Self-assessment the competencies of surgical and critical area nurses. A cross-sectional study

Self-assessment the competencies of surgical and critical area nurses. A cross-sectional study

Authors

  • Gaia Magro Pordenone Hospital, Western Friuli Health Authority. Pordenone. Italy
  • Marisa Dellai Provincial Health Services Company, Governance Department, Care Process Governance Service. Trento
  • Ippolito Notarnicola a:1:{s:5:"en_US";s:45:"Centre of Excellence for Nursing Scholarship ";}

Keywords:

clinical competence, critical care, nurse competence scale, registered nurse, surgical care.

Abstract

Background and aim: This study aims to measure the competencies of surgical and critical area nurses, and to compare the nurses’ involved competencies in relation to the area to which they belong

Methods: A cross-sectional study. The study was based on a convenience sample. The registered nurses were recruited from a hospital of the Friuli Western Health Authority. The Italian version of the Nurse Competence Scale composed from 58 items and validated in Italy in 2018 as a self-assessment tool for nursing competencies in the surgical and critical area, was self-administrated in October- November 2020.

Results: The average competence level was found to be 68.7, with a median of 70 and a standard deviation of 19.7. The nurses felt more competent belongs to “Management of the care process”, specifically in “Recognizing critical situations for the patient's life early” (82.0). Most deficient was found in “Raising problems to be deepened with research” (50.9).

Conclusions: The study found that nurses perceive a good level of competence with differences related to care settings. The results obtained from the study can provide nurses with the opportunity to reflect on their behaviours and periodically evaluate their knowledge and competencies, to promote professional development and continuing education. (www.actabiomedica.it)

References

Kemppainen V, Tossavainen K, Turunen H. Nurses' roles in health promotion practice: an integrative review. Health Promot Int. Dec 2013;28(4):490-501. doi:10.1093/heapro/das034

Yaqoob Mohammed Al Jabri F, Kvist T, Azimirad M, Turunen H. A systematic review of healthcare professionals' core competency instruments. Nurs Health Sci. Mar 2021;23(1):87-102. doi:10.1111/nhs.12804

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;3doi:10.1177/2377960817702382

Karami A, Farokhzadian J, Foroughameri G. Nurses' professional competency and organizational commitment: Is it important for human resource management? PLoS One. 2017;12(11):e0187863. doi:10.1371/journal.pone.0187863

Batt AM, Tavares W, Williams B. The development of competency frameworks in healthcare professions: a scoping review. Adv Health Sci Educ Theory Pract. 2020/10/01 2020;25(4):913-987. doi:10.1007/s10459-019-09946-w

Coster S, Watkins M, Norman IJ. What is the impact of professional nursing on patients' outcomes globally? An overview of research evidence. Int J Nurs Stud. Feb 2018;78:76-83. doi:10.1016/j.ijnurstu.2017.10.009

Moradi Y, Ahmadi F, Sadeghi A, Oshvandi K. Conceptualizing and determining core clinical competencies in nursing students: a qualitative study. Int Nurs Rev. Dec 2019;66(4):530-540. doi:10.1111/inr.12548

Numminen OR, 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. Jan 2016;24(1):E1-e11. doi:10.1111/jonm.12280

Fitzgerald A. Professional identity: A concept analysis. Nurs Forum. Jul 2020;55(3):447-472. doi:10.1111/nuf.12450

Faraji A, Karimi M, Azizi SM, Janatolmakan M, Khatony A. Evaluation of clinical competence and its related factors among ICU nurses in Kermanshah-Iran: A cross-sectional study. Int J Nurs Sci. Oct 10 2019;6(4):421-425. doi:10.1016/j.ijnss.2019.09.007

Feo R, Kitson A, Conroy T. How fundamental aspects of nursing care are defined in the literature: A scoping review. J Clin Nurs. Jun 2018;27(11-12):2189-2229. doi:10.1111/jocn.14313

Alreshidi NM, Alaseeri R, Garcia M. Factors Influencing Absenteeism among Nursing Staff in the Primary Health Care Centers in Hail: A Preliminary Study for Enhancing Staff Commitment. Health Sci J.2019;13

Rizany I, Hariyati RTS, Handayani H. Factors that affect the development of nurses’ competencies: a systematic review. Enferm Clin. 2018;28:154-157. doi:10.1016/s1130-8621(18)30057-3

Kahya E, Oral N. Measurement of clinical nurse performance: Developing a tool including contextual items. J Nurs Educ Pract. 2018;8(6)doi:10.5430/jnep.v8n6p112

Jeon Y, Lakanmaa RL, Meretoja R, Leino-Kilpi H. Competence Assessment Instruments in Perianesthesia Nursing Care: A Scoping Review of the Literature. J Perianesth Nurs. Dec 2017;32(6):542-556. doi:10.1016/j.jopan.2016.09.008

Jarvinen T, Virtanen H, Kajander-Unkuri S, Salminen L. Nurse educators' perceptions of factors related to the competence of graduating nursing students. Nurse Educ Today. Jun 2021;101:104884. doi:10.1016/j.nedt.2021.104884

Dolezel J, Zelenikova R, Finotto S, et al. Core Evidence-Based Practice Competencies and Learning Outcomes for European Nurses: Consensus Statements. Worldviews Evid Based Nurs. Jun 2021;18(3):226-233. doi:10.1111/wvn.12506

