Department of Regional Health Research, University of Southern Denmark, Odense, Denmark.
Research Unit, Zealand University Hospital, Køge and Roskilde, Roskilde, Denmark.
Scand J Caring Sci. 2023 Jun;37(2):337-349. doi: 10.1111/scs.13113. Epub 2022 Aug 17.
To investigate how graduates of a Nurse Specialist Education in Community and Primary Healthcare Nursing programme self-assess their competencies and possibilities to translate knowledge into practice.
A mixed methods design based on the triangulation convergence model was used. Thirty-four community nurse specialists, who had graduated from a Nurse Specialist Education in Community and Primary Healthcare Nursing programme, participated in a cross-sectional survey and of these; seven nurses participated in a semi-structured interview. Data from the survey were analysed using descriptive statistics and data from the interviews underwent a thematic analysis. All results were combined and compared according to the study design.
The combined comparison of the results from the survey and the findings from the interviews showed, how the community nurse specialists self-assessed their competencies in direct clinical practice, professional development, ethical decision-making, clinical leadership, cooperation and collaboration, and critical thinking as high. However, they experienced very few opportunities to translate their new knowledge in practice due to low alignment between the statutory purpose of the education and their own expectations.
Competent clinical nurses working in community care settings who completed an education in advanced community care experienced few opportunities to use their new knowledge in practice. The community nurse specialists' expectations of how to use their new knowledge in practice after graduation does not align with the statutory order of the specialist education, which is directed towards combining direct and specialised patient care with coordination of care trajectories for the most fragile patients. It is important to include the managers in coordination of the community nurse specialists' usage of their new knowledge in practice.
调查社区和初级保健护理专业护士专家教育项目的毕业生如何自我评估他们的能力，以及将知识转化为实践的可能性。
采用基于三角收敛模型的混合方法设计。34 名社区护士专家从社区和初级保健护理专业护士专家教育项目毕业，参与了一项横断面调查，其中 7 名护士参与了半结构化访谈。使用描述性统计分析调查数据，对访谈数据进行主题分析。根据研究设计，将所有结果进行组合和比较。
调查结果和访谈结果的综合比较表明，社区护士专家如何自我评估他们在直接临床实践、专业发展、道德决策、临床领导、合作与协作以及批判性思维方面的能力较高。然而，由于教育的法定宗旨与他们自己的期望之间存在低一致性，他们很少有机会将新知识应用于实践。
在社区护理环境中工作的有能力的临床护士，他们完成了高级社区护理教育，很少有机会将他们的新知识应用于实践。社区护士专家毕业后如何将新知识应用于实践的期望与专家教育的法定命令不一致，后者旨在将直接和专门的患者护理与最脆弱患者的护理轨迹协调相结合。重要的是要让管理人员参与协调社区护士专家新知识的应用。
