Expertise in Nursing Practice

Benner, Patricia; Tanner, Christine; Chesla, Catherine A.

doi:10.1891/9780826125453

Cited by 354 publications

(168 citation statements)

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“…One of the criteria for effective learning in clinical practice is clinical competence. Competencies are the skills, knowledge and attitudes that are instrumental in the delivery of desired results [2].…”

Section: Introductionmentioning

confidence: 99%

Assessment of Factors Affecting Clinical Practice Competency of Undergraduate Health Science Students in Hawassa University, South, Ethiopia

Fikre¹

2016

Ann Clin Lab Res

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Background: Clinical practice experiences are critically important to determine that graduate students are expected to achieve the maximum level of clinical competence after receiving necessary and adequate theoretical and practical instructions. However graduates have problems in doing some easy duties. Thus, this study is designed to assess factors affecting clinical practice competence of undergraduate health science student, Hawassa University, South, Ethiopia, 2015.Methods: Institutional based Cross-sectional study was conducted in health science students of Hawassa university referral hospital from April to May 2015 by using structured questionnaire and Focus Group Discussion. Simple random sampling was applied to select study subject among 345 students. Data were entered using Epi Info version 3.5.1 was exported and analyzed by SPSS version 20. Bivariate and multivariate logistic regressions were used to identify independent predictors and for qualitative data, ideas were summarized and analyzed in the form of themes. Result: The prevalence of clinical practice competency from the study participant was 87 (25.2%). Students with adequate clinical case in practical placement were 4 times clinically competent than those students with inadequate clinical case in practical placement with (AOR=3.958, 95% CI 1.238, 12.65).Students with clinical instructor support were clinically competent by 2 times with (AOR=2.064, 95% CI 1.042, 3.694) than students with no clinical instructor support.Conclusion and Recommendation: Clinical instructor support, adequate clinical case in practical placement, use continuous assessment checklist and integration of three learning domain were factors affect clinical practice competency of the students. So improving supervision of clinical instructors, appropriate selection of clinical site and design appropriate clinical practice protocol has important to enhance clinical practice competency of students.

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Section: Introductionmentioning

confidence: 99%

Assessment of Factors Affecting Clinical Practice Competency of Undergraduate Health Science Students in Hawassa University, South, Ethiopia

Fikre¹

2016

Ann Clin Lab Res

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“…According to Duchscher, the peak time of difficulty and "crisis of confidence" occurred at five to seven months. This need for validation of thinking from experienced peers and a practice environment that supports clinical thought processes has been identified by Benner, Tanner andChesla (2009) andO'Neill, Dluhy, andChin (2005). Casey and colleagues (2004) also found that feelings of inadequacy in clinical knowledge and fear related to making patient care decisions were prevalent throughout the first year of practice.…”

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confidence: 98%

Perceptions of Professional Practice and Work Environment of New Graduates in a Nurse Residency Program

Bratt

Felzer²

2011

J Contin Educ Nurs

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New nurses continue to face challenging work environments and high expectations for professional competence as they enter practice. Nurse residency programs are gaining prominence as a mechanism to ease new graduates’ transition to practice. This study examined new graduates’ perceptions of their professional practice competence and work environment throughout a yearlong nurse residency program. Employing a repeated measures design, data were collected at baseline, at 6 months, and at 12 months. Results showed that job satisfaction was significantly lowest at 6 months and highest at 12 months. Job stress was found to be lowest at 12 months and organizational commitment was highest at baseline. Of the variables related to professional practice, clinical decision-making was highest at 12 months and quality of nursing performance significantly increased at each measurement point. These data add to the growing evidence supporting the efficacy of nurse residency programs.

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“…According to Benner"s Model of Skill Acquisition [24] majority of the nurses in this study were at expert level while majority of the pharmacist were either at the level of beginner, competence or proficiency (TABLE 2). An advanced beginner demonstrates acceptable performance, has gained prior experiences, and begins to formulate new ones to guide actions.…”

Section: Discussionmentioning

confidence: 94%

Factors Associated With Medication Errors Among Health Workers In University College Hospital, Nigeria

Catherine¹,

Ojerinde²,

Olabisi³

2014

IOSRJNHS

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Expertise in Nursing Practice

Cited by 354 publications

References 0 publications

Assessment of Factors Affecting Clinical Practice Competency of Undergraduate Health Science Students in Hawassa University, South, Ethiopia

Assessment of Factors Affecting Clinical Practice Competency of Undergraduate Health Science Students in Hawassa University, South, Ethiopia

Perceptions of Professional Practice and Work Environment of New Graduates in a Nurse Residency Program

Factors Associated With Medication Errors Among Health Workers In University College Hospital, Nigeria

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