Shibiru Shitaye, Aschalew Zeleke, Kassa Mekidim, Bante Agegnehu, Mersha Abera
School of Nursing, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
School of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
Nurs Res Pract. 2023 Sep 26;2023:9656636. doi: 10.1155/2023/9656636. eCollection 2023.
Nursing competency is an essential component for improving the quality of care in the healthcare system. However, assessing competency solely on the dimensions of skills and knowledge does not provide complete picture of a nurse ability to provide quality patient care. This is because it lacks focus on the nurse's attitudes and values, which are also important determinants of clinical competence. Therefore, this study aimed to assess the comprehensive clinical competence of nurses and its associated factors in public hospitals of Gamo Zone, Southern Ethiopia.
A cross-sectional study was conducted using a census method to collect information from nurses through self-administered questionnaires. The data were entered into EpiData version 3.1 and exported to Stata version 15 for analysis. A linear regression model was used to identify factors associated with clinical competence.
In this study, the average clinical competence of nurses was 177.32, with a standard deviation of 19.19, and 31.2% of the respondents had a high level of clinical competence. Associated factors identified with clinical competence include gender, age, marital status, qualification, position, work experience, unit, interest in their profession, critical thinking disposition, clinical self-efficacy, and emotional intelligence.
The overall level of clinical competence among nurses in this study was moderate. As such, nurses improve their clinical competence by receiving training and development opportunities that focus on critical thinking, clinical self-efficacy, and emotional intelligence; working in a supportive work environment that encourages them to take risks and learn from their mistakes; and being monitored and coached on a regular basis.
护理能力是提高医疗系统护理质量的重要组成部分。然而，仅从技能和知识维度评估能力并不能全面反映护士提供优质患者护理的能力。这是因为它缺乏对护士态度和价值观的关注，而态度和价值观也是临床能力的重要决定因素。因此，本研究旨在评估埃塞俄比亚南部加莫地区公立医院护士的综合临床能力及其相关因素。
采用普查方法进行横断面研究，通过自填问卷收集护士信息。数据录入EpiData 3.1版本并导出至Stata 15版本进行分析。使用线性回归模型确定与临床能力相关的因素。
本研究中，护士的平均临床能力为177.32，标准差为19.19，31.2%的受访者具有较高的临床能力水平。与临床能力相关的因素包括性别、年龄、婚姻状况、学历、职位、工作经验、科室、对职业的兴趣、批判性思维倾向、临床自我效能感和情商。
本研究中护士的临床能力总体水平中等。因此，护士可通过获得侧重于批判性思维、临床自我效能感和情商的培训与发展机会；在鼓励他们冒险并从错误中学习的支持性工作环境中工作；以及定期接受监督和指导来提高其临床能力。
