Nurse Competence Scale: a systematic and psychometric review

Flinkman, Mervi; Leino‐Kilpi, Helena; Numminen, Olivia; Jeon, Yunsuk; Kuokkanen, Liisa; Meretoja, Riitta

doi:10.1111/jan.13183

Cited by 160 publications

(175 citation statements)

References 89 publications

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“…Work experience, and its impact on the confidence of EMS professionals, was often cited as a factor that influenced the conveyance decision. Research on registered nurses in hospitals has similarly demonstrated a positive link between work experience and competence, and showed this had an influence on patient outcomes 82. Higher education levels, permanent employment and participation in educational programmes also boosted employees’ feelings of competence 82.…”

Section: Discussionmentioning

confidence: 97%

Factors influencing the decision to convey or not to convey elderly people to the emergency department after emergency ambulance attendance: a systematic mixed studies review

et al. 2018

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BackgroundThe decision over whether to convey after emergency ambulance attendance plays a vital role in preventing avoidable admissions to a hospital’s emergency department (ED). This is especially important with the elderly, for whom the likelihood and frequency of adverse events are greatest.ObjectiveTo provide a structured overview of factors influencing the conveyance decision of elderly people to the ED after emergency ambulance attendance, and the outcomes of these decisions.Data sourcesA mixed studies review of empirical studies was performed based on systematic searches, without date restrictions, in PubMed, CINAHL and Embase (April 2018). Twenty-nine studies were included.Study eligibility criteriaOnly studies with evidence gathered after an emergency medical service (EMS) response in a prehospital setting that focused on factors that influence the decision whether to convey an elderly patient were included.SettingPrehospital, EMS setting; participants to include EMS staff and/or elderly patients after emergency ambulance attendance.Study appraisal and synthesis methodsThe Mixed Methods Appraisal Tool was used in appraising the included articles. Data were assessed using a ‘best fit’ framework synthesis approach.ResultsED referral by EMS staff is determined by many factors, and not only the acuteness of the medical emergency. Factors that increase the likelihood of non-conveyance are: non-conveyance guidelines, use of feedback loop, the experience, confidence, educational background and composition (male–female) of the EMS staff attending and consulting a physician, EMS colleague or other healthcare provider. Factors that boost the likelihood of conveyance are: being held liable, a lack of organisational support, of confidence and/or of baseline health information, and situational circumstances. Findings are presented in an overarching framework that includes the impact of these factors on the decision’s outcomes.ConclusionMany non-medical factors influence the ED conveyance decision after emergency ambulance attendance, and this makes it a complex issue to manage.

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Section: Discussionmentioning

confidence: 97%

Factors influencing the decision to convey or not to convey elderly people to the emergency department after emergency ambulance attendance: a systematic mixed studies review

et al. 2018

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“…Several studies have reported on research into the testing of a tool's validity and reliability implementing such a tool for clinically based assessment (e.g., Liou and Cheng [16] ) and integrative reviews of the literature on nursing competency standards (recenlty, e.g., Robb et al; [1] Chiarella et al; [17] Yanhua and Watson; [18] Halcomb et al; [19] Flinkman et al [7] ).…”

Section: Review Of the Relevent Literaturementioning

confidence: 99%

“…[6] Competence has been recognized as a core component of professional standards. [7] It is an effective application of knowledge and skills. Performance is clearly concerned with demonstrated ability to do something, a method of measuring achievement of competency.…”

Section: Introductionmentioning

confidence: 99%

Measurement of clinical nurse performance: Developing a tool including contextual items

Kahya

Oral

2018

JNEP

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Assessment of nurse performance plays an important role in guaranteeing high quality clinic care to achieve desired patient outcomes. Many tools measuring nurse performance in clinical settings have different dimensions of nurse skills. The objective of this research is to develop and test a new performance assessment tool incorporating applicable task and contextual performance items to measure clinical nurse's performance. Thirty-eight performance items were derived from previously cited literature and some tools that were in use. A questionnaire containing all items under eight categories was designed to reveal the appropriateness levels of the items. It was distributed to 233 clinical nurses from different hospitals in one city, who were asked to score them on a seven-point scale. The results indicate that although clinical skill and professional skill are the most important categories, the most scored item is "Working systematically" (mean = 6.07, s.d. = 0.89) in contextual category.

