Martinsen Randi, Ahlin-Søvde Sigrid, Grov Ellen Karine, Andersson Ewa K, Gardulf Ann
Department of Health and Nursing Sciences, Faculty of Social and Health Sciences, Section of Advanced Nursing, Inland Norway University of Applied Sciences, Elverum, P.B. 400, Norway.
Faculty of Health Sciences, Oslo Metropolitan University, P.B. 4, St. Olavs plass, Oslo, Norway.
BMC Nurs. 2024 May 1;23(1):301. doi: 10.1186/s12912-024-01930-z.
The health care systems in the Nordic countries and worldwide are under pressure due to increased longevity and a shortage of nurses. Providing nurses with a high level of education, such as advanced practice nursing, is of great importance to ensure effective, safe and high-quality care.
The aim of this study was to investigate self-reported competence using the Nurse Professional Competence Scale Short-Form for the first time among master's students of advanced practice nursing in the Nordic countries and to relate the findings to age, work obligations, child-rearing responsibilities, level of education and clinical nursing experience.
A multicentre, cross-sectional design was used in this study conducted at five universities in Denmark, Finland and Norway. The Nurse Professional Competence Scale Short-Form consisting of six competence areas was used with a maximum score of 7 per item for the analysis of single items and a transformed scale from 14.3 to 100 for analysing the competence areas (higher score equals higher self-reported competence). Descriptive and comparative statistics were used to analyse the data.
The highest mean score was found for the competence area 'Value-based nursing care'. Students living with home-dwelling children (≤ 18 years) reported significantly higher competence in 'Nursing care', while students ≥33 years reported significantly higher competence in 'Nursing care' and 'Value-based nursing care'. No significant differences were found between students working and those not working alongside their studies, between students with and without further nursing-related education, or between students with long and short experience as nurses.
The findings from this study might help to further develop curricula in advanced practice nursing master's programmes to ensure high-quality nursing and sustainable health care in the future. Future high-quality master's programmes might benefit from systematic collaboration between Nordic higher education institutions as also Sweden is planning master's programme. Higher age, having children at home and working while studying should not be considered causes for concern.
由于寿命延长和护士短缺，北欧国家乃至全球的医疗保健系统都面临压力。为护士提供高水平教育，如高级实践护理，对于确保有效、安全和高质量的护理至关重要。
本研究旨在首次使用护士专业能力量表简版，对北欧国家高级实践护理硕士研究生的自我报告能力进行调查，并将结果与年龄、工作义务、育儿责任、教育水平和临床护理经验相关联。
本研究采用多中心横断面设计，在丹麦、芬兰和挪威的五所大学开展。使用由六个能力领域组成的护士专业能力量表简版，单项分析时每项最高分为7分，分析能力领域时使用从14.3到100的转换量表（分数越高表明自我报告的能力越高）。采用描述性和比较性统计方法分析数据。
“基于价值观的护理”能力领域的平均得分最高。与18岁及以下子女同住的学生在“护理”方面报告的能力显著更高，而33岁及以上的学生在“护理”和“基于价值观的护理”方面报告的能力显著更高。在学习期间工作和不工作的学生之间、接受过和未接受过进一步护理相关教育的学生之间，或护士工作经验长短不同的学生之间，均未发现显著差异。
本研究结果可能有助于进一步完善高级实践护理硕士课程，以确保未来的高质量护理和可持续的医疗保健。由于瑞典也在规划硕士课程，未来高质量的硕士课程可能会受益于北欧高等教育机构之间的系统合作。不应将较高的年龄以及在家中有孩子和边学习边工作视为令人担忧的原因。
