Measuring Competence: Collaboration for Safety

Randolph, Pamela; Hinton, Janine E.; Hagler, Debra; Mays, Mary Z.; Kastenbaum, Beatrice; Brooks, Ruth; DeFalco, Nick; Miller, Kathy Ann; Weberg, Dan

doi:10.3928/00220124-20121101-59

Cited by 21 publications

(21 citation statements)

References 12 publications

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“…Here, competence includes a mixture of knowledge, skills and personal abilities, as well as the relational and contextual aspects of competence in community care of the elderly. Therefore, having a welleducated staff that can competently meet the needs of elderly patients is essential [60]. Our informants emphasised that using experiences in a knowledgeable and reflective manner seemed like an especially fruitful strategy for enhancing the development of competence.…”

Section: Discussionmentioning

confidence: 99%

The tensions between micro-, meso- and macro-levels: physiotherapists’ views of their role towards fall prevention in the community – a qualitative study

Cerderbom

Bjerk

Bergland

2020

BMC Health Serv Res

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Background: Falls are a global public health concern. Physiotherapists are a key resource in this context, but there is sparse knowledge about how they perceive their role in the primary care setting. Therefore, the purpose of the present study is to explore physical therapists' (PTs) view of how they experience and perceive their role working with fall prevention in a community care setting. Methods: Semi-structured interviews were conducted with 17 physiotherapists. Data were analysed using a qualitative thematic analysis. Results: The analysis resulted in a core theme and three subthemes. The core theme was 'capability to cope with the tensions between the micro-, meso-and macro-levels in fall, prevention', which indicated the importance of an evolving multifaceted, evidence based and innovative physiotherapy role. A key factor for this role is to take an integrative biopsychosocial approach based on how biological and psychosocial factors are uniquely related in fall prevention. The three themes were as follows: 1) always moving and changing: the competent explorative knowledge-hungry clinician's multifaceted role; 2) multiprofessionalbut in the end alone; 3) reaching outfrom the bottom to the top. Success in the role of physiotherapists in fall prevention depends on the empowering leadership and working culture, as well as on the time and multifaceted professional competence of the clinicians. Conclusion: Our findings indicate that the PTs' role reflects their abilities to change and improve their professional work in accordance with evidence based knowledge. To ensure good quality the PTs focused on the special needs of the patients, evidence-based fall prevention, interdisciplinary team work, good clinical competences, good skills in communication, and interpersonal relations. Attention should be placed on the importance of biopsychosocial perspective framing in the actual clinical and political context. The PTs saw the need for working at the micro-, meso-and macro-levels to succeed in the work of fall prevention.

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Section: Discussionmentioning

confidence: 99%

The tensions between micro-, meso- and macro-levels: physiotherapists’ views of their role towards fall prevention in the community – a qualitative study

Cerderbom

Bjerk

Bergland

2020

BMC Health Serv Res

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“…Obviously, professional competence is a key issue when providing quality healthcare services (McPherson et al ., ). Quality of care requires that all people who deliver patient care and treatment possess the competence needed to meet complex healthcare demands (Randolph et al ., ). However, an evaluation of the nurses who care for older people in European countries provides a bleak but consensual picture: to a large extent, services are provided by assistants with limited training, and few skilled staff members are employed (Romøren et al ., ; Angermann & Eichhorst, ).…”

Section: Introductionmentioning

confidence: 97%

Competence in advanced older people nursing: development of ‘Nursing older people – Competence evaluation tool’

Bing‐Jonsson

Bjørk

Hofoss

et al. 2014

Int J Older People Nursing

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“…In sum, multi-morbidity, poly-pharmacy and cognitive impairment leave many old patients in a frail condition with a high risk of adverse outcomes if proper health care is not provided and performed [ 19 ]. A well-educated staff that can competently meet the needs of these patients is therefore essential [ 20 , 21 ].…”

Section: Introductionmentioning

confidence: 99%

Sufficient competence in community elderly care? Results from a competence measurement of nursing staff

et al. 2016

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BackgroundMulti-morbidity, poly-pharmacy and cognitive impairment leave many old patients in a frail condition with a high risk of adverse outcomes if proper health care is not provided. Knowledge about available competence is necessary to evaluate whether we are able to offer equitable and balanced health care to older persons with acute and/or complex health care needs. This study investigates the sufficiency of nursing staff competence in Norwegian community elderly care.MethodsWe conducted a cross-sectional survey of 1016 nursing staff in nursing homes and home care services with the instrument “Nursing Older People – Competence Evaluation Tool”. Statistical analyses were ANOVA and multiple regression.ResultsWe found that nursing staff have competence in all areas measured, but that the level of competence was insufficient in the areas nursing measures, advanced procedures, and nursing documentation. Nursing staff in nursing homes scored higher than staff in home care services, and older nursing staff scored lower than younger nursing staff.ConclusionsA reason for the relatively low influence of education and training on competence could be the diffuse roles that nursing staff have in community elderly care, implying that they have poor standards against which to judge their own competence. Clearer role descriptions for all groups of nursing staff are recommended as well as general competence development in geriatric nursing care.

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Measuring Competence: Collaboration for Safety

Cited by 21 publications

References 12 publications

The tensions between micro-, meso- and macro-levels: physiotherapists’ views of their role towards fall prevention in the community – a qualitative study

The tensions between micro-, meso- and macro-levels: physiotherapists’ views of their role towards fall prevention in the community – a qualitative study

Competence in advanced older people nursing: development of ‘Nursing older people – Competence evaluation tool’

Sufficient competence in community elderly care? Results from a competence measurement of nursing staff

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