scholarly journals Competency Development for Military Nursing: Developing the Competency Framework for Global Health

2021 ◽  
Author(s):  
Huijuan Ma ◽  
Zhen Cheng ◽  
Jing Tan ◽  
Yu Luo
Keyword(s):  
Global Health ◽  
Phase 1 ◽  
Military Medicine ◽  
Competency Framework ◽  
Competency Assessment ◽  
Clinical Expertise ◽  
Military Nurses ◽  
Nursing Knowledge ◽  
Knowledge And Skills ◽  
Military Nursing

Abstract Background: As military nurses are required to maintain high level of clinical expertise and currency for short-notice deployments of global health missions, competency assessment and capability building is a basic paradigm of military nursing. However, research focusing on the competencies of military nurses is limited.Methods: A two-phased procedure was implemented. In phase 1, the competency framework was developed by scoping review and crosschecking the common used competency framework of nurses. During phase 2, two rounds of a Delphi process were carried out and a penal of experts used a 5-point Likert scale to rate their level of agreement with the competency statement. Results: Experts of military nursing and military medicine responded to the first round (n = 19), and the second round (n = 19). The final competency framework consisted of 67 competencies and was classified into five domains: clinical nursing knowledge and skills, military nursing knowledge and skills, professional ability, management ability, and comprehensive quality. Conclusion: The competency framework developed in this study lays solid foundation for competency-based education of a competent nursing team to play a significant role in the global health.

scholarly journals Use of High-Fidelity Simulation to Improve Confidence in Military Nurses' Deployment Readiness

2021 ◽  
Author(s):  
James Jeff
Keyword(s):  
Online Education ◽  
Chest Tube ◽  
Military Medicine ◽  
High Fidelity ◽  
High Fidelity Simulation ◽  
Military Nurses ◽  
Frequent Use ◽  
Military Nursing ◽  
Specific Skill ◽  
The Military

High-fidelity simulation (HFS) has been shown to be a successful means of skill sustainment and improved confidence across many professions in which human lives are a stake to include the fields of aviation and healthcare. More specifically, HFS technology has displayed efficacy with doctors, nurses, and other advanced practice providers. The flexibility of HFS makes for an ideal educational tool in both professional development and academia. Military medicine could benefit from HFS technology due to the dynamic nature which requires readiness at a moment’s notice. The benefit can be significant in the military nursing community due to the frequency of relocation to duty stations and positions that do not allow for frequent use of deployment critical patient care skills. These deployment skills must be carried out by confident military nurses. The functionality of HFS to provide an opportunity to repeat complicated procedures in a safe controlled setting to improve a nurses’ confidence is essential (Boling & Hardin-Pierce, 2016). The purpose of the project was to determine if the use of HFS in addition to traditional online education could improve military nurse confidence with the deployment specific skill of managing a patient with a chest tube. An educational pre-briefing, four simulation scenarios, and a debriefing were implemented and assessed using a modified confidence tool. The project demonstrated improvement in the confidence of all subjects in the assessment, intervention, and evaluation of a simulated patient with a chest tube.

scholarly journals Exploring competencies of military nurses in general hospitals in China: A qualitative content analysis

2021 ◽  
Author(s):  
Huijuan Ma ◽  
Li Lin ◽  
Suofei Zhang ◽  
Lei Lei ◽  
Jinyu Huang ◽  
...  
Keyword(s):  
Content Analysis ◽  
Qualitative Content Analysis ◽  
Quality Care ◽  
Competency Assessment ◽  
Military Nurses ◽  
General Hospitals ◽  
Self Identity ◽  
Management Ability ◽  
Military Nursing ◽  
Provide Quality Care

Abstract Background: Military nurses should possess the competency to provide quality care in both clinical and military nursing contexts. This study aimed to identify the competencies of military nurses in general hospitals. Methods: A qualitative design based on the content analysis approach was employed. We purposefully sampled and interviewed 21 nurses in general hospitals in China.Results: The data analysis revealed 40 competencies, which were categorised into four main categories according to the onion model. These categories were motive (mission commitment), traits (perseverance, flexibility, etc.), self-identity of dual roles (obedience, empathy, etc.), as well as knowledge, skills and abilities (clinical and military nursing knowledge and skills, basic nursing ability, professional development ability, leadership and management ability).Conclusion: Existing knowledge of competencies of military nurses in general hospitals is limited. A detailed exploration of this topic can provide guidance for recruitment, competency assessment, and competency building.

scholarly journals Exploring competencies of military nurses in general hospitals in China: a qualitative content analysis

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Huijuan Ma ◽  
Li Lin ◽  
Suofei Zhang ◽  
Lei Lei ◽  
Jinyu Huang ◽  
...  
Keyword(s):  
Content Analysis ◽  
Qualitative Content Analysis ◽  
Quality Care ◽  
Competency Assessment ◽  
Military Nurses ◽  
General Hospitals ◽  
Self Identity ◽  
Management Ability ◽  
Military Nursing ◽  
Provide Quality Care

