Contenuto dell'articolo principale
Abstract
Introduction: Competence is considered a fundamental element when measuring a nurse's or student's ability to provide nursing care, but there is no consensus on what competence really is. This paper aims to review the existing meanings and models of nursing competence. Method: The overview of literature reviews and concept analysis was performed through a search on Pubmed, Cinahl and PsychINFO from January 2005 to September 2014. It included key words, such as: Competence Model; Professional Competence; Nursing Competence; Compe- tency Model; Professional Competency; Nursing Competency.
Results: A total of 14 papers were found, coming from educational or clinical nursing field. It was possible to identify some common themes: description of competence determinants; confu- sion around the competence concept; lack in competence evaluation; lack when competence have to be operationalized
Conclusions: The overview results, enriched by the literature coming out from the organiza- tional studies, build the conceptual basis of an integrated model of nursing competence. More empirical research is needed to test the theoretical assumptions.
Keywords: competence; competency; nursing; organizational well-being; nursing sensitive outcome
Verso un modello integrato di competenza infermieristica: una overview delle revisioni ed analisi del concetto
Introduzione: La competenza è un elemento fondamentale quando si misura la capacití di infer- mieri o studenti di fornire assistenza infermieristica, ma non vi è consenso su ciò che realmente sia la competenza. Questo studio si propone di indagare i significati e i modelli di competenza infermieristica.
Metodo: L'overview delle revisioni della letteratura e delle concept analysis è stata effettuata attraverso una ricerca su Pubmed, Cinahl e PsychINFO dal gennaio 2005 a settembre 2014, che includeva parole chiave come: Modello di competenza; Competenza professionale; Competenza infermieristica; Competenza.
Risultati: Sono stati inclusi un totale di 14 articoli, provenienti dalla letteratura infermieristica sia in ambito formativo che clinico. È stato possibile individuare alcuni temi comuni negli arti- coli inclusi: la descrizione dei determinanti di competenza; la confusione intorno al concetto di competenza; la carenza nella valutazione delle competenze; la carenza nell'operazionalizzare il concetto di competenza.
Conclusioni: I risultati forniscono una panoramica che, arricchita dalla letteratura proveniente dagli studi organizzativi, costituiscono la base concettuale di un modello integrato di compe- tenza infermieristica. Ulteriore ricerca empirica è necessaria per verificare le assunzioni teoriche.
Parole Chiave: competenza; infermieristica, benessere organizzativo, esiti sensibili alle cure infermieristiche.
Dettagli dell'articolo
Riferimenti
- REFERENCES
- theory, use and methodology. International Journal
- of Nursing Studies , 47 (3), 386-391 Garside, J.R., Nhemachena, J.Z. (2013) A concept
- analysis of competence and its transition in
- nursing. Nurse Education Today, 33 (5), 541-545. Geffroy, F. & Tijou, R. (2002). Il management delle competenze nelle imprese europee. Politiche e pratiche. (European Training and Development
- Federation), Franco Angeli Gigantesco, A., Mirabella, F., Bonaviri, G., et al. (2004)
- La valutazione della condizione lavorativa in popolazioni del settore sanitario. La Medicina del Lavoro, 95, 431-440
- Glaser, B.G. & Strauss, A.L. (1967) The Discovery of Grounded Theory: Strategies for Qualitative Research. Aldine, Chicago, IL.
- LEGGE 23 dicembre 2014, n. 190 . Disposizioni per la formazione del bilancio annuale e pluriennale dello Stato (legge di stabilità 2015). GU Serie Generale n.300 del 29-12-2014 - Supplemento Ordinario n. 99
- Liberati, A. & al. (2009) The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. Journal of Clinical Epidemiology, 62 (10), e1-34
- Lysaghta, R.M., Altschuldb, J.W. (2000) Beyond initial certification: the assessment and maintenance of competency in professions. Evaluation and Program Planning, 23, 95-104
- Mac Davitt, K., Chou, S.S., Stone, P.W. (2007) Organizational climate and health care outcomes. Joint Commission Journal on Quality and Patient Safety, 33, 45-56.
- McClelland, D. (1998) Identifying competencies with behavioural-event interviews. Psychological Science, (5), 331-339
- McCready, T. (2007) Portfolios and the assessment of competence in nursing: A literature review. International Journal of Nursing Studies, 44 (1), 143- 151
- Morrison, S.M., Symes, L. (2011) An integrative review of expert nursing practice. Journal of Nursing Scholarship, 43 (2), 163-170
- Popay, J., Roberts, H., Sowden, A., Arai, L., Rodgers, H., Britten, N., Roen, K. & Duffy S. (2006) Guidance on the Conduct of Narrative Synthesis in Systematic Reviews. ESRC, Swindon.