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“…6,8 The adaptationof instruments for the evaluation of subjective constructs,for different languages and cultures, has also been the subject of a large number of investigations, including discussions on the appropriate methodological process to ensure that the instrument preserves its properties of validity and reliability after adaptation. 1 In the last decade, this type of research has produced a considerable number of nursing researches, [9][10][11][12][13] reflecting the concern of these professionals to identify the most appropriate measurement instrument for a given situation or condition, considering the one that addresses the monitoring of patients in clinical practice and that contemplates the perception of the individuals themselves in the evaluation of their state of health. 14 From the analysis of the increase in measurement instruments available in the scientific literature, the authors identified two important aspects to be overcome: the need to identify the available questionnaires for a specific use in the various subjects, so that they may be known to interested professionals and the need to know the measures that would be considered more appropriate (valid and reliable) among the various available instruments.…”

Section: Introductionmentioning

confidence: 99%

Propriedades Psicométricas De Instrumentos De Medidas: Bases Conceituais E Métodos De Avaliação - Parte I

Echevarría-Guanilo

Gonçalves

Romanoski

2018

Texto contexto - enferm.

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Objective: to present and discuss conceptual bases and evaluation methods that support important properties of measurement instruments.Method: a theoretical study based on the international and national literature and the Consensus-based Standards for the selection of health Measurement Instruments e Evaluating the Measurement of Patient-Reported Outcomewhich contemplates concepts of evaluation of instruments for the evaluation of results reported by the patient. Initially, the concepts of reliability, responsiveness and interpretability are mentioned and discussed, as well as the main ways of evaluating the properties Results: it can be seen that there are still differences in some conceptual descriptions. However, the authors emphasize the importance of reliability in order to evaluate the measuring instrument. It is important to note the importance of knowing and understanding the Conceptual Model, the properties of measurements and the different evaluation methods that guarantee reliable and valid results, especially in the instrument validity studies.Conclusions: the discussion presented on reliability, responsiveness and interpretability which contributes to health professionals with theoretical knowledge, and a critical sense in the choice of instruments and in conducting analyzes on these measurement properties.DESCRIPTORS: Data accuracy. Psychometry. Validation studies. Surveys and questionnaires. Precision of dimensional measurement. PROPRIEDADES PSICOMÉTRICAS DE INSTRUMENTOS DE MEDIDAS: BASES CONCEITUAIS E MÉTODOS DE AVALIAÇÃO -PARTE I RESUMOObjetivo: apresentar e discutir bases conceituais e métodos de avaliações que fundamentam importantes propriedades de instrumentos de medidas. Método: estudo teórico embasado na literatura internacional e nacional e nos instrumentos Consensus-based Standards for the selection of health Measurement Instruments e Evaluating the Measurement of Patient-ReportedOutcomes que contemplam conceitos de avaliação de instrumentos para apreciação de resultados relatados pelo paciente. Inicialmente são apresentados e discutidos os conceitos de confiabilidade, responsividade e interpretabilidade, citados exemplos das principais formas de avaliação dessas propriedades.Resultados: pode-se perceber que ainda há divergências em algumas descrições conceituais. Entretanto, os autores ressaltam a importância da confiabilidade para avaliar o instrumento de medida. Destaca-se a importância do conhecimento do Modelo Conceitual, das propriedades de medidas e dos diferentes métodos de avaliação para garantir, principalmente em estudo de validação de instrumentos, resultados confiáveis e válidos.Conclusões: a discussão apresentada sobre a confiabilidade, responsividade e interpretabilidade contribui para os profissionais de saúde no conhecimento teórico e senso crítico na escolha de instrumentos e na condução de análises sobre essas propriedades de medida. DESCRITORES:Confiabilidade dos dados. Psicometria. Estudos de validação. Inquéritos e questionários. Precisão da medição dimensio...

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Nurse Competence Scale: a systematic and psychometric review

Cited by 160 publications

References 89 publications

Factors influencing the decision to convey or not to convey elderly people to the emergency department after emergency ambulance attendance: a systematic mixed studies review

Factors influencing the decision to convey or not to convey elderly people to the emergency department after emergency ambulance attendance: a systematic mixed studies review

Measurement of clinical nurse performance: Developing a tool including contextual items

Propriedades Psicométricas De Instrumentos De Medidas: Bases Conceituais E Métodos De Avaliação - Parte I

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