A Quantitative Study to Explore Clinical Competence of Newly Qualified Registered Nurses in Eastern Cape Province of South Africa

Authors

DOI:

https://doi.org/10.25159/2520-5293/9252

Keywords:

clinical competence, newly qualified registered nurses, clinical learning, environmental factors, public hospitals, South Africa

Abstract

Newly qualified registered nurses (NQRNs) are expected to work independently and be competent in applying the decision-making and problem-solving skills gained during their training. However, there are certain factors in the clinical environment that hinder their clinical competence. The aim of this study was to explore and describe the relationship between clinical learning environmental factors and the clinical competence of NQRNs. Data were collected from 176 registered nurses working in the medical and surgical units of two public hospitals in the Eastern Cape Province, South Africa. These data were collected using an adapted version of a pre-existing structured questionnaire called the Competency Inventory for Registered Nurses (CIRN). Descriptive statistics and inferential statistics were used to analyse the data. The majority of participants were older registered nurses whose highest education was a diploma in nursing. This study showed that there is a significant association between clinical environmental factors and cognitive, affective and psychomotor competencies. The study also revealed that the development of clinical competence is reliant on both the individual and context. Our findings suggested that managers and educators should enhance the type of clinical training and support offered to improve clinical competence.

Metrics

Metrics Loading ...

Author Biographies

Chinwe Iwi-Jaja, Stellenbosch University

Department of Nursing and Midwifery

Post Doctoral Fellow

Portia Jordan, Stellenbosch University

Department of Nursing and Midwifery

Professor and Exucutive Head

References

Aldosari, Nasser, Steven Pryjmachuk, and Hannah Cooke. 2021. “International Journal of Nursing Studies Newly Qualified Nurses’ Transition from Learning to Doing: A Scoping Review,” 113. https://doi.org/10.1016/j.ijnurstu.2020.103792. DOI: https://doi.org/10.1016/j.ijnurstu.2020.103792

Angela, Darvill. 2013. “A Qualitative Study into the Experiences of Newly Qualified Children’s Nurses during their Transition into Children’s Community Nursing Teams.”

Benner, P. 1984. From Novice to Expert: Excellence and Power in Clinical Nursing Practice. Menlo Park, CA: Addison-Wesley. DOI: https://doi.org/10.1097/00000446-198412000-00025

Caka, E. M., R. M. van Rooyen, and P. Jordan. 2015. “Dual Transitions in Nursing: A Military Perspective.” Africa Journal of Nursing and Midwifery 17: S191–208. https://doi.org/10.25159/2520-5293/290. DOI: https://doi.org/10.25159/2520-5293/290

Divakar, Shilpa. 2021. “Proceedings on Engineering Determination of Sample Size and Sampling Methods in Applied Research,” 3 (1): 25–32. https://doi.org/10.24874/PES03.01.003. DOI: https://doi.org/10.24874/PES03.01.003

Fukada, Mika. 2018. “Nursing Competency: Definition, Structure and Development.” Yonago Acta Medica 61 (1): 1–7. https://doi.org/10.33160/yam.2018.03.001. DOI: https://doi.org/10.33160/yam.2018.03.001

Gardiner, Isabelle, and Jade Sheen. 2016. “Graduate Nurse Experiences of Support: A Review.” Nurse Education Today 40: 7–12. https://doi.org/10.1016/j.nedt.2016.01.016. DOI: https://doi.org/10.1016/j.nedt.2016.01.016

Hansen-Salie, N., and P. D. Martin. 2014. “The Perceptions and Factors Influencing the Competency in Newly Qualified Professional Nurses Working in Private Hospitals in the Western Cape, South Africa.” African Journal for Physical, Health Education, Recreation and Dance October (Supplement 1:2): 538–553.

Henderson, Amanda, Christine Ossenberg, and Scott Tyler. 2015. “‘What Matters to Graduates’: An Evaluation of a Structured Clinical Support Program for Newly Graduated Nurses.” Nurse Education in Practice 15 (3): 225–31. https://doi.org/10.1016/j.nepr.2015.01.009. DOI: https://doi.org/10.1016/j.nepr.2015.01.009

Kavanagh, Joan, and Patricia Sharpnack. 2021. “Crisis in Competency: A Defining Moment in Nursing Education.” OJIN: The Online Journal of Issues in Nursing 26 (1). https://doi.org/10.3912/ojin.vol26no01man02. DOI: https://doi.org/10.3912/OJIN.Vol26No01Man02

