Willman Anna, Bjuresäter Kaisa, Nilsson Jan
Department of Health Sciences Faculty of Health, Science, and Technology Karlstad University Karlstad Sweden.
Department of Health Promotion Sciences Sophiahemmet University Stockholm Sweden.
Nurs Open. 2020 Jan 22;7(3):720-730. doi: 10.1002/nop2.443. eCollection 2020 May.
To explore and describe changes in self-assessed clinical competence and the need for further training among newly graduated Registered Nurses during their first 15 months of professional work in acute care hospital settings.
Quantitative longitudinal design.
The 50-item Professional Nurse Self-Assessment Scale of clinical core competencies II was used. A total of 45 newly graduated Registered Nurses answered the questionnaire at four different occasions. Data were collected after 2, 5, 9 and 15 months of working experience.
The components "ethical decision-making," "cooperation and consultation" and "clinical leadership" were rated highest in clinical competence and lowest in need for further training. The components "professional development" and "critical thinking" were rated lowest in clinical competence and "direct clinical practice" rated highest in need for further training. The clinical competence increased significant between 9-15 months, with the exception of "critical thinking" and need for further training decreased significantly between 9-15 months, with the exception of "critical thinking."
探讨并描述新毕业注册护士在急症护理医院环境中工作的头15个月里自我评估的临床能力变化以及进一步培训需求。
定量纵向研究设计。
使用包含50个项目的专业护士临床核心能力自我评估量表II。共有45名新毕业注册护士在四个不同时间点回答问卷。在工作2、5、9和15个月后收集数据。
“伦理决策”“合作与咨询”和“临床领导力”等维度在临床能力方面评分最高，在进一步培训需求方面评分最低。“专业发展”和“批判性思维”在临床能力方面评分最低，“直接临床实践”在进一步培训需求方面评分最高。临床能力在9至15个月间显著提高，但“批判性思维”除外；进一步培训需求在9至15个月间显著降低，但“批判性思维”除外。
