评估护士的专业能力：巴勒斯坦的一项横断面研究。
Assessing nurses' professional competency: a cross-sectional study in Palestine.
作者信息
Zaitoun Rasha Abu
机构信息
Health Sciences Department, Faculty of Graduate Studies, Arab American University of Palestine, Ramallah Campus, Ramallah, Palestine.
Department of Nursing, An-Najah National University Hospital, Nablus, 44839, Palestine.
出版信息
BMC Nurs. 2024 Jun 5;23(1):379. doi: 10.1186/s12912-024-02064-y.
BACKGROUND
Evaluating nurses' professional competence is critical for ensuring high-quality patient care. Therefore, this study aimed to evaluate the nurses' professional competence level and to identify differences based on demographics in three West Bank hospitals.
METHODS
A cross-sectional design was used, and a convenient sample of 206 nurses participated in the study. The Nurse Professional Competence (NPC) Scale was used to assess the competency level. The investigator distributed the questionnaire and explained the aim of the research. Consent forms were signed before the data collection.
RESULTS
The average competency level was 79% (SD = 11.5), with 90% being professionally competent nurses. The average "nursing care" competency was 79% (SD = 12.98), and the competency level in providing value-based care was 80% (SD = 13.35). The average competency level in technical and medical care was 78% (SD = 13.45), whereas 79% (SD = 12.85) was the average competence level in "Care Pedagogics" and "Documentation and Administration ". The average competence level in the development and leadership subscale was 78% (SD = 12.22). Nurses who attended three to five workshops had a higher level of Nursing Care Competency, (H = 11.98, p = 0.003), and were more competent in value-based care (H = 9.29, p = 0.01); in pedagogical care and patient education (H = 15.16, P = 0.001); and in providing medical and technical care (H = 12.37, p = 0.002). Nurses attending more than five workshops were more competent in documentation and administration (H = 12.55, p = 0.002), and in development and leadership subscale ( H = 7.96, p = 0.20).
CONCLUSION
The study revealed that participants lacked development and leadership skills. Engagement in workshops positively impacted the level of competencies among nurses. Notably, those attending more than five workshops exhibited greater competence in documentation, administration, development, and leadership in nursing care.
IMPLICATIONS
This study emphasized the role of continuing education in improving nurses' competencies and highlighted the need to conduct the study at a wider aspect to involve more hospitals with various affiliations to help structure more sensitive professional development and adopt the competencies as an integral part of staff development.
背景
评估护士的专业能力对于确保高质量的患者护理至关重要。因此，本研究旨在评估西岸三家医院护士的专业能力水平，并确定基于人口统计学特征的差异。
方法
采用横断面设计，206名护士的便利样本参与了本研究。使用护士专业能力（NPC）量表评估能力水平。研究者分发问卷并解释研究目的。在数据收集前签署同意书。
结果
平均能力水平为79%（标准差=11.5），90%为专业胜任的护士。“护理”平均能力为79%（标准差=12.98），提供基于价值护理的能力水平为80%（标准差=13.35）。技术和医疗护理的平均能力水平为78%（标准差=13.45），而“护理教学法”和“文档与管理”的平均能力水平为79%（标准差=12.85）。发展与领导子量表的平均能力水平为78%（标准差=12.22）。参加三至五次工作坊的护士在护理能力方面水平更高（H=11.98，p=0.003），在基于价值护理方面更胜任（H=9.29，p=0.01）；在教学护理和患者教育方面（H=15.16，P=0.001）；以及在提供医疗和技术护理方面（H=12.37，p=0.002）。参加超过五次工作坊的护士在文档与管理方面更胜任（H=12.55，p=0.002），在发展与领导子量表方面（H=7.96，p=0.20）。
结论
该研究表明参与者缺乏发展和领导技能。参与工作坊对护士的能力水平有积极影响。值得注意的是，参加超过五次工作坊的护士在护理的文档、管理、发展和领导方面表现出更强的能力。
启示
本研究强调了继续教育在提高护士能力方面的作用，并强调需要在更广泛的范围内开展研究，纳入更多不同附属关系的医院，以帮助构建更具针对性的专业发展，并将这些能力作为员工发展的一个组成部分。
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