- Queen's Joanna Briggs Collaboration (2015) CAN- SYNTHESIZE is a quick reference resource to guide the use of the Joanna Briggs Institute methodology of synthesis. Disponibile da: http://joannabriggs.org/assets/docs/jbc/operations/ criticalAppraisalForms/JBC_Form_CritAp_NarO pTxt.pdf [consultato il 15/02/2015]
- Rodgers, B.L. & Knafl, K.A. (2000) Concept
- A Tuning Guide to Formulating Degree Programme Profiles (2010). Disponibile da: http://core- project.eu/documents/Tuning%20G%20Formulat ing%20Degree%20PR4.pdf [consultato il 04/03/2015]
- Aiken, L. & al. (2014) Nurse staffing and education and hospital mortality in nine European countries: a retrospective observational study. Lancet, 38 3(9931), 1824-1830
- Axley, L. (2008) Competency: a concept analysis. Nursing Forum, 43 (4),214-22.
- Bing-Jonsson, P.C. & al. (2013) Instruments Measuring Nursing Staff Competence in Community Health Care. A Systematic Literature Review. Home Health Care Management & Practice, 25: 282-294
- Bologna working Group on Qualifications Frameworks. (2005). A Framework for Qualifications of the European Higher Education Area. Copenhagen: Ministry of Science, Technology and Innovation
- Cowan, D.T., Norman, I., Coopamah, V.P. (2005) Competence in nursing practice: a controversial concept--a focused review of literature. Nurse Education Today, 25 (5), 355-362
- Dollard, M.F., Bakker, M., Arnold, B. (2010) Psychosocial safety climate as a precursor to conducive work environments, psychological health problems, and employee engagement. Journal of Occupational Psychology, 83, 579-599
- Epstein, R.M., Hundert, E.M. (2002) Defining and Assessing Professional Competence. Journal of American Medical Association, 287 (2), 226-235
- Fernandez, N., Dory, V., Ste-Marie, L.G., Chaput, M., Charlin, B., Boucher, A. (2012) Varying conceptions of competence: an analysis of how health sciences educators define competence. Medical Education, 46 (4), 357-365
- Fisher, DM. (2013) A multilevel cross-cultural examination of role overload and organizational commitment: investigating the interactive effects of context. Nurse Education in Practice, 13 (5), 454-458
- FNC-IPASVI – Federazione Nazionale dei Collegi IPASVI (2014) VII Conferenza nazionale Ipasvi: "Vicini alla definitiva valorizzazione delle competenze specialistiche infermieristiche". Disponibile da: http://www.ipasvi.it/chi-siamo/archivio-speciali/vii- conferenza-nazionale-ipasvi-vicini-alla-definitiva- valorizzazione-delle-competenze-specialistiche- infermieristiche--id34.htm [consultato il 27/02/2015]
- Fotheringham, D. (2009) Triangulation for the assessment of clinical nursing skills: a review ofdevelopment in nursing: Foundations, techniques, and
- applications. Philadelphia: W.B. Saunders Scott Tilley, D.D. (2008) Competency in Nursing: A Concept Analysis, Journal of Continuing. Education
- in Nursing, 39 (2), 58-64 Slavin R.E. (1995) Best evidence synthesis: an intelligent
- alternative to meta-analysis. Journal of Clinical
- Epidemiology, 48 (1), 9–18. Smith, S.A. (2012) Nurse competence: a concept
- analysis. International Journal of Nursing Knowledge,
- (3), 172-182 Shea, B.J., Grimshaw, J.M., Wells, G.A., Boer, M.,
- Andersson, N., Hamel, C., Porter, A.C., Tugwell, P., Moher. D., Bouter, L.M. (2007) Development of AMSTAR: a measurement tool to assess the methodological quality of systematic reviews. BMC Medical Research Methodology, 15, 7-10.
