Standards of Practice: A Measure of Competence

Townes, Jeanne; Cook, Patricia

doi:10.1097/00004045-200106000-00018

Cited by 2 publications

(3 citation statements)

References 2 publications

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“…In the past, nursing technological skills were limited to their use in care and acute‐care situations. However these existing competencies have now been transferred to the home care sector, in order to respond to the complex needs of home care patients who can be very sick or unwell following their discharge from hospital and still in the recovery period after major surgery or other medical interventions (Townes and Cook, 2001).…”

Section: Introductionmentioning

confidence: 99%

“…Given these changed circumstances, when nurses enter the home care sector, their previous skills and experience do not necessarily guarantee that they will be successful. Home care nurses must be very adaptable and flexible, as they do not have the opportunity for immediate interaction and consultation with specialist colleagues which are available in hospital based settings (Townes and Cook, 2001, Fagerberg and Kihlgren, 2001). This suggests that the learning opportunities and learning needs are different than for nurses working in hospitals.…”

Section: Introductionmentioning

confidence: 99%

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Learning opportunities for nurses working within home care

Lundgren

2011

Journal of Workplace Learning

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PurposeThe purpose of this study is to explore home care nurses' experience of learning in a multicultural environment.Design/methodology/approachThe study was based on qualitative research design. Data were collected through repeated interviews with registered home care nurses working in a multicultural area. The data were analyzed through a qualitative content analysis with a direct approach.FindingsSix categories describing nurses' experiences of learning were developed in order to define which components were determinative in facilitating or constraining home care in a multicultural environment. The findings show that home care demands high individual nursing skills and also offers many opportunities for further learning. The most important sources of learning were the challenges presented in the daily experience of encountering diversity of patients and families, by informal social interactions and exchange of knowledge with colleagues.Research limitations/implicationsThe strength of this study is that data are collected by two different methods with time for reflection in between. Limitations are that only female nurses participate in the study and from one team of nurses.Practical implicationsThe findings can be used by nurses to create an awareness of the opportunities that exist in everyday work. For managers, this study highlights learning and constraints that exist on the organisation level.Originality/valueThis article adds to existing research by describing the learning environment for home care nurses in relation to the theoretical framework that examines the factors which either facilitate or constrain learning at work.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Learning opportunities for nurses working within home care

Lundgren

2011

Journal of Workplace Learning

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“…Little work has been done on the competencies required to deliver a comprehensive model of SNHV (McNaughton, 2000). The knowledge and skills used in acute care settings do not necessarily guarantee competent practice in the home care setting (Murray, 1998; Townes & Cook, 2001). Similarly, within home‐based care, there may be an assumption that nurses who are competent in functioning in one paradigm (short interventions/clinic based) can be transposed into another paradigm (sustained home visiting/home based) and function just as competently.…”

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confidence: 99%

Sustained Nurse Home Visiting in Early Childhood: Exploring Australian Nursing Competencies

Kemp¹,

Anderson²,

Travaglia³

et al. 2005

Public Health Nursing

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There is strong evidence that a comprehensive model of sustained nurse home visiting (SNHV) in early childhood can improve child and family outcomes for vulnerable and at-risk families. There is also evidence that nurse home visitors experience challenges in delivering SNHV. This article aims to identify the nursing competencies needed for delivering a comprehensive model of SNHV and highlight the areas where further competency development is required. Qualitative analysis compared the content and language of published registered generalist and child and family nursing competency statements for Australian nurses with the work experiences of a team of community-based nurses delivering SNHV. Development of competencies is needed in the areas of (a) enhanced knowledge of child development, social determinants of health, and broader outcomes for individuals and populations; (b) advanced skills in fine observation, anticipatory guidance, negotiating, modelling and experimentation, holistic case management, and working in interdisciplinary teams; and (c) attitudinal competency for working "with" and supporting risk taking. The current published competencies for general and child and family nurses do not encompass the different and advanced competencies required for performing SNHV. Competency development and associated nurse training and support are needed for delivery of quality SHNV services.

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Standards of Practice: A Measure of Competence

Cited by 2 publications

References 2 publications

Learning opportunities for nurses working within home care

Learning opportunities for nurses working within home care

Sustained Nurse Home Visiting in Early Childhood: Exploring Australian Nursing Competencies

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