Collegian最新文献

A survey of nurses’ knowledge of evidence-based guidelines for indwelling urinary catheter care 护士对留置导尿循证指南知识的调查

IF 1.7 4区医学 Q2 NURSING

Collegian

Pub Date : 2026-02-01 DOI: 10.1016/j.colegn.2025.11.003

Linda Coventry , Michelle Gay , Amineh Rashidi , Anke Ebeling , Roshnika Fernando , Christine Hallauer , Manjari Jayarathna , Rashmi Shrestha , Blake Smith , Paige Watkins , Rosemary Saunders

Background

Urinary tract infections are one of the most common healthcare-associated infections, with catheter-associated urinary tract infections being a significant burden on healthcare systems globally.

Aim

To assess nurses’ knowledge of evidence-based indwelling urinary catheter care and explore the barriers and facilitators of evidence-based indwelling catheter care.

Design

A cross-sectional survey-based study of nurses in an acute private hospital in Western Australia was conducted from March 2021 to April 2021.

Methods

Respondents were recruited using a convenience sampling method. The questionnaire included (1) demographics, knowledge of: (2) indications, (3) catheter care, (4) catheter-associated urinary tract infections prevention, and two open-ended questions on facilitators and barriers. Descriptive and inferential statistics were conducted using SPSS (version 27.0), and content analysis of the open-ended responses was performed.

Results

Sixty-three nurses responded (response rate: 37.1%). Nurses’ mean knowledge scores for catheter indications (77.5%), care (88.8%), and evidence-based practice (85.8%) varied. No significant differences were found based on demographic characteristics. Facilitators to nurses utilising evidence-based guidelines included access to education and training, organisational resources, and time. Barriers included a lack of time, a lack of knowledge, poor accountability for practice, a need for organisational resources/policies, challenges with other health professionals, and patient-related factors. Other comments focused on the need for more training and improvements in practice.

Conclusions

Nurses’ varied knowledge levels of evidence-based indwelling urinary catheter care highlight a need for education, supportive organisational policies and resources, and for nurses to take accountability for their practice.

尿路感染是最常见的卫生保健相关感染之一，导尿管相关尿路感染是全球卫生保健系统的一个重大负担。目的了解护理人员对循证留置导尿管护理知识的掌握情况，探讨循证留置导尿管护理的障碍和促进因素。设计于2021年3月至2021年4月对西澳大利亚州一家急性私立医院的护士进行了横断面调查研究。方法采用方便抽样法进行调查。问卷内容包括：(1)人口统计学，(2)适应症，(3)导尿管护理，(4)导尿管相关尿路感染预防，以及两个关于促进者和障碍的开放式问题。采用SPSS（27.0版）进行描述性统计和推理统计，并对开放式回答进行内容分析。结果有63名护士回复，答复率为37.1%。护士对导管指征（77.5%）、护理（88.8%）和循证实践（85.8%）的平均知识得分各不相同。人口学特征没有发现显著差异。促进护士利用循证指南的因素包括获得教育和培训、组织资源和时间。障碍包括缺乏时间、缺乏知识、对实践的问责不力、需要组织资源/政策、与其他卫生专业人员的挑战以及与患者相关的因素。其他意见集中在需要更多的培训和改进实践。结论护士对循证留置导尿管护理的知识水平参差不齐，需要加强教育，支持组织政策和资源，并对护士的实践负责。

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引用次数: 0

Sessional teaching staff experience and motivation in preregistration nursing programs: A qualitative study 预注册护理专业会期教学人员经验与动机：一项质性研究

IF 1.7 4区医学 Q2 NURSING

Collegian

Pub Date : 2026-02-01 DOI: 10.1016/j.colegn.2025.11.004

Thomas Aaron Ricks , Elisabeth Jacob , Louisa Lam

Aim/objective

To examine the experiences and motivations of sessional nursing teaching staff and identify the organisational conditions that support sustained engagement in Australian preregistration nursing programs.

