The purpose of this study was to develop and validate a competency tool for new nurses and to pilot-test it with new nurses. A Delphi survey was conducted to develop a competency tool, and a self-evaluation was conducted among new nurses who pilot-tested the finally derived competencies. The Delphi ...
The purpose of this study was to develop and validate a competency tool for new nurses and to pilot-test it with new nurses. A Delphi survey was conducted to develop a competency tool, and a self-evaluation was conducted among new nurses who pilot-tested the finally derived competencies. The Delphi survey panel consisted of 18 people, including adjunct professors at the College of Nursing, nursing managers, and nurses with master's degrees. The Delphi survey asked about the validity of the competencies constructed in two rounds. After analyzing the Delphi results with mean, standard deviation, content validity ratio, degrees of convergence, and degrees of consensus, 12 core competencies and 36 enabling competencies were finally derived. The competencies consisted of clinical judgment and management (nine items), task competence (four items), patient orientation (five items), moral value orientation (three items), cooperation (two items), supply management (two items), professional development (three items), confidence (one item), self-control (two items), flexibility (two items), influence (one item), and nurturing others (two items). The finally derived competencies were pilot-tested with 229 new nurses who had worked for 2-12 months. The self-evaluation scores of new nurses were distributed differently according to their working period. In this study, the competencies required for new nurses were identified and the corresponding enabling competencies were identified. In the future, it is expected that a competency-based education program will be prepared based on these findings, and furthermore, it will be possible to provide high-quality medical and nursing services that meet patients' needs by improving the competency of new nurses and lowering the turnover rate.
The purpose of this study was to develop and validate a competency tool for new nurses and to pilot-test it with new nurses. A Delphi survey was conducted to develop a competency tool, and a self-evaluation was conducted among new nurses who pilot-tested the finally derived competencies. The Delphi survey panel consisted of 18 people, including adjunct professors at the College of Nursing, nursing managers, and nurses with master's degrees. The Delphi survey asked about the validity of the competencies constructed in two rounds. After analyzing the Delphi results with mean, standard deviation, content validity ratio, degrees of convergence, and degrees of consensus, 12 core competencies and 36 enabling competencies were finally derived. The competencies consisted of clinical judgment and management (nine items), task competence (four items), patient orientation (five items), moral value orientation (three items), cooperation (two items), supply management (two items), professional development (three items), confidence (one item), self-control (two items), flexibility (two items), influence (one item), and nurturing others (two items). The finally derived competencies were pilot-tested with 229 new nurses who had worked for 2-12 months. The self-evaluation scores of new nurses were distributed differently according to their working period. In this study, the competencies required for new nurses were identified and the corresponding enabling competencies were identified. In the future, it is expected that a competency-based education program will be prepared based on these findings, and furthermore, it will be possible to provide high-quality medical and nursing services that meet patients' needs by improving the competency of new nurses and lowering the turnover rate.
Park SK, Jo KM, Jwa YG, Kang DW, Lee YJ. National nursing workforce survey of registered nurses [Internet]. Cheongju: Korea Health Industry Development Institute; 2014 [cited 2023 Mar 5]. Available from:?https://www.khidi.or.kr/fileDownload?titleId135597&fileId1&fileDownTypeC¶mMenuIdMENU01621
Lee T, Kang KH, Ko YK, Cho SH, Kim EY. Issues and challenges of?nurse workforce policy: a critical review and implication. J Korean?Acad Nurs Adm. 2014;20(1):106-16. https://doi.org/10.11111/jkana.2014.20.1.106?
Ministry of Health and Welfare. Korea's health care based on OECD?health statistics. Sejong: Ministry of Health and Welfare; 2021.?
Bae HJ, Kang KH. A study on factors affecting turnover intention of?nurses based on region and size of hospital. Crisisonomy. 2022;?18(5):79-94. https://doi.org/10.14251/crisisonomy.2022.18.5.79?
Choi YS, Park JH, Yang JH, Kim JW. A study on the actual conditions?of working conditions for nurses. Seoul: National Assembly Research Service; 2021.?
Park KO, Kim JK. A study on experience of transition from new clinical nurse to competent step. J Korean Acad Soc Nurs Educ. 2013;?19(4):594-605. https://doi.org/10.5977/jkasne.2013.19.4.594?
Ji EA, Kim JS. Factor influencing new graduate nurses' turnover intention according to length of service. J Korean Acad Nurs Adm.?2018;24(1):51-60. https://doi.org/10.11111/jkana.2018.24.1.51?
Maben J, Latter S, Clark JM. The theory-practice gap: impact of?professional-bureaucratic work conflict on newly-qualified nurses.?J Adv Nurs. 2006;55(4):465-77. https://doi.org/10.1111/j.1365-2648.2006.03939.x?
Sin KM, Kim EY. A concept analysis on reality shock in newly graduated nurses using the hybrid model. Korean J Occup Health Nurs.?2017;26(1):19-29. https://doi.org/10.5807/kjohn.2017.26.1.19?
Shin S, Park YW, Kim M, Kim J, Lee I. Survey on the education system for new graduate nurses in hospitals: Focusing on the preceptorship. Korean Med Educ Rev. 2019;21(2):112-22. https://doi.org/10.17496/kmer.2019.21.2.112?
