SELF-ASSESSMENT OF OPERATING THEATRE NURSE COMPETENCE IN PERIOPERATIVE CARE
DOI:
https://doi.org/10.17770/sie2022vol1.6820Keywords:
competence in perioperative care, modified PPCS-R, operating theatre nurses (OTN), psychometric scale, self-assessed competence levelAbstract
Assessment of competence level of operating theatre nurses (OTN) has a significant role in ensuring patient safety, continuity of perioperative care, and positive care environment, allowing to identify shortcomings and address them. The competence level describes quantitatively the competence in perioperative care — a set of skills, attitudes, and knowledge required for effective and safe perioperative care. A simple method to assess the competence level is a self-assessment scale; however, this method has not been used in Latvia to establish the OTN competence level
The goal of this work is to determine the perceived level of competence in the perioperative care of OTN in a multi-profile hospital in Latvia. For this purpose, a modified perioperative competence self-assessment scale was used, based on Gillespie’s (2012) Perceived Perioperative Competence Scale-Revised (PPCS-R). The results show that OTN have a high perceived level of competence. However, the leadership subscale (which includes coordination and management) displayed lower levels of perceived competence, which shows the insufficiency of training. The results also show that certified OTN, those with more work experience, and OTN with a Bachelor’s degree have a higher perceived competence level. The scale adapted to Latvian exhibits equally good internal consistency as other versions of PPCS-R.
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References
Ajorpaz, N. M., Tafreshi, M. Z., Mohtashami, J., Zayeri, F., & Rahemi, Z. (2017). Psychometric Testing of the Persian Version of the Perceived Perioperative Competence Scale–Revised. Journal of Nursing Measurement, 25(3), E162–E172. DOI: http://dx.doi.org/10.1891/1061-3749.25.3.E162
Bathish, M., McLaughlin, M., & Talsma, A. N. (2015). Relationship Between Operating Room Nursing Staff Expertise and Patient Outcomes. Journal of Nursing Care Quality, 30(2), 167–174. DOI: https://doi.org/10.1097/NCQ.0000000000000092
Brodin, K., Hellzén, O., & Häggström, M. (2017). Intraoperative Care of the Conscious Patient from the Perspective of the Operating Theatre Nurse: A Grounded Theory. Open Journal of Nursing, 7, 1086–1099. DOI: https://doi.org/10.4236/ojn.2017.79079
Benner, P. E. (1984). From Novice to Expert: Excellence and power in clinical nursing practice. Menlo Park, CA: Addison-Wesley.
Benner, P., Tanner, C. A., & Chesla, C. A. (1996) Expertise in Nursing Practice. Caring, Clinical Judgement and Ethics. New York: Springer Publishing Co.
Blomberg, A.-C., Lindwall, L., & Bisholt, B. (2019). Operating theatre nurses’ self‐reported clinical competence in perioperative nursing: A mixed method study. Nursing Open, 6, 1510–1518. DOI: https://doi.org/10.1002/nop2.352
Falk-Brynhildsen, K., Jaensson, M., Gillespie, B. M., & Nilsson, U. (2018). Swedish Operating Room Nurses and Nurse Anesthetists’ Perceptions of Competence and Self-Efficacy. Journal of PeriAnesthesia Nursing, 34(4), 842–850. DOI: https://doi.org/10.1016/j.jopan.2018.09.015
Gillespie, B. M., Chaboyer, W., Wallis, M., Chang, H.-A., & Werder, H. (2009). Operating Theatre nurses’ perceptions of competence: A focus group study. Journal of Advanced Nursing, 65(5), 1019–1028.
Gillespie, B. M., Chaboyer, W., Lingard, S., & Ball, S. (2012a). Perioperative nurses’ perceptions of competence: implications for migration. Journal of Operating Room Nurses Association of Canada, 25(4), 32–38. Retrieved from https://www.researchgate.net/publication/232253173
Gillespie, B. M., Polit, D. F., Hamlin, L., & Chaboyer, W. (2012b). Developing a model of competence in the operating theatre: Psychometric validation of the Perceived Perioperative Competence Scale-Revised. International Journal of Nursing Studies, 49(1), 90–101. DOI: https://doi.org/10.1016/j.ijnurstu.2011.08.001
Gillespie, B. M., Chaboyer, W., Wallis, M., & Werder, H. (2011). Education and Experience Make a Difference: Results of a Predictor Study. AORN Journal, 94(1), 78–90. DOI: 10.1016/j.aorn.2010.11.037
Gillespie, B. M., & Pearson, E. (2013). ACORN Journal of Perioperative Nursing, 26(1), 29–34. Retrieved from https://research-repository.griffith.edu.au/handle/10072/58689
Gillespie, B. M., Hamlin, L., Polit, D. F., & Chaboyer, W. (2013). The influence of personal characteristics on perioperative nurses' perceived competence: implications for workforce planning. The Australian Journal of Advanced Nursing, 30(3), 14–25. Retrieved from https://www.researchgate.net/publication/282886202
Gillespie, B. M., Harbeck, E. B., Falk-Brynhildsen, K., Nilsson, U., & Jaensson, M. (2018). Perceptions of perioperative nursing competence: a cross-country comparison. BMC Nursing, 17, 12. DOI: https://doi.org/10.1186/s12912-018-0284-0
Jaensson, M., Falk-Brynhildsen, K., Gillespie, B. M., Wallentin, Y. F., & Nilsson, U. (2018). Psychometric Validation of the Perceived Perioperative Competence Scale-Revised in the Swedish Context. Journal of PeriAnaesthesia Nursing, 33(4), 499–511. DOI: http://dx.doi.org/10.1016/j.jopan.2016.09.012
Latvijas Māsu asociācija. (2019). Ārstniecības personu sertifikācijas un resertifikācijas nolikums. Pieejams: http://www.masuasociacija.lv/wp-content/uploads/2020/01/Sertifik%C4%81cijas_nolikums_2019_A.pdf
Meretoja, R., Leino-Kilpi, H., & Kaira, A.-M. (2004). Comparison of nurse competence in different hospital work environments. Journal of Nursing Management, 12, 329–336. DOI: https://doi.org/10.1111/j.1365-2834.2004.00422.x
Sönmez, B. & Ayoğlu, T. (2019). Validity and reliability of the Perceived Perioperative Competence Scale–Revised. Nursing & Health Sciences, 1–8. DOI: https://doi.org/10.1111/nhs.12612