Background

Sessional teaching staff make up a substantial proportion of the nurse education workforce in Australia and play a central role in delivering teaching, simulation, and assessment in preregistration nursing programs. They bring valuable clinical expertise to learning environments; however, many receive limited preparation, feedback, or support for their teaching roles. Variability in onboarding and access to ongoing professional development contributes to uncertainty, reduced job satisfaction, and high turnover. Although sessional staff are critical to sustaining nursing education, little research has explored how they experience these roles and what supports their continued engagement across different university contexts.

Design

A descriptive qualitative study using reflexive thematic analyses.

Methods

Four group and seven individual semistructured online interviews were undertaken in November 2024. The interview transcripts were imported into NVivo for coding and theme development.

Results

A total of three main themes were included: (i) enjoyment of teaching and student engagement, (ii) role flexibility and work-life balance, and (iii) quality of support and working conditions.

Conclusion

While sessional staff found teaching meaningful and identity-affirming, sustaining their engagement depended on role clarity, collegial inclusion, and ongoing pedagogical support. Regular updates and continued professional development opportunities strengthened confidence and belonging. Organisational support is therefore central to maintaining a stable and capable sessional nursing teaching workforce.

目的/目的研究护理教学人员的经验和动机，并确定支持澳大利亚预注册护理课程持续参与的组织条件。专业教学人员在澳大利亚护士教育队伍中占很大比例，在预注册护理项目的教学、模拟和评估中发挥着核心作用。他们为学习环境带来宝贵的临床专业知识；然而，许多人在教学角色方面得到的准备、反馈或支持都很有限。入职和获得持续专业发展的可变性会导致不确定性、工作满意度降低和高流动率。尽管在职人员对维持护理教育至关重要，但很少有研究探讨他们如何体验这些角色，以及是什么支持他们在不同的大学环境中继续参与。设计一项使用反身性主题分析的描述性定性研究。方法于2024年11月进行4个小组和7个个人半结构化在线访谈。将访谈记录导入NVivo进行编码和主题开发。结果共包括三个主要主题：(i)教学享受和学生参与；（ii）角色灵活性和工作与生活平衡；（iii）支持质量和工作条件。结论：虽然在职教职员工认为教学有意义，并能肯定他们的身份，但维持他们的参与取决于角色明确、学院包容和持续的教学支持。定期更新和持续的专业发展机会增强了信心和归属感。因此，组织支持对于维持稳定和有能力的专业护理教学队伍至关重要。

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引用次数: 0

New technologies for disaster preparedness in nursing: A systematic review 护理备灾新技术：系统综述

IF 1.7 4区医学 Q2 NURSING

Collegian

Pub Date : 2026-02-01 DOI: 10.1016/j.colegn.2025.12.001

Andrea Sánchez-Martín, Víctor Manuel Jiménez-Cano, María del Valle Ramírez-Durán

Objective

The aim of this study was to analyse the effectiveness of new technologies in preparing nurses and nursing students for disaster situations.

Background

Currently, disasters are becoming more frequent. In these scenarios, nurses play a fundamental role. Therefore, their training is essential. A key element in this process is education. One of the most attractive innovations in education has been new technologies.

Methods

A systematic review was conducted following PRISMA guidelines. The search was based on a PICO question and was carried out in the following information sources: PubMed, Web of Science, Cochrane Library, Scopus, Tripdatabase, Google Scholar, ResearchGate, and the bibliography of other studies. The quality of the studies was assessed using the CASPe critical reading templates and the Jadad Scale.

Results

Nine studies were identified. Of these, six demonstrated that the use of new technologies was more effective in disaster preparedness than traditional teaching methods. The remaining three articles found no significant differences between the two approaches, suggesting that both strategies were equally valid.

Conclusions

The studies included in this review have shown that the use of new technologies is as effective as or more effective than conventional teaching methods and improves the level of knowledge in preparing nurses and nursing students for disasters.

