Hastanede Çalışan Hemşirelerde Algılanan Hemşirelik Yeterliğini Etkileyen Faktörler: Kesitsel Bir Çalışma

Abstract

Giriş ve Amaç: Bu çalışma, hemşirelerin algıladıkları hemşirelik yeterliklerini incelemek ve algılanan iş doyumu, iş ile ilgili stres ve baş etme becerileri kontrol edildiğinde kişilik özellikleri ile etik iklimin, hemşirelik yeterliğini nasıl etkilediğini belirlemeyi amaçlamıştır. Gereç ve Yöntemler: Tanımlayıcı, kesitsel bir çalışma yürütülmüştür. Çalışmanın örneklemini Mart-Haziran 2021 arasında bir üniversite hastanesinde çalışan 316 hemşire oluşturmuştur. Verilerin toplanmasında Kişisel Özellikler Formu, Bütüncül Hemşirelik Yeterlik Ölçeği, On Maddeli Kişilik Ölçeği ve Hastane Etik İklim Ölçeği kullanılmıştır. İş memnuniyeti, işle ilgili stres ve başa çıkma becerileri, sıfırdan ona kadar sıralanan Görsel Analog Skala (GAS) ile değerlendirildi. Pearson korelasyon ve hiyerarşik lineer regresyon analizi yapılmıştır. Bulgular: Hemşirelerin algıladıkları yeterlik puan ortalamaları orta düzeydeydi. Etik iklim algıları ve kişilik özellikleri (dışadönüklük ve deneyime açıklık), hemşirenin yeterlik algısı ile önemli ölçüde ilişkiliydi. Hiyerarşik lineer regresyon analiz sonuçlarına göre, algılanan hemşirelik yeterliğini etkileyen istatistiksel olarak anlamlı faktörler, etik iklim algısı, deneyime açıklık ve algılanan başa çıkma becerileriydi. Sonuç: Artan hemşirelik yeterliği algısı; daha iyi etik iklim algısına sahip olmak, deneyime açıklık kişilik özelliği ve artan başa çıkma becerileri ile ilişkilidir.

Keywords

• Başa çıkma becerileri; etik iklim
• iş doyumu
• iş ile ilgili stres
• hemşirelik yeterliği
• kişilik özellikleri.

Factors Influencing Self-Perceived Nursing Competence in Hospital Nurses: A Cross-Sectional Study

Abstract

Aim; This study aimed to investigate self-assessment of nurses’ perceived nursing competence and determine how personality traits and ethical climate affect competence when demographic factors, perceived job satisfaction, job-related stress, and coping skills were controlled. Method; A descriptive, cross-sectional study was conducted. The sample of the study consisted of 316 nurses working in a university hospital between March-June 2021. The Personal Characteristic Form, Holistic Nursing Competence Scale, Ten-Item Personality Traits, and the Hospital Ethical Climate Survey were used to collect data. Job satisfaction, job-related stress, and coping skills were assessed on a Visual Analog Scale (VAS) ranked from zero to ten. Pearson’s correlation and hierarchical linear regression analyses were conducted. Results; The mean scores of nurses’ perceived competence were moderate. Ethical climate perceptions and personality traits (extraversion and openness to experience) significantly correlated with the nurse's self-perception of competence. The statistically significant factors influencing perceived nursing competence were ethical climate perceptions, openness to experience, and perceived coping skills based on the results of the hierarchical linear analysis. Conclusion; Having better ethical climate perceptions, the personality trait of openness to experience, and increased coping skills were associated with the increased self-perception of nursing competence.

Keywords

• Coping skills
• ethical climate
• job satisfaction
• job-related stress
• nursing competence
• personality traits.

Ethical Statement

Dokuz Eylül University Faculty of Medicine Clinical Research Ethics Committee (Decision date: 17.03.2021, Protocol no: E-38824465-020-15405) and Usak University Education and Research Hospital approved this study (Decision date: 25.02.2021, Protocol no: E-45786011-602.03.99). While conducting this study, the World Medical Association Declaration of Helsinki (2008) was complied with. After explaining the aim of the study, the informed consent form was completed by the nurses, and their anonymity was preserved. Permissions were obtained from the corresponding author regarding the use of the measurement scales.

