Understanding and applying the matrix on the four levels of competences and categories of the nursing care providers

a descriptive research

Authors

  • Brigita Skela-Savič Angela Boškin Faculty of Health Care Spodnji Plavž 3, 4270 Jesenice, Slovenia https://orcid.org/0000-0002-1028-5383
  • Sanela Pivač Angela Boškin Faculty of Health Care Spodnji Plavž 3, 4270 Jesenice, Slovenia
  • Vesna Čuk Angela Boškin Faculty of Health Care Spodnji Plavž 3, 4270 Jesenice, Slovenia
  • Branko Gabrovec National Institute of Public Health, Trubarjeva 2, 1000, Ljubljana, Slovenia https://orcid.org/0000-0002-3885-1308

DOI:

https://doi.org/10.14528/snr.2018.52.3.267

Keywords:

education, European Directive, health care assistant, registered nurse, specialization, scientific discipline

Abstract

Introduction: The complexity of patients' needs in today's health care calls for a revision and extension of nursing professions to ensure optimal health care outcomes. The aim of the research was to assess the understanding of the four categories of the nursing care continuum and, accordingly, four categories of nursing care providers.
Methods: A descriptive, quantitative research design was employed. Participants included 365 nursing educators and nurses working in the clinical setting. The structured questionnaire used was based on the four categories of the nursing care continuum.
Results: Secondary school teachers expressed significantly lower agreement with the terming of health care assistant (p < 0.001), and with the general (p < 0.001) and specific (p < 0.001) competencies of this profession, contrary to management workers (p < 0.001) and those trained in research (p = 0.030) and evidence-based care (p = 0.004) who expressed higher agreement with the competencies of health care assistants.
Discussion and conclusion: The research draws attention to the issue of understanding and applying the competencies of health care assistants. In order to implement the workforce matrix of competences, the European Directive on regulated professions should be supplemented with minimum requirements for specialist knowledge and advanced practice in nursing. In addition, the competencies and minimum educational requirements for health care assistants should be defined.

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Author Biographies

Brigita Skela-Savič, Angela Boškin Faculty of Health Care Spodnji Plavž 3, 4270 Jesenice, Slovenia

PhD, MSc, BSc, RN, Research Counsellor, Associate Professor

Sanela Pivač, Angela Boškin Faculty of Health Care Spodnji Plavž 3, 4270 Jesenice, Slovenia

Senior Lecturer, MSc, RN

Vesna Čuk, Angela Boškin Faculty of Health Care Spodnji Plavž 3, 4270 Jesenice, Slovenia

Senior Lecturer, PhD, RN

Branko Gabrovec, National Institute of Public Health, Trubarjeva 2, 1000, Ljubljana, Slovenia

Assistant Professor, PhD, MSc

References

American Nurses Association [ANA] Leadership Institute, 2013. Competency model. Washington: American Nurses Association.

Blažun, H., Kokol, P. & Vošner, J., 2015. Survey on specific nursing competences: students perceptions. Nurse Education in Practice, 15(5), pp. 359–365. https://doi.org/10.1016/j.nepr.2015.02.002

Braeseke, G., Hernánde, J., Dreher, B., Birkenstock, J., Filkins, J., Preusker, U., et al., 2013. Final report on the Project: Development and Coordination of a Network of Nurse Educators and Regulators (SANCO/1/2009) to the European Commission, DG SANCO. PMid:23884528

Cassier-Woidasky, A.K., 2013. Neurocritical care nursing, German perspective nursing education in Germany: challenges and obstacles in professionalization. In: ANIM, 2013. NCS Joint Meeting, 24. 01. 2013. Stuttgart: DHBW. Available at: http://docplayer.net/7972445-Nursing-education-in-germany-challenges-andobstacles-in-professionalization.html [27. 1. 2016].