目的分析新技术在护理人员和护生防灾准备中的效果。目前，灾害变得越来越频繁。在这些情况下，护士扮演着重要的角色。因此，他们的培训是必不可少的。这一过程的一个关键因素是教育。教育领域最具吸引力的创新之一是新技术。方法按照PRISMA指南进行系统评价。搜索基于一个PICO问题，并在以下信息源中进行：PubMed、Web of Science、Cochrane Library、Scopus、Tripdatabase、谷歌Scholar、ResearchGate以及其他研究的参考书目。使用CASPe批判性阅读模板和Jadad量表评估研究的质量。结果共确定了9项研究。其中，6个项目表明，在备灾方面使用新技术比传统教学方法更有效。剩下的三篇文章没有发现两种方法之间的显著差异，这表明两种策略同样有效。结论本综述中的研究表明，新技术的使用与传统教学方法一样有效，甚至更有效，并提高了护士和护生应对灾害的知识水平。

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引用次数: 0

Nursing practice environment influences on retention and turnover intention: An umbrella review 护理实习环境对保留和离职倾向的影响：概略回顾

IF 1.7 4区医学 Q2 NURSING

Collegian

Pub Date : 2026-02-01 DOI: 10.1016/j.colegn.2025.09.008

Ana Rita Figueiredo , Cristina Baixinho , Pedro Lucas

Background

The global shortage of nurses impacts the quality of healthcare, especially in the hospital setting. A favourable nursing practice environment is essential for effective care and nurse retention. Favourable environments reduce turnover, while unfavourable ones increase intention to leave. In the current scenario, retaining nurses is crucial for the healthcare services sustainability and the quality of care.

Aim

Identify systematic reviews that describe the characteristics of the nursing practice environment that contribute to nurse retention or turnover intention in hospitals.

Methods

An umbrella review was conducted using JBI methodology, and the results were reported following the guidelines of Preferred Reporting Items for Systematic Reviews and Meta-Analyses.

Results

Sixteen systematic reviews were included, highlighting factors such as nurses’ participation in organisational decisions and adequate material and staff resources.

Discussion

Transformational and supportive leadership strengthens the practice environment, promoting lower turnover rates. The existence of sufficient staff and resources is essential, and collaborative relationships between nurses and doctors also promote retention. Work–life balance emerged as an important factor, with Generation Y being particularly vulnerable to unfavourable work environments. The COVID-19 pandemic has amplified these challenges, increasing the lack of nurses and highlighting the need for more studies in the actual context.

Conclusions

Innovative strategies that support leadership, staffing, and nurses’ involvement in institutional decision-making will be necessary on the part of healthcare organisations to actively address the shortages in nursing. Investing in practice environments may be crucial for the sustainability of healthcare organisations, given the shortage and the characteristics of the current workforce.

全球护士短缺影响了医疗保健质量，特别是在医院环境中。良好的护理实践环境是有效护理和留住护士的必要条件。有利的环境会减少离职率，而不利的环境会增加离职率。在目前的情况下，留住护士对保健服务的可持续性和护理质量至关重要。目的确定系统评价，描述有助于医院护士保留或离职意向的护理实践环境特征。方法采用JBI方法进行综合评价，并按照系统评价和荟萃分析的首选报告项目指南报告结果。结果纳入16项系统评价，突出了护士参与组织决策和充足的物质和人力资源等因素。变革和支持性领导加强了实践环境，促进了更低的流动率。足够的人员和资源是必不可少的，护士和医生之间的合作关系也促进了保留。工作与生活的平衡成为一个重要因素，Y世代尤其容易受到不利工作环境的影响。2019冠状病毒病大流行放大了这些挑战，加剧了护士的缺乏，并突出表明需要在实际背景下进行更多研究。结论支持领导、人员配置和护士参与机构决策的创新策略将是医疗机构积极解决护理短缺问题所必需的。考虑到当前劳动力的短缺和特点，投资于实践环境可能对医疗机构的可持续性至关重要。