Thanks

We would like to thank the Dr. Kim CURRY and Dr. Linda OLSON for reading the final version of the text and sharing valuable comments. We would also like to acknowledge all nurses who participated in the study for taking their time to answer the questionnaires.

References

1. 1. 1. World Health Organization W. Transforming World Health Organization W. Transforming and Scaling up Health Professionals’ Education and Training, 2013. Accessed December 10, 2021. https://www.who.int/publications/i/item/transforming-and-scaling-up-health-professionals’-education-and-training
2. 2. Nabizadeh-Gharghozar Z, Alavi NM, Ajorpaz NM. Clinical competence in nursing: A hybrid concept analysis. Nurse Education Today, 2021;97(April 2020):104728. doi:10.1016/j.nedt.2020.104728
3. 3. Schrimmer K, Williams N, Mercado S, Pitts J, Polancich S. Workforce competencies for healthcare quality professionals: Leading quality-driven healthcare. Journal for Healthcare Quality, 2019;41(4):259-265. doi:10.1097/JHQ.0000000000000212
4. 4. Blažun H, Kokol P, Vošner J. Research literature production on nursing competences from 1981 till 2012: A bibliometric snapshot. Nurse Education Today, 2015;35(5):673-679. doi:10.1016/j.nedt.2015.01.002
5. 5. Gunawan J, Aungsuroch Y, Fisher ML, Marzilli C, Liu Y. Factors Related to the Clinical Competence of Registered Nurses: Systematic Review and Meta-Analysis. Journal of Nursing Scholarship, 2020;52(6):623-633. doi:10.1111/jnu.12594
6. 6. Obeidat RF, Qan’ir Y, Turaani H. The relationship between perceived competence and perceived workplace bullying among registered nurses: A cross sectional survey. International Journal of Nursing Studies. 2018;88(August):71-78. doi:10.1016/j.ijnurstu.2018.08.012
7. 7. Numminen O, Leino-Kilpi H, Isoaho H, Meretoja R. Ethical climate and nurse competence – newly graduated nurses’ perceptions. Nurs Ethics, 2015;22(8):845-859. doi:10.1177/0969733014557137
8. 8. Takase M, Teraoka S. Development of the holistic nursing competence scale. Nursing & Health Sciences, 2011;13(4):396-403. doi:10.1111/j.1442-2018.2011.00631.x

