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Self-assessed competence and need for further training among registered nurses in somatic hospital wards in Sweden: a cross-sectional survey
Örebro University Hospital;Örebro University.
Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013). Ersta Sköndal Bracke University College..ORCID iD: 0000-0002-8836-5842
Örebro University .
Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013). Östfold University, NOR.ORCID iD: 0000-0002-9608-336X
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2020 (English)In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 19, no 1, article id 74Article in journal (Refereed) Published
Abstract [en]

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 years, and >= 6 years). Methods A cross-sectional survey design was applied, using the Professional Nurse Self-Assessment Scale of clinical core competencies II. Registered nurses (n = 266) 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 for own activities; and acting ethically when caring for patients. 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.

Place, publisher, year, edition, pages
BMC , 2020. Vol. 19, no 1, article id 74
Keywords [en]
Clinical competence, Nurse competence, Registered nurses, Self-assessment
National Category
Nursing
Research subject
Nursing Science
Identifiers
URN: urn:nbn:se:kau:diva-80202DOI: 10.1186/s12912-020-00466-2ISI: 000560171300001PubMedID: 32774153Scopus ID: 2-s2.0-85089486114OAI: oai:DiVA.org:kau-80202DiVA, id: diva2:1467721
Available from: 2020-09-16 Created: 2020-09-16 Last updated: 2021-09-16Bibliographically approved

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Bisholt, BirgittaBååth, Carina

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