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引用次数: 0

Leadership lessons from Sir Ernest Shackleton: A reflective analysis from a nursing perspective 欧内斯特·沙克尔顿爵士的领导力课程：从护理角度的反思分析

IF 1.7 4区医学 Q2 NURSING

Collegian

Pub Date : 2026-02-01 DOI: 10.1016/j.colegn.2025.09.007

Patrícia Costa , Filomena Gaspar , Elisabete Nunes , Pedro Lucas

Background

Leadership has been a subject of sustained interest throughout human history and is recognised as a complex, multidimensional competence essential to the organisation and effectiveness of teams. In nursing, effective leadership plays a key role in ensuring the quality and safety of care and in maintaining favourable practice environments.

Aim

To conduct a reflective analysis of the leadership demonstrated by Sir Ernest Shackleton during the Imperial Trans-Antarctic Expedition (1914–1917), commonly known as the Endurance expedition, exploring how his servant and transformational leadership behaviours, combined with emotional intelligence, can inform nursing leadership and contribute to team management in complex settings.

Methods

Theoretical and conceptual reflective analysis study.

Results

The analysis of Sir Ernest Shackleton’s leadership reveals a strong presence of characteristics associated with servant leadership, transformational leadership, and emotional intelligence. These attributes were critical in fostering group cohesion, motivation, and resilience, ultimately ensuring the survival of the entire team under extreme conditions.

Discussion

The integration of Shackleton’s leadership traits — drawing on servant leadership, transformational leadership, and emotional intelligence — offers an enriched perspective for nursing practice. It improves understanding of leadership dynamics in complex contexts and reinforces the relevance of training focused on developing effective nursing leaders.

Conclusion

Investing in emotional intelligence and leadership skills development is essential for creating supportive work environments and ensuring the delivery of high-quality, safe care. Historical examples such as Shackleton’s offer valuable pedagogical and reflective tools for cultivating leadership in nursing.

在整个人类历史上，领导力一直是一个持续关注的主题，被认为是一种复杂的、多维的能力，对团队的组织和效率至关重要。在护理中，有效的领导在确保护理质量和安全以及维持有利的实践环境方面起着关键作用。目的：对欧内斯特·沙克尔顿爵士在帝国跨南极考察（1914-1917）中表现出的领导力进行反思分析，探索他的仆人和变革型领导行为与情商相结合，如何为护理领导提供信息，并有助于复杂环境下的团队管理。方法理论与概念反思分析研究。结果：对欧内斯特·沙克尔顿爵士的领导力的分析揭示了仆人型领导力、变革型领导力和情商相关特征的强烈存在。这些属性对于培养团队凝聚力、动力和韧性至关重要，最终确保整个团队在极端条件下的生存。沙克尔顿的领导特质的整合——借鉴仆人式领导、变革型领导和情商——为护理实践提供了丰富的视角。它提高了对复杂背景下领导动态的理解，并加强了培训的相关性，重点是培养有效的护理领导者。投资情商和领导技能的发展对于创造支持性的工作环境和确保提供高质量、安全的护理至关重要。历史上的例子，如沙克尔顿，为培养护理领导能力提供了宝贵的教学和反思工具。

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引用次数: 0

Nursing teachers’ experiences assessing nursing students in clinical practice: A systematic literature review 护理教师在临床实习中评估护生的经验：系统的文献回顾

IF 1.7 4区医学 Q2 NURSING

Collegian

Pub Date : 2026-02-01 DOI: 10.1016/j.colegn.2025.09.009

Susann Arvidsson, Marjut Blomqvist

Background

Nurses play a crucial role as the primary global workforce providing health services throughout people’s lives, addressing patient needs safely and effectively. Becoming a registered nurse requires a combination of high-quality education and clinical practice during clinical placements. Nursing teachers, who are part of higher educational institutions, are sometimes responsible for assessing the competencies of nursing students in clinical settings. However, there is limited research on the experiences of nursing teachers when it comes to assessing clinical practice.