- Spencer, L. M., & Spencer, S. M. (1993). Competenza nel lavoro, modelli per una performance superiore. Milano: Franco Angeli
- Skirton, H., O'Connor, A., Humphreys, A. (2012) Nurses' competence in genetics: a mixed method systematic review. Journal of Advanced Nursing, 68 (11), 2387-2398
- Theisen, J.L., Sandau, K.E. (2013) Competency of new graduate nurses: A review of their weaknesses and
- strategies for success. Journal of Continuing
- Education in Nursing, 44, (9), 406-414 Turnbull, P., Weeley, F.M. (2013) Service user involvement: inspiring student nurses to make a difference to patient care. Nurse Education in
- Practice, 13 (5), 454-458. Turci, C., Alvaro, R., Fabretti, A., Fida, R., Giorgi, F.,
- Maccari, A., Proietti, M.G., Sili, A., Stievano, A., Tolentino Diaz, M.Y., Trinca, D., Vellone, E., Rocco, G. (2013) La salute organizzativa degli infermieri in alcune strutture sanitarie di Roma e della provincia. L'infermiere, 50 (6), e89-e98
- Valloze, J. (2009) Competence: A concept analysis. Teaching and Learning in Nursing, 4 (4), 115-118
- Walker, L., Avant, K. (2005) Discourse on concept analysis. Journal of Holistic Nursing, 23 (1), 11-12
- Walsh, M., Bailey, P.H., Koren, I. (2009) Objective structured clinical evaluation of clinical competence: an integrative review. Journal of Advanced Nursing, 65 (8), 1584-1595
- White, R. H. (1959) Motivation reconsidered: The concept of competence. Psychological Review, Vol. 66, pp.279-333
- Yanhua, C., Watson, R. (2011) A review of clinical competence assessment in nursing. Nurse Education Today, 31 (8), 832-836
Riferimenti
REFERENCES
theory, use and methodology. International Journal
of Nursing Studies , 47 (3), 386-391 Garside, J.R., Nhemachena, J.Z. (2013) A concept
analysis of competence and its transition in
nursing. Nurse Education Today, 33 (5), 541-545. Geffroy, F. & Tijou, R. (2002). Il management delle competenze nelle imprese europee. Politiche e pratiche. (European Training and Development
Federation), Franco Angeli Gigantesco, A., Mirabella, F., Bonaviri, G., et al. (2004)
La valutazione della condizione lavorativa in popolazioni del settore sanitario. La Medicina del Lavoro, 95, 431-440
Glaser, B.G. & Strauss, A.L. (1967) The Discovery of Grounded Theory: Strategies for Qualitative Research. Aldine, Chicago, IL.
LEGGE 23 dicembre 2014, n. 190 . Disposizioni per la formazione del bilancio annuale e pluriennale dello Stato (legge di stabilità 2015). GU Serie Generale n.300 del 29-12-2014 - Supplemento Ordinario n. 99
Liberati, A. & al. (2009) The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. Journal of Clinical Epidemiology, 62 (10), e1-34
Lysaghta, R.M., Altschuldb, J.W. (2000) Beyond initial certification: the assessment and maintenance of competency in professions. Evaluation and Program Planning, 23, 95-104
Mac Davitt, K., Chou, S.S., Stone, P.W. (2007) Organizational climate and health care outcomes. Joint Commission Journal on Quality and Patient Safety, 33, 45-56.
McClelland, D. (1998) Identifying competencies with behavioural-event interviews. Psychological Science, (5), 331-339
McCready, T. (2007) Portfolios and the assessment of competence in nursing: A literature review. International Journal of Nursing Studies, 44 (1), 143- 151
Morrison, S.M., Symes, L. (2011) An integrative review of expert nursing practice. Journal of Nursing Scholarship, 43 (2), 163-170
Popay, J., Roberts, H., Sowden, A., Arai, L., Rodgers, H., Britten, N., Roen, K. & Duffy S. (2006) Guidance on the Conduct of Narrative Synthesis in Systematic Reviews. ESRC, Swindon.
Queen's Joanna Briggs Collaboration (2015) CAN- SYNTHESIZE is a quick reference resource to guide the use of the Joanna Briggs Institute methodology of synthesis. Disponibile da: http://joannabriggs.org/assets/docs/jbc/operations/ criticalAppraisalForms/JBC_Form_CritAp_NarO pTxt.pdf [consultato il 15/02/2015]
Rodgers, B.L. & Knafl, K.A. (2000) Concept
A Tuning Guide to Formulating Degree Programme Profiles (2010). Disponibile da: http://core- project.eu/documents/Tuning%20G%20Formulat ing%20Degree%20PR4.pdf [consultato il 04/03/2015]
Aiken, L. & al. (2014) Nurse staffing and education and hospital mortality in nine European countries: a retrospective observational study. Lancet, 38 3(9931), 1824-1830
Axley, L. (2008) Competency: a concept analysis. Nursing Forum, 43 (4),214-22.
Bing-Jonsson, P.C. & al. (2013) Instruments Measuring Nursing Staff Competence in Community Health Care. A Systematic Literature Review. Home Health Care Management & Practice, 25: 282-294
Bologna working Group on Qualifications Frameworks. (2005). A Framework for Qualifications of the European Higher Education Area. Copenhagen: Ministry of Science, Technology and Innovation
Cowan, D.T., Norman, I., Coopamah, V.P. (2005) Competence in nursing practice: a controversial concept--a focused review of literature. Nurse Education Today, 25 (5), 355-362
Dollard, M.F., Bakker, M., Arnold, B. (2010) Psychosocial safety climate as a precursor to conducive work environments, psychological health problems, and employee engagement. Journal of Occupational Psychology, 83, 579-599
Epstein, R.M., Hundert, E.M. (2002) Defining and Assessing Professional Competence. Journal of American Medical Association, 287 (2), 226-235
Fernandez, N., Dory, V., Ste-Marie, L.G., Chaput, M., Charlin, B., Boucher, A. (2012) Varying conceptions of competence: an analysis of how health sciences educators define competence. Medical Education, 46 (4), 357-365
Fisher, DM. (2013) A multilevel cross-cultural examination of role overload and organizational commitment: investigating the interactive effects of context. Nurse Education in Practice, 13 (5), 454-458
FNC-IPASVI – Federazione Nazionale dei Collegi IPASVI (2014) VII Conferenza nazionale Ipasvi: "Vicini alla definitiva valorizzazione delle competenze specialistiche infermieristiche". Disponibile da: http://www.ipasvi.it/chi-siamo/archivio-speciali/vii- conferenza-nazionale-ipasvi-vicini-alla-definitiva- valorizzazione-delle-competenze-specialistiche- infermieristiche--id34.htm [consultato il 27/02/2015]
Fotheringham, D. (2009) Triangulation for the assessment of clinical nursing skills: a review ofdevelopment in nursing: Foundations, techniques, and
applications. Philadelphia: W.B. Saunders Scott Tilley, D.D. (2008) Competency in Nursing: A Concept Analysis, Journal of Continuing. Education
in Nursing, 39 (2), 58-64 Slavin R.E. (1995) Best evidence synthesis: an intelligent
alternative to meta-analysis. Journal of Clinical
Epidemiology, 48 (1), 9–18. Smith, S.A. (2012) Nurse competence: a concept
analysis. International Journal of Nursing Knowledge,
(3), 172-182 Shea, B.J., Grimshaw, J.M., Wells, G.A., Boer, M.,
Andersson, N., Hamel, C., Porter, A.C., Tugwell, P., Moher. D., Bouter, L.M. (2007) Development of AMSTAR: a measurement tool to assess the methodological quality of systematic reviews. BMC Medical Research Methodology, 15, 7-10.
Spencer, L. M., & Spencer, S. M. (1993). Competenza nel lavoro, modelli per una performance superiore. Milano: Franco Angeli
Skirton, H., O'Connor, A., Humphreys, A. (2012) Nurses' competence in genetics: a mixed method systematic review. Journal of Advanced Nursing, 68 (11), 2387-2398
Theisen, J.L., Sandau, K.E. (2013) Competency of new graduate nurses: A review of their weaknesses and
strategies for success. Journal of Continuing
Education in Nursing, 44, (9), 406-414 Turnbull, P., Weeley, F.M. (2013) Service user involvement: inspiring student nurses to make a difference to patient care. Nurse Education in
Practice, 13 (5), 454-458. Turci, C., Alvaro, R., Fabretti, A., Fida, R., Giorgi, F.,
Maccari, A., Proietti, M.G., Sili, A., Stievano, A., Tolentino Diaz, M.Y., Trinca, D., Vellone, E., Rocco, G. (2013) La salute organizzativa degli infermieri in alcune strutture sanitarie di Roma e della provincia. L'infermiere, 50 (6), e89-e98
Valloze, J. (2009) Competence: A concept analysis. Teaching and Learning in Nursing, 4 (4), 115-118
Walker, L., Avant, K. (2005) Discourse on concept analysis. Journal of Holistic Nursing, 23 (1), 11-12
Walsh, M., Bailey, P.H., Koren, I. (2009) Objective structured clinical evaluation of clinical competence: an integrative review. Journal of Advanced Nursing, 65 (8), 1584-1595
White, R. H. (1959) Motivation reconsidered: The concept of competence. Psychological Review, Vol. 66, pp.279-333
Yanhua, C., Watson, R. (2011) A review of clinical competence assessment in nursing. Nurse Education Today, 31 (8), 832-836