Fulton JS, Mayo A, Walker J, Urden LD. Description of work processes used by clinical nurse specialists to improve patient outcomes. Nurs Outlook. Sep - Oct 2019;67(5):511-522. doi:10.1016/j.outlook.2019.03.001

Benner P. From Novice to Expert. The American Journal of Nursing. 1982;82

Smith LMK, M.; Turkelson, C.; Yorke, A. M.; Sachs, B.; Berg, K. Simulated Interprofessional Education Discharge Planning Meeting to Improve Skills Necessary for Effective Interprofessional Practice. Prof Case Manag. Mar/Apr 2018;23(2):75-83. doi:10.1097/ncm.0000000000000250

Smith LM, Keiser M, Turkelson C, Yorke AM, Sachs B, Berg K. Simulated Interprofessional Education Discharge Planning Meeting to Improve Skills Necessary for Effective Interprofessional Practice. Prof Case Manag. Mar/Apr 2018;23(2):75-83. doi:10.1097/ncm.0000000000000250

Kajander-Unkuri S, Meretoja R, Katajisto J, Leino-Kilpi H, Suikkala A. Students’ Self-assessed Competence Levels during Nursing Education Continuum – A Cross-sectional Survey. Int J Nurs Educ Scholarsh. 2020;17(1)doi:doi:10.1515/ijnes-2019-0050

Bradshaw T, Blakemore A, Wilson I, Fitzsimmons M, Crawford K, Mairs H. A systematic review of the outcomes of using voice hearing simulation in the education of health care professionals and those in training. Nurse Educ Today. Jan 2021;96:104626. doi:10.1016/j.nedt.2020.104626

Paric M, Kaihlanen AM, Heponiemi T, Czabanowska K. Nurse teacher's perceptions on teaching cultural competence to students in Finland: a descriptive qualitative study. Nurse Educ Today. Apr 2021;99:104787. doi:10.1016/j.nedt.2021.104787

Jangland E, Teodorsson T, Molander K, Muntlin Athlin A. Inadequate environment, resources and values lead to missed nursing care: A focused ethnographic study on the surgical ward using the Fundamentals of Care framework. J Clin Nurs. Jun 2018;27(11-12):2311-2321. doi:10.1111/jocn.14095

Lejonqvist G-B, Kajander-Unkuri S. Evaluating nursing competence with the Nurse Competence Scale from an ontological and contextual point of view: An integrative literature review. Nord J Nurs Res. 2021;doi:10.1177/20571585211000972

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. Dec 2019;100:103414. doi:10.1016/j.ijnurstu.2019.103414

Meretoja R, Isoaho H, Leino-Kilpi H. Nurse competence scale: development and psychometric testing. J Adv Nurs. Jul 2004;47(2):124-33. doi:10.1111/j.1365-2648.2004.03071.x

Meretoja, Riitta, et al. Nurse competence between three generational nurse cohorts: A cross‐sectional study. J Clin Nurs., 2015, 21.4: 350-358.

Benner P. From novice to expert: Excellence and power in clinical nursing practice. Am J Nurs. 1984;84(12):1480.

Flinkman M, Leino-Kilpi H, Numminen O, Jeon Y, Kuokkanen L, Meretoja R. Nurse Competence Scale: a systematic and psychometric review. J Adv Nurs. May 2017;73(5):1035-1050. doi:10.1111/jan.13183

Dellai M, Mortari L, Meretoja R. Self-assessment of nursing competencies--validation of the Finnish NCS instrument with Italian nurses. Scand J Caring Sci. Dec 2009;23(4):783-91. doi:10.1111/j.1471-6712.2008.00665.x

Notarnicola I, Stievano A, De Jesus Barbarosa MR, et al. Nurse Competence Scale: psychometric assessment in the Italian context. Ann Ig. Nov-Dec 2018;30(6):458-469. doi:10.7416/ai.2018.2257

7416/ai.2018.2246

Colagrossi R, Venturini G, Esposito G, Sili A, Alvaro R. The self-assessment of clinical nursing competencies in the Critical Area. Scenario. 2012;

Salonen AH, Kaunonen M, Meretoja R, Tarkka MT. Competence profiles of recently registered nurses working in intensive and emergency settings. J Nurs Manag. Nov 2007;15(8):792-800. doi:10.1111/j.1365-2934.2007.00768.x

Sponton A, Zoppini L, Iadeluca A, Angeli C, Caldarulo T. Mappare le competenze infermieristiche per lo sviluppo organizzativo: utilizzo della Nursing Competence Scale. 2013;

Bartlett HP, Simonite V, Westcott E, Taylor HR. A comparison of the nursing competence of graduates and diplomates from UK nursing programmes. J Clin Nurs. May 2000;9(3):369-79. doi:10.1046/j.1365-2702.2000.00331.x

Scholes, Julie, John Albarran, and A. M. Price. "Editorial comment: Nursing in Critical Care journal survey 2018." Nurs Crit Care (2018).

Istomina, Natalja, et al. "Competence of nurses and factors associated with it." Medicina 47.4 (2011): 33.

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Published

16-12-2022

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Section

HEALTH PROFESSIONS

How to Cite

1.
Magro G, Dellai M, Notarnicola I. Self-assessment the competencies of surgical and critical area nurses. A cross-sectional study. Acta Biomed [Internet]. 2022 Dec. 16 [cited 2024 Jul. 18];93(6):e2022348. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/13544