2.50
Hdl Handle:
http://hdl.handle.net/10755/304005
Category:
Full-text
Type:
Presentation
Title:
Implementing a Framework to Support Nursing Competence
Author(s):
Lima, Sally E.; Thomas, Mercy; Twomey, Bernadette; Newall, Fiona H.; Kinney, Sharon B.
Lead Author STTI Affiliation:
Non-member
Author Details:
Sally E. Lima, MSN, GradDipAdvNsg, RN, sally.lima@rch.org.au; Mercy Thomas, MSN, CertTertTchg, RN; Bernadette Twomey, MN (Hons), PgDipHSc (Mgmt), BHS (Ngs), ADN, RN; Fiona H. Newall, PhD, MN, BSc (Nsg), RN; Sharon B. Kinney, PhD, MN, PICU Nsg Cert, Cardiothoracic Cert, BN;
Abstract:

Session presented on: Wednesday, July 24, 2013

Purpose:

Quality care requires competent healthcare providers. The introduction of a Nursing Competency Framework (NCF) was evaluated, focusing on graduate nurses in their first year of practice. Core components within the NCF include supernumerary time, preceptorship, attainment of specified competencies and regular meetings with nurse educators and nurse managers. 'The aims of the evaluation were to:

  • Ascertain the degree to which the core components required in the first ten weeks of employment as a graduate nurse were adhered to
  • Identify the enablers and barriers that supported the implementation of the NCF.

Methods:

A combination of quantitative and qualitative data was collected through questionnaires, audit and focus groups. Participants included graduate nurses, preceptors, nurse educators, nurse managers and nursing directors. '

Results:

Findings demonstrated high adherence to some of the core components. All graduate nurses received supernumerary time. 90% of graduate nurses were allocated a preceptor. On average, 25 out of 30 specified competencies were completed within the expected time frame. Variable adherence was reported for components such as frequency of meetings with nurse educators and nurse managers.'

Three themes related to enablers and barriers were:

  • Standards included making expectations clear, facilitating identification of development needs for all nurses and the difficulties inherent in assessing competence;
  • Resources included both human resources such as access to effective preceptors, and material resources such as study days and access to procedures and guidelines;
  • Context was identified as central to the successful implementation of the NCF. 'Contextual factors impacting on the implementation included time available for development and implementation, expectations creating pressure, opportunities, patient acuity and workload of preceptors.

Conclusion:

Successes and opportunities for further development to ensure the NCF supports the development of excellence in clinical nursing practice have been identified. Sharing the findings will enable other organisations to consider implications for developing a competent nursing workforce.

Keywords:
competence; program evaluation
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013 ; 22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleImplementing a Framework to Support Nursing Competenceen
dc.contributor.authorLima, Sally E.en
dc.contributor.authorThomas, Mercyen
dc.contributor.authorTwomey, Bernadetteen
dc.contributor.authorNewall, Fiona H.en
dc.contributor.authorKinney, Sharon B.en
dc.contributor.departmentNon-memberen
dc.author.detailsSally E. Lima, MSN, GradDipAdvNsg, RN, sally.lima@rch.org.au; Mercy Thomas, MSN, CertTertTchg, RN; Bernadette Twomey, MN (Hons), PgDipHSc (Mgmt), BHS (Ngs), ADN, RN; Fiona H. Newall, PhD, MN, BSc (Nsg), RN; Sharon B. Kinney, PhD, MN, PICU Nsg Cert, Cardiothoracic Cert, BN;en
dc.identifier.urihttp://hdl.handle.net/10755/304005-
dc.description.abstract<p>Session presented on: Wednesday, July 24, 2013</p><b><b>Purpose: </b></b><p>Quality care requires competent healthcare providers. The introduction of a Nursing Competency Framework (NCF) was evaluated, focusing on graduate nurses in their first year of practice. Core components within the NCF include supernumerary time, preceptorship, attainment of specified competencies and regular meetings with nurse educators and nurse managers. 'The aims of the evaluation were to: <ul> <li>Ascertain the degree to which the core components required in the first ten weeks of employment as a graduate nurse were adhered to</li> <li>Identify the enablers and barriers that supported the implementation of the NCF.</li> </ul><p><b><b>Methods: </b></b><b></b><p>A combination of quantitative and qualitative data was collected through questionnaires, audit and focus groups. Participants included graduate nurses, preceptors, nurse educators, nurse managers and nursing directors. ' <p><b><b>Results: </b> </b><p>Findings demonstrated high adherence to some of the core components. All graduate nurses received supernumerary time. 90% of graduate nurses were allocated a preceptor. On average, 25 out of 30 specified competencies were completed within the expected time frame. Variable adherence was reported for components such as frequency of meetings with nurse educators and nurse managers.' <p>Three themes related to enablers and barriers were: <ul> <li><i>Standards</i> included making expectations clear, facilitating identification of development needs for all nurses and the difficulties inherent in assessing competence;</li> <li><i>Resources</i> included both human resources such as access to effective preceptors, and material resources such as study days and access to procedures and guidelines;</li> <li><i>Context </i>was identified as central to the successful implementation of the NCF. 'Contextual factors impacting on the implementation included time available for development and implementation, expectations creating pressure, opportunities, patient acuity and workload of preceptors.</li> </ul><p><b><b>Conclusion: </b> </b><p>Successes and opportunities for further development to ensure the NCF supports the development of excellence in clinical nursing practice have been identified. Sharing the findings will enable other organisations to consider implications for developing a competent nursing workforce.en
dc.subjectcompetenceen
dc.subjectprogram evaluationen
dc.date.available2013-10-22T20:27:31Z-
dc.date.issued2013-10-22-
dc.date.issued2013-10-22en
dc.date.accessioned2013-10-22T20:27:31Z-
dc.conference.date2013en
dc.conference.name24th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationPrague, Czech Republicen
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en
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