Promoting nursing competence in municipal healthcare services: An interview study of experienced nurses’ perceptions

Abstract

Abstract:The purpose of this study was to explore factors in the municipal workplace environment that can facilitate experienced nurses in promoting their professional competence. This is of particular importance when critically ill patients are discharged from hospital. We interviewed nine nurses who had more than five years' experience in the Norwegian municipal healthcare services and analysed data by qualitative content analysis. We found that the informants have to cope with situations for which they have not been adequately prepared. Two factors in their workplace environment influenced the promotion of their professional competence in such situations: access to knowledge and information, and supportive colleagues. Experienced nurses are an important resource for information and support. However, the findings also suggest that nurses at all levels of competence are dependent on working environments that promote a high standard of nursing.https://mc.manuscriptcentral.com/njn An interview study of experienced nurses´ perceptions AbstractThe purpose of this study was to explore factors in the municipal workplace environment that can facilitate experienced nurses in promoting their professional competence. This is of particular importance when critically ill patients are discharged from hospital. We interviewed nine nurses who had more than five years' experience in the Norwegian municipal healthcare services and analysed data by qualitative content analysis. We found that the informants have to cope with situations for which they have not been adequately prepared. Two factors in their workplace environment influenced the promotion of their professional competence in such situations: access to knowledge and information, and supportive colleagues. Experienced nurses are an important resource for information and support. However, the findings also suggest that nurses at all levels of competence are dependent on working environments that promote a high standard of nursing.

Nurses’ experiences of ethical responsibility: A hermeneutic phenomenological design

“…9 , 10 , 12 , 25 , 26 Collegial support is also important for community nurses. 27 This study shows the importance of collegial support and a designated time and space for ethical reflection for both nursing groups.…”

Addressing a global nursing perspective in an undergraduate nursing program: Student learning in clinical education

“…It is our belief that including each other in a confident team in the clinical education promotes learning and makes students fearless to ask questions, which is in line with Glad, Hogvold Olsen and Clancy. [50] We suggest that educators and supervisors raise this issue. In this study, the students acknowledged empowerment and advocacy related to global awareness in person-centered care actions.…”

Arbeidsglede i hjemmesykepleien

“…For det er nettopp gleden, eller arbeidsgleden som disse hjemmesykepleierne løfter frem og som kan forstås som det baerende for dem i deres arbeid. Når arbeidshverdagen derimot ikke kjennes bra for dem, at de ønsker å slutte eller gruer seg til å gå på jobb, så er det arbeidsgleden som savnes eller etterspørres (Glad, Olsen, & Clancy, 2017). Det kan derfor synes viktig å reflektere over betydningen av trivsel eller glede ved arbeidet.…”

“…Det kan igjen bety at sykepleierne på mange måter må finne løsninger på egen hånd, som bidrar til at de unngår belastninger i arbeidshverdagen. Eksempler kan vaere dersom arbeidsoppgavene er mange og tiden er knapp, eller hva gjelder laering-og kompetanseutfordringer (Glad, Olsen & Clancy, 2017) og samhandlingsutfordringer (Tønnesen, 2016). Det vises blant annet til at hjemmesykepleierne blir avhengig av støtte og hjelp, både fra kollegaer i eget arbeidsmiljø og fra instanser utenfor egen arbeidsplass for å gjennomføre pleie-og omsorgsoppgaver slik de selv ønsker og mener er riktig.…”

“…Slik jeg forstår Martinsens tekster om oppmerksomhet, kommer vi ikke utenom det faktum at fagkunnskapen har betydning. For eksempel kan ukjente eller uvante prosedyrer eller teknologiske innretninger i pasientens hjem, gjøre selv den mest erfarne sykepleier ukonsentrert (Glad, Olsen & Clancy, 2017). Fagligheten må beherskes, ikke bare for å fristille konsentrasjonen og oppmerksomheten, men også for å ivareta sikkerhet og faglig forsvarlighet.…”