Abstract Background Military nurses should possess the competency to provide quality care in both clinical and military nursing contexts. This study aimed to identify the competencies of military nurses in general hospitals. Methods A qualitative study was carried out using a qualitative content analysis. We purposefully sampled and interviewed 21 nurses in general hospitals in China. Results The data analysis revealed 40 competencies, which were categorised into four main categories according to the Onion Model. These categories were motive (mission commitment), traits (perseverance, flexibility, etc.), self-identity of dual roles (obedience, empathy, etc.), as well as knowledge, skills and abilities (clinical and military nursing knowledge and skills, basic nursing ability, professional development ability, leadership and management ability). Conclusions Existing knowledge of competencies of military nurses in general hospitals is limited. A detailed exploration of this topic can provide guidance for recruitment, competency assessment, and competency building.

scholarly journals Development and Validation of a New Competency Framework for Athletic Therapy in Canada

2021 ◽  
Vol 16 (1) ◽  
pp. 71-86
Author(s):  
Mark R. Lafave ◽  
Jeffrey M. Owen ◽  
Breda Eubank ◽  
Richard DeMont
Keyword(s):  
Scoping Review ◽  
Phase 1 ◽  
Competency Framework ◽  
Professional Organizations ◽  
Common Language ◽  
Phase 2 ◽  
Phase 3 ◽  
Competency Frameworks ◽  
Athletic Therapy ◽  
Framework Development

Context Competency-based education (CBE) is entrenched in educating health professionals in Canada. CBE is a framework that identifies desired performance characteristics in training competent, entry-level health professionals. Objective To update, develop, and validate a new Canadian Athletic Therapists Association (CATA) framework for athletic therapy education. Design Framework development occurred in 4 phases and was developed through a multistage process that involved a scoping review (phase 1) and consensus methodology (ie, a blending of modified Ebel and modified Delphi consensus methods; phases 2–4). Patients or Other Participants Phase 2: a total of 7 experts (program directors) from each Canadian accredited institution. Phase 3: a total of 14 experts (1 program director and educational expert from each accredited institution). Phase 4: a total of 7 experts (program directors) and 246 certified members of the CATA. Main Outcome Measure(s) Each phase consisted of a systematic process with 80% consensus agreement set a priori. In phase 1, a scoping review was conducted to identify common terminology that could be used to guide the framework development process and to identify competency frameworks used by other health professional organizations. Phase 2 consisted of adopting a common language that would serve to keep the expert group on the task at hand and avoid confusion. In phase 3, frameworks used by other health professional organizations were evaluated and used to determine the validity of the old CATA framework. In phase 4, the old CATA framework was updated and a new framework was developed and validated. Results In phase 1, the result of the scoping review yielded 368 papers, of which 5 were used to propose a common language for phase 2 and 9 highlighted competency frameworks used by other health professions for comparison in phase 3. In phase 3, the expert group voted unanimously to adopt and adapt the CanMEDS framework (ie, roles). In phase 4, the new CATA competency framework was validated, and most competencies achieved consensus. Competencies that did not achieve consensus in the first round of voting underwent face-to-face discussions via videoconferencing. After discussions, the remaining competencies were revised, and all newly worded competencies achieved consensus. Conclusions The resultant framework was validated, and most competencies achieved consensus. The new athletic therapy competency framework outlines the 165 competencies resulting from this methodical process and will hopefully facilitate interdisciplinary communication and practice.

A enfermagem militar no enfrentamento à COVID-19 em comunidades indígenas

2021 ◽  
Vol 11 (34) ◽  
pp. 318-323
Author(s):  
Jessica Bernardes Almeida Borges da Silva dos Reis ◽  
Camila Bento Silva ◽  
Bianca Rafaela Correia ◽  
Vanessa De Almeida Ferreira Corrêa ◽  
Renata Flavia Abreu da Silva
Keyword(s):  
Health Care ◽  
Indigenous Health ◽  
Armed Forces ◽  
Military Nurses ◽  
Professional Performance ◽  
Immunological Tests ◽  
The World ◽  
Host Health ◽  
Military Nursing

