Factors Related to the Clinical Competence of Registered Nurses: Systematic Review and Meta‐Analysis

Abstract

Today's health care is rapidly changing due to issues such as complex changes of disease structures, diverse needs of people, aging populations, low birthrates, and technological developments (Fukada, 2018; Karami, Farokhzadian, & Foroughameri, 2017). These complex conditions are a challenge for health practitioners, including nurses. Regardless of work setting, nurses are expected to increase their competence in nursing practice to ensure patient safety and security, to maintain quality care, and to improve nursing outcomes in their unit (Fukada, 2018). It is unarguable that the clinical competence of registered nurses is a fundamental element in the delivery of nursing care. Although competence has been widely discussed in the literature, there is still a degree of ambiguity in its definition. The number of concept analyses demonstrates the complexity of the concept (Garside & Nhemachena, 2013; Smith, 2012; Valloze, 2009). The definition of competence varies in different countries. In the United Kingdom, competence refers to the ability to do tasks within an occupation (Audenaert, Vanderstraeten, Buyens, & Desmidt, 2014), while in the United States, competence is defined as the individual characteristics and behaviors needed to perform required activities (Spencer & Spencer, 2008).

Nurse managers’ competencies: A scoping review

“…A review of literature indicates that it is necessary to improve the knowledge about nurse managers’ competencies (Meadows, 2016; Scoble & Russell, 2003; Vance, 2009), since their necessary competencies are usually not clearly defined, which could explain the lack of conceptualization of their roles. Previous systematic reviews have only discussed factors and characteristics that could be seen as essential components of the nurse manager role (Gunawan & Aungsuroch, 2017; Gunawan et al., 2020). Thus far, to the best of our knowledge, no reviews have been conducted to describe the competencies required for nurse managers.…”

Protecting Nurses from Mistreatment by Patients: A Cross-Sectional Study on the Roles of Emotional Contagion Susceptibility and Emotional Regulation Ability

“…These behaviors not only reduce nurses’ work productivity and job performance [ 4 , 5 ] and hinder patient safety [ 6 ], but also may affect their own mental health and long-term development. More specifically, mistreatment by patients may directly threaten nurses’ positive attitudes toward their work and careers, which can hinder their career success [ 7 ]. It is a big blow to nurses who have spent a lot of time, energy, and money in the early phase and received long-term professional training [ 8 ].…”

Operating theatre nurses' with managerial responsibility: Self‐reported clinical competence and need of competence development in perioperative nursing

“…The definition of competence is inconsistent. It has changed over time and varies in different countries (Gunawan et al, 2020). The meaning of the concept of competence can be understood in different ways based on the eye of the beholder.…”