学校护士职业发展作为实践范围、实践重要性与急诊护理能力之间的中介因素

Career Growth as a Mediator Between Scope of Practice, Importance of Practice and Emergency Nursing Competency Among School Nurses.

作者信息

Zoromba Mohamed Ali, El-Gazar Heba Emad, Malek Mohamed Gamal Noaman, El-Sayed Mona Metwally, Atta Mohamed Hussein Ramadan, Amin Shaimaa Mohamed

机构信息

College of Nursing, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia.

Faculty of Nursing, Mansoura University, Mansoura, Egypt.

出版信息

J Adv Nurs. 2025 Feb 2. doi: 10.1111/jan.16783.

DOI:10.1111/jan.16783

PMID:39894453

Abstract

BACKGROUND

School nurses are sometimes the sole healthcare professionals in schools, highlighting their significant role in delivering emergency care and the vital necessity of their competence in emergency nursing care. The scope of practice and ongoing professional development are hypothesized to play significant roles in enhancing these competencies.

AIM

Investigate the direct and indirect effects of the scope of current practice and the importance of training on the emergency nursing care competency of school nurses, with career growth serving as a potential mediator.

METHODS

A multi-center cross-sectional study was conducted with a convenient sample of 219 school nurses. Data were collected using the career growth of nurses' scale, the emergency nursing care competency scale for school nurses and the scope of school nursing practice tool. Mediation analysis was used to explore the direct and indirect effects of studied variables.

RESULTS

Mediation analysis indicated that the scope of current practice had a significant direct effect on career growth (β = 0.179) and emergency nursing care competency (β = 0.389). The importance of practice also had significant direct effects on career growth (β = 0.164) and emergency nursing care competency (β = 0.220). Additionally, career growth significantly mediated the relationship between both the scope of current practice (β = 0.110) and the importance of practice (β = 0.120) with emergency nursing care competency.

CONCLUSIONS

The findings emphasis the critical role of career growth as a mediator between the scope and importance of practice and emergency nursing care competency among school nurses. Expanding the scope of practice and emphasising the importance of professional activities can enhance career growth and improve emergency nursing care competencies.

IMPLICATIONS

Nurses scope of practice and clear career advancement through mentorship, advanced certifications, further education and enforcing policies mandating regular emergency care is crucial. Establishing a regulatory framework to define and expand the scope of practice for school nurses is also important.

PATIENT OR PUBLIC CONTRIBUTION

No patient or public contribution.

摘要

背景

学校护士有时是学校里唯一的医疗保健专业人员，这凸显了他们在提供紧急护理方面的重要作用以及他们具备应急护理能力的至关重要性。实践范围和持续的专业发展被认为在提升这些能力方面发挥着重要作用。

目的

研究当前实践范围和培训的重要性对学校护士应急护理能力的直接和间接影响，将职业发展作为一个潜在的中介变量。

方法

采用多中心横断面研究，以219名学校护士为便利样本。使用护士职业发展量表、学校护士应急护理能力量表和学校护理实践范围工具收集数据。采用中介分析来探讨研究变量的直接和间接影响。

结果

中介分析表明，当前实践范围对职业发展（β = 0.179）和应急护理能力（β = 0.389）有显著的直接影响。实践的重要性对职业发展（β = 0.164）和应急护理能力（β = 0.220）也有显著的直接影响。此外，职业发展显著中介了当前实践范围（β = 0.110）和实践的重要性（β = 0.120）与应急护理能力之间的关系。