Competency and work environments among military and civilian perioperative registered nurses: A predictive model
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James X. Stobinski, PhD, RN, CNOR, CSSM(E), CNAMB
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- Upsilon Chi
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This study examined the self-assessed competency levels, work environments, sub-specialty training and selected demographic characteristics of two groups—civilian and military (United States Navy) perioperative nurses. The Nurse Competence Scale (NCS) was used to assess competency levels, and the Practice Environment Scale–Nursing Work Index (PES-NWI) was used to assess the nursing work environment. Demographic characteristics, including years of experience, educational level and type of sub-specialty training, were gathered, and comparisons were made between the groups.
A cross-sectional non-equivalent comparison group design was used. The research was conducted by mailed survey packets. All active duty Navy perioperative nurses (228) were surveyed, as were a random sample of 228 civilian perioperative nurses, the names of whom were obtained from the Association of periOperative
Registered Nurses (AORN) database.
A t-test was used to compare the competency levels and work environment scores. The overall mean scores of the NCS were significantly higher in the Navy subjects (82.8 vs. 78.8, p=.038). On the PES-NWI the Navy nurses had higher overall scores (2.95 vs. 2.77, p=.01).
The Navy nurses had higher mean scores for each NCS sub-scale and each PES-NWI sub-scale except Work Role. A statistically significant difference was found in three NCS and two PES-NWI sub-scales.
Using a Linear Regression Model, group was a significant predictor of competency as measured by the NCS. Navy nurses are predicted to score 7.5 points higher than the civilians (p=.003). Using the Cronbach’s alpha, all NCS sub-scales showed reliability in the good to excellent range (≥.8). All PES-NWI sub-scales also demonstrated adequate reliability with scores ranging from .757 to .886.
Additional characteristics and traits to include demographic factors that may contribute to nursing competency should also be explored, as only 11% of the variability of the NCS score was explained by the independent variables of this study.
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3493004; ProQuest document ID: 917436233. The author still retains copyright.
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
Type | Dissertation |
Acquisition | Proxy-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Cross-Sectional |
Research Approach | Quantitative Research |
Keywords | Perioperative Nurses; Military Nurses; Work Environments; Clinical Competency Levels; Clinical Learning |
Grantor | TUI University |
Advisor | Axman, Linnea M.; Gomez, Frank; Pokorny, Marie |
Level | PhD |
Year | 2011 |
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