The relationship between the levels of nurses' competence and the length of their clinical experience: a tentative model for nursing competence development
The relationship between the levels of nurses' competence and the length of their clinical experience: a tentative model for nursing competence development
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DOI：
10.1111/j.1365-2702.2012.04239.x
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发表时间：
2013-05-01
影响因子：
4.2
通讯作者：
Takase, Miyuki
中科院分区：
文献类型：
--
作者：
Takase, Miyuki
目的和目标。探讨护士能力水平与临床工作年限的关系，为护士持续能力培养提供一种尝试性的模式。背景员工的职业发展引起了极大的兴趣。这种兴趣导致了各种模型的发展，这些模型说明了员工如何在整个职业生涯中发展他们的能力。然而，很少有人知道护士如何保持和发展他们的能力在整个职业生涯的道路。设计采用横断面设计。方法.采用问卷调查的方法，对325名护士的护理能力自评5个维度和临床实习年限进行了测量。使用局部加权散点图平滑法，将能力的每个维度与其临床经验的长度作图。然后，通过分数多项式回归分析来分析图的形状。结果总体而言，护理能力水平和临床经验的长度之间的关系曲线说明了快速增长的能力水平在早期阶段的护理生涯和缓慢的增长。这些曲线由对数、平方根函数或其倒数建模。结果支持学习曲线模型。结论.护士的能力发展可以分为两个不同的时期：快速增长期和稳定期。然而，增长的方式可能会有所不同，这取决于哪个维度的护理能力是重点。与临床实践相关。护理能力的高低直接影响着为病人提供的护理质量。研究结果使医疗机构能够采取积极主动的方法，通过确定何时以及如何帮助护士来提高护士的能力。
Aims and objectives. To explore the relationship between the levels of nurses' competence and the length of their clinical experience, in order to provide a tentative model of the continuing competence of nurses. Background. The professional development of employees has attracted great interest. This interest has led to the development of various models that illustrate how employees develop their competence throughout their careers. However, little is known of how nurses maintain and develop their competence throughout their career pathways. Design. A cross-sectional design was used. Methods. Using a survey method, five dimensions of self-assessed nursing competence and the length of the nurses' clinical practice were measured (n=325). Each dimension of competence was plotted against the length of their clinical experience using locally weighted scatterplot smoothing. Then, the shapes of the plots were analysed by fractional polynomial regression analysis. Results. Overall, the relationships between the levels of nursing competence and the length of clinical experience were illustrated by curves with a rapid increase in competence levels at the early stage of the nursing career and a slower increase later. These curves were modelled by either a logarithmic, square-root function or its reciprocal. The results supported the learning curve model. Conclusions. The competence development of nurses may be characterised by two distinctive periods: a rapid growth period followed by stable periods. However, the modality of the growth may be different depending on which dimension of nursing competence is in focus. Relevance to clinical practice. The level of nursing competence directly affects the quality of care provided to patients. The findings of the study enable healthcare organisations to take proactive approaches to enhance nurses' competence by identifying when and how to assist nurses.