Currie, E. & Carr-Hill, R., 2013. What is a nurse: is there an international consensus. International Nursing Review, 60(1), pp. 64–74. https://doi.org/10.1111/j.1466-7657.2012.00997.x PMid:23406239

Directive 2005/36/EC on the recognition of professional qualifications: 22–142, 2005. Official Journal of the European Union, L 255/22. Available at: http://data.europa.eu/eli/dir/2005/36/oj [2. 12. 2015].

Directive 2013/55/EU of the European Parliament of the Council, 2013. Official Journal of the European Union, L354/132. Available at: http://data.europa.eu/eli/dir/2013/55/oj [9. 1. 2016].

Dury, C., Hall, C., Denan, J.L., Mondoux, J., Aguiar Barbieri Figueiredo, M.C., Costa, M.A.M., et al., 2014. Specialist nurse in Europe: education, regulation and role. International Nursing Review, 61(4), pp. 454–462. https://doi.org/10.1111/inr.12123 PMid:25214392

European Federation of Nurses Association [EFN] Workforce Committee, 2014. EFN matrix on the 4 categories of the nursing care continuum. Brussels: EFN Workforce Committee.

European Federation of Nurses Association [EFN], 2015. Guideline for the implementation of Article 31 of the Mutual Recognition of Professional Qualifications Directive 2005/36/EC, amended by Directive 2013/55/EU. Available at:http://www.efnweb.be/?page_id=6897 [9. 1. 2016].

Eurostat (n.d.). Health care staff, nursing and caring professionals. Available at: http://ec.europa.eu/eurostat/cache/metadata/Annexes/hlth_res_esms_an4.pdf [9. 1. 2016].

Garside, J.R. & Nhemachena, J.Z., 2013. A concept analysis of competence and its transition in nursing. Nurse Education Today, 33(5), pp. 541–545. https://doi.org/10.1016/j.nedt.2011.12.007

International Council of Nurses [ICN], 2008. Nursing Care Continuum and Competencies. Geneva: International Council of Nurses. Available at: http://www.siga-fsia.ch/files/user_upload/07_ICN_Nursing_Care_Continuum_Framework_and_Competencies.pdf [28. 11. 2016].

International Council of Nurses [ICN], 2015. Nurses: a force for change: care effective, cost effective. Geneva: International Council of Nurses. Available at: http://www.icn.ch/images/stories/documents/publications/ind/IND_2015_Eng.pdf [28. 11. 2016].

Kroezen, M., Schäfer, W., Sermeus, W., Hansene, J., Batenburg, R., 2018. Healthcare assistants in EU Member States: an overview. Health Policy, 122(10), pp. 1109–1117. https://doi.org/10.1016/j.healthpol.2018.07.004 PMid:30033205

McKenna, H., Keeney, S., Kim, M.J. & Park, C.G., 2014. Quality of doctoral nursing education in the United Kingdom: exploring the views of doctoral students and staff based on cross - sectional questionnaire survey. Journal of Advanced Nursing, 70(7), pp.1639–1652. https://dx.doi.org/10.1111/jan.12326

Meretoja, R. & Koponen, L., 2012. A systematic model to compare nurses’ optimal and actual competencies in the clinical setting. Journal of Advanced Nursing, 68(2), pp. 414–422. https://doi.org/10.1111/j.1365-2648.2011.05754.x

Nursing & Midwifery Council [NMC], 2010. Standards for preregistration nursing education. Available at: http://www.nmc.org.uk/standards/additional-standards/standards-for-pre-registration-nursing-education/ [28. 11. 2016].

Numminen, O., Laine, T., Isoaho, H., Hupli, M, Leino-Kilpi, H. & Meretoja, R., 2014. Do educational outcomes correspond with the requirements of nursing practice: educators' and managers' assessments of novice nurses' professional competence. Scandinavian Journal of Caring Sciences, 28(4), pp. 812–821. https://doi.org/10.1111/scs.12115 PMid:24512685; PMCid:PMC4282483.

Pallant, J., 2010. SPSS Survival Manual: a step by step guide to data analysis using SPSS. 4th ed. Maidenhead: Open University Press/McGraw-Hill.

