Critical care nurses' perception of care coordination competency for management of mechanically ventilated patients

Abstract

Aims and Objectives To evaluate nurses’ care coordination competency for mechanically ventilated patients in intensive care units (ICUs) of Saudi Arabia (SA). Background ICUs are increasingly using multidisciplinary approach to provide critical care. Functionality gaps remain within these teams preventing optimum performance, including a lack of adequate care coordination in the management of mechanically ventilated (MV) patients. Design A cross‐sectional survey of ICU nurses working across 20 hospitals in SA. Methods The Nurses’ Care Coordination Competency Scale (NCCCS) survey for MV patients was administered to all the nurses to assess their care coordination competence. The data were analysed using Student's t test, ANOVA and linear regression. Reporting of this research follows STROBE guidelines. Results A total of 254 nurses participated in the survey. The overall NCCCS mean score was 3.94 (±0.69) out of a 5‐point scale. Also, the “promoting team cohesion factor (Factor 1)” had a mean score of 3.90 (±0.77), the “understanding care coordination needs factor (Factor II)” had a mean score of 4.00 (±0.77), the “aggregating and disseminating information factor (Factor III)” had a mean score of 4.05 (±0.76), and the “devising and clearly articulating the care vision factor (Factor IV)” had a mean score of 3.78 (±0.87). The mean overall NCCCS score was 4.10 among Indians, 3.98 among Filipinos and 3.81 among Saudi nationals. Conclusion There were a high overall score and subscale scores of nurses’ care coordination competence for mechanically ventilated patients, but few gaps were identified in some of the items. Relevance to Clinical Practice The results provide information on the status and gaps in ICU nurses’ care coordination competencies to address the needs of mechanically ventilated critically ill patients. The NCCCS can be utilised as an educational tool for nurses who are new to the ICU work environment.

Effectiveness of a self‐assessment application in evaluating the care coordination competency of intensive care unit nurses in managing patients on life support: An intervention study

“…Third, the NCCCS app allowed cross-border data collection and international comparison to evaluate Japanese nursing education. The NCCCS scores obtained by the participants of this study were lower than the scores of those included in a multicenter study conducted in 2020 in Saudi Arabia (Alsharari et al, 2020). The NCCCS app enabled the collection of data related to care coordination competency from multiple countries, making it possible to evaluate the effects of different medical systems and educational backgrounds on nursing competency in clinical practice, as well as to determine the status of nursing education.…”

“…The NCCCS survey (Table 1) is a scale used for measuring nurses' care coordination competencies, and was developed by Takiguchi et al in Japan in 2017 (Takiguchi et al, 2017b). The NCCCS survey has been validated in Japan (Takiguchi et al, 2017b) and Saudi Arabia (Alsharari et al, 2020). It is conducted using a questionnaire comprising 22 items classified into four factors—Factor 1: understanding the care coordination needs; Factor 2: devising and clearly articulating the care vision; Factor 3: aggregating and disseminating information; and Factor 4: promoting team cohesion.…”

“…It comprises 22 items divided into four factors and evaluates the frequency of care coordination behaviors on a five‐point Likert scale; higher frequencies of care coordination behaviors indicate a higher care coordination competency. The reliability and validity of the NCCCS were examined in Japan (Takiguchi et al, 2017b), and a previous multicenter study conducted in Saudi Arabia (Alsharari et al, 2020); this scale has been translated into Italian, Chinese, Polish, and Iranian versions. The potential applications of NCCCS in nursing education are expected (Alsharari et al, 2020; Takiguchi et al, 2017b), but this scale has not yet been used in educational settings.…”

“…The reliability and validity of the NCCCS were examined in Japan (Takiguchi et al, 2017b), and a previous multicenter study conducted in Saudi Arabia (Alsharari et al, 2020); this scale has been translated into Italian, Chinese, Polish, and Iranian versions. The potential applications of NCCCS in nursing education are expected (Alsharari et al, 2020; Takiguchi et al, 2017b), but this scale has not yet been used in educational settings.…”

(Des)conhecimento De Enfermeiros No Manejo Da Ventilação Mecânica Invasiva: Revisão Integrativa

“…13 Sendo assim, a questão norteadora do estudo foi delimitada da seguinte forma: "Quais os déficits A estratégia de busca nas bases de dados Tal insegurança e falta de competência se reflete na prática onde já é fato o distanciamento do enfermeiro na gestão da ventilação mecânica em detrimento de outros profissionais como os médicos e fisioterapeutas. 16,18,25 Há uma carência relacionada à VM que acompanha o enfermeiro desde a graduação até a prática profissional. 25 A necessidade de programas regulares de treinamento é evidenciada em vários estudos 14-…”