Hemşirelikte Mesleki Yetkinlik

Year 2018, , 160 - 168, 31.08.2018

Azize Karahan , Sultan Kav

https://doi.org/10.31125/hunhemsire.454377

Cited By: 12

Abstract

Yetkinlik bir kişinin görevleri doğru ve ustaca yapabilmesi için sahip olması gereken
bilgi, beceri, yetenek, davranışlar ya da kapasitedir. Yetkinlik, hemşireler için önemli
kriterlerdendir. Hemşirelikte yetkinlik çok boyutlu olduğundan üzerinde uzlaşılan ortak bir
tanımı yoktur. Bilimsel yenilikler ve teknolojik gelişmeler hemşirelerin bu koşullara uyum
sağlamasını, bakım gereksinimi ve beklentileri giderek artan hasta grubuna hizmet vermesini,
farklı disiplinlerle bir arada çalışmasını ve çok sayıda hizmetin koordinasyonunu sağlamasını
gerektirmektedir. Günümüzde hemşirelerin sağlık hizmetlerinin değişen yapısına uyum
sağlamaları gerekliliği yetkinlik kavramını gündeme getirirken, yetkinlik geliştirmenin
kolay olmadığı vurgulanmaktadır. Yetkinliği belirleyen özelliklerin ve yetkinliği etkileyen
değişkenlerin bilinmesi, mezuniyet öncesinden başlayarak okul ve hastane yönetiminin
işbirliğine dayanan ve hemşirelerin de içinde olduğu bir program oluşturmanın yetkinlik
geliştirmeye katkı sağlayabileceği vurgulanmaktadır. Bu makalede hemşirelikte yetkinlik
geliştirme ile ilgili literatürün incelenmesiyle, yöneticiler ve hemşirelerin konu ile ilgili
gereksinimlerinin karşılanmasına katkı sağlanması amaçlanmıştır.

Keywords

Hemşirelik, klinik yetkinlik, mesleki yeterlilik

Professional Competency in Nursing

Abstract

Competency is the knowledge, skills, ability and behaviors or capacities that a person possesses
in order to perform tasks correctly and skillfully. Competency is an important criterion for
nurses. There is no consensus on common definition of competency in nursing because of
its multidimensional nature. Scientific innovations and technological developments require
nurses to adapt to these conditions, to serve increasingly demanding patient groups, to
work together with different disciplines, and to coordinate many services. Today, while the
necessity of adaptation of nurses to the changing structure of healthcare services brings
the concept of competency to the agenda, it is emphasized that developing competency is
not easy. It is stated that knowing the qualifications determining the competency and the
variables affecting it, building a competency development program based on the cooperation
of the school and hospital administrations including the nurses starting from undergraduate
education can contribute to developing competence. In this article, it is aimed to contribute
to meeting the needs of managers and nurses about the subject by examining the literature
about developing competency in nursing.