9. 9. Barrick MR, Mount MK, Li N. The theory of purposeful work behavior: The role of personality, higher-order goals, and job characteristics. Academy of Management Review, 2013;38(1):132-153. doi:10.5465/amr.2010.0479
10. 10. Zell E, Lesick TL. Big five personality traits and performance: A quantitative synthesis of 50+ meta‐analyses. Journal of Personality, 2022;90(4):559-573. doi:10.1111/jopy.12683
11. 11. Okumura M, Ishigaki T, Mori K, Fujiwara Y. Personality traits affect critical care nursing competence: A multicentre cross-sectional study. Intensive and Critical Care Nursing. 2022;68:103128. doi:10.1016/j.iccn.2021.103128
12. 12. Takase M, Yamamoto M, Sato Y. Effects of nurses’ personality traits and their environmental characteristics on their workplace learning and nursing competence. Japan Journal of Nursing Science, 2018;15(2):167-180. doi:10.1111/jjns.12180
13. 13. Koskenvuori J, Numminen O, Suhonen R. Ethical climate in nursing environment: A scoping review. Nursing Ethics. 2019;26(2):327-345. doi:10.1177/0969733017712081
14. 14. Özden D, Arslan GG, Ertuğrul B, Karakaya S. The effect of nurses’ ethical leadership and ethical climate perceptions on job satisfaction. Nursing Ethics, 2019;26(4):1211-1225. doi:10.1177/0969733017736924
15. 15. Simha A, Pandey J. Trust, ethical climate and nurses’ turnover intention. Nursing Ethics, 2021;28(5):714-722. doi:10.1177/0969733020964855
16. 16. Faraji A, Karimi M, Azizi SM, Janatolmakan M, Khatony A. Evaluation of clinical competence and its related factors among ICU nurses in Kermanshah-Iran: A cross-sectional study. International Journal of Nursing Sciences, 2019;6(4):421-425. doi:10.1016/j.ijnss.2019.09.007
17. 17. Hsieh PL, Chen CM. Long term care nursing competence and related factors among Taiwanese nurses: A national survey for those who completed the LTC training course. Geriatric Nursing, (Minneap). 2017;38(3):192-198. doi:10.1016/j.gerinurse.2016.10.010
18. 18. Numminen O, Ruoppa E, Leino-Kilpi H, Isoaho H, Hupli M, Meretoja R. Practice environment and its association with professional competence and work-related factors: Perception of newly graduated nurses. Journal of Nursing Management, 2016;24(1):E1-E11. doi:10.1111/jonm.12280
19. 19. Meretoja R, Numminen O, Isoaho H, Leino-Kilpi H. Nurse competence between three generational nurse cohorts: A cross-sectional study. International Journal of Nursing Practice, 2015;21(4):350-358. doi:10.1111/ijn.12297
20. 20. Takase M, Yamamoto M, Sato Y, Niitani M, Uemura C. The relationship between workplace learning and midwives’ and nurses’ self-reported competence: A cross-sectional survey. International Journal of Nursing Studies, 2015;52(12):1804-1815. doi:10.1016/j.ijnurstu.2015.06.016
21. 21. Numminen O, Leino-Kilpi H, Isoaho H, Meretoja R. Newly graduated nurses’ competence and individual and organizational factors: A multivariate analysis. Journal of Nursing Scholarship, 2015;47(5):446-457. doi:10.1111/jnu.12153
22. 22. Takase M, Yamamoto M, Sato Y. The factors related to self-other agreement/disagreement in nursing competence assessment: Comparative and correlational study. International Journal of Nursing Studies, 2018;80(2018):147-154. doi:10.1016/j.ijnurstu.2018.01.011
23. 23. Aydin A, Hiçdurmaz D. Holistic nursing competence scale: Turkish translation and psychometric testing. International Nursing Review, 2019;66(3):425-433. doi:10.1111/inr.12514
24. 24. Gosling SD, Rentfrow PJ, Swann WB. A very brief measure of the Big-Five personality domains. Journal of Research in Personality, 2003;37(6):504-528. doi:10.1016/S0092-6566(03)00046-1
25. 25. Atak H. The Turkish adaptation of the Ten-Item Personality Inventory. Nöropsikiyatri Arşivi. 2013;50(4):312-319. doi:10.4274/npa.y6128
26. 26. Olson L. Ethical climate in health care organizations. International Nursing Review, 1995;42(3):85-90. http://europepmc.org/abstract/MED/7649724
27. 27. Bahcecik N, Oztürk H. The hospital ethical climate survey in Turkey. JONA's Healthcare Law, Ethics and Regulation, 2003;5(4):94-99. doi:10.1097/00128488-200312000-00008
28. 28. Flinkman M, Leino-Kilpi H, Numminen O, Jeon Y, Kuokkanen L, Meretoja R. Nurse Competence Scale: a systematic and psychometric review. Journal of Advanced Nursing, 2017;73(5):1035-1050. doi:10.1111/jan.13183
29. 29. Önal A, Seren İntepeler Ş. Comparison of self-competency and executive (charge) nurse competency assessments of clinical nurses. International Nursing Review, Published online December 1, 2024. doi:10.1111/inr.12955
30. 30. Almarwani AM, Alzahrani NS. Factors affecting the development of clinical nurses’ competency: A systematic review. Nurse Education Practice, 2023; 103826. doi:10.1016/j.nepr.2023.103826
31. 31. Serpici A, Akça Doğan D, Bıçak Ayik D. Relationship between nursing students’ personality traits and competence in workplace violence management. Archives of Psychiatric Nursing, 2024;53:17-23. doi:10.1016/j.apnu.2024.09.004
32. 32. 32. Mansoara N, Armanu AP. The effect between ethical climate and organizational culture on deviant behavior through organizational commitment as a mediation variable. South East Asia Journal of Contemporary Business, Economics and Law, 2021;24(1):108-123.
33. 33. Zakeri MA, Bazmandegan G, Ganjeh H, et al. Is nurses’ clinical competence associated with their compassion satisfaction, burnout and secondary traumatic stress? A cross-sectional study. Nursing Open, 2021;8(1):354-363. doi:10.1002/nop2.636
34. 34. Hughes DJ, Kratsiotis IK, Niven K, Holman D. Personality traits and emotion regulation: A targeted review and recommendations. Emotion, 2020;20(1):63-67. doi:10.1037/emo0000644.