Ph.D Students in Nursing, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
Chronic Diseases (Home Care) Research Center, Department of Nursing, Hamadan University of Medical Sciences, Hamadan, Iran.
Ethiop J Health Sci. 2023 Jan;33(1):31-38. doi: 10.4314/ejhs.v33i1.5.
Nurses' clinical competence (CC) is critical in providing high-quality and safe nursing care. Assessment of nurses' CC and its predictors is a key step to improve their CC and the quality of their services. The aim of this study was to determine the predictors of CC among hospital nurses in Iran.
This analytical cross-sectional study was conducted from September 2020 to May 2021. Participants were purposively selected from four university hospitals in Hamadan, west of Iran. A demographic questionnaire and the 73-item Nurse Competence Scale were used for data collection. A total of 300 questionnaires were distributed and 270 questionnaires (response rate: 90%) were completed and returned to the researcher. Data were analyzed using the SPSS software (v. 16.0) and the one-way analysis of variance, the independent-sample t, the Mann-Whitney U, and the Kruskal-Wallis tests, the Pearson and the Spearman correlation analyses, and the linear regression analysis.
The mean score of CC was 40.28±8.6 (in the possible range of 0-100) and the highest and the lowest dimensional mean scores were for the situation management (56.13±11) and the ensuring quality (25.3±8.1) dimensions, respectively. The mean score of CC had significant relationship with age, work experience, and ward of working and these variables significantly predicted 77% of the variance of CC (adjusted R = 0.778, P<0.05).
According to the results of this study, age, work experience and ward of working weresignificant predictors of CC in hospital nurses. Nursing managers should employ strategies such as reducing nurses' workload, improving their employment status, and providing them with quality in-service education in order to improve their CC and the quality of their services.
护士的临床能力（CC）对于提供高质量和安全的护理至关重要。评估护士的 CC 及其预测因素是提高其 CC 和服务质量的关键步骤。本研究旨在确定伊朗医院护士的 CC 预测因素。
这是一项从 2020 年 9 月至 2021 年 5 月进行的分析性横断面研究。参与者是从伊朗西部哈马丹的四所大学医院中有意选择的。使用人口统计学问卷和 73 项护士能力量表收集数据。共发放 300 份问卷，收回 270 份（应答率：90%）并交还给研究人员。使用 SPSS 软件（v.16.0）对数据进行分析，采用单因素方差分析、独立样本 t 检验、Mann-Whitney U 检验、Kruskal-Wallis 检验、Pearson 相关分析和 Spearman 相关分析以及线性回归分析。
CC 的平均得分为 40.28±8.6（可能范围为 0-100），得分最高和最低的维度分别为情况管理（56.13±11）和确保质量（25.3±8.1）维度。CC 的平均得分与年龄、工作经验和工作病房显著相关，这些变量显著预测了 CC 方差的 77%（调整后的 R = 0.778，P<0.05）。
根据本研究结果，年龄、工作经验和工作病房是医院护士 CC 的重要预测因素。护理管理人员应采取措施，如减轻护士的工作量、改善他们的就业状况，并为他们提供高质量的在职教育，以提高他们的 CC 和服务质量。
