10.1016/j.outlook.2009.12.002.

Bvumbwe T, Mtshali NG. Transforming nursing education to strengthen health system in Malawi: An exploratory study. Open Nurs J. 2018 Jun 29;12:93-103. doi: 10.2174/1874434601812010093.

Efendi F, Kurniati A, Bushy A, Gunawan J. Concept analysis of nurse retention. Nurs Health Sci. 2019 Dec;21(4):422-427. doi: 10.1111/nhs.12629.

Nilsson J, Johansson E, Egmar AC, et al. Development and validation of a new tool measuring nurses self-reported professional competence--the nurse professional competence (NPC) Scale. Nurse Educ Today. 2014 Apr;34(4):574-80. doi: 10.1016/j.nedt.2013.07.016.

Nilsson J, Engström M, Florin J, Gardulf A, Carlsson M. A short version of the nurse professional competence scale for measuring nurses' self-reported competence. Nurse Educ Today. 2018 Dec;71:233-239. doi: 10.1016/j.nedt.2018.09.028.

Berghoff L. Nursing Self-Efficacy in the Acute Care Setting with the Neighborhood Staffing Model (Doctoral dissertation, Walden University) 2018.

Asadoorian J, Batty HP. An evidence‐based model of effective self‐assessment for directing professional learning. J Dent Educ. 2005 Dec;69(12):1315-23. doi: 10.1002/j.0022-0337.2005.69.12.tb04030.x.

Caena F, Redecker C. Aligning teacher competence frameworks to 21st century challenges: The case for the European Digital Competence Framework for Educators (Digcompedu). Eur J Educ. 2019 Sep;54(3):356-369. doi: 10.1111/ejed.12345.

Konttila J, Siira H, Kyngäs H, et al. Healthcare professionals' competence in digitalisation: A systematic review. J Clin Nurs. 2019 Mar-Apr;28(5-6):745-761. doi: 10.1111/jocn.14710.

Falk-Brynhildsen K, Jaensson M, Gillespie BM, Nilsson U. Swedish operating room nurses and nurse anesthetists' perceptions of competence and self-efficacy. J Perianesth Nurs. 2019 Aug;34(4):842-850. doi: 10.1016/j.jopan.2018.09.015.

Kong LN, Hu P, Yang L, Cui D. The effectiveness of peer support on self‐efficacy and quality of life in adults with type 2 diabetes: A systematic review and meta‐analysis. J Adv Nurs. 2019 Apr;75(4):711-722. doi: 10.1111/jan.13870.

Högstedt D, Jansson I, Eriksson E, Engström M. Three paths to a Swedish nursing license: Two for internationally educated nurses and one for regular nursing students - A cross-sectional study of self-rated professional competence, self-efficacy, and thriving. Nurse Educ Today. 2022 Aug;119:105595. doi: 10.1016/j.nedt.2022.105595.

Lowdermilk DL, Perry SE, Cashion MC. Maternity nursing-revised reprint. Elsevier Health Sciences. 2013.

Cooper E, Spilsbury K, McCaughan D, Thompson C, Butterworth T, Hanratty B. Priorities for the professional development of registered nurses in nursing homes: a Delphi study. Age Ageing. 2017 Jan;46(1):39-45. doi: 10.1093/ageing/afw160.

Charette M, McKenna L, McGillion A, Burke S. Effectiveness of transition programs on new graduate nurses' clinical competence, job satisfaction and perceptions of support: A mixed‐methods study. J Clin Nurs. 2022 May 9. doi: 10.1111/jocn.16317.

Foster K, Roche M, Delgado C, Cuzzillo C, Giandinoto JA, Furness T. Resilience and mental health nursing: An integrative review of international literature. Int J Ment Health Nurs. 2019 Feb;28(1):71-85. doi: 10.1111/inm.12548.

von Vogelsang AC, Swenne CL, Gustafsson BÅ, Falk Brynhildsen K. Operating theatre nurse specialist competence to ensure patient safety in the operating theatre: A discursive paper. Nurs Open. 2020 Jan 29;7(2):495-502. doi: 10.1002/nop2.424.

Wood C, Chaboyer W, Carr P. How do nurses use early warning scoring systems to detect and act on patient deterioration to ensure patient safety? A scoping review. Int J Nurs Stud. 2019 Jul;94:166-178. doi: 10.1016/j.ijnurstu.2019.03.012.

Dietermann K, Winter V, Schneider U, Schreyögg J. The impact of nurse staffing levels on nursing-sensitive patient outcomes: a multilevel regression approach. Eur J Health Econ. 2021 Aug;22(5):833-846. doi: 10.1007/s10198-021-01292-2.

Mansour MJ, Al Shadafan SF, Abu-Sneineh FT, AlAmer MM. Integrating patient safety education in the undergraduate nursing curriculum: a discussion paper. Open Nurs J. 2018 Aug 31;12:125-132. doi: 10.2174/1874434601812010125.

Nilsson J, Mischo-Kelling M, Thiekoetter, et al. Nurse professional competence (NPC) assessed among newly graduated nurses in higher educational institutions in Europe. Nord J Nurs Res. 2019;39(3):159–167. doi: 10.1177/2057158519845321.

Benner P, Hughes RG, Sutphen M. Clinical Reasoning, Decisionmaking, and Action: Thinking Critically and Clinically. In: Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Apr. Chapter 6. Available from: https://www.ncbi.nlm.nih.gov/books/NBK2643/

Kuiper RA, Pesut DJ. Promoting cognitive and metacognitive reflective reasoning skills in nursing practice: self‐regulated learning theory. J Adv Nurs. 2004 Feb;45(4):381-91. doi: 10.1046/j.1365-2648.2003.02921.x.

