Nurse competence in the post-anaesthesia care unit in Sweden: a qualitative study of the nurse’s perspective

Background To enable safe and successful recovery for surgery patients, nurses working in post-anaesthesia care units need competence in postoperative care. No consensus defines what this specific competence includes, and it has not been studied from the perspective of nurses working in post-anaesthesia care units. The aim of this study is twofold: 1) To explore and describe nurses’ perception of the competence needed to work in post-anaesthesia care units. 2) To explore and describe nurses’ perception of what characterizes an expert nurse in post-anaesthesia care units. Methods This qualitative inductive study uses individual interviews. Sixteen nurses were recruited from two post-anaesthesia care units located in different parts of Sweden. Inclusion criteria were nurses employed in the post-anaesthesia care units for ≥1 years. Semi-structured individual interviews were conducted; data were analysed using thematic analysis. Results The interview analysis identified six subthemes and three themes. The themes being adaptable in an ever-changing environment and creating safe care represent the overarching meaning of competence required when working as a nurse in a Swedish post-anaesthesia care unit. Nurses must possess various technical and nontechnical skills, which are core competences that are described in the sub-themes. The theme seeing the bigger picture describes the nurse’s perception of an expert nurse in the post-anaesthesia care unit. Conclusions Nurse competence in post-anaesthesia care units entails specific knowledge, acknowledging the patient, and working proactively at a fast pace with the patient and team to provide safe, high-quality care. An expert nurse in post-anaesthesia care units can see the bigger picture, helping share knowledge and develop post-anaesthesia care. The expert competence to see a bigger picture can be used in supervising novices and creating a knowledge base for postgraduate education in order to promote safe, high-quality post-anaesthesia care.

Evaluating nursing competence with the Nurse Competence Scale from an ontological and contextual point of view: An integrative literature review

Evaluating nursing competence is challenging and among many instruments the Nurse Competence Scale is one of the most used. This integrated literature review aimed to describe how ontological and contextual nursing competence becomes evident in evaluations done with it and the value of using it for professional development in nursing. The starting point was a former systematic review and additional searches were carried out using electronic databases with keywords and Boolean operators. The search followed the PRISMA search strategy and the articles were appraised against the JBI Critical Appraisal Checklist. Thirty-four original research articles published between January 2004 and April 2020 were included. The data were displayed and analyzed descriptively. Results showed that the Nurse Competence Scale covers both ontological and contextual competence, that the competence profiles vary in different cultures, cohorts and contexts, but that it is suitable for evaluating and following up competence development in nursing.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PELAKSANAAN INDIKATOR MUTU KEPERAWATAN DI RUANG RAWAT INAP RSUD DR. DRADJAT PRAWIRANEGARA

Nursing service quality is a process of activities carried out by the nursing profession in meeting the needs of patients in maintaining the condition in terms of the biological, psychological, social, and spiritual aspects of the patient. The purpose of this study was to determine factors related to the quality of nursing services in the inpatient room of RSUD dr. Dradjat Prawiranegara Serang Regency, Banten Province, 2020. This study used cross sectional. The sample of the study were 353 respondent which used two proporsion different test. The instrument of this study used valid and realible questionnaire. For testing Bivariat used Chi-square test while multivariat testing used double logistic regration. the result of this study of caring research, nurse competence, inpatient care facilities, knowledge, and costs p-value 0.049 <0.05 which indicated that there was any significant correlation toward quality of nursing services. Meanwhile, the dominant factor toward quality of nursing services was caring with Odds Ratio 3.947. Caring, nurse competence, inpatient facilities, knowledge and costs related to the quality of nursing services, is expected to dr. Dradjat Prawiranegara can maintain and develop for the better.

Faktor Yang Mempengaruhi Kelulusan Uji Kompetensi Ners di Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

Competence test is evaluation of learning and it can be used as a measure of success and problem that often faced and to test the ability of nurse whether they are competent or not. Objective to determine the effect of health, motivation, preparation, grade point average of S1 and ners toward the passing of competence test in public health of muslim university of Indonesia. Methods of this research uses cross sectional analytic with quantitative approach. For determining the sample done with accidental sampling with a large sample of 210 respondents.Results it was found that there was not health effect with the passing of the nurse competence test (p=0,125), and there is an influences of motivation (p=0,000), preparation (p=0,000), grade point average of S1 (p=0,000), Ners (p=0,000) with the nursing competence test.Conclusion of this research is only motivation, preparation, grade point average of S1 and ners have any influence with nurse competence test. Option in health has not influence with the graduation of nurse competence test in public health faculty of muslim university of Indonesia. Therefore, it is expected that students of the professional nurses program can optimize about their academic self-regulation. As well as physical condition related to health in taking the competence test, there are who support it will get competent result.

Effectiveness Of Nursing Competency Of Service Quality In Installation Of Hospital Buleleng Hospital

Buleleng Regional General Hospital as a health service provider is concerned with the quality of its services. The quality of nurse services is the biggest part of the overall quality of hospital services because of the amount of contact with patients. The quality of service itself is influenced by the satisfaction and expectations and needs of patients being met. To meet the excellent quality of service, nurses need to have superior competence, namely basic knowledge, hard skills, soft skills, work ethics and legal aspects. The purpose of this study is to provide recommendations based on an analysis of the influence of nurse characteristics and competence on service quality. This research is a descriptive observational study, conducted from November. The study population was nurses working in the Inpatient Room, and the number of samples obtained was 80 nurses. The variables analyzed were individual characteristics, nurse competence, hard skills, soft skills, work ethics, and legal aspects. The results of this study indicate that age, length of work and position of head of the family at work have an influence on nurse competence. Length of work, and soft skills also have a positive influence on service quality. Conclusion: there is a significant effect between length of work, and nurses' soft skills on service quality. Variables that need to be improved and improved are registration letters, work licenses, training, and training to improve soft skills and work ethics