Keywords

Nursing, clinical competency, professional competence

References

• 1. TDK Güncel Türkçe Sözlük. URL:http://www.tdk.gov.tr/index.php?option=com_ gts&arama=gts&guid=TDK.GTS.587faa5fbb4968.13116473.25 Eylül 2017
• 2. Scott Tilley DD. Competency in nursing: A concept analysis. J Contin Educ Nurs 2008 Feb;39(2):58-64.
• 3. Çiftçi M, Öztürk UC. Yetkinlik bazlı personel seçme faaliyetleri ve Türkiye’deki büyük ölçekli işletmelerin işgören seçme modeli tercihlerindeki eğilimler, SÜ İİBF Sosyal ve Ekonomik Araştırmalar Dergisi 2013 Nisan;13(25):145-72.
• 4. Valloze J. Competence: A concept analysis. Teaching and learning in nursing 2009 October; 4(4):115-18
• 5. Laibhen-Parkes N. Evidence-based practice competence: A concept analysis. Int J Nurs Knowl 2014 Oct;25(3):173-82.
• 6. Church CD. Defining competence in nursing and its relevance to quality care. J Nurses Prof Dev 2016 Sep-Oct;32(5):E9-E14.
• 7. Smith SA. Nurse competence: A concept analysis. Int J Nurs Knowl 2012 Oct;23(3):172-82.
• 8. Boylan CR, Westra R. Meeting Joint Commission requirements for staff nurse competency.J Nurs Care Qual 1998 Apr;12(4):44-8.
• 9. Cowan DT, Norman I, Coopamah VP. Competence in nursing practice: A controversial concept- a focused review of literature. Nurse Educ Today 2005 Jul;25(5):355-62.
• 10. Axley L. Competency: A concept analysis. Nursing Forum 2008;43(4):214-22.
• 11. Kajander-Unkuri S, Meretoja R, Katajisto J, Saarikoski M, Salminen L, Suhonen R, et al. Self-assessed level of competence of graduating nursing students and factors related to it. Nurse Educ Today 2014 May;34(5):795–801.
• 12. American Nurses Association (ANA). Competency model. August 2013; URL:https://learn.ananursingknowledge. org/template/ana/publications_pdf/ leadershipInstitute_competency_model_ brochure.pdf. 25 Eylül 2017.
• 13. Colloge of Nurses of Ontario. Competencies for entry-level registered nurse practice. Jan 2014; URL: https://www.cno.org/globalassets/docs/reg/41037_entrytopracitic_final.pdf. 25 Eylül 2017.
• 14. Benner P. (1984). From novice to expert: Excellence and power in clinical nursing practice. Menlo Park: Addison-Wesley;1984. pp. 13-34.
• 15. OMNE. Maine nurse core competencies.2013; URL:http://www.omne.org/site/pdf/ME-RNCompetencies. pdf. 25 Eylül 2017.
• 16. EdCan-National Education Framework Cancer Nursing. Competency assessment in nursing. A summary of literature published since 2000. April 2008; URL:http://edcan.org.au/assets/edcan/files/ docs/EdCancompetenciesliteraturereviewFINAL_0.pdf. 26 Eylül 2017
• 17. Akgeyik T. İnsan kaynaklarında yetkinlik yönetimi. İstanbul Üniversitesi İktisat Fakültesi Mecmuası 2002:52(1);69-89.
• 18. Thompson DR. Cardiac nursing - acute/episodic care career pathway. competency statements. British Association for Nursing in Cardiac Care. 2014 Jan; URL:http://www.bcs.com/documents/86F_bancc_ competency_statements.pdf. 25 Eylül 2017.
• 19. Greiner AC, Knebel E. Health professions education: A bridge to quality. institute of medicine (us) committee on the health professions education summit; Editors: Ann C. Greiner and Elisa Knebel. Washington (DC): National Academies Press (US); 2003. ISBN-10: 0-309-08723-6ISBN-10: 0-309- 51678-1
• 20. Sroczynski M, Gravlin G, Seymour Route P, Hoffart N, Creelman P. Creativity and connections: The Future of nursing education and practice: The Massachusetts Initiative. Journal of Professional Nursing 2011 November-December;27(6):e64–e70
• 21. Bahreini M, Shahamat S, Hayatdavoudi P, Mirzaei M. Comparison of the clinical competence of nurses working in two university hospitals in Iran. Nurs Health Sci 2011 Sep;13(3):282-8.
• 22. Memarian R, Salsali M, Vanaki Z, Ahmadi F, Hajizadeh E. Professional ethics as an important factor in clinical competency in nursing. Nurs Ethics 2007; 14 (2):203-14