Aim

The aim of this literature review was to explore nursing teachers’ experiences in assessing nursing students in clinical practice.

Methods

A systematic literature review was conducted following the guidelines set by Bettany-Saltikov and McSherry, and the findings were reported according to the PRISMA checklist. Four databases were utilised for the systematic search, and the methodological quality of selected articles was evaluated using the Mixed Method Appraisal Tool. Six original articles from four countries, published between 2014 and 2022, were included in the review.

Findings

From this review, three categories emerged: Creating assessment situations as learning opportunities, Collaborating effectively during assessment situations, and Facing challenges in assessment situations.

Discussion

Assessing students can be a complex responsibility for nursing teachers and requires various competencies.

Conclusion

There is a need for support from educational institutions, as well as collaboration with clinical placements, to ensure fair assessments of nursing students’ clinical practice. More research is necessary to understand how nursing teachers address challenges and manage demanding assessment situations related to students’ clinical competence.

护士作为在人的一生中提供卫生服务、安全有效地满足患者需求的主要全球劳动力，发挥着至关重要的作用。成为一名注册护士需要在临床实习期间结合高质量的教育和临床实践。作为高等教育机构的一部分，护理教师有时负责评估护理学生在临床环境中的能力。然而，在临床实践评估方面，对护理教师经验的研究有限。目的探讨护理教师在临床实习中对护生进行评估的经验。方法按照bettanya - saltikov和McSherry的指南进行系统的文献综述，并按照PRISMA核对表进行报告。系统检索使用了四个数据库，所选文章的方法学质量使用混合方法评价工具进行评价。2014年至2022年间，来自四个国家的六篇原创文章被纳入该综述。从这个回顾中，出现了三个类别：创造作为学习机会的评估情境，在评估情境中有效地合作，以及在评估情境中面对挑战。对护理教师来说，评估学生是一项复杂的责任，需要各种能力。结论需要教育机构的支持，以及与临床实习单位的合作，以确保护理学生临床实习的公平评估。需要更多的研究来了解护理教师如何应对挑战并管理与学生临床能力相关的苛刻评估情况。

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引用次数: 0

Enhancing healthcare access: Optimising nursing workforce utilisation in primary health care 增进卫生保健可及性：优化初级卫生保健护理人力的利用

IF 1.7 4区医学 Q2 NURSING

Collegian

Pub Date : 2026-02-01 DOI: 10.1016/j.colegn.2025.11.001

Tracy Robinson , Cressida Bradley , Lisa Collison , Linda Govan , Rachel Rossiter

Introduction

There is a critical need to grow the capabilities of the nursing workforce and increase nurse-led models of care to ensure that rural communities have access to healthcare. The Australian Government funded the Australian Primary Health Care Nurses Association’s Building Nurse Capacity (BNC) program that aims to enhance utilisation of the nursing workforce through nurse-delivered (team-based) models of care. This paper examines the contribution of the program to enhancing nursing potential for the successful delivery of nurse-led clinics.

Methods

A non-randomised evaluation of this quality improvement program was undertaken, with participating sites invited to contribute. Participants completed the pre- and post-standardised Australian Advanced Practice Nursing Self-Appraisal Tool and pre- and post-questionnaires that addressed role satisfaction, job satisfaction, career intentions, scope of practice, knowledge, and confidence in establishing nurse-led clinics. Data were treated as independent rather than paired samples, and probability values were calculated using the Wilcoxon rank-sum test. Mean pre- and post-project questionnaire scores with corresponding p-values are reported.

Findings

Eighteen clinics participated in the evaluation. Eleven participants completed the Advance Tool, pre- and post-project. Twenty-one participants completed pre-surveys, and fifteen completed post-surveys. Analysis demonstrated that the BNC program significantly increased the confidence, knowledge, and skills of participants to deliver nurse-led, team-based clinics and helped to increase their scope of practice.

