Tura Meseret Robi, Mulu Dinaol, Kadir Ajib, Getahun Ababo, Megersa Yohanis
Department of Nursing, College of Medicine and Health Sciences, Ambo University, Ambo, Oromia, Ethiopia.
SAGE Open Nurs. 2024 Dec 18;10:23779608241275213. doi: 10.1177/23779608241275213. eCollection 2024 Jan-Dec.
Clinical competence is a critical element in providing high-quality nursing care. A higher level of clinical competence positively influences patient health outcomes as well as nurses' job performance and satisfaction. Nonetheless, there is limited data on nurses' clinical competence in Ethiopia.
This study aimed to assess the level of clinical competency among nurses working in selected public hospitals.
Institution-based cross-sectional study design was conducted from March 1 to 30, 2022. Two hundred five randomly selected nurses from three selected hospitals in the West Shoa Zone namely H1, H2, and H3 participated in the study via a structured self-administered questionnaire. The collected data were checked for completeness and then entered Epi-data v.4.2.2 and analyzed by Stata software v.14.2. Independent t-test and analysis of variance were used to identify factors associated with nurses' clinical competence. The level of statistical significance was declared at a -value < .05.
The overall clinical competence of participants was 2.501 ( = 0.36), indicating a moderate level of clinical competence. Participants had higher competence scores on the professional development dimension and lower competence scores on the leadership dimension. The null hypothesis was rejected. Age, work experience, professional satisfaction, level of satisfaction, level of hospital, current position, shifting status, retrieval of newly published information, previous training, and frequency of training were the identified factors associated with nurses' clinical competence.
Nearly five in 10 participants in the study setting had inadequate clinical competence. Professional satisfaction, level of satisfaction, previous training, and frequency of training were factors related to nurses' clinical competence. It is recommended that responsible stakeholders like the Minister of Health and the Ethiopian Nursing Association should work to improve nurses' clinical competence by focusing on the identified factors. Also, health policymakers should set strategies to assess nurses' clinical competence frequently to ensure quality nursing care.
临床能力是提供高质量护理服务的关键要素。较高水平的临床能力对患者健康结局以及护士的工作表现和满意度有积极影响。然而，埃塞俄比亚护士临床能力的数据有限。
本研究旨在评估选定公立医院护士的临床能力水平。
采用基于机构的横断面研究设计，于2022年3月1日至30日进行。从西绍阿地区的三家选定医院（分别为H1、H2和H3）随机抽取205名护士，通过结构化自填式问卷参与研究。收集到的数据经检查完整性后录入Epi - data v.4.2.2，并使用Stata软件v.14.2进行分析。采用独立t检验和方差分析来确定与护士临床能力相关的因素。统计学显著性水平设定为P值<0.05。
参与者的总体临床能力得分为2.501（标准差=0.36），表明临床能力处于中等水平。参与者在专业发展维度上的能力得分较高，而在领导维度上的能力得分较低。原假设被拒绝。年龄、工作经验、职业满意度、满意度水平、医院级别、当前职位、轮班状态、获取新发表信息的情况、既往培训以及培训频率是确定的与护士临床能力相关的因素。
在本研究环境中，近十分之五的参与者临床能力不足。职业满意度、满意度水平、既往培训和培训频率是与护士临床能力相关的因素。建议卫生部长和埃塞俄比亚护理协会等相关利益攸关方应通过关注已确定的因素来努力提高护士的临床能力。此外，卫生政策制定者应制定策略，经常评估护士的临床能力，以确保优质护理服务。
