Comparison of the Achieved and Expected Competence Level of New Graduate Nurses: Two Cross-Sectional Studies.

IF 3.8 3区医学 Q1 NURSING

Journal of Advanced Nursing Pub Date : 2024-10-18 DOI:10.1111/jan.16427

Jie Wu,Yaqi Zhu,Dexiu Yan,Yaqing Zhang,Yuanyuan Zhang

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引用次数: 0

Abstract

AIM To explore and compare the self-perceived competence level of new graduate nurses with the expected competence level that nurse managers believe new graduate nurses should have in general. DESIGN Two cross-sectional empirical studies. METHODS Two independent cross-sectional studies were carried out in 12 tertiary hospitals in September 2020 and November 2021, respectively. Participants were 1017 new graduate nurses with less than 2 years of work experience and 306 nurse managers who completed an online survey. RESULTS The score of self-perceived nursing competence of new graduate nurses was 74.77 ± 14.35, and the expectation of nurse managers was 74.21 ± 15.04. The values of 18 items were significantly different between the two of them (p < 0.05), and there were only three items showed higher expectations of nurse managers than the self-rated values of new graduate nurses. Results of latent profile analysis revealed that this cohort of new graduate nurses could be divided into three subgroups, named risky competent (11.1%), medium competent (46.0%) and advanced competent (42.9%). When comparing, the nurse managers' expected competence level was between the value of 'medium competent' group and 'advanced competent' group. CONCLUSIONS Our study adopted a dual perspective comparison of nurse managers and new graduate nurses, which broke through the limitations of the previous single perspective study of new graduate nurses' nursing competence. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE This study highlights the importance of the consistency in new graduate nurses' nursing competence from the perspectives of new graduate nurses and nurse managers. IMPACT This study showed a generally good match of actual nursing competence level of new graduate nurses and the expected level from nurse managers. While there was significant individual heterogeneity in the competence score of new graduate nurses, three subgroups were identified through the individual-centred analysis of latent profile analysis. Therefore, Nurse managers need to systematically adjust the standardized training programs and teaching methods for new graduate nurses according to the population characteristics and take precise interventions to improve nursing competence of new graduate nurses. REPORTING METHOD We adhered to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines. PATIENT OR PUBLIC CONTRIBUTION No Patient or Public Contribution.

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新毕业护士已达到的能力水平与预期能力水平的比较：两项横断面研究

目的探讨并比较新毕业护士的自我认知能力水平与护士长认为新毕业护士一般应具备的预期能力水平。方法分别于2020年9月和2021年11月在12家三级医院开展了两项独立的横断面研究。结果新毕业护士的自我认知护理能力得分为（74.77±14.35）分，护士长的期望值为（74.21±15.04）分。二者在 18 个条目中的分值存在显著差异（P<0.05），仅有 3 个条目显示护士长的期望值高于新毕业护士的自评值。潜在特征分析结果显示，这批新毕业护士可分为三个亚组，分别为风险胜任（11.1%）、中等胜任（46.0%）和高级胜任（42.9%）。结论我们的研究采用了护士长和新毕业护士的双视角比较，突破了以往单一视角研究新毕业护士护理能力的局限性。本研究从新毕业护士和护士管理者的角度强调了新毕业护士护理能力一致性的重要性。虽然新毕业护士的能力得分存在明显的个体异质性，但通过以个体为中心的潜在特征分析，确定了三个亚组。因此，护士长需要根据人群特点，系统地调整新毕业护士的规范化培训计划和教学方法，采取精准干预措施，提高新毕业护士的护理能力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Advanced Nursing 医学-护理

CiteScore

6.40

自引率

7.90%

发文量

369

审稿时长

3 months

期刊介绍： The Journal of Advanced Nursing (JAN) contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. All JAN papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JAN promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JAN’s worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.