Department of Nursing, University of Turku, Finland.
Medicina (Kaunas). 2011;47(4):230-7.
Nurse competence became a relevant topic for discussion among nurse practitioners and nurse researchers. However, the factors connected with nurse competence need deeper exploring. The aim of this study was to explore nurse competence and factors associated with it from the perspective of nurses for predicting the possible ways for upgrading the nursing practice.
A multicenter, descriptive study was performed in 11 surgical wards of 7 Lithuanian hospitals. Data were collected from November 2007 to January 2008. Lithuanian nurses (n=218) who were working with patients after abdominal surgery participated in this study. The response rate was 91%. Two instruments, both originally developed in Finland, were used: the Nurse Competence Scale and the Good Nursing Care Scale for Nurses.
The overall level of nurse competence and the frequency of using the competencies in practice as perceived by nurses were high. Nurses assessed the competencies in managing situations and work role the highest and in teaching-coaching and ensuring quality the lowest. Sociodemographic factors such as nurse education, experience, professional development, independence, and work satisfaction as well as the evaluation of quality of nursing care were identified as factors associated with nurse competence.
The findings of study allow us to make the assumption that nurse education, nurse experience, and nurse professional development play a significant role in the evaluation of nurse competence as well as the evaluation of quality of nursing care. It is necessary to upgrade nursing education programs at all levels of nursing education in Lithuania: university, non-university, and professional development courses. The qualities of preconditions for nursing care, cooperation with relatives, caring and supporting initiative are related to nurse competence.
护士能力成为护士从业者和护士研究人员讨论的相关话题。然而，与护士能力相关的因素需要更深入的探讨。本研究旨在从护士的角度探讨护士能力及其相关因素，以预测提升护理实践的可能途径。
这是一项多中心、描述性研究，在立陶宛 7 家医院的 11 个外科病房进行。数据收集于 2007 年 11 月至 2008 年 1 月。参与这项研究的是在腹部手术后照顾患者的立陶宛护士（n=218）。回应率为 91%。使用了两个最初在芬兰开发的工具：护士能力量表和护士良好护理关怀量表。
护士整体能力水平和护士在实践中使用能力的频率都很高。护士在管理情况和工作角色方面的能力评估最高，而在教学-指导和确保质量方面的能力评估最低。社会人口因素，如护士教育、经验、专业发展、独立性和工作满意度，以及护理质量评估，被确定为与护士能力相关的因素。
研究结果使我们可以假设，护士教育、护士经验和护士专业发展在护士能力评估以及护理质量评估中发挥着重要作用。有必要在立陶宛各级护理教育中升级护理教育计划：大学、非大学和专业发展课程。护理的前提条件、与家属的合作、关怀和支持主动性等素质都与护士能力有关。
