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Postgraduate nurses' self-assessment of clinical competence and need for further training: A European cross-sectional survey
NTNU, Norwegian University of Science and Technology, Department of Health Sciences in Gjøvik, Norway.
Lovisenberg Diaconal University College, Norway.
Örebro University, School of Health Sciences. Center for Women's Family and Child Health, Faculty of Health Science, University College of Southeast Norway, Norway. (NEeDS; Nursing in Emergency and Disaster Situations)ORCID iD: 0000-0002-2577-1632
Faculty of Nursing, University of Iceland.
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2018 (English)In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 62, p. 101-106Article in journal (Refereed) Published
Abstract [en]

Background: Nursing practice requires application of knowledge, skills and values in various combinations and has undergone substantial changes the last decades. An increased focus on inter-professional collaboration and possible new and more independent roles for nurses are described. A variety of programs have been developed in order to educate registered nurses (RN) to meet the changes and demands in health and nursing care throughout the world.

Aim: The aims were to 1) describe nurses' self-assessment of clinical competence and need for further training, and 2) explore possible differences between nurses in specialist vs master's programs.

Methods: A cross-sectional survey design was applied. 97 nurses in postgraduate programs from five countries responded (response rate 45%). A revised version of the Professional Nurse Self-Assessment Scale of clinical core competencies (PROFFNurseSASII) was used for data collection. Independent student t-test and regression analyses were carried out.

Results: The respondents rated their competence highest in taking full responsibility, cooperation with other health professionals and in acting ethically. Items where they considered themselves needing further training most were competence on medications, interaction and side effects and differential diagnoses. For all items, nurses in master's programs rated their competence higher than nurses in the specialist programs. Nurses in specialist programs rated their need for more training for all items higher than nurses in master's degree programs, and for 47 out of the 50 items these differences were statistically significant.

Conclusion: Even though the nurses rated their competence high for important competence aspects such as taking responsibility and cooperation with other health professionals, it is worrying that their need for further training was highest for effects and interaction of various types of medications. Further studies are needed to conclude if and how master's education improves patient outcome.

Place, publisher, year, edition, pages
Elsevier, 2018. Vol. 62, p. 101-106
Keywords [en]
Advanced practice nurses, clinical competence, nurse competence, masters prepared nurses, self-assessment
National Category
Nursing
Research subject
Caring sciences
Identifiers
URN: urn:nbn:se:oru:diva-62987DOI: 10.1016/j.nedt.2017.12.020ISI: 000426026900018PubMedID: 29306748Scopus ID: 2-s2.0-85040011692OAI: oai:DiVA.org:oru-62987DiVA, id: diva2:1163445
Note

Funding Agency:

Norwegian Research Council  239991

Available from: 2017-12-07 Created: 2017-12-07 Last updated: 2018-03-15Bibliographically approved

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Adolfsson, Annsofie

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