Kajander-Unkuri S, Meretoja R, Katajisto J, et al. Self-assessed level of competence of graduating nursing students and factors related to it. Nurse Educ Today. 2014 May;34(5):795-801. doi: 10.1016/j.nedt.2013.08.009.

Notarnicola I, Petrucci C, De Jesus Barbosa MR, Giorgi F, Stievano A, Lancia L. Clinical competence in nursing: A concept analysis. Competenza clinica nell'infermieristica: un'analisi di concetto. Prof Inferm. 2016 Jul-Sep;69(3):174-81. doi: 10.7429/pi.2016.693181.

Prendi E, Stievano A, Caruso R, et al. Measuring professional competencies of registered nurses and nursing students. A cross-sectional comparative study. Acta Biomed. 2022 Dec 30;93(4):e2022282. doi: 10.23750/abm.v93i4.13332.

Fukada M. Nursing Competency: Definition, Structure and Development. Yonago Acta Med 2018;61(1):1–7. doi: 10.33160/yam.2018.03.001.

Immonen K, Oikarainen A, Tomietto M, et al. "Assessment of nursing students' competence in clinical practice: a systematic review of reviews." Int J Nurs Stud. 2019 Dec;100:103332. doi: 10.1016/j.nepr.2022.103332.

Zahavi D, Martiny KM. Phenomenology in nursing studies: new perspectives. Int J Nurs Stud. 2019 May;93:155-162. doi: 10.1016/j.ijnurstu.2019.01.014.

Halamek LP, Kaegi DM, Gaba DM, et al. Time for a new paradigm in pediatric medical education: teaching neonatal resuscitation in a simulated delivery room environment. Pediatrics. 2000 Oct;106(4):E45. doi: 10.1542/peds.106.4.e45.

Mann K, Gordon J, MacLeod A. Reflection and reflective practice in health professions education: a systematic review. Adv Health Sci Educ Theory Pract. 2009 Nov;14(4):595-621. doi: 10.1007/s10459-007-9090-2.

Song Y, McCreary LL. New graduate nurses' self-assessed competencies: An integrative review. Nurse Educ Pract. 2020 Jul;45:102801. doi: 10.1016/j.nepr.2020.102801.

Prendi E, Stievano A, Caruso R, et al. Measuring professional competencies of registered nurses and nursing students. A cross-sectional comparative study. Acta Biomed. 2022 Dec 30;93(4):e2022282. doi: 10.23750/abm.v93i4.13332.

Caruso R, Pittella F, Zaghini F, Fida R, Sili A. Development and validation of the nursing profession self‐efficacy scale. Int Nurs Rev. 2016 Sep;63(3):455-464. doi: 10.1111/inr.12291.

Gardulf A, Nilsson J, Florin J, et al. The Nurse Professional Competence (NPC) Scale: Self-reported competence among nursing students on the point of graduation. Nurse Educ Today. 2016 Mar;36:165–171. doi: 10.1016/j.nedt.2015.09.013.

Von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP; STROBE Initiative. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: guidelines for reporting observational studies. Int J Surg. 2014 Dec;12(12):1495-9. doi: 10.1016/j.ijsu.2014.07.013.

Hair JF, Ringle CM, Sarstedt M. Partial least squares structural equation modelling: Rigorous applications, better results and higher acceptance. Long Range Plann 2013;46(1–2):1–12. Available at SSRN: https://ssrn.com/abstract=2233795

Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the Process of Cross-Cultural Adaptation of Self-Report Measures. Spine (Phila Pa 1976). 2000 Dec 15;25(24):3186-91. doi: 10.1097/00007632-200012150-00014.

van de Mortel TF, Nilsson J, Lepp M. Validating the Nurse Professional Competence Scale with Australian baccalaureate nursing students. Collegian. 2021 Apr;28(2):244-251. doi: 10.1016/j.colegn.2020.06.010.

Prosen M, Kvas A, Bošković S, Ličen S. Cross-cultural adaptation and psychometric evaluation of the Slovenian version of the nurse professional competence scale. BMC Nurs. 2021 Feb 22;20(1):27. doi: 10.1186/s12912-021-00664-6.

Xu L, Nilsson J, Zhang J, Engström M. Psychometric evaluation of Nurse Professional Competence Scale—Short‐form Chinese language version among nursing graduate students. Nurs Open. 2021 Sep;8(5):2641-2650. doi: 10.1002/nop2.1036.

Astrove SL, Kraimer ML. What and how do mentors learn? The role of relationship quality and mentoring self‐efficacy in mentor learning. Pers Psychol. 2022 May;75(2):485-513. doi: 10.1111/peps.12471.

Van Hootegem A, Sverke M, De Witte H. Does occupational self-efficacy mediate the relationships between job insecurity and work-related learning? A latent growth modelling approach. Work Stress. 2022 Jul-Sep;36(3):229-250. doi: 10.1080/02678373.2021.1891585.

Pennbrant S, Hjorton C, Nilsson C, Karlsson M. "The challenge of joining all the pieces together"–Nurses' experience of palliative care for older people with advanced dementia living in residential aged care units. J Clin Nurs. 2020 Oct;29(19-20):3835-3846. doi: 10.1111/jocn.15415.

Jia Y, Chen O, Xiao Z, Xiao J, Bian J, Jia H. Nurses' ethical challenges caring for people with COVID-19: a qualitative study. Nurs Ethics. 2021 Jan;28(1):33-45. doi: 10.1177/0969733020944453.

Downloads

Published

21-06-2024

Issue

Section

HEALTH PROFESSIONS

How to Cite

1.
The correlation between professional competencies and self-efficacy among nursing students and registered nurses. An observational cross-sectional study. Acta Biomed [Internet]. 2024 Jun. 21 [cited 2024 Jun. 30];95(3):e2024117. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/15443