Conclusion

This study demonstrates that programs designed to support nurse-led models of care can improve participants’ knowledge, skills, and confidence to grow and deliver nurse-led clinics.

迫切需要提高护理人员的能力，并增加护士主导的护理模式，以确保农村社区能够获得医疗保健。澳大利亚政府资助了澳大利亚初级保健护士协会的护士能力建设方案，该方案旨在通过护士提供的（以团队为基础的）护理模式提高护理人员的利用率。本文探讨了该方案的贡献，以提高护理潜力的成功交付护士领导的诊所。方法对质量改进方案进行非随机评价，并邀请各参与单位参与评价。参与者完成了标准化前和标准化后的澳大利亚高级护理实践自我评估工具，以及关于角色满意度、工作满意度、职业意向、实践范围、知识和建立护士主导诊所的信心的问卷调查。数据被视为独立样本而非成对样本，概率值采用Wilcoxon秩和检验计算。报告了项目前和项目后问卷的平均得分和相应的p值。结果18家诊所参与了评估。11名参与者完成了项目前和项目后的高级工具。21名参与者完成了预调查，15名参与者完成了后调查。分析表明，BNC项目显著提高了参与者的信心、知识和技能，以提供护士领导的、团队为基础的诊所，并有助于扩大他们的实践范围。本研究表明，旨在支持护士主导的护理模式的项目可以提高参与者的知识、技能和信心，以发展和提供护士主导的诊所。

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引用次数: 0

Predicting newly registered nurse turnover: A longitudinal analysis of motivation and engagement 预测新注册护士离职：动机与敬业度的纵向分析

IF 1.7 4区医学 Q2 NURSING

Collegian

Pub Date : 2026-02-01 DOI: 10.1016/j.colegn.2025.10.001

Makiko Yamamoto , Naoko Inanobe , Sayoko Isono , Maiko Kawai , Mamiko Miyoshi

Background

Newly registered nurses are at high risk of turnover during their first year of employment. This early attrition poses significant challenges to healthcare workforce stability and the continuity of quality care.

Aim

The purpose of this study was to investigate the 12-month trajectory of growth motivation and work engagement among newly registered nurses and examine their impact on turnover intention. The aim is to identify psychological indicators of early turnover risk and optimal intervention timing to support retention.

Methods

Questionnaires were sent to 525 newly registered nurses in Japan, and follow up data collected at 3, 6, and 12 months post-entry. Growth motivation, work engagement, and turnover intention were measured using validated scales. Wilcoxon signed-rank tests, Spearman’s correlations, and structural equation modelling were employed to analyse temporal changes and associations.

Findings

Growth motivation and work engagement significantly declined over time, whereas turnover intention increased. Both growth motivation and engagement were negatively associated with turnover intention at all time points. Notably, work engagement at 3 months post-employment positively predicted turnover intention at 6 months post-employment, suggesting that high early engagement may increase susceptibility to unmet expectations.

Discussion

These findings extend the Job Demands–Resources model by highlighting dual motivational pathways — both protective and risk-enhancing. They suggest that personal resources may not buffer early turnover without appropriate workplace support.

Conclusion

Interventions that reinforce growth motivation and engagement during the first 3–6 months of employment may reduce early turnover. The findings offer theoretical and practical guidance for nursing workforce policy and practice.