• 23. Kim K, Han Y, Kwak Y, Kim J. Professional quality of life and clinical competencies among Korean nurses.Asian Nurs Res 2015 Sep;9(3):200-6
• 24. Santos APA, Camelo SHH, Santos FC, Leal LA, Silva BR. Nurses in post-operative heart surgery: professional competencies and organization strategies. Rev Esc Enferm USP 2016;50(3):472-78.
• 25. Rhodes MK, Morris AH, Lazenby RB. Nursing at its best: competent and caring. Online J Issues Nurs. 2011 Feb;16(2):10.
• 26. Nobahar M. Competence of nurses in the intensive cardiac care unit. Electron Physcian May 2016; 8(5): 2395-2404.
• 27. Nehrir B, Vanaki Z, Mokhtari J, Khademolhosseini SM, Ebadi A. Competency in nursing students: A Systematic review. Int J Travel Med Glob Health 2016;4(1):3-11.
• 28. Nilsson J, Johansson E, Egmar AC, Florin J, Leksell J, Lepp M, et al. Development and validation of a new tool measuring nurses self-reported professional competence--The Nurse professional Competence (NPC) Scale. Nurse Educ Today. 2014 Apr;34(4):574-80.
• 29. Institute of Medicine of the National Academies (IOM). The Richard and Hinda Rosenthal lectures 2003: keeping patients safe - transforming the work environment of nurse. Institute of Medicine of the National Academies. ISBN: 0-309-54643-5 2004; URL:https://www.ncbi.nlm.nih.gov/books/ NBK215430/pdf/Bookshelf_NBK215430.pdf.
• 30. Aiken LH, Clarke SP, Cheung RB, Sloane DM, Silber JH. Educational levels of hospital nurses and surgical patient mortality. JAMA 2003 Sep 24; 290(12): 1617-23.
• 31. Smith J, Crawford L. Report of findings from the practice and professional issues survey 2002. 2003; URL:https://www.ncsbn.org/PPI_spr02_vol7.pdf. 26 Eylül 2017
• 32. Cheng CY, Liou SR. Perceptions of clinical competence among nurse pregraduates: Do different types of nursing programs make a difference? J Nurs Educ Pract 2013; 3(9): 139-47.
• 33. Fan JY, Wang YH, Chao LF, Hsu LL. Performance evaluation of nursing students following competencybased education. Nurse Educ Today. 2015; 35(1):97-103.
• 34. Iley K, McInulty L, Jones I, Yorke J, Johnson M. Developing competence in cardiac care through the use of blended learning: course members’ and mentors’ accounts. Nurse Educ Today 2011 May;31(4):323-7.
• 35. Boudreau P, Lewis S, Allen D, Bruce E, Black J, Martens P, et al. Entry to practice competencies for the registered nurses profession. College and Association of Registered Nurses of Alberta. 2013 May; URL:http://www.cno.org/globalassets/docs/reg/41042_entrypracrpn.pdf. 26 Eylül 2017.
• 36. Yanhua C, Watson R. A review of clinical competence assessment in nursing. Nurse Educ Today 2011 Nov; 31(8): 832-36.
• 37. Komaratat S, Oumtanee A. Using a mentorship model to prepare newly graduated nurses for competency. J Contin Educ Nurs 2009;40 (10): 475–480.
• 38. Flinkman M, Leino-Kilpi H, Numminen O, Jeon Y, Kuokkanen L, Meretoja R.Nurse Competence Scale: a systematic and psychometric review. J Adv Nurs 2017 May;73(5):1035-50.
• 39. Meretoja R1, Isoaho H, Leino-Kilpi H. Nurse competence scale: Development and psychometric testing. J Adv Nurs 2004 Jul;47(2):124-33.
• 40. Gillespie BM1, Chaboyer W, Wallis M, Grimbeek P. Resilience in the operating room: developing and testing of a resilience model. J Adv Nurs 2007 Aug;59(4):427-38.
• 41. Kennedy E, Murphy GT, Misener RM, Alder R. Development and psychometric assessment of the Nursing Competence Self-Efficacy Scale. J Nurs Educ 2015 Oct;54(10):550-8.
• 42. Perng SJ, Watson R. Construct validation of the Nurse Cultural Competence Scale: A Hierarchy of abilities. J Clin Nurs 2012 Jun;21(11-12):1678-84.
• 43. Gözüm S, Tuzcu A, Kirca N. Validity and reliability of the Turkish Version of the Nurse Cultural Competence Scale. J Transcult Nurs 2016 Sep;27(5):487-95.
• 44. Takase M, Teraoka S. Development of the Holistic Nursing Competence Scale. Nurs Health Sci 2011 Dec;13(4):396-403.