Descrever a experiência de enfermeiras militares na Operação Xavante no enfrentamento ao novo Coronavírus. Trata-se de um relato de experiência sobre a atuação de enfermeiras militares na Operação Xavante. Como parte de uma equipe multidisciplinar, a enfermagem militar na Operação Xavante foi primordial em várias frentes de atuação, as quais permitiram, dentro do contexto proposto, o adequado cumprimento da missão e o sucesso das ações de saúde planejadas, destacando-se nos seguintes aspectos: recepção e triagem; acolhimento; educação em saúde e realização de testes imunológicos para a COVID-19. Enfatiza-se que estas ações fazem parte da atuação profissional das enfermeiras integrantes das Forças Armadas, atuando em diferentes situações e contextos, possibilitando reafirmar as práticas de enfermagem na atenção à saúde indígena, em meio a um momento de extremo desafio vivenciado pela população mundial.Descritores: Enfermagem Militar, Infecções por Coronavirus, Saúde de Populações Indígenas, Grupos Populacionais. Military nursing in the fight against COVID-19 in indigenous communitiesAbstract: To describe the experience of military nurses in Operation Xavante in coping to the new Coronavirus. This is an experience report on the role of military nurses in Operation Xavante. As part of a multidisciplinary team, military nursing in Operation Xavante was primordial on several fronts of action, which allowed, within the proposed context, the proper fulfillment of the mission and the success of the planned health actions, standing out in the following aspects: reception and screening; host; health education and immunological tests for COVID-19. It ends by emphasizing that these actions are part of the professional performance of nurses who are members of the Armed Forces, working in different situations and contexts, making it possible to reaffirm nursing practices in indigenous health care, amid a moment of extreme challenge experienced by the world population.Descriptors: Military Nursing, Coronavirus Infections, Health of Indigenous People, Population Groups. La enfermería militar en la lucha contra el COVID-19 en comunidades indígenasResumen: Describir la experiencia de las enfermeras militares en la Operación Xavante frente al nuevo Coronavirus. Este es un informe de experiencia sobre el papel de las enfermeras militares en la Operación Xavante. Como parte de un equipo multidisciplinario, la enfermería militar en la Operación Xavante fue primordial en varios frentes de acción, lo que permitió, dentro del contexto propuesto, el adecuado cumplimiento de la misión y el éxito de las acciones de salud planificadas, destacándose en los siguientes aspectos: recepción y selección; acogida; educación en salud y realización de pruebas inmunológicas para COVID-19. Finalizase enfatizando que estas acciones son parte del desempeño profesional de las enfermeras integrantes de las Fuerzas Armadas, actuando en diferentes situaciones y contextos, posibilitando reafirmar las prácticas de enfermería en la atención a la salud indígena, en un momento de desafío extremo que vive la población mundial.Descriptores: Enfermería Militar, Infecciones por Coronavirus, Salud de Poblaciones Indígenas, Grupos Poblacionales.

A health management competency framework for Australia

2020 ◽  
Vol 44 (6) ◽  
pp. 958
Author(s):  
Zhanming Liang ◽  
Felicity Blackstock ◽  
Peter Howard ◽  
Geoffrey Leggat ◽  
Alison Hughes ◽  
...  
Keyword(s):  
Health Service ◽  
Health Services ◽  
Middle Level ◽  
Competency Framework ◽  
Competency Assessment ◽  
Australian Health ◽  
Assessment Program ◽  
Service Managers ◽  
And Training ◽  
Management Competency

ObjectiveThis study examined whether the management competency framework for health service managers developed in the Victorian healthcare context is applicable to managers in other Australian states. MethodsAn online questionnaire survey of senior and middle-level health service managers in both community health services and hospitals was conducted in New South Wales and Queensland. ResultsThe study confirmed that the essential tasks for senior and middle-level managers are consistent across health and social care sectors, as well as states. Core competencies for health services managers identified in the Victorian healthcare context are relevant to other Australian states. In addition, two additional competencies were incorporated into the framework. ConclusionThe Management Competency Assessment Program competency framework summarises six competencies and associated behaviours that may be useful for guiding performance management and the education and training development of health service managers in Australia. What is known about the topic?The evidence suggests that competency-based approaches can enhance performance and talent management, and inform education and training needs, yet there has been no validated competency framework for Australian health service managers. What does the paper add?This paper explains the process of the finalisation of the first management competency framework for guiding the identification of the training and development needs of Australian health service managers and the management of their performance. What are the implications for practice?The Management Competency Assessment Program competency framework can guide the development of the health service management workforce in three Australian states, and may be applicable to other jurisdictions. Further studies are required in the remaining jurisdictions to improve the external validity of the framework.

Development of a Model of Moral Distress in Military Nursing

2002 ◽  
Vol 9 (4) ◽  
pp. 373-387 ◽  
Author(s):  
Sara T Fry ◽  
Rose M Harvey ◽  
Ann C Hurley ◽  
Barbara Jo Foley
Keyword(s):  
Moral Distress ◽  
Interview Data ◽  
Future Research ◽  
Military Deployments ◽  
Military Nurses ◽  
Us Army ◽  
Army Nurse Corps ◽  
Military Nursing ◽  
Nursing Literature ◽  
The Military

The purpose of this article is to describe the development of a model of moral distress in military nursing. The model evolved through an analysis of the moral distress and military nursing literature, and the analysis of interview data obtained from US Army Nurse Corps officers (n = 13). Stories of moral distress (n = 10) given by the interview participants identified the process of the moral distress experience among military nurses and the dimensions of the military nursing moral distress phenomenon. Models of both the process of military nursing moral distress and the phenomenon itself are proposed. Recommendations are made for the use of the military nursing moral distress models in future research studies and in interventions to ameliorate the experience of moral distress in crisis military deployments.

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