Mohamed Rasha A, Alharbi Mohammed Fayez J, Aloufi Rahmah, Abraham Nisha, Taref Nagwa Nabeh, Bauomy Eman Samy, Alkalash Safa H, Marzouk Marzouk M, Almowafy Abeer A
Department of Nursing, College of Applied Medical Sciences, University of Bisha, Bisha, Saudi Arabia.
College of Nursing, Taif University, Taif, Kingdom of Saudi Arabia.
PLoS One. 2024 Dec 2;19(12):e0314206. doi: 10.1371/journal.pone.0314206. eCollection 2024.
Nurses' clinical competence is a significant concern in all healthcare settings due to the necessity of delivering high-quality patient care. Understanding and addressing the factors related to competence are crucial for promoting nurses' clinical competence and ultimately improving patient outcomes. Producing and maintaining a skilled nursing workforce is essential to protect communities.
This study aimed to assess the level of self-evaluated clinical competence and its correlation with demographic and occupational variables among registered nurses employed at selected outpatient clinics in Egypt.
The study utilized a descriptive cross-sectional design with a self-administered, two-part questionnaire that assessed participants' demographic and occupational variables as well as perceived clinical competence in various healthcare settings. It took place at outpatient clinics of two governmental hospitals and five primary healthcare centers in Mansoura City, Egypt between January, and June 2023. A purposive sample of 450 nurses took part in this study.
The average score of nurses' clinical competence was 155.3±7.2 out of 230, indicating a "moderate level". In terms of professional behaviors and general performance, the average score for clinical competence was 48.4±3.6 and 40.7±4.1 respectively. Additionally, the average score for clinical competence regarding core and advanced nursing skills were 43.4±3.0 and 22.8±1.5 respectively. Among the domains of clinical competence, the highest average score was associated with "professional behaviors" as it forms the backbone of nursing practice. There was a highly significant relationship between the average score of clinical competence and the participant's age, sex, level of education, and years of clinical work experience (P<0.001).
Nurses perceived their level of clinical competence as moderate. To enhance nurses' clinical competence, future studies and interventions should focus on promoting supportive work environments, providing ongoing education and training in advanced nursing skills, and the fostering development of critical thinking skills in nurses.
Healthcare organizations should implement educational interventions to enhance nurses' clinical competence. These interventions should include continuous professional development opportunities, mentorship programs, inclusive training initiatives, and structured feedback mechanisms. These measures will help nurses stay up-to-date with the latest practices and technologies, create a supportive learning atmosphere, and address the unique needs and challenges faced by nurses of different genders and specialties.
由于提供高质量患者护理的必要性，护士的临床能力在所有医疗环境中都是一个重要问题。理解并解决与能力相关的因素对于提升护士的临床能力并最终改善患者结局至关重要。培养并维持一支技术娴熟的护理队伍对于保护社区至关重要。
本研究旨在评估埃及选定门诊诊所注册护士的自我评估临床能力水平及其与人口统计学和职业变量的相关性。
本研究采用描述性横断面设计，使用一份自填式、分为两部分的问卷，该问卷评估了参与者的人口统计学和职业变量以及在各种医疗环境中的感知临床能力。研究于2023年1月至6月在埃及曼苏拉市的两家政府医院和五个初级医疗保健中心的门诊诊所进行。450名护士的目的样本参与了本研究。
护士临床能力的平均得分为230分中的155.3±7.2分，表明处于“中等水平”。在专业行为和总体表现方面，临床能力的平均得分分别为48.4±3.6分和40.7±4.1分。此外，核心和高级护理技能方面的临床能力平均得分分别为43.4±3.0分和22.8±1.5分。在临床能力领域中，最高平均得分与“专业行为”相关，因为它构成了护理实践的支柱。临床能力平均得分与参与者的年龄、性别、教育水平和临床工作年限之间存在高度显著的关系（P<0.001）。
护士认为他们的临床能力水平为中等。为提高护士的临床能力，未来的研究和干预应侧重于促进支持性的工作环境，提供高级护理技能方面的持续教育和培训，以及培养护士的批判性思维能力。
医疗保健组织应实施教育干预措施以提高护士的临床能力。这些干预措施应包括持续专业发展机会、指导计划、包容性培训举措和结构化反馈机制。这些措施将帮助护士跟上最新的实践和技术，营造支持性的学习氛围，并解决不同性别和专业的护士所面临的独特需求和挑战。