背景：新注册的护士在工作的第一年有很高的离职风险。这种早期减员对医疗保健人力的稳定性和高质量护理的连续性构成了重大挑战。目的研究新注册护士的成长动机和工作投入的12个月变化轨迹，并探讨其对离职意向的影响。目的是确定早期离职风险的心理指标和最佳干预时机，以支持保留。方法对525名日本新注册护士进行问卷调查，并于入职后3、6、12个月进行随访。成长动机、工作投入和离职倾向采用有效的量表进行测量。采用Wilcoxon sign -rank检验、Spearman相关和结构方程模型来分析时间变化和关联。随着时间的推移，成长动机和工作投入显著下降，而离职意愿则上升。在所有时间点上，成长动机和敬业度都与离职倾向呈负相关。值得注意的是，离职后3个月的工作敬业度正向预测离职后6个月的离职倾向，这表明高的早期敬业度可能会增加对未满足期望的敏感性。这些发现通过强调双重激励途径——保护性和风险增强性——扩展了工作需求-资源模型。他们认为，如果没有适当的工作场所支持，个人资源可能无法缓冲早期离职。结论在入职前3-6个月加强成长动机和敬业度的干预措施可以减少早期离职。研究结果为护理人力政策和实践提供了理论和实践指导。

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引用次数: 0

Nurses’ and midwives’ perspectives on and involvement in research: An exploratory cross-sectional study 护士和助产士对研究的观点和参与：一项探索性横断面研究

IF 1.7 4区医学 Q2 NURSING

Collegian

Pub Date : 2026-02-01 DOI: 10.1016/j.colegn.2025.11.002

Emma J. Yeomans , Rebecca M. Jedwab

Background

Research is fundamental to improving healthcare delivery and patient outcomes. As the largest professional group within the healthcare workforce, nurses and midwives are well placed to contribute to and lead research. However, their participation is often hindered by obstacles such as limited time, insufficient funding, and lack of institutional support.

Aim

The aim of this study was to explore nurses’ and midwives’ perspectives of research across a large Victorian tertiary healthcare organisation.

Methods

An exploratory cross-sectional survey was created by modifying questions from previously published tools and customising them to fit the organisational and nursing and midwifery contexts. Nurses and midwives working at eight different hospital locations were invited to participate in the online, anonymous survey via email and nursing and midwifery forums. Quantitative data were analysed using descriptive statistics, and qualitative data (free-text comments) were analysed using content analysis.

Findings

A total of 327 nurses and midwives responded to the survey. Although 65 nurses and midwives (19.88%) indicated current research involvement, the majority had minimal experience beyond data collection. Respondents highlighted barriers to participation, including insufficient time, funding, and mentorship. Enablers included access to training, dedicated time, supervision, and organisational support. Free-text responses emphasised the necessity of structured guidance, a dedicated nursing and midwifery research hub, and funded opportunities to build capacity.

Discussion

Although nurses and midwives understand the significance of research, they encounter systemic obstacles that hinder their active participation and leadership.

Conclusion

Enhancing nursing and midwifery organisational research capacity will necessitate investments in mentorship, training, dedicated time, and institutional strategies to integrate research as a fundamental aspect of their practice.

研究是改善医疗服务和患者预后的基础。作为医疗保健工作人员中最大的专业群体，护士和助产士可以很好地为研究做出贡献并领导研究。然而，他们的参与往往受到诸如时间有限、资金不足和缺乏机构支持等障碍的阻碍。目的本研究的目的是探讨护士和助产士的研究视角跨大型维多利亚三级医疗保健组织。方法通过修改以前发布的工具中的问题并对其进行定制，以适应组织和护理及助产环境，创建了一项探索性横断面调查。在八家不同医院工作的护士和助产士被邀请通过电子邮件和护理和助产论坛参与在线匿名调查。定量数据采用描述性统计分析，定性数据（自由文本评论）采用内容分析分析。调查结果共有327名护士和助产士参与了调查。虽然65名护士和助产士（19.88%）表示目前参与了研究，但大多数人除了数据收集之外几乎没有经验。受访者强调了参与的障碍，包括时间、资金和指导不足。促成因素包括获得培训、专门的时间、监督和组织支持。自由文本答复强调了结构化指导、专门的护理和助产研究中心以及资助能力建设机会的必要性。尽管护士和助产士理解研究的重要性，但他们遇到了阻碍他们积极参与和领导的系统性障碍。结论：提高护理和助产机构的研究能力需要在指导、培训、专用时间和机构战略方面进行投资，以将研究作为其实践的基本方面。

