En kvalitativ studie av studenters egenopplevde kompetanseutvikling gjennom videreutdanning
A qualitative study of students’ self-assessed competence development through further specialization as a nurse
DOI:
https://doi.org/10.7557/14.6298Emneord (Nøkkelord):
Videreutdanning, Sykepleierrolle, KompetanseutviklingSammendrag
Helsetjenesten blir stadig mer spesialisert og kompleks. Studier indikerer at sykepleiere med videreutdanning bidrar til mer effektive tjenester med høy kvalitet. Få studier har fokusert på kompetansebyggingsprosessen, eller på studenters tanker om den rollen de skal fylle. Hensikten med studien var å utforske akutt-, anestesi-, intensiv- og operasjonssykepleiestudenters (AAIO) opplevelse av egen kompetanseutvikling, og hvorvidt opplevd kompetanse var tilstrekkelig for å ivareta rollen som spesialsykepleier. Studien hadde et kvalitativt design med bruk av semi-strukturerte dybdeintervjuer. Studentene opplevde å skulle fylle en ny og mer utfordrende rolle. Kompetansebygging ble opplevd som krevende, og som en modningsprosess. Alle deltagerne opplevde at de fremdeles hadde mye å lære. De opplevde å ha påbegynt en vei mot kunnskapsbasert praksis, men at dette var noe som fremdeles måtte videreutvikles. Videreutdanning tilfører basiskompetanse for å fylle rollen som spesialsykepleier. Gjennomføring av videreutdanningen er krevende, og det tar tid før kunnskap og ferdigheter er en integrert del av sykepleieres profesjonelle praksis.
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Referanser
Abu-Qamar, M., Vafeas, C., Ewens, B., HGhosh, M., & Sundin, D. (2020). Postgraduate nurse education and the implications for nurse and patient outcomes: A systematic review. Nurse Educ Today, 92, 104489. https://doi.org/10.1016/j.nedt.2020.104489
Barnhill, D., McKillop, A., & Aspinall, C. (2012). The impact of postgraduate education on registered nurses working in acute care. Nurs Prax Zealand, 28(2), 27-36. https://login.ezproxy.nord.no/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=c8h&AN=108145809&site=ehost-live
Benner, P. (1982). From novice to expert. Am J Nurs, 82(3), 402-407. https://doi.org/10.2307/3462928
Braun, V., & Clarke, V. (2013). Successful qualitative research: a practical guide for beginners. Los Angeles: Cali, Sage.
Chatterji, S., Byles, J., Cutler, D., Seeman, T., & Verdes, E. (2015). Health, functioning, and disability in older adults-present status and future implications. Lancet, 385(9967), 563-575. https://doi.org/10.1016/s0140-6736(14)61462-8
Clark, L., Casey, D., & Morris, S. (2015). The value of Master's degrees for registered nurses. Br J Nurs, 24(6), 328-334. https://doi.org/10.12968/bjon.2015.24.6.328.
Cowan, D., Wilson-Barnett, J., Norman, I., & Murrells, T. (2008). Measuring nursing competence: development of a self-assessment tool for general nurses across Europe. Int J Nurs Stud, 45, 902-913. https://doi.org/10.1016/j.ijnurstu.2007.03.004
Cowan, D. T., Norman, I., & Coopamah, V. P. (2005). Competence in nursing practice: a controversial concept–a focused review of literature. Nurse Educ Today, 25(5), 355-362. https://doi.org/10.1016/j.aaen.2006.11.002.
Dizon, J., Grimmer-Somers, K., & Kumar, S. (2012). Current evidence on evidence-based practice training in allied healt: a systematic review of the literature. Int J Evid Based Healthc, 7(119). https://doi.org/10.1111/j.1744-1609.2012.00295.x.
Fukada, M. (2018). Nursing competency: definition, structure and development. Yonago Acta Med, 61(1), 1-7.https://doi.org/10.33160/yam.2018.03.001
Gran Bruun , A., & Valeberg, B. (2021). Master i anestesi- og intensivsykepleie: en kartlegging av fagmiljøenes holdninger og forventninger. Sykepleien Forskning, 16, e-83382. https://doi.org/10.4220/Sykepleienf.2021.83382
Hatlevik, I. (2014). Meningsfulle sammenhenger. En studie av sammenhenger mellom læring på ulike areaner og utvikling av ulike aspekter ved profesjonell kompetanse hos studenter i sykepleier-, lærer- og sosialarbeider-utdanningene. [Doktorgradsavhandling, OsloMet]. https://oda.oslomet.no/oda-xmlui/bitstream/handle/10642/2397/1205775.pdf?sequence=1&isAllowed=y
Nasjonal helse- og sykehusplan 2020-2023. (2020). https://www.regjeringen.no/no/dokumenter/nasjonal-helse--og-sykehusplan-2020-2023/id2679013/?ch=1.
Holloway, S. (2017). The impact of postgraduate studies in wound healing on professional practice and personal development. Wounds UK, 13(3), 44-51. https://orca.cardiff.ac.uk/id/eprint/106771
International Council of Nurses. (2020). The Global nursing shortage and nurse retention. https://www.icn.ch/sites/default/files/inline-files/ICN%20Policy%20Brief_Nurse%20Shortage%20and%20Retention_0.pdf.
Jewell, A. (2013). Supporting the novice nurse to fly: A literature review. Nurse Educ Pract, 13(4), 323-327. https://doi.org/10.1016/j.nepr.2013.04.006
Lejonqvist, G.B., Eriksson, K., Meretoja, R. (2016). Evaluating clinical competence during nursing education: a comprehensive integrative literature review. Int J Nurs Pract, 22, 142-151. https://doi.org/10.1111/ijn.12406.
