Instrument Development for Evaluation of Gerontological Nurse Specialists Core Competencies in China

Chen, Hongxiu; Pu, Lihui; Chen, Qian; Xu, Xiaofeng; Bai, Chen; Hu, Xiuying

doi:10.1097/nur.0000000000000469

Cited by 15 publications

(16 citation statements)

References 23 publications

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“…The questionnaire included three first‐level domains (Attitude, Skill, Knowledge), nine second‐level dimensions (Professional self‐identity, Learning enthusiasm, Clinical nursing skill, Communication management and research skills, Analysis/judgment decision‐making skills, Legal/ethical practice skills, Professional development skills, Basic knowledge, Professional knowledge) and 69 third‐level items reflecting current the knowledge base and practice scope of the GNSs. The Cronbach's ɑ of the overall questionnaire was 0.98 and the Cronbach's α of the second‐level dimensions ranged from 0.83–0.96 (Chen et al, 2019).…”

Section: Methodsmentioning

confidence: 99%

The gerontological nurse specialist’s core competencies in China: A cross‐sectional study

Bai

Chen

et al. 2020

Nursing Open

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At the end of 2018, there were 249 million people aged 65 years or over in China, accounting for 11.4% of the total population (National Bureau of Statistics, 2018). In China, 74.2% of adults older than 60 years have at least 1 common chronic disease (Cui, Mao, & Wang, 2016). Due to the ageing of their bodily organs, it is difficult for them to maintain their physical and psychological balance (Fried, Ferrucci, Darer, Williamson, & Anderson, 2004). A national survey indicated that 59.2% of older inpatients were over 80 years old, the average number of hospitalizations tripled with increasing age and the number of re-hospitalizations increased significantly (Xu, et al, 2014). Older adults experience greater health risks and have a particularly increased demand for hospital care (Mara, Freitas, Flavia, & Cristina, 2017). Gerontological nurse specialists (GNSs) engage more in the application of elderly care best practices (Conley et al., 2012; Cora, &

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Section: Methodsmentioning

confidence: 99%

The gerontological nurse specialist’s core competencies in China: A cross‐sectional study

Bai

Chen

et al. 2020

Nursing Open

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“…It includes professional knowledge, attitudes, values, judgement and personal traits 14. Core competency is the fundamental assurance for improving nursing service levels and ensuring patient safety 15. Studies have shown16 17 that the higher the nurse’s core competency, the smaller their transition shock, and there is a negative correlation between nurse’ core competency and transition shock.…”

Section: Introductionmentioning

confidence: 99%

Relationship among core competency, self-efficacy and transition shock in Chinese newly graduated nurses: a cross-sectional study

Tong,

Wang,

Tong

et al. 2024

BMJ Open

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ObjectivesTo investigate how core competency and self-efficacy of newly graduated nurses affect their experience of transition shock, and to determine the relationship between these factors.DesignA cross-sectional study.Methods262 newly graduated nurses participated in a cross-sectional study by using demographic data, the transition shock scale, the competency inventory for registered nurses scale and the self-efficacy scale.ResultsAmong newly graduated nurses, the score of transition shock was 77.641±24.140, the score of core competency was 125 (109.5, 163.5) and the score of self-efficacy was 2.5 (2,3), all of which were at a moderate level. The core competency and self-efficacy of the newly graduated nurses had a negative impact on the transition shock (β=−0.151, p=0.026; β=−0.379, p<0.001). Additionally, self-efficacy played a mediating role in the relationship between core competency and transition shock, with a mediating effect accounting for 57.34% of the total effect.ConclusionsThe transition shock of newly graduated nurses was at a moderate level, with the highest level of transition shock occurring within the first year of employment. Self-efficacy plays a mediating role in the relationship between core competency and transition shock. Nursing managers should create standardised training for newly graduated nurses within the first year of employment to reduce their transition shock. This will help improve newly graduated nurses’ core competency, enhance self-efficacy and support the graduates. This will alleviate the impact of transition shock on newly graduated nurses, helping them transition smoothly and successfully.

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“…However, the definition, admission requirements, and training programs of gerontological nurse specialists are quite different among countries. In the Chinese context, gerontological nurse specialists are defined as registered nurses who have passed a qualification examination and obtained certification after finishing a training program for gerontological nurse specialists [ 3 ]. The most common admission requirements for registered nurses to attend the training program are as follows: (1) having at least a college degree in nursing, (2) having at least a senior nurse professional title, and (3) having at least two years of working experience in geriatric nursing.…”

Section: Introductionmentioning

confidence: 99%

Status and associated factors of gerontological nurse specialists’ core competency: a national cross-sectional study

Chen

et al. 2023

BMC Geriatr

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Background Nurses’ core competency directly affects patients’ safety and health outcomes. Gerontological nurse specialists play an essential role in improving older adults’ health status. However, little is known about their core competency level and the factors influencing core competency. Therefore, this study aimed to investigate the status of core competency and factors influencing the core competency of gerontological nurse specialists in China. Methods A multicenter cross-sectional study was conducted on gerontological nurse specialists certified by province-level or above organizations across China between March 2019 and January 2020. The Revised Core Competency Evaluation Instrument for Gerontological Nurse Specialists was used to measure participants’ core competency. The median, frequencies, and percentages were used to describe participants’ characteristics and level of core competency. Multivariate stepwise regression analysis was applied to analyze the factors influencing core competency. Results The median score of gerontological nurse specialists’ core competency was 3.84, and professional development skills and research and analysis decision-making skills had the lowest scores among the dimensions. The multivariate stepwise regression analysis showed that individual-level factors (i.e., working experience length of geriatric nursing and attitudes toward caring for older adults), employer-level factors (i.e., departments, job responsibilities, the degree of satisfaction toward the attention and support and the promotion rules provided by the hospital or department), and training-associated factors (i.e., economic zone where training organizations are located and the degree to which the training content met clinical needs) are independently associated with gerontological nurse specialists’ core competency level (P < 0.05). Conclusions This study showed that gerontological nurse specialists’ core competency needs further improvements, especially regarding professional development skills and research and analysis decision-making skills. Additionally, individual-, training-, and employer-level factors could influence their core competency level, indicating that interventions targeting these factors could be applied to improve the core competency of gerontological nurse specialists.

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Instrument Development for Evaluation of Gerontological Nurse Specialists Core Competencies in China

Cited by 15 publications

References 23 publications

The gerontological nurse specialist’s core competencies in China: A cross‐sectional study

The gerontological nurse specialist’s core competencies in China: A cross‐sectional study

Relationship among core competency, self-efficacy and transition shock in Chinese newly graduated nurses: a cross-sectional study

Status and associated factors of gerontological nurse specialists’ core competency: a national cross-sectional study

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