Competency and work environments among military and civilian perioperative registered nurses: A predictive model
James X. Stobinski, PhD, RN, CNOR, CSSM(E), CNAMB
- Sigma Affiliation
- Upsilon Chi
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Top Visiting Cities
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Stobinski, James X. by View
Popular Works for Stobinski, James X. by Download
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.
|Review Type||None: Degree-based Submission|
|Research Approach||Quantitative Research|
Clinical Competency Levels;
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Showing items related by title, author, creator and subjects.
Hu, Sydney X.; Hsiao, Jui-Kuo; Lok, Grace K. I.; Luk, Andrew (2012-9-12)Purpose: Meta analysis showed that burnout is affected by workplace risks and hazards across industries. The purpose of the study is to use Structural Equation Modeling to test the effects of workplace hazards on burnout ...
Transformational learning experiences of perioperative registered nurses who have completed a perioperative training program Schild, Randolph William (2017-08-25)The purpose of this case study was to determine which activities factor intotransformational learning that may occur as a result of completing a perioperative preparation program for registered nurses. Through the ...
Transition to a student-driven, competency-based clinical placement model for advanced practice registered nurse education Slaven-Lee, Pamela W.; Oermann, Marilyn H.; Nickitas, Donna M. Costello (2017-10-16)Advanced practice registered nursing programs must ensure clinical placements meet regulatory requirements, thus minimizing student, clinical site, and institutional risk by stipulating responsibilities and liabilities of ...
Wedin, BitsyExploring professional role development of male nursing students utilizing mixed methods to better predict nurse competence and career satisfaction levels after graduation from American Midwestern Schools of Nursing. ...
Factors that challenge and/or facilitate a military student’s transition to the civilian nursing classroom Cox, Catherine WilsonMilitary nursing students bring a variety of experiences to the classroom but they may also present with some unique challenges that educators should be cognizant of in order to successfully transition them to the civilian ...