Khan, Kamran, and Sankaranarayanan Ramachandran. 2012. “Conceptual Framework for Performance Assessment: Competency, Competence and Performance in the Context of Assessments in Healthcare: Deciphering the Terminology.” Medical Teacher 34 (11): 920–28. https://doi.org/10.3109/0142159X.2012.722707. DOI: https://doi.org/10.3109/0142159X.2012.722707

Kreedi, Fatmah, Michael Brown, Lynne Marsh, and Katherine Rogers. 2021. “Newly Graduate Registered Nurses’ Experiences of Transition to Clinical Practice: A Systematic Review.” American Journal of Nursing Research 9 (3): 94–105. https://doi.org/10.12691/ajnr-9-3-4. DOI: https://doi.org/10.12691/ajnr-9-3-4

Lee, Seung Eun, and V Susan Dahinten. 2020. “The Enabling, Enacting, and Elaborating Factors of Safety Culture Associated With Patient Safety: A Multilevel Analysis.” Journal of Nursing Scholarship 52 (5): 544–52. http://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=145697943&site=ehost-live&scope=site. DOI: https://doi.org/10.1111/jnu.12585

Liu, Ming, Wipada Kunaiktikul, Wilawan Senaratana, Ouyporn Tonmukayakul, and Lillian Eriksen. 2007. “Development of Competency Inventory for Registered Nurses in the People’s Republic of China: Scale Development.” International Journal of Nursing Studies 44 (5): 805–813. https://doi.org/10.1016/j.ijnurstu.2006.01.010. DOI: https://doi.org/10.1016/j.ijnurstu.2006.01.010

Lopez Gonzalez, Laura. 2016. “Health-e News: The Big Chill: Health Post Freeze Threatens Services.” Daily Maverick. http://www.dailymaverick.co.za/article/2016-02-01-health-e-news-the-big-chill-health-post-freeze-threatens-services/#.WBeQLMc0GRs.

Miller, George E. 1990. “The Assessment of Clinical Skills/Competence/Performance.” Academic Medicine. https://doi.org/10.1097/00001888-199009000-00045. DOI: https://doi.org/10.1097/00001888-199009000-00045

Monaghan, Thomas. 2015. “A Critical Analysis of the Literature and Theoretical Perspectives on Theory-Practice Gap amongst Newly Qualified Nurses within the United Kingdom.” Nurse Education Today 35 (8): e1–7. https://doi.org/10.1016/j.nedt.2015.03.006. DOI: https://doi.org/10.1016/j.nedt.2015.03.006

Murray, Melanie, and Vicki Catherine Cope. 2018. “Understanding New Graduate Nurses’ Transition to Practice Benner’s Model and Duchscher’s Theory: Providing the Framework for Understanding New Graduate Nurses’ Transition to Practice,” October 2019. https://doi.org/10.1016/j.nepr.2018.12.003. DOI: https://doi.org/10.1016/j.nepr.2018.12.003

Murray, Melanie, Deborah Sundin, and Vicki Cope. 2018. “New Graduate Registered Nurses’ Knowledge of Patient Safety and Practice: A Literature Review.” Journal of Clinical Nursing 27 (1–2): 31–47. https://doi.org/10.1111/jocn.13785. DOI: https://doi.org/10.1111/jocn.13785

Murray, Melanie, Deborah Sundin, and Vicki Cope. 2019. “New Graduate Nurses’ Understanding and Attitudes about Patient Safety upon Transition to Practice.” Journal of Clinical Nursing 28 (13–14): 2543–2552. https://doi.org/10.1111/jocn.14839. DOI: https://doi.org/10.1111/jocn.14839

Nehrir, B, Z. Vanaki, Mokhtari Mokhtari Nouri, J. Mohammad Khademolhosseini, and S. M. Ebadi. 2016. “Competency in Nursing Students: A Systematic Review.” Int J Travel Med Glob Health 4 (1): 3–11. https://doi.org/10.20286/ijtmgh-04013. DOI: https://doi.org/10.20286/ijtmgh-04013

Niemeyer, MaryAnn. 2017. “Effective Patient Safety Education for Novice RNs: A Systematic Review.” Journal of Nursing Education and Practice 8 (3): 103. https://doi.org/10.5430/jnep.v8n3p103. DOI: https://doi.org/10.5430/jnep.v8n3p103

Rabie, Gerhard Hendrik, Tinda Rabie, and Monica Dinkelmann. 2020. “Developing