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引用次数: 0

Development and validation of the Competence Assessment Insights Survey for Australian Registered Nurses (CAISA-RN) 澳大利亚注册护士能力评估洞察调查（CAISA-RN）的开发与验证

IF 1.7 4区医学 Q2 NURSING

Collegian

Pub Date : 2025-10-16 DOI: 10.1016/j.colegn.2025.09.006

Lucy J. Osborn , Loretta Garvey , Esther Adama , Jahar Bhowmik

Problem

Despite the crucial role competence assessments play in nursing education and practice, there appear to be no validated survey tools that capture nurses’ perceptions of their competence assessments, leading to a lack of insight into the end-users’ perceptions. This study addresses that gap.

Aim

The aim of this study is to develop and validate a survey tool that captures registered nurses’ (RN) perspectives on competence assessments and their alignment with clinical experiences.

Methods

A cross-sectional survey was developed following the Boateng et al. (2018) framework and O'Connor’s (2022) recommendations. The online survey questionnaire was developed through literature review, expert consultation, and iterative refinement. It includes Likert-scale self-reported questions and open-ended qualitative items. The scale was initially developed using principal component analysis and factor analysis, followed by the validation of its psychometric properties through confirmatory factor analysis and exploratory factor analysis.

Findings

Pilot testing confirmed content and construct validity of the scale. The survey tool demonstrated strong content validity through expert review and construct validity by aligning with established Australian frameworks. Psychometric testing confirmed the need to remove a poorly correlated item to enhance reliability and validity, based on a two-factor scale.

Discussion

The study introduces the Competence Assessment Insights Survey for Registered Nurses (CAISA-RN), a validated tool offering insights into strengths, weaknesses, barriers, and facilitators in competence assessments via multifactor questionnaire.

Conclusion

The development and validation of the CAISA-RN two-factor scale represent a significant advancement in understanding RNs’ perspectives on competence assessments in clinical practice. Through a multistage process, the CAISA-RN tool demonstrated strong content and construct validity. The CAISA-RN fills a gap in competence assessment research by capturing RNs’ perspectives. Its strong content and construct validity provide a foundation for refining competence assessment frameworks, improving nursing education, practice, and policy

尽管能力评估在护理教育和实践中发挥着至关重要的作用，但似乎没有有效的调查工具来捕捉护士对其能力评估的看法，导致缺乏对最终用户看法的洞察。这项研究解决了这一差距。目的本研究的目的是开发和验证一种调查工具，以捕获注册护士（RN）对能力评估的观点及其与临床经验的一致性。方法根据Boateng等人（2018）的框架和O’connor（2022）的建议进行了横断面调查。在线调查问卷是通过文献查阅、专家咨询、迭代细化等方法编制的。它包括李克特量表自我报告问题和开放式定性项目。本量表最初采用主成分分析和因子分析进行编制，随后通过验证性因子分析和探索性因子分析对其心理测量特性进行验证。结果发现，经检验，量表的内容和构建效度得到了证实。该调查工具通过专家审查和结构效度与已建立的澳大利亚框架保持一致，显示出强大的内容效度。基于双因素量表，心理测量测试证实需要删除相关性较差的项目以提高信度和效度。本研究引入了注册护士胜任力评估洞察调查（CAISA-RN），这是一个经过验证的工具，通过多因素问卷调查，深入了解胜任力评估的优势、劣势、障碍和促进因素。结论caisa -注册护士双因素量表的开发和验证，在了解注册护士在临床实践中能力评估的观点方面取得了重大进展。通过多阶段的过程，CAISA-RN工具显示出较强的内容效度和结构效度。CAISA-RN通过捕捉注册会计师的视角，填补了能力评估研究的空白。其内容强、结构效度高，为完善胜任力评估框架，改进护理教育、实践和政策提供了依据

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引用次数: 0