Anglia Ruskin University, Faculty of Health, Education, Medicine and Social Care, Bishop Hall Lane, Chelmsford, Essex CM1 1SQ, United Kingdom.
Nurse Educ Pract. 2021 Oct;56:103223. doi: 10.1016/j.nepr.2021.103223. Epub 2021 Sep 30.
To understand Filipino nurses' experiences of the 'Test of Competence' process, alongside the additional competency requirements of their sponsor Trust.
The Philippines has been a significant and sustained source of foreign trained nurses to the UK over the past twenty years. Since October 2014, the Nursing and Midwifery Council has required that all non-UK nurses pass a 'Test of Competence' prior to acquiring registration. However, there is limited evidence exploring how overseas nurses experience this process and the tests which comprise it.
A qualitative study informed by pragmatism, using focus group discussions.
Focus groups were held with pre-departure nurses in Manila, the Philippines and with post-arrival Filipino nurses in the Southeast of England. A total of 21 male and female Filipino nurses participated. Qualitative data were analysed using Reflexive Thematic Analysis.
Three themes were generated in relation to the competency process. Firstly, inappropriate preparation, Second, a competency/practice disparity and finally intergenerational and intra-professional support.
Some aspects of the 'Test of Competence' process were seen as unnecessarily difficult, contradictory, repetitious and/or of little relevance to practice. Lack of support and insufficient information relating to how best prepare for the tests were mitigated to some extent by individual learning and informal support mechanisms. An evaluation of the impact that repeated changes to the Test of Competence process may have on the quality of support offered by NHS Trusts to overseas nurses is recommended.
了解菲律宾护士在“能力测试”过程中的经历，以及他们的担保人信托机构的额外能力要求。
在过去的二十年里，菲律宾一直是英国外国培训护士的重要且持续的来源。自 2014 年 10 月以来，英国护理和助产士理事会要求所有非英国护士在获得注册前通过“能力测试”。然而，关于海外护士如何体验这一过程以及构成这一过程的测试，几乎没有证据。
一项受实用主义启发的定性研究，使用焦点小组讨论。
在菲律宾马尼拉与即将出发的护士以及在英格兰东南部与抵达后的菲律宾护士举行了焦点小组。共有 21 名男女菲律宾护士参加了会议。使用反思性主题分析对定性数据进行了分析。
与能力过程相关产生了三个主题。首先，准备不充分；其次，能力/实践差距；最后，代际和专业内支持。
“能力测试”过程的某些方面被认为过于困难、矛盾、重复和/或与实践无关。缺乏支持以及有关如何为测试做最佳准备的信息不足，在一定程度上通过个人学习和非正式支持机制得到缓解。建议评估“能力测试”过程的反复变化可能对 NHS 信托机构为海外护士提供的支持质量产生的影响。
