Using the Competence Scale for Senior Clinical Nurses to Examine Safe Staffing

2.50
Hdl Handle:
http://hdl.handle.net/10755/621311
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Title:
Using the Competence Scale for Senior Clinical Nurses to Examine Safe Staffing
Author(s):
Akamine, Itsuko; Shinjo, Masaki
Lead Author STTI Affiliation:
Non-member
Author Details:
Itsuko Akamine, RN, PHN; Masaki Shinjo, BS
Abstract:
Session presented on Saturday, March 18, 2017: Background: To achieve the intended outcome of healthy work environments, in the form of quality care, safe patient outcomes, and nurse recruitment and retention, attention must be directed to the invisible, cognitive work of nursing (i.e., work that promotes suitable work flow and care delivery), and to factors that support or complicate this invisible work. 1. Nurse staffing has always been a complex issue, but delivery of safe, quality, cost-effective patient care is important, along with the creation of a safe environment for patients and medical professionals. The perception of adequacy of a staffing scale is a 6-item scale assessing the most common factors affected by nurses' perceptions of adequate staffing. 2. One of the central themes was to develop the role of the Senior Charge Nurse (SCN) and equip these clinical leaders with the information and tools needed to monitor and improve quality in their areas. 3. We developed the Competence Scale for Senior Clinical Nurses (CS-SCN) 4 as a concise scale to measure and evaluate the competence of senior clinical nurses. The CS-SCN comprises five factors: 'Role accomplishment', 'Self-management', 'Research', 'Practice and coordination', and 'Work implementation'. Measuring competence is important to achieve safe and appropriate nurse staffing. Objective: The aim of this study was to examine whether the CS-SCN is a useful marker of appropriate nurse staffing. Methods: A cross-sectional questionnaire survey using the CS-SCN was undertaken at a hospital in Japan in 2013. Subjects comprised 219 senior clinical nurses (27 males, 191 females) defined as those with >5 years of clinical experience. Total score for each factor was calculated by wards which were involved of internal medicine, surgery, ICU, ER, OR, obstetrics and gynecology, etc. We compared competence scores for each factor by ward. We tested whether differences in scores were statistically significant by Kruskal-Wallis test, and distributions were tested by box plot. This study was approved by the research ethics committee of the authors' institution. Results: No competence scores showed significant differences, but distributions for the competence score of wards by box plot were different. With regard to the total score (range:22-88) of all factors, the highest level was 86, and the lowest level was 35. Score ranges were 7-28 for 'Role accomplishment', 2-8 for 'Self-management', 2-8 for 'Research', 5-20 for 'Practice and coordination', and 6-24 for 'Work implementation'. Mean total score was 61.2 (range, 45-76) for highest-level ward and 49.5 (range, 42-61) for lowest-level ward. Conclusions: The results suggest that CS-SCN offers useful scale for measuring safe nurse staffing. Conflicts of interest: The authors declare no potential conflict of interest with respect to the research and authorship. Acknowledgments: This work was supported by Japan Society for the Promotion of Science, the Ministry of Education, Culture, Sports, Science, and Technology (KAKENHI grant No. 26463250), Japan. Learning Objectives: The learner will be able to have knowledge and skill to measure nursing competence. The learner will be able to know appropriating measurement scale to safe staffing. The learner will be able to know the CS-SCN is a useful marker of appropriate nurse staffing. The learner will be able to know how to examine and evaluate safe staffing. The learner will be able to know different nursing competence.
Keywords:
measurment scale; nurse compitence; nursing staffing
Repository Posting Date:
3-Mar-2017
Date of Publication:
3-Mar-2017
Other Identifiers:
CHWE17PST1
Conference Date:
2017
Conference Name:
Creating Healthy Work Environments 2017
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Sponsors:
Japan Society for the Promotion of Science, the Ministry of Education, Culture, Sports, Science, and Technology (KAKENHI grant No. 26463250)
Description:
Creating Healthy Work Environments 2017: Best Practices in Clinical and Academic Settings. Held at the JW Marriott, Indianapolis, Indiana, USA

