Clinical gerontological nursing competence among licensed practical nurses in healthcare services-A descriptive cross-sectional study.

IF 1.9 4区 医学 Q2 NURSING Scandinavian Journal of Caring Sciences Pub Date : 2024-11-18 DOI:10.1111/scs.13312
Suonnansalo Petra, Pramila-Savukoski Sari, Meriläinen Merja, Siira Heidi, Sneck Sami, Tohmola Anniina, Karsikas Eevi, Tuomikoski Anna-Maria
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Abstract

Aim: This study aimed to describe self-assessed clinical gerontological nursing competence and its associated factors among licensed practical nurses.

Design: A descriptive cross-sectional design was adopted for the study.

Methods: Data were collected in Autumn 2023 from 394 licensed practical nurses working in healthcare services for older people in one well-being services county in Finland. The nurses, recruited through convenience sampling, were surveyed using a 40-item self-assessment clinical gerontological nursing competence instrument (on a Likert scale from 1 = poor to 5 = excellent). Descriptive statistical methods were used to analyse the results.

Results: Participants mainly assessed their clinical gerontological competence as good. Competence in using assistive devices to support functional ability was assessed as very good, while competence in postoperative wound care was assessed as the weakest. Participants working in 24-h services assessed their competence as the weakest among the three clinical gerontological nursing areas. Participants under 40 years of age with 5-10 years of work experience self-assessed statistically significantly stronger competence in disease-specific nursing than those over 40 with less work experience.

Conclusion: The self-assessed competence of licensed practical nurses varies across different service and care units. Competence in wound care requires more focus and education in the future. Attention should also be paid to competence development in different educational areas, for example, through continuous education and competence development models. The results could facilitate licensed practical nurses' competence development and management in clinical gerontological nursing. The study's insights can also guide allocating resources and education to ensure high-quality care in different service areas.

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医疗保健服务领域执业护士的老年临床护理能力--一项描述性横断面研究。
目的:本研究旨在描述执业护士自我评估的临床老年学护理能力及其相关因素:研究采用描述性横断面设计:收集了 2023 年秋季在芬兰一个福利服务县为老年人提供医疗保健服务的 394 名执业护士的数据。这些护士是通过方便抽样的方式招募的,他们使用了一个包含 40 个项目的临床老年护理能力自我评估工具(采用李克特量表,从 1 = 差到 5 = 卓越)进行调查。结果采用描述性统计方法进行分析:结果:参与者主要将自己的临床老年学能力评价为良好。使用辅助设备支持功能的能力被评为 "非常好",而术后伤口护理的能力被评为 "最弱"。在 24 小时服务机构工作的参与者认为,在三个临床老年护理领域中,他们的能力最弱。据统计,40 岁以下、有 5-10 年工作经验的参与者在疾病特异性护理方面的自我评估能力明显强于 40 岁以上、工作经验较少的参与者:结论:执业护士在不同服务和护理单位的自我评估能力各不相同。伤口护理方面的能力需要在未来得到更多关注和教育。还应关注不同教育领域的能力发展,例如通过持续教育和能力发展模式。研究结果可促进执业护士在临床老年护理方面的能力发展和管理。研究的启示还可以指导资源分配和教育,以确保不同服务领域的高质量护理。
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来源期刊
CiteScore
4.60
自引率
5.30%
发文量
71
期刊介绍: Scandinavian Journal of Caring Sciences is an established quarterly, peer reviewed Journal with an outstanding international reputation. As the official publication of the Nordic College of Caring Science, the Journal shares their mission to contribute to the development and advancement of scientific knowledge on caring related to health, well-being, illness and the alleviation of human suffering. The emphasis is on research that has a patient, family and community focus and which promotes an interdisciplinary team approach. Of special interest are scholarly articles addressing and initiating dialogue on theoretical, empirical and methodological concerns related to critical issues. All articles are expected to demonstrate respect for human dignity and accountability to society. In addition to original research the Journal also publishes reviews, meta-syntheses and meta-analyses.
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