UCD School of Nursing Midwifery & Health Systems, University College Dublin, Ireland.
School of Nursing and Midwifery, NUI Galway, Ireland.
J Adv Nurs. 2017 Mar;73(3):653-664. doi: 10.1111/jan.13171. Epub 2016 Oct 28.
To present the qualitative findings from a study on the development of scheme(s) to give evidence of maintenance of professional competence for nurses and midwives.
Key issues in maintenance of professional competence include notions of self- assessment, verification of engagement and practice hours, provision of an evidential record, the role of the employer and articulation of possible consequences for non-adherence with the requirements. Schemes to demonstrate the maintenance of professional competence have application to nurses, midwives and regulatory bodies and healthcare employers worldwide.
A mixed methods approach was used. This included an online survey of nurses and midwives and focus groups with nurses and midwives and other key stakeholders. The qualitative data are reported in this study.
Focus groups were conducted among a purposive sample of nurses, midwives and key stakeholders from January-May 2015. A total of 13 focus groups with 91 participants contributed to the study.
Four major themes were identified: Definitions and Characteristics of Competence; Continuing Professional Development and Demonstrating Competence; Assessment of Competence; The Nursing and Midwifery Board of Ireland and employers as regulators and enablers of maintaining professional competence.
Competence incorporates knowledge, skills, attitudes, professionalism, application of evidence and translating learning into practice. It is specific to the nurse's/midwife's role, organizational needs, patient's needs and the individual nurse's/midwife's learning needs. Competencies develop over time and change as nurses and midwives work in different practice areas. Thus, role-specific competence is linked to recent engagement in practice.
呈现一项关于制定方案以证明护士和助产士专业能力维持的研究的定性发现。
专业能力维持的关键问题包括自我评估、参与和实践时间的验证、提供证据记录、雇主的角色以及阐明不遵守要求的可能后果等概念。证明专业能力维持的方案适用于全球范围内的护士、助产士和监管机构以及医疗保健雇主。
采用混合方法。这包括对护士和助产士的在线调查以及对护士和助产士及其他利益相关者的焦点小组。本研究报告了定性数据。
2015 年 1 月至 5 月，对护士、助产士和利益相关者进行了有针对性的焦点小组。共有 13 个焦点小组的 91 名参与者为该研究做出了贡献。
确定了四个主要主题：能力的定义和特征；持续专业发展和证明能力；能力评估；爱尔兰护理和助产委员会以及雇主作为维持专业能力的监管者和推动者。
能力包含知识、技能、态度、专业精神、证据的应用以及将学习转化为实践。它特定于护士/助产士的角色、组织需求、患者需求以及护士/助产士个人的学习需求。能力随着时间的推移而发展，并随着护士和助产士在不同的实践领域工作而变化。因此，特定于角色的能力与最近的实践参与相关。