Full metadata record

DC FieldValue Language
dc.language.isoen[US]en
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.titleUsing the Competence Scale for Senior Clinical Nurses to Examine Safe Staffingen
dc.contributor.authorAkamine, Itsukoen
dc.contributor.authorShinjo, Masakien
dc.contributor.departmentNon-memberen
dc.author.detailsItsuko Akamine, RN, PHN; Masaki Shinjo, BSen
dc.identifier.urihttp://hdl.handle.net/10755/621311-
dc.description.abstractSession presented on Saturday, March 18, 2017: Background: To achieve the intended outcome of healthy work environments, in the form of quality care, safe patient outcomes, and nurse recruitment and retention, attention must be directed to the invisible, cognitive work of nursing (i.e., work that promotes suitable work flow and care delivery), and to factors that support or complicate this invisible work. 1. Nurse staffing has always been a complex issue, but delivery of safe, quality, cost-effective patient care is important, along with the creation of a safe environment for patients and medical professionals. The perception of adequacy of a staffing scale is a 6-item scale assessing the most common factors affected by nurses' perceptions of adequate staffing. 2. One of the central themes was to develop the role of the Senior Charge Nurse (SCN) and equip these clinical leaders with the information and tools needed to monitor and improve quality in their areas. 3. We developed the Competence Scale for Senior Clinical Nurses (CS-SCN) 4 as a concise scale to measure and evaluate the competence of senior clinical nurses. The CS-SCN comprises five factors: 'Role accomplishment', 'Self-management', 'Research', 'Practice and coordination', and 'Work implementation'. Measuring competence is important to achieve safe and appropriate nurse staffing. Objective: The aim of this study was to examine whether the CS-SCN is a useful marker of appropriate nurse staffing. Methods: A cross-sectional questionnaire survey using the CS-SCN was undertaken at a hospital in Japan in 2013. Subjects comprised 219 senior clinical nurses (27 males, 191 females) defined as those with >5 years of clinical experience. Total score for each factor was calculated by wards which were involved of internal medicine, surgery, ICU, ER, OR, obstetrics and gynecology, etc. We compared competence scores for each factor by ward. We tested whether differences in scores were statistically significant by Kruskal-Wallis test, and distributions were tested by box plot. This study was approved by the research ethics committee of the authors' institution. Results: No competence scores showed significant differences, but distributions for the competence score of wards by box plot were different. With regard to the total score (range:22-88) of all factors, the highest level was 86, and the lowest level was 35. Score ranges were 7-28 for 'Role accomplishment', 2-8 for 'Self-management', 2-8 for 'Research', 5-20 for 'Practice and coordination', and 6-24 for 'Work implementation'. Mean total score was 61.2 (range, 45-76) for highest-level ward and 49.5 (range, 42-61) for lowest-level ward. Conclusions: The results suggest that CS-SCN offers useful scale for measuring safe nurse staffing. Conflicts of interest: The authors declare no potential conflict of interest with respect to the research and authorship. Acknowledgments: This work was supported by Japan Society for the Promotion of Science, the Ministry of Education, Culture, Sports, Science, and Technology (KAKENHI grant No. 26463250), Japan. Learning Objectives: The learner will be able to have knowledge and skill to measure nursing competence. The learner will be able to know appropriating measurement scale to safe staffing. The learner will be able to know the CS-SCN is a useful marker of appropriate nurse staffing. The learner will be able to know how to examine and evaluate safe staffing. The learner will be able to know different nursing competence.en
dc.subjectmeasurment scaleen
dc.subjectnurse compitenceen
dc.subjectnursing staffingen
dc.date.available2017-03-03T14:34:55Z-
dc.date.issued2017-03-03-
dc.date.accessioned2017-03-03T14:34:55Z-
dc.conference.date2017en
dc.conference.nameCreating Healthy Work Environments 2017en
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationIndianapolis, Indiana, USAen
dc.description.sponsorshipJapan Society for the Promotion of Science, the Ministry of Education, Culture, Sports, Science, and Technology (KAKENHI grant No. 26463250)en
dc.descriptionCreating Healthy Work Environments 2017: Best Practices in Clinical and Academic Settings. Held at the JW Marriott, Indianapolis, Indiana, USAen
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