Jones CB, Gates M. The costs and benefits of nurse turnover: a business case for nurse retention. Online J Issues Nurs. 2007;12(3):1-12.?https://doi.org/10.3912/ojin.vol12no03man04?
Ministry of Health and Welfare. Measures to improve the working?environment and treatment of nurses. Sejong: Ministry of Health?and Welfare; 2018.?
Whitcomb ME. Competency-based graduate medical education??Of course! But how should competency be assessed? Acad Med.?2002;77(5):359-60. https://doi.org/10.1097/00001888-200205000-00001?
Frank JR. The CanMEDS 2005 Physician Competency Framework.?Better standards. Better physicians. Better care. Ottawa (ON): Royal?College of Physicians and Surgeons of Canada; 2005.?
The Council on Linkages between Academia and Public Health?Practice: core competencies for public health professionals. Washington (DC): Public Health Foundation; 2021?
Park JH. Essential competency of new graduate registered nurse?that has been perceived by experienced senior nurses. Asia Pac J Multimed Serv Converg Art Humanit Sociol. 2017;7(1):567-75. https://doi.org/10.14257/AJMAHS.2017.01.46?
Park YI, Kim JA, Ko JK , Chung MS, Bang KS, Choe M, et al. An?identification study on core nursing competency. J Korean Acad Soc?Nurs Educ. 2013;19(4):663-74. https://doi.org/10.5977/jkasne.2013.19.4.663?
Seomun G, Bang KS, Kim HS, Yoo CS, Kim WK, Park JK. The development of nurses' core competencies and the analysis of validity?and importance-performance. J Korean Acad Soc Nurs Educ.?2021;27(1):16-28. https://doi.org/10.5977/jkasne.2021.27.1.16?
Han HC, Kim KC, Lee JY, Chang KS. Exploring issues for effective?implementation of competency-based curriculum through analysis of?domestic research trends. J Curric Eval. 2018;21(3):1-24. https://doi.org/10.29221/jce.2018.21.3.1?
Park MJ. Analysis of the characteristics of competence-based curriculum and its critical issues. J Curric Stud. 2009;27(4):71-94. https://doi.org/10.15708/kscs.27.4.200912.004?
Kim YK . Need analysis of standardized education and training?program development to practical competency reinforcement?programs for new nurses. J Humanit Soc Sci. 2021;12(5):1727-40.?https://doi.org/10.22143/HSS21.12.5.122?
Lucia AD, Lepsinger R. The art and science of competency models:?pinpointing critical success factors in organizations. San Francisco?(CA): Jossey Bass; 1999.?
Jang KS. A study on establishment of clinical career development?model of nurses [dissertation]. Seoul: Yonsei University; 2000.?
Park JE. A development of nursing competency scale for critical care?nurses using a clinical ladder system [master's thesis]. Seoul: Yonsei?University; 2001.?
Lawshe CH. A quantitative approach to content validity. Pers Psychol. 1975;28(4):563-75.?
Ayre C, Scally AJ. Critical values for Lawshe's content validity ratio:?revisiting the original methods of calculation. Meas Eval Couns Dev.?2014;47(1):79-86. https://doi.org/10.1177/0748175613513808?
Kim JA, Ko JK . Modeling core competencies in the competency-based nursing curriculum. J Korea Acad Ind Coop Soc. 2015;?16(11):7635-47. https://doi.org/10.5762/KAIS.2015.16.11.7635?
Kim YH, Jung YS, Choi JS, Lee HY, Jung HR, Kim JS, et al. Core?nursing practice and educational requirements according to nursing?unit and clinical career in tertiary hospital. J Korean Acad Fundam?Nurs. 2015;22(1):35-48. https://doi.org/10.7739/jkafn.2015.22.1.35?
Won HJ. Impacts of psychosocial work environment on nurses' job?satisfaction based on the type of hospital departments. Korean J?Health Serv Manag. 2018;12(1):47-56. https://doi.org/10.12811/kshsm.2018.12.1.047?
Kim S, Kim TH. The association between nurse staffing level and?length of stay in general ward and intensive care unit in Korea. Appl?Nurs Res. 2022;63:151558. https://doi.org/10.1016/j.apnr.2021.151558?
Chang EH, Mo MH, Choi EH. A comparative study on perceived?importance and frequency of core nursing skills between general?and special wards. J Korea Acad Ind Coop Soc. 2015;16(2):1264-72.?https://doi.org/10.5762/KAIS.2015.16.2.1264?
Kim SD. Importance and satisfaction on nursing core competency of?nurses & nurse managers in a community hospitals. J Korea Acad?Ind Coop Soc. 2013;14(6):2844-51. https://doi.org/10.5762/KAIS.2013.14.6.2844?
Park MR, Kim NC. Development of a nursing competence measurement scale according to nurse's clinical ladder in general wards. J?Korean Acad Nurs Adm. 2014;20(3):257-71. https://doi.org/10.11111/jkana.2014.20.3.257?
Park JE, Kim SS. Development of a nursing competency scale according to a clinical ladder system for intensive care nurses. J Korean?Acad Nurs Adm. 2013;19(4):501-12. https://doi.org/10.11111/jkana.2013.19.4.501?
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