Liao, L., Sun, X., Yu, H., & Li, J. (2016). The association of nurse educational preparation and patient outcomes: a systematic review and meta-analysis. Nurse Educ Today, 42, 9-16. https://doi.org/10.1016/j.nedt.2016.03.029.
Meretoja, R., Isoaho, H., & Leino‐Kilpi, H. (2004). Nurse competence scale: development and psychometric testing. Journal of advanced nursing, 47(2), 124-133.https://doi.org/10.1111/j.1365-2648.2004.03071.x
Millberg, L., Berg, L., Brämberg, E., Nordström, G., & Öhlen, J. (2014). Academic learning for specilalist nurses: a grounded theory. Nurse Educ Pract, 14(6), 714-721. https://doi.org/10.1016/j.nepr.2014.08.008
Ministry of Health. (2017). Nursing workforce gouvernance group. Tilgjengelig fra: https://www.nurses.org.nz/nursing_workforce
Mlambo, M., Silen, C., & McGrath, C. (2021). Lifelong learning and nurses' continuing professional development, a metasynthesis of the literature. BMC Nursing, 20(62). doi:https://doi.org/10.1186/s12912-021-00579-2
Ng, L., Eley, R., & Tuckett, A. (2016). Exploring factors affecting registered nurses' pursuit of postgraduate education in Australia. Nurs Health Sci, 18(4), 435-441. https://doi.org/10.1111/nhs.12289.
Norsk Sykepleierforbund. (2015). Rapport ABIO ressurs. Tilgjengelig fra: https://www.nsf.no/Content/2591005/Rapport%20ABIO%20Ressurs.pdf
O'Brien, B., Harris, I., Beckman, T., Reed, D., & Cook, D. (2014). Standards for reporting qualitative research. A synthesis of recommendations. Academic Med, 89(9), 1245-1251. https://doi.org/10.1097/ACM.0000000000000388
Polit, D., & Beck, C. (2020). Nursing Research. Wolters Cluver Health.
Regjeringen.no. (2021). Nasjonale retningslinjer for helse- og sosialfagutdanningene (RETHOS). https://www.regjeringen.no/no/tema/utdanning/hoyere-utdanning/utvikling-av-nasjonale-retningslinjer-for-helse--og-sosialfagutdanningene/id2569499/
Rizany, I., Hariyati, R., & Handayani, H. (2018). Factors that affect the development of nurses' competencies: a systematic review. Enfermeria Clinica, 28, 154-157. https://doi.org/10.1016/s1130-8621(18)30057-3
Sibandze, B., & Scafide, K. (2018). Among nurses, how does education level impact professional values? A systematic review. Int Nurs Rev, 65, 65-77. https://doi.org/10.1111/inr.12390.
Smeby, J.C. (2008). Profesjon og utdanning. I: Molander og Terum (red.) Profesjonsstudier. Oslo: Universitetsforlaget; 87-102
Snibsøer, A., Espehaug, B., Ciliska, D., & Nortvedt, M. (2017). Changes in evidence-based practice beliefs and implementation after a postgraduate educational program: A before-and-after study over one year. Nordic J Nurs Res, 37(3), 164-171. https://doi.org/10.1177/2057158517692754
Sommer, I., Larsen, K., Nielsen, C., Stenholt, B., & Bjørk, I. (2020). Improving clinical nurses' development of supervision skills through an action learning approach. Nurs Res Pract. https://doi.org/10.1155/2020/9483549.
Song, G., Xing, X., & Gui-Fang, G. (2015). A systematic review of the impact of master's educated nurses on inpatient care. Int J Nurs Sci, 2(4), 414-421. https://doi.org/10.1016/j.ijnss.2015.10.003
Thunberg, S., & Arnell, L. (2021). Pioneering the use of technologies in qualitative research- A reseach review of the use of digital interviews. Int J Soc Res Method. https://doi.org/10.1080/13645579.2021.1935565
Torabizadeh, C., Mahnazrakhshan, Z., & Njimehbeygi, B. (2019). Professional capability in nursing. Int J Pharmaceut Res, 11(1), 556-566. https://doi.org/10.31838/ijpr/2019.11.01.07
Wilkinson, J., Carryer, J., & Budge, C. (2018). Impact of postgraduate education on advanced practice nurse activity- a national survey. Int Nurs Rev, 65, 417-424. https://doi.org/10.1111/inr.12437.
Wong, K., Lau, A., Ng, R., Wong, E., Wong, S., Kan, E., & al., e. (2017). An exploratory study on exemplary practice of nurse consultants. J Nurs Scholarsh, 49(5), 548-556. https://doi.org/10.1111/jnu.12324
World Health Organization. (2009). Nursing and midwifery. Human resources for health. http://www.who.int/hrh/nursing_midwifery_global
World Health Organization. (2015). World report on ageing and health. Tilgjengelig fra: https://apps.who.int/iris/handle/10665/186463
World Health Organization. (2020a). Competencies for nurses working in primary health care. https://www.euro.who.int/__data/assets/pdf_file/0004/441868/Competencies-nurses-primary-health-care-eng.pdf.
World Health Organization. (2020b). Nursing and midwifery. https://www.who.int/news-room/fact-sheets/detail/nursing-and-midwifery
World Medical Association. (2015). The Declaration of Helsinki. https://www.wma.net/policies-post/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects/
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Opphavsrett 2022 Gro Merethe Høyum, Brita Fosser Olsen, Astrid Wevling, Ann-Chatrin Leonardsen
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