Examination Using the Improving Nurse Competence Program for Senior Clinical Nurses to Achieve Safe Staffing
Repository Posting Date2017-03-03T14:34:55Z
Author DetailsMasaki Shinjo, BS; Itsuko Akamine, RN, PHN
Lead Author Sigma AffliationNon-member
Session presented on Saturday, March 18, 2017: Background: Short staffing compromises care both directly and indirectly, and results in elevated staff stress and reduced staff wellbeing, increasing both absences due to sickness and staff turnover. 1. Daily staffing levels are insufficient to meet patient needs safely, so safe staffing relies on good management to fill budgeted posts and achieve effective deployments, and availability of staff to work. 2. Less is known about the leadership skills of senior charge nurses that are effective for ensuring the safety of both patients and staff in their wards. 3. The primary issue remains the delivery of safe, quality, cost-effective patient care; this can only be accomplished if and when nurses, administrators, financial leaders, and politicians work together and respect one another's points of view to resolve this complex problem. 4. Senior clinical nurses play an important role in ensuring patient safety and delivering high-quality care to address these issues. In 2008, we developed the Improving Nurse Competence Program for Senior Clinical Nurses, comprising 6 months' address, presentation and evaluation. Objective: The aim of this study was to clarify whether the Improving Nurse Competence Program is appropriate for nursing staff. Methods: Subjects comprised 11 senior clinical nurses (2 males, 9 females) who participated in this program. A questionnaire survey was administered before and after the program, and the senior clinical competence score was calculated using the Competence Scale for Senior Clinical Nurses (CS-SCN). 5. P-values were calculated to determine significant differences between before and after the program using the Wilcoxon test. The protocol of this study was approved by the research ethics committee of Okinawa Prefectural College of Nursing. In addition, administrative approval was obtained from the subject's hospital. Results: P-values for total score, 'Role accomplishment', 'Self-management', 'Research', 'Practice and coordination', and 'Work implementation' were 0.029, 0.025, 1.000, 0.012, 0.258 and 0.942, respectively. CS-SCN scores for total score, 'Role accomplishment' and 'Research' were significantly increased after completing the program. The program appeared to improve nursing competence in senior clinical nurses, and the CS-SCN measured the improvements in competence level achieved by participating in the program. Conclusions: These findings suggest that the Improving Nurse Competence Program is useful to ensure the safety of patients and staff in the ward. This program and CS-SCN may contribute to adequate safe nurse staffing. Acknowledgement: This study was supported by Japan Society for the Promotion of Science, the Ministry of Education, Culture, Sports, Science, and Technology (KAKENHI grant No. 26463250), Japan. Conflicts of interest: The authors declare no potential conflict of interest with respect to the research and authorship. Learning Objectives: The learner will be able to know the improving nurse competence for senior clinical nurses. The learner will be able to known about the leadership skills of senior clinical nurses that are effective for ensuring the safety of both patients and staff in their wards. The learner will be able to know the Improving Nurse Competence Program is appropriate for nursing staff. The learner will be able to know the Improving Nurse Competence Program is useful to ensure the safety of patients and staff in the ward. The learner will be able to know the program and CS-SCN may contribute to adequate safe nurse staffing.