Uvod: Obseg znanja, ki ga medicinske sestre potrebujejo pri svojem delu, se stalno povečuje in s tem se spreminjajo tudi njihove kompetence. Naloga izobraževalnih ustanov je usposobiti diplomante za učinkovito soočanje z vse kompleksnejšimi zahtevami delovnega okolja in družbe. Osnovni namen pregleda literature je bil preučiti kompetence zdravstvene nege ter vpliv učnih metod na razvoj kompetenc. Metode: Opravljen je bil pregled literature, objavljene v obdobju 2000 do 2012. Uporabljene so bile baze podatkov CINAHL, Medline, ERIC, Academic Search Premier in Health Source: Nursing/Academic Edition, dostopne preko podatkovnih zbirk EBSCOhost/EIFL Direct, vzajemna bibliografska-kataložna baza podatkov COBIB.SI, relevantne spletne strani strokovnih organizacij zdravstvene nege ter elektronski in drugi tiskani viri. Rezultati: Identificiranih je bilo pet opisnih kategorij: kompetence zdravstvene nege, podlage v kompetence usmerjenega učenja, učenje in razvoj kompetenc, učenje v kliničnem okolju ter spremljanje in ocenjevanje kompetenc. Diskusija in zaključek: Preučevanje kompetenc v zdravstveni negi je aktualna tema, saj so ključne pri opredelitvi sposobnosti, spretnosti in znanj, ki jih medicinske sestre potrebujejo za zagotavljanje učinkovite in kakovostne zdravstvene nege.
Introduction: The complexity of patients' needs in today's health care calls for a revision and extension of nursing professions to ensure optimal health care outcomes. The aim of the research was to assess the understanding of the four categories of the nursing care continuum and, accordingly, four categories of nursing care providers.Methods: A descriptive, quantitative research design was employed. Participants included 365 nursing educators and nurses working in the clinical setting. The structured questionnaire used was based on the four categories of the nursing care continuum.Results: Secondary school teachers expressed significantly lower agreement with the terming of health care assistant (p < 0.001), and with the general (p < 0.001) and specific (p < 0.001) competencies of this profession, contrary to management workers (p < 0.001) and those trained in research (p = 0.030) and evidence-based care (p = 0.004) who expressed higher agreement with the competencies of health care assistants.Discussion and conclusion: The research draws attention to the issue of understanding and applying the competencies of health care assistants. In order to implement the workforce matrix of competences, the European Directive on regulated professions should be supplemented with minimum requirements for specialist knowledge and advanced practice in nursing. In addition, the competencies and minimum educational requirements for health care assistants should be defined.
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