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Older people nursing in care homes: An examination of nursing professionals' self-assessed competence and its predictors.
Int J Older People Nurs. 2019 Jun; 14(2):e12225.IJ

Abstract

BACKGROUND

The need for older people nursing expertise is increasing, and every effort is required to ensure that personnel taking care of older people are capable of providing high-quality care.

AIMS

To explore care home nursing professionals' self-rated competence in older people nursing and to identify predictors of this competence.

DESIGN

A cross-sectional survey design.

METHOD

Data were collected in August-September 2017 via an electronic questionnaire using the newly developed Nurse Competence in Care Home Scale (NCCHS). Participants (n = 781) were recruited via nurses' associations and social media. They were working in care homes either as licensed practical nurses (n = 680) or as registered nurse and/or in managerial position (n = 101).

FINDINGS

Approximately 65% of the respondents had "adequate competence," and 35% had "inadequate competence" in older people nursing based on self-assessed overall competence. Respondents rated their competence highest in "observation, communication, interaction" and lowest in "group guidance and activities" subscale. Age and further training were predictors of licensed practical nurses' competence, and length of work experience predicted registered nurses' competence.

CONCLUSIONS

Self-assessments revealed the need for competence development especially in relation to holistic support of a person's well-being. It is recommended that care home nurses, managers, educators and curriculum developers all strive to develop care home staff's ability to support residents' well-being holistically.

IMPLICATIONS FOR PRACTICE

Nursing personnel should consider all aspects of older people's well-being holistically. In care homes, it is essential to assess nursing staff competence and to provide possibilities for competence development for personnel.

Authors+Show Affiliations

Department of Nursing Science, University of Eastern Finland, Kuopio, Finland.Department of Nursing Science, University of Eastern Finland, Kuopio, Finland.Department of Nursing Science, University of Eastern Finland, Kuopio, Finland.Department of Nursing Science, University of Eastern Finland, Kuopio, Finland.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30729686

Citation

Kiljunen, Outi, et al. "Older People Nursing in Care Homes: an Examination of Nursing Professionals' Self-assessed Competence and Its Predictors." International Journal of Older People Nursing, vol. 14, no. 2, 2019, pp. e12225.
Kiljunen O, Partanen P, Välimäki T, et al. Older people nursing in care homes: An examination of nursing professionals' self-assessed competence and its predictors. Int J Older People Nurs. 2019;14(2):e12225.
Kiljunen, O., Partanen, P., Välimäki, T., & Kankkunen, P. (2019). Older people nursing in care homes: An examination of nursing professionals' self-assessed competence and its predictors. International Journal of Older People Nursing, 14(2), e12225. https://doi.org/10.1111/opn.12225
Kiljunen O, et al. Older People Nursing in Care Homes: an Examination of Nursing Professionals' Self-assessed Competence and Its Predictors. Int J Older People Nurs. 2019;14(2):e12225. PubMed PMID: 30729686.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Older people nursing in care homes: An examination of nursing professionals' self-assessed competence and its predictors. AU - Kiljunen,Outi, AU - Partanen,Pirjo, AU - Välimäki,Tarja, AU - Kankkunen,Päivi, Y1 - 2019/02/06/ PY - 2018/03/31/received PY - 2018/11/29/revised PY - 2018/12/31/accepted PY - 2019/2/8/pubmed PY - 2020/1/23/medline PY - 2019/2/8/entrez KW - care home KW - competence KW - licensed practical nurses KW - nursing KW - older people KW - registered nurses KW - self-assessment SP - e12225 EP - e12225 JF - International journal of older people nursing JO - Int J Older People Nurs VL - 14 IS - 2 N2 - BACKGROUND: The need for older people nursing expertise is increasing, and every effort is required to ensure that personnel taking care of older people are capable of providing high-quality care. AIMS: To explore care home nursing professionals' self-rated competence in older people nursing and to identify predictors of this competence. DESIGN: A cross-sectional survey design. METHOD: Data were collected in August-September 2017 via an electronic questionnaire using the newly developed Nurse Competence in Care Home Scale (NCCHS). Participants (n = 781) were recruited via nurses' associations and social media. They were working in care homes either as licensed practical nurses (n = 680) or as registered nurse and/or in managerial position (n = 101). FINDINGS: Approximately 65% of the respondents had "adequate competence," and 35% had "inadequate competence" in older people nursing based on self-assessed overall competence. Respondents rated their competence highest in "observation, communication, interaction" and lowest in "group guidance and activities" subscale. Age and further training were predictors of licensed practical nurses' competence, and length of work experience predicted registered nurses' competence. CONCLUSIONS: Self-assessments revealed the need for competence development especially in relation to holistic support of a person's well-being. It is recommended that care home nurses, managers, educators and curriculum developers all strive to develop care home staff's ability to support residents' well-being holistically. IMPLICATIONS FOR PRACTICE: Nursing personnel should consider all aspects of older people's well-being holistically. In care homes, it is essential to assess nursing staff competence and to provide possibilities for competence development for personnel. SN - 1748-3743 UR - https://www.unboundmedicine.com/medline/citation/30729686/Older_people_nursing_in_care_homes:_An_examination_of_nursing_professionals'_self_assessed_competence_and_its_predictors_ L2 - https://doi.org/10.1111/opn.12225 DB - PRIME DP - Unbound Medicine ER -