Allvin Renée, Bisholt Birgitta, Blomberg Karin, Bååth Carina, Wangensteen Sigrid
Clinical Skills Center, Örebro University Hospital, S-701 85 Örebro, Sweden.
Faculty of Medicine and Health, School of Health Sciences, Örebro University, S-702 81 Örebro, Sweden.
BMC Nurs. 2020 Aug 3;19:74. doi: 10.1186/s12912-020-00466-2. eCollection 2020.
Professional competence and continuous professional development is essential for ensuring high quality and safe nursing care, and it might be important for motivating nurses to stay in the profession. Thus, there is a need to identify the developmental process of nursing competency. Assessment of competence and need for further training helps to identify areas for quality improvement, and to design interventions in order to facilitate continuous competence development in different work contexts. The current study aimed to 1) describe registered nurses' self-assessment of clinical competence as well as the need for further training, and 2) explore possible differences between registered nurses with varying lengths of professional experience as a nurse (≤ 0,5 year, > 0,5-5 years, and ≥ 6 years).
A cross-sectional survey design was applied, using the Professional Nurse Self-Assessment Scale of clinical core competencies II. Registered nurses ( = 266) working in medical and surgical contexts in hospitals in Sweden responded (response rate 51%). Independent student t-test and analysis of variance were carried out.
Registered nurses assessed their competence highest in statements related to cooperation with other health professionals; taking full responsibility for own activities; and acting ethically when caring for patients. They assessed their need for further training most for statements related to assessing patients' health needs by telephone; giving health promotion advice and recommendations to patients by telephone; as well as improving a creative learning environment for staff at the workplace. For self-assessed competence and need for further training, differences between the groups for 35 and 46 items respectively, out of 50 were statistically significant.
Although the registered nurses assessed their competence high for important competence components expected of professionals such as cooperation with other healthcare professionals, it is problematic that knowledge of interactions and side-effects of different types of medication were reported as having the highest need of training. Longitudinal follow up of newly graduated nurses regarding their continuous development of competence as well as further training is needed.
专业能力和持续专业发展对于确保高质量和安全的护理至关重要，对于激励护士留在该行业可能也很重要。因此，有必要确定护理能力的发展过程。能力评估和进一步培训需求有助于确定质量改进领域，并设计干预措施以促进不同工作环境下的持续能力发展。本研究旨在：1）描述注册护士对临床能力的自我评估以及进一步培训的需求；2）探讨不同专业护士工作年限（≤0.5年、>0.5 - 5年和≥6年）的注册护士之间可能存在的差异。
采用横断面调查设计，使用临床核心能力II专业护士自我评估量表。在瑞典医院内科和外科工作的注册护士（n = 266）做出了回应（回复率51%）。进行了独立样本t检验和方差分析。
注册护士在与其他医疗专业人员合作、对自己的活动承担全部责任以及在护理患者时遵守道德规范等方面对自己的能力评价最高。他们对通过电话评估患者健康需求、通过电话向患者提供健康促进建议和推荐以及改善工作场所员工的创造性学习环境等方面的进一步培训需求最大。在50项中，分别有35项和46项的自我评估能力和进一步培训需求在组间存在统计学显著差异。
尽管注册护士对与其他医疗保健专业人员合作等专业人员应具备的重要能力组成部分评价较高，但报告显示对不同类型药物的相互作用和副作用知识的培训需求最高，这是个问题。需要对新毕业护士的能力持续发展以及进一步培训进行纵向跟踪。