Palese, A., Zabalequi, A., Siqurdardottir, A.K., Bergin, M., Dobrowolska B., Gasser, C., et al., 2014. Bologna process, more or less: nursing education in the European economic area: a discussion paper. International Journal of Nursing Education Scholarship, 11(1), pp. 1–11. https://doi.org/10.1515/ijnes-2013-0022

Sibandze, B.T. & Scafide K.N., 2017. Among nurses, how does education level impact professional values: a systematic review. International Nursing Review, 65, pp. 65–77. https://doi.org/10.1111/inr.12390 PMid:28657173

Schäfer, W., Kroezen, M., Hansen, J., Sermeus, W., Aszalos, Z., Batenburg, R., 2016. Core Competences of healthcare Assistants in Europe (CC4HCA): an exploratory study into the desirability and feasibility of a common training framework under the Professional Qualifications Directive. Brussels: European Commission.

Skela-Savič, B., 2015. Directives for nursing education in the 1st cycle degree higher professional study programme Nursing. Obzornik zdravstvene nege, 49(4), pp. 320–333. https://doi.org/10.14528/snr.2015.49.4.794

Skela-Savič, B., 2017. Development of nursing professionalization elements in Slovenia : the group interview technique. Obzornik zdravstvene nege, 51(4), pp. 274–297. https://doi.org/10.14528/snr.2017.51.4.199

Skela-Savič, B., Hvalič-Touzery, S. & Pesjak, K., 2017. Professional values and competencies as explanatory factors for the use of evidence-based practice in nursing. Journal of Advanced Nursing, 73(1), pp. 1910–1923. https://doi.org/10.1111/jan.13280 PMid:28205259

Skela-Savič, B., Pesjak, K. & Lobe, B., 2016. Evidence-based practice among nurses in Slovenian hospitals: a national survey. International Nursing Review, 63(1), pp. 122–131. https://doi.org/10.1111/inr.12233

Stokke, K., Olsen, N.R., Espehaug, B. & Nortvedt, M.W., 2014. Evidence based practice beliefs and implementation among nurses: a cross-sectional study. BMC Nursing, 25, pp. 8–18. https://doi.org/10.1186/1472-6955-13-8 PMid:24661602; PMCid:PMC3987836

World Health Organisation [WHO], 2011. Strategic Directions for Strengthening Nursing and Midwifery Services 2011-2015. Available at: http://apps.who.int/iris/bitstream/10665/70526/1/WHO_HRH_HPN_10.1_eng.pdf [28. 11. 2016].

World Health Organisation [WHO], 2016. Global strategic directions for strengthening nursing and midwifery 2016-2020. Available at: http://www.who.int/hrh/nursing_midwifery/global-strategicmidwifery2016-2020.pdf?ua = 1 [2. 12. 2015].

Wilson, M., Sleutel, M., Newcomb, P., Behan, D., Walsh, J., Wells, J.N., et al., 2015. Empowering nurses with evidence based practice environments: Surveying Magnet®, Pathway to Excellence®, and Non-Magnet facilities in one healthcare system. Worldviews on Evidence-Based Nursing, 12(1), pp. 12–21. https://doi.org/10.1111/wvn.12077 PMid:25598144

Yoder, L.H., Kirkey, D., McFall, D.C., Kirksey, K.M., StalBaum, A.L, Sellers, D., 2014. Staff nurses' use of research to facilitate Evidence-Based Practice. The American Journal of Nursing, 114, pp. 26–37. https://doi.org/10.1097/01.NAJ.0000453753.00894.29 PMid:25121949

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Published

2019-03-15

How to Cite

Skela-Savič, B., Pivač, S., Čuk, V., & Gabrovec, B. (2019). Understanding and applying the matrix on the four levels of competences and categories of the nursing care providers: a descriptive research. Slovenian Nursing Review, 53(1), 8–17. https://doi.org/10.14528/snr.2018.52.3.267

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Original scientific article

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