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Abstract

Introduction. In nursing, clinical competence is a central issue for patient care and a clear understanding of the concept is critical for nursing education and nursing discipline.

Aim. To perform an analysis of the concept of "˜clinical competence' in nursing to better understand its meaning. Method. The Walker and Avant's concept analysis model was used. A systematic literature review on international databases (PubMed, CINAHL, Scopus, Cochrane, Ovid, Open Grey) from 1993 to 2015 was conducted. In the retrieved articles, the utilization of the concept of "clinical competence in nursing" was examined.

Results. According to Walker and Avant's method all the 8 steps were described on the basis of the findings of the literature review. Attributes, antecedents, consequences and empirical referents of the clinical competence in nursing have been identified and discussed and model, borderline, opposite cases were constructed. The relevance of the concept both for education and nursing professionalism have been also debated.

Conclusion. This concept analysis has defined "˜clinical competence in nursing' as "˜a mix of skills, knowledge, attitudes and abilities that each nurse must possess to perform acceptably those duties directly related to patient care, in a specific clinical context and in given circumstances in order to promote, maintain and restore the health of patients'.

Keywords: Clinical competence, concept analysis, nursing, Walker and Avant.

 

Competenza clinica nell'infermieristica: un'analisi di concetto

Introduzione. In campo infermieristico la "˜competenza clinica' è una questione centrale per l'assistenza al paziente e è fondamentale una chiara comprensione del concetto sia per la formazione che per la disciplina infermieristiche. Scopo. Effettuare un analisi del concetto di "˜competenza clinica' in campo infermieristico.

Metodo. E' stato utilizzato il metodo descritto da Walker e Avant. È stata effettuata una revisione sistematica della letteratura su database internazionali ( PubMed, CINAHL, Scopus, Cochrane, Ovid, Open Grey ) dal 1993 al 2015. Negli articoli reperiti è stata esaminata l'utilizzazione del concetto in esame.

Risultati. Sono stati descritti tutti gli 8 step previsti dal modello di Walker e Avant sulla base dei risultati della revisione sistematica della letteratura. Sono stati identificati e discussi gli attributi, gli antecedenti, le conseguenze e i riferimenti empirici della competenza clinica in campo infermieristico e sono stati costruiti i casi modello, limite e contrario. E' stata discussa anche la rilevanza del concetto sia per la formazione che per lo sviluppo professionale in campo infermieristico.

Conclusioni. Questa analisi di concetto ha portato a definire la "˜competenza clinica' in campo infermieristico come "˜un insieme di capacití , conoscenze, attitudini e abilití  che ciascun infermiere deve possedere per effettuare in maniera accettabile tutte quelle attivití  direttamente correlate all'assistenza al paziente, in uno specifico contesto clinico e in specifiche circostanze allo scopo di promuovere, mantenere e ristabilire la salute dei pazienti'.

Parole chiave: Competenza clinica, analisi di concetto, infermieristica, Walker e Avant.

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Notarnicola, I., Petrucci, C., De Jesus Barbosa, M. R., Giorgi, F., Stievano, A., & Lancia, L. (2016). Clinical competence in nursing: A concept analysis. PROFESSIONI INFERMIERISTICHE, 69(3). Recuperato da https://www.profinf.net/pro3/index.php/IN/article/view/279
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