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Development of an easy-to-use questionnaire assessing critical care nursing competence in Japan: A cross-sectional study


Autoři: Masatoshi Okumura aff001;  Tomonori Ishigaki aff002;  Kazunao Mori aff003;  Yoshihiro Fujiwara aff001
Působiště autorů: Department of Anesthesiology, Aichi Medical University, Nagakute, Aichi, Japan aff001;  Department of Business Administration, Nanzan University, Nagoya, Aichi, Japan aff002;  Division of Nursing, Aichi Medical University Hospital, Nagakute, Aichi, Japan aff003
Vyšlo v časopise: PLoS ONE 14(11)
Kategorie: Research Article
prolekare.web.journal.doi_sk: https://doi.org/10.1371/journal.pone.0225668

Souhrn

Background

Critical care nurses need a high level of medical competence, especially with regard to patient safety. There are several tools to measure general and critical care nursing competence, but the usability of these tools is inadequate because they include large numbers of questions. To maintain quality and safety in intensive care units (ICUs), it is necessary to be able to easily measure and evaluate critical care nursing competence. The purpose of this study was to develop an easy-to-use questionnaire assessing critical care nursing competence related to patient safety.

Methods

A cross-sectional, descriptive, explorative study was designed to collect data from nurses working in six ICUs in tertiary hospitals in Japan. Data were collected from August 2017 to December 2018. The Critical Care Nursing Competence Questionnaire for Patient Safety (C3Q-safety) is a 22-item instrument designed to assess nursing competence related to patient safety in ICUs. Items were developed based on previous work related to critical care nursing competence and were adjusted based on a pilot study.

Results

A total of 211 nurses working in ICUs participated in this study. Through descriptive statistics and factor analysis, the number of questions was reduced from 24 to 22. The C3Q-safety had four factors: decision making, collaboration, nursing intervention, and principles of nursing care. Cronbach’s alpha ranged from 0.73 to 0.83. The four factors showed positive correlations with each other (0.47 to 0.72). Nurses licensed as certified nurses in intensive care and those with longer ICU work experience showed significantly higher scores on all four factors.

Conclusions

We developed an easy-to-use questionnaire to assess critical care nursing competence related to patient safety. The C3Q-safety was able to detect four areas of competence. The C3Q-safety will make it possible to easily measure critical care nursing competence and can be utilized for efficient education.

Klíčová slova:

Nurses – Patients – Questionnaires – Factor analysis – Nursing science – Decision making – Intensive care units – Japan


Zdroje

1. Garside JR, Nhemachena JZ. A concept analysis of competence and its transition in nursing. Nurse Educ Today. 2013;33(5):541–5. Epub 2012/01/20. doi: 10.1016/j.nedt.2011.12.007 22257583.

2. Watson R, Stimpson A, Topping A, Porock D. Clinical competence assessment in nursing: a systematic review of the literature. Journal of advanced nursing. 2002;39(5):421–31. Epub 2002/08/15. doi: 10.1046/j.1365-2648.2002.02307.x 12175351.

3. Aari RL, Tarja S, Helena LK. Competence in intensive and critical care nursing: a literature review. Intensive & critical care nursing. 2008;24(2):78–89. Epub 2008/01/22. doi: 10.1016/j.iccn.2007.11.006 18206373.

4. Lakanmaa RL, Suominen T, Perttila J, Ritmala-Castren M, Vahlberg T, Leino-Kilpi H. Basic competence in intensive and critical care nursing: development and psychometric testing of a competence scale. Journal of clinical nursing. 2014;23(5–6):799–810. Epub 2013/01/22. doi: 10.1111/jocn.12057 23331409.

5. Ministry of Health LaW. Survey on Health Care Facility and Hospital Report 2017 2017 [cited 2019 04/21]. Available from: https://www.mhlw.go.jp/toukei/list/79-1a.html.

6. JapaneseNursingAssociation. Nursing in Japan 2016 [cited 2019 01/12]. Available from: https://www.nurse.or.jp/jna/english/nursing/index.html.

7. Shime N. Clinical and investigative critical care medicine in Japan. Intensive care medicine. 2016;42(3):453–5. Epub 2016/01/15. doi: 10.1007/s00134-015-4165-7 26762107.

8. Salwa S.A. Kamel. SFF, Randa M Ibrahim. Self-assessment competency tool for nurses working in critical care units: development and psychometric evaluation. Life Science Journal. 2011;8(3):156–64.

9. Hadjibalassi M, Papastavrou E, Lambrinou E, Tsangari H, Athini E, Georgiou E, et al. Development of an instrument to determine competencies of postgraduate ICU nurses in Cyprus. Nurs Crit Care. 2012;17(5):255–64. Epub 2012/08/18. doi: 10.1111/j.1478-5153.2012.00503.x 22897812.

10. Lakanmaa RL, Suominen T, Perttila J, Ritmala-Castren M, Vahlberg T, Leino-Kilpi H. Graduating nursing students' basic competence in intensive and critical care nursing. Journal of clinical nursing. 2014;23(5–6):645–53. Epub 2013/06/22. doi: 10.1111/jocn.12244 23786502.

11. Jones KJ SA, Xu L et al. The AHRQ Hospital Survey on Patient Safety Culture: A Tool to Plan and Evaluate Patient Safety Programs. Henriksen K BJ, Keyes MA, et al, editor: AHRQ Publication 2008.

12. DeGrande H, Liu F, Greene P, Stankus JA. Developing professional competence among critical care nurses: An integrative review of literature. Intensive & critical care nursing. 2018;49:65–71. Epub 2018/09/01. doi: 10.1016/j.iccn.2018.07.008 30166231.

13. Kruger J, Dunning D. Unskilled and unaware of it: how difficulties in recognizing one's own incompetence lead to inflated self-assessments. Journal of personality and social psychology. 1999;77(6):1121–34. Epub 2000/01/08. doi: 10.1037//0022-3514.77.6.1121 10626367.


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PLOS One


2019 Číslo 11
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