Postgraduate nurses' self-assessment of clinical competence and need for further training. A European cross-sectional survey

Wangensteen, Sigrid; Finnbakk, Elisabeth; Adolfsson, Annsofie; Kristjánsdóttir, Guðrún; Roodbol, Petrie F.; Ward, Helen; Fagerström, Lisbeth

doi:10.1016/j.nedt.2017.12.020

Cited by 49 publications

(75 citation statements)

References 31 publications

(43 reference statements)

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“…These are all components of phronesis, understood as practical wisdom [36], and are fundamental competence components expected of nurses in their role as professionals [8]. This is consistent with a previous study exploring clinical competence and need for further training among RNs in postgraduate programmes [33]. Personal responsibility implies a moral requirement to choose actions to take ethical responsibility for the patient [37].…”

Section: Discussionsupporting

confidence: 80%

“…The Professional Nurse Self-Assessment Scale of clinical core competence II (PROFFNurse SAS II) [33] was used for data collection in the present study. The theoretical foundation of PROFFNurse SAS I and the PROFFNurse SAS II is Aristoteles' three dimensions of knowledge (episteme, techê and phronesis) [32].The questionnaire consists of 50 items and asks for responses on self-assessment of: a) competence (A-scale) and b) need for further training (B-scale).…”

Section: Questionnairementioning

confidence: 99%

“…Both scales range from 1 to 10 where 1 indicates a very low level and 10 a very high level. Cronbach's alpha values for the questionnaire for total score is reported to be 0.963 [33] and 0.936 [34].…”

Section: Questionnairementioning

confidence: 99%

“…Different instruments to measure self-assessed nurse competence have been developed. These include the Nurse Competence Scale [12], the European Health Care Training and Accreditation Network Questionnaire Tool [30], the Nurse Professional Competence Scale [31], the Professional Nurse Self-Assessment Scale of clinical core competencies I (PROFFNurse SAS I) [32] and the PROFFNurse SAS II [33]. To our knowledge, the PROFFNurse SAS II is the only questionnaire measuring both self-assessment of competence and the need for further training.…”

Section: Introductionmentioning

confidence: 99%

“…This, together with a working environment where RNs experience higher stress, burnout and decreasing job satisfaction, makes it vital to further explore RNs' role and competence. Assessment of competence and the need for further training helps determine professional development needs and areas for quality improvement [33]. Knowledge of RNs' competence and needs for further training are fundamental to design interventions in order to facilitate continuous competence development in different work contexts.…”

Section: Introductionmentioning

confidence: 99%

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Self-assessed competence and need for further training among registered nurses in somatic hospital wards: a cross-sectional survey

Allvin

Bisholt

Blomberg

et al. 2020

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Background: Professional competence and continuous professional development is essential for ensuring high quality and safe nursing care, and it might be important for motivating nurses to stay in the profession. Thus, there is a need to identify the developmental process of nursing competency.Assessment of competence and need for further training helps to identify areas for quality improvement, and to design interventions in order to facilitate continuous competence development in different work contexts. The current study aimed to 1) describe registered nurses' self-assessment of clinical competence as well as the need for further training, and 2) explore possible differences between registered nurses with varying lengths of professional experience as a nurse (≤ 0,5 year, >0,5-5 year, and ≥ 6 year).Methods: A cross-sectional survey design was applied, using the Professional Nurse Self-Assessment Scale of clinical core competencies II. Registered nurses (n=267) working in medical and surgical contexts in hospitals in Sweden responded (response rate 51 %). Independent student t-test and analysis of variance were carried out.Results: Registered nurses assessed their competence highest in statements related to cooperation with other health professionals; taking full responsibility; and acting ethically. They assessed their need for further training most for statements related to assessing patients' health needs by telephone; giving health promotion advice and recommendations to patients by telephone; as well as improving a creative learning environment for staff at the workplace. For self-assessed competence and need for further training, differences between the groups for 35 and 46 items respectively, out of 50 were statistically significant. Conclusions: Although the registered nurses assessed their competence high for important competence components expected of professionals such as cooperation with other healthcare professionals, it is problematic that knowledge of interactions and side-effects of different types of medication were reported as having the highest need of training. Longitudinal follow up of newly graduated nurses regarding their continuous development of competence as well as further training is needed. 3

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Section: Discussionsupporting

confidence: 80%

Section: Questionnairementioning

confidence: 99%

Section: Questionnairementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Self-assessed competence and need for further training among registered nurses in somatic hospital wards: a cross-sectional survey

Allvin

Bisholt

Blomberg

et al. 2020

Preprint

Self Cite

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Operating theatre nurses' with managerial responsibility: Self‐reported clinical competence and need of competence development in perioperative nursing

2021

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Newly graduated registered nurses' self‐assessed clinical competence and their need for further training

2020

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Aim To explore and describe changes in self‐assessed clinical competence and the need for further training among newly graduated Registered Nurses during their first 15 months of professional work in acute care hospital settings. Design Quantitative longitudinal design. Methods The 50‐item Professional Nurse Self‐Assessment Scale of clinical core competencies II was used. A total of 45 newly graduated Registered Nurses answered the questionnaire at four different occasions. Data were collected after 2, 5, 9 and 15 months of working experience. Result The components “ethical decision‐making,” “cooperation and consultation” and “clinical leadership” were rated highest in clinical competence and lowest in need for further training. The components “professional development” and “critical thinking” were rated lowest in clinical competence and “direct clinical practice” rated highest in need for further training. The clinical competence increased significant between 9–15 months, with the exception of “critical thinking” and need for further training decreased significantly between 9–15 months, with the exception of “critical thinking.”

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Postgraduate nurses' self-assessment of clinical competence and need for further training. A European cross-sectional survey

Cited by 49 publications

References 31 publications

Self-assessed competence and need for further training among registered nurses in somatic hospital wards: a cross-sectional survey

Self-assessed competence and need for further training among registered nurses in somatic hospital wards: a cross-sectional survey

Operating theatre nurses' with managerial responsibility: Self‐reported clinical competence and need of competence development in perioperative nursing

Newly graduated registered nurses' self‐assessed clinical competence and their need for further training

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