Memarian Robabeh, Salsali Mahvash, Vanaki Zohreh, Ahmadi Fazlolah, Hajizadeh Ebrahim
Tarbiat Modares University, Faculty of Medical Sciences, Tehran, P.O. Box 14115-331, IR Iran.
Nurs Ethics. 2007 Mar;14(2):203-14. doi: 10.1177/0969733007073715.
It is imperative to understand the factors that influence clinical competency. Consequently, it is essential to study those that have an impact on the process of attaining clinical competency. A grounded theory approach was adopted for this study. Professional competency empowers nurses and enables them to fulfill their duties effectively. Internal and external factors were identified as affecting clinical competency. A total of 36 clinical nurses, nurse educators, hospital managers and members of the Nursing Council in Tehran participated in this research. Data were obtained by semistructured interviews. Personal factors and useful work experience were considered to be significant, based on knowledge and skills, ethical conduct, professional commitment, self-respect and respect for others, as well as from effective relationships, interest, responsibility and accountability. Effective management, education systems and technology were named as influential environmental factors. Personal and environmental factors affect clinical competency. Ethical persons are responsible and committed to their work, acquiring relevant work experience. A suitable work environment that is structured and ordered also encourages an ethical approach by nurses.
了解影响临床能力的因素至关重要。因此，研究那些对获得临床能力的过程有影响的因素很有必要。本研究采用了扎根理论方法。专业能力使护士具备能力，并使他们能够有效地履行职责。内部和外部因素被确定为影响临床能力的因素。德黑兰共有36名临床护士、护理教育工作者、医院管理人员和护理委员会成员参与了这项研究。数据通过半结构化访谈获得。基于知识和技能、道德行为、职业承诺、自尊和尊重他人，以及有效的人际关系、兴趣、责任和问责制，个人因素和有用的工作经验被认为是重要的。有效的管理、教育系统和技术被列为有影响力的环境因素。个人和环境因素影响临床能力。有道德的人对工作负责并全身心投入，获得相关工作经验。一个结构合理、有序的合适工作环境也会鼓励护士采取符合道德的方法。
