Afshar M, Sadeghi-Gandomani H, Masoudi Alavi N. A study on improving nursing clinical competencies in a surgical department: A participatory action research.
Nurs Open 2020;
7:1052-1059. [PMID:
32587724 PMCID:
PMC7308675 DOI:
10.1002/nop2.485]
[Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2019] [Revised: 02/18/2020] [Accepted: 02/24/2020] [Indexed: 11/30/2022] Open
Abstract
Aims
The purpose of the present study was to improve clinical competencies in nursing staff in a selected surgical department in Kashan/Iran during 2016-2018.
Design
This was a participatory action research.
Methods
This action research was implemented in four steps of problem identification, planning, action and reflection. Interviews, focus groups and observation were used for the qualitative part. Conditions of Work Effectiveness Questionnaire-II, job satisfaction and patients' satisfaction questionnaires were completed before and after the study. Qualitative content analysis, paired and independent t test were used for data analysis.
Results
Three main problems could affect the clinical competencies including professional insufficiency, basic shortages and external influences. Three changes were implemented in the surgical department including improving education, involving nursing students in patients' education and increasing the motivations by peer evaluation and selecting the nurse of the week. The changes significantly increased patients' satisfaction, nurses' job satisfaction and work effectiveness.
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