Clinical competency and psychological empowerment among ICU nurses caring for COVID‐19 patients: A cross‐sectional survey study

Bostanabad, Mohammad Arshadi; Areshtanab, Hossein Namdar; Shabanloei, Reza; Hosseinzadeh, Mina; Hogan, Unarose; Brittain, Angela C.; Pourmahmood, Akram

doi:10.1111/jonm.13700

Cited by 14 publications

(8 citation statements)

References 39 publications

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“…Competence was the highest-ranking dimension, followed by meaning, self-determination, and impact. Furthermore, in contrast to our findings, prior research indicated variations within participant groups regarding PE rankings, with certain groups scoring highest in impact, while other groups scored lowest [ 15 ]. The current study showed that nurses’ PE had a high mean score.…”

Section: Discussioncontrasting

confidence: 99%

The Relationship Between Psychological Empowerment and Clinical Decision-Making Among Staff Nurses in Governmental Hospital in Al-Baha, Saudi Arabia

Al-shomrani,

Hamouda,

Abdullah

2024

Cureus

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Background The Saudi Arabian government has published its 2030 vision for improving health care to meet worldwide standards for the nursing profession. To fulfill this vision, building large-scale healthcare facilities is necessary. Among the most common occupations, nursing is vital to health care systems. Although working in health care institutions is challenging, demanding, and comprehensive, they are created to save lives and enhance patient satisfaction. Therefore, health care organizations must seek to develop psychologically empowered and decision-making nurses who can help meet clients’ demands and enhance patient care, safety, quality, and outcomes. This study aims to determine the association between psychological empowerment (PE) and clinical decision-making (CDM) among staff nurses. Methods This study employed a quantitative cross-sectional correlation design. Three Saudi Ministry of Health-affiliated hospitals in the Al-Baha region were included. The sample size was calculated using the Raosoft online sample size calculator, with a total of 318 participants. The study sample included nurses working in inpatient, outpatient, and critical care departments. Convenience sampling techniques with inclusion and exclusion criteria were employed. An online survey with three sections was used for data collection: sociodemographic characteristics, the psychological empowerment instrument, and the nursing decision-making instrument. Data collection began at the beginning of February 2023 and was completed by the beginning of April 2023. Results The participants were 318 nurses working in critical areas, inpatient, and outpatient departments at three governmental hospitals in the Al-Baha region. Overall, 285 participants (89.6%) had a high level of PE, and the majority, 263 participants (82.7%), exhibited flexible-oriented decision-making. Approximately three-quarters of the sample, 281 participants (88.4%), were female, and more than half of the staff nurses, 187 participants (58.8%), were married. The majority of participants, 250 (78.6%), had a bachelor's degree. Regarding professional experience, most staff nurses, 134 participants (42.1%), had between one and five years of experience, and the majority worked in inpatient units, 160 participants (50.3%), while 104 (32.7%) worked in critical care. Conclusion The current study found a significant association between nurses’ PE and CDM. Nurses with the highest PE were the most flexible in their CDM. Moreover, the findings of this study offer some points that nurse managers and leaders can use to generate empowerment and make their staff better decision-makers. One recommendation is to develop training and coaching programs to enhance PE among staff nurses, thereby raising their work meaningfulness, which would reflect in better CDM. Additionally, this study recommends that future research be conducted to examine how PE affects CDM.

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Section: Discussioncontrasting

confidence: 99%

The Relationship Between Psychological Empowerment and Clinical Decision-Making Among Staff Nurses in Governmental Hospital in Al-Baha, Saudi Arabia

Al-shomrani,

Hamouda,

Abdullah

2024

Cureus

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“…Jang and Cho (2022) reported disaster nursing competencies correlated with age, nursing career, compassion satisfaction, and secondary traumatic stress [ 46 ]. Arshadi Bostanabad et al (2022) reported clinical competency has been tied to nurse health and quality of care [ 47 ]. The review of the literature showed that although some studies have mentioned the clinical qualifications of nurses in the COVID-19 epidemic, no comparison has been made with before the crisis of the COVID-19, so there is a need for further investigation in this regard.…”

Section: Discussionmentioning

confidence: 99%

Nurses’ clinical competency and its correlates: before and during the COVID-19 outbreak

et al. 2023

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Background Clinical competency is the ability to integrate knowledge, skills, attitudes and values into a clinical situation and it is very important in nursing education, clinical settings, nursing management, and crises. This study aimed to investigate nurses’ professional competence and its correlates before and during the COVID-19 pandemic. Methods We conducted this cross-sectional study before and during the COVID-19 outbreak and recruited all nurses working in hospitals affiliated to Rafsanjan University of Medical Sciences, southern Iran, so we included 260 and 246 nurses in the study before and during the COVID-19 epidemic, respectively. Competency Inventory for Registered Nurses (CIRN) was used to collect data. After inputting the data into SPSS24, we analysed them using descriptive statistics, chi-square and multivariate logistic tests. A significant level of 0.05 was considered. Results The mean clinical competency scores of nurses were 156.97 ± 31.40 and 161.97 ± 31.36 before and during the COVID-19 epidemic, respectively. The total clinical competency score before the COVID-19 epidemic was not significantly different from that during the COVID-19 epidemic. Interpersonal relationships (p = 0.03) and desire for research/critical thinking (p = 0.01) were significantly lower before the COVID-19 outbreak than during the COVID-19 outbreak. Only shift type had an association with clinical competency before the COVID-19 outbreak, while work experience had an association with clinical competency during the COVID-19 epidemic. Conclusion The clinical competency among nurses was moderate before and during the COVID-19 epidemic. Paying attention to the clinical competence of nurses can improve the care conditions of patients, and nursing managers should improve the clinical competence of nurses in different situations and crises. Therefore, we suggest further studies identifying factors improving the professional competency among nurses.

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“…The collection of competencies such as leadership, resilience, creativity, and self-actualization, that was labeled as soft skills in current study was essential for nurses to work effectively during pandemics. A study showed that although nurses had good levels of competency during COVID-19 pandemic, but the level of their psychological ability was moderate [ 24 ]. .…”

Section: Discussionmentioning

confidence: 99%

Clinical nursing competency during epidemics: a qualitative content analysis

Abadian,

Alavi,

Tagharrobi

2024

BMC Nurs

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Background Nurses are on the frontline for managing epidemic diseases. Different aspects of clinical nursing competencies during epidemics are important issues that need investigation. Objectives The aim of this study was to determine the required clinical competencies for nurses during epidemics. Understanding these competencies could provide valuable information for health care services and nursing education organizations to prepare nurses for future epidemics. Methods The qualitative conventional content analysis study was conducted using semi-structured interviews with 12 nurses that were actively engaged in providing patient care during COVID-19 pandemic in Shahid Beheshti hospital in Kashan/Iran, from October 2022 to March 2023. The data analysis process was conducted according to 5 steps suggested by Graneheim and Lundman. Results After analysis, the 159 competencies were derived from interviews that were categorized to 11 subcategories, and three categories of clinical nursing skills in epidemics, knowledge of epidemics, and soft skills for nurses in epidemics. Conclusion Nurses need wide range of competencies to address the professional expectations regarding providing acceptable care during epidemics. Knowing these competencies can help nursing managers to prepare nurses for crisis such as what world experienced during COVID-19 pandemic.

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Clinical competency and psychological empowerment among ICU nurses caring for COVID‐19 patients: A cross‐sectional survey study

Cited by 14 publications

References 39 publications

The Relationship Between Psychological Empowerment and Clinical Decision-Making Among Staff Nurses in Governmental Hospital in Al-Baha, Saudi Arabia

The Relationship Between Psychological Empowerment and Clinical Decision-Making Among Staff Nurses in Governmental Hospital in Al-Baha, Saudi Arabia

Nurses’ clinical competency and its correlates: before and during the COVID-19 outbreak

Clinical nursing competency during epidemics: a qualitative content analysis

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