Abstract:Purpose: This study examined the association of self-focus and self-compassion with nursing competency.Design and Methods: Data of 433 psychiatric nurses comprising demographics, other-consciousness, self-compassion, self-focus, and nursing competency were analyzed using the Other-Consciousness Scale (OCS), Self-Compassion Scale (SCS), Japanese version of the Rumination-Reflection Questionnaire (RRQ), and Oriented Problem Solving Behavior (OPSN).Findings: Higher internal aspect and lower fantastic aspect in OC… Show more
“…The number of years working in elderly care showed a signi cant correlation with clinical competence in the total sample, which is in line with earlier studies (50,51). However, we found signi cant correlations between clinical competence and working years for RNs but not for PNs.…”
Section: Discussionsupporting
confidence: 92%
“…Previous studies have shown that the average age of nursing staff in LTC is relatively high (49)(50)(51). This was similar in our study, in which the mean age of all the participants was relatively high and a third of the PNs were aged between 51-60, which shows that the PNs' age was rather high.…”
Section: Discussionsupporting
confidence: 89%
“…We must also bear in mind that this research was done during the COVID-19 pandemic, when further education was cancelled in nursing homes, but they could have participated before the pandemic started. Other research has shown that continuous education is central to improving clinical competence among nursing staff (45,51), especially PNs (19).…”
Background: The elderly population and their life expectancy have increased, and current long-term care (LTC) for frail older people has limited capabilities because of many diseases among the patients. The nursing staff needs to have a certain level of clinical competence to identify diseases at an early stage and to assess and provide good nursing care to patients with different diseases. In Finland, nursing care in nursing homes is based on evidence-based and high-quality nursing care. However, earlier inspections by the National Supervisory Authority for Welfare and Health showed many discrepancies between the nursing staff’s clinical competence and adequate and continuous education.
Aim: This study aimed to explore nursing staff, i.e the clinical competence and decision-making skills of registered and practical nurses in nursing homes for older people in Finland and to analyse the association between nurses’ clinical competence and fundamental background factors
Methods: We conducted a cross-sectional study of 337 participants in 50 nursing homes in the western part of Finland. The instrument used was the validated Ms. Olsen test, an extraction of NOP-CET. Statistical analyses were conducted with descriptive statistics and correlations and a cut-off for clinical competence.
Results: The clinical competence test, Ms Olsen test was used in Finland for the first time to evaluate the nursing staffs´ clinical competence in nursing homes. This study disclosed that nursing staff showed worrisome limitations in their clinical competence in the LTC in the western part of Finland and the Ms. Olsen test revealed that only one-fourth of the RNs and a third of the PNs passed the cut-off for the clinical competence test. In the self-evaluation, almost all (98.9%) of the participants evaluated themselves as having pretty good to very good clinical competence, which differed remarkably from the results of the Ms. Olsen test. The Finnish Current Care Guidelines were used on a daily basis by 7.4% and weekly by 30%. A statistically significant moderate correlation was found for the nursing staff between Swedish as a working language and mother tongue and the score for clinical competence. No statistically significant correlations were found between the nursing staff’s clinical competence and their use of the Finnish Current Care Guidelines. Previous research has argued that continuous education will enhance nursing staff’s status and clinical competence; however, according to our study, continuous education was not prioritised.
“…The number of years working in elderly care showed a signi cant correlation with clinical competence in the total sample, which is in line with earlier studies (50,51). However, we found signi cant correlations between clinical competence and working years for RNs but not for PNs.…”
Section: Discussionsupporting
confidence: 92%
“…Previous studies have shown that the average age of nursing staff in LTC is relatively high (49)(50)(51). This was similar in our study, in which the mean age of all the participants was relatively high and a third of the PNs were aged between 51-60, which shows that the PNs' age was rather high.…”
Section: Discussionsupporting
confidence: 89%
“…We must also bear in mind that this research was done during the COVID-19 pandemic, when further education was cancelled in nursing homes, but they could have participated before the pandemic started. Other research has shown that continuous education is central to improving clinical competence among nursing staff (45,51), especially PNs (19).…”
Background: The elderly population and their life expectancy have increased, and current long-term care (LTC) for frail older people has limited capabilities because of many diseases among the patients. The nursing staff needs to have a certain level of clinical competence to identify diseases at an early stage and to assess and provide good nursing care to patients with different diseases. In Finland, nursing care in nursing homes is based on evidence-based and high-quality nursing care. However, earlier inspections by the National Supervisory Authority for Welfare and Health showed many discrepancies between the nursing staff’s clinical competence and adequate and continuous education.
Aim: This study aimed to explore nursing staff, i.e the clinical competence and decision-making skills of registered and practical nurses in nursing homes for older people in Finland and to analyse the association between nurses’ clinical competence and fundamental background factors
Methods: We conducted a cross-sectional study of 337 participants in 50 nursing homes in the western part of Finland. The instrument used was the validated Ms. Olsen test, an extraction of NOP-CET. Statistical analyses were conducted with descriptive statistics and correlations and a cut-off for clinical competence.
Results: The clinical competence test, Ms Olsen test was used in Finland for the first time to evaluate the nursing staffs´ clinical competence in nursing homes. This study disclosed that nursing staff showed worrisome limitations in their clinical competence in the LTC in the western part of Finland and the Ms. Olsen test revealed that only one-fourth of the RNs and a third of the PNs passed the cut-off for the clinical competence test. In the self-evaluation, almost all (98.9%) of the participants evaluated themselves as having pretty good to very good clinical competence, which differed remarkably from the results of the Ms. Olsen test. The Finnish Current Care Guidelines were used on a daily basis by 7.4% and weekly by 30%. A statistically significant moderate correlation was found for the nursing staff between Swedish as a working language and mother tongue and the score for clinical competence. No statistically significant correlations were found between the nursing staff’s clinical competence and their use of the Finnish Current Care Guidelines. Previous research has argued that continuous education will enhance nursing staff’s status and clinical competence; however, according to our study, continuous education was not prioritised.
“…The data collection instruments were adapted from prior studies and consist of sections focusing on socio demographic characteristics and satisfaction with the psychiatric outpatient care [12,18]. To assess patient satisfaction, we have used a standardized satisfaction measurement tool developed for low income countries [19] and contained five-point Likert scale items, on scale "1" stood for rating of the item as "poor" while "2", "3", "4", and "5" stood for "fair", "good", "very good", and "excellent", respectively. The mean level of satisfaction was calculated by averaging their ratings for the parameters of measuring satisfaction.…”
Objectives: Numerous studies revealed that improved nursing skills are associated with the experience of the nurses, social skills, self-education, autonomy, anxiety. In the present study, we have examined whether nursing skills are related to occupational stress. Methods: An institution based cross sectional study was conducted from June 20 to December 25, 2020. A total of one hundred and forty-four psychiatric nurses completed a questionnaire assessing the aforementioned variables. Descriptive statistics and independent t-test were used to determine the characteristics of the participants and examine the difference among different variables.Results: During the one-month data collection period, 144 psychiatric nurses were included in the analysis. Mean age of the participants were 39.3 ± 9.4. The majority (127 (88.2%)) of them were female. Of 144 respondents, 83 (57.6%) had a bachelor's degree and 6 (6%) had a higher degree certification. Comparison by courses, those who studied psychiatry more than 3 months reported greater knowledge of psychiatric services. Certification was also associated with greater perceived value. Education level was not associated with greater knowledge of or perceived value in evidence -based practices. Conclusion: Nursing specialty certification was associated with nurses' individual psychosocial beliefs. Supporting nurses in obtaining specialty certification could assist with the adoption of evidence-based practices as a means to improve quality of care.
“…In general, self-compassionate individuals cope better with challenging situations [ 32 ] and are more open to accepting negative emotional and cognitive experiences [ 33 ]. The importance of self-compassion in relation to mental health has been reported in many different cultures including Japan [ 34 , 35 , 36 ].…”
Workplace mental health is a cause for concern in many countries. Globally, 78% of the workforce experienced impairment of their mental health in 2020. In Japan, more than half of employees are mentally distressed. Previously, research has identified that self-compassion (i.e., being kind and understanding towards oneself) and work motivation were important to their mental health. However, how these three components relate to each other remains to be elucidated. Accordingly, this study aimed to examine the relationship between mental health problems, self-compassion and work motivation (i.e., intrinsic motivation, extrinsic motivation and amotivation). A cross-sectional design was employed, where 165 Japanese workers completed self-report scales regarding those three components. A correlation and path analyses were conducted. Mental health problems were positively associated with amotivation and negatively associated with age and self-compassion. While intrinsic motivation and extrinsic motivation did not mediate the impact of self-compassion on mental health problems, amotivation did. The findings can help managers and organizational psychologists help identify effective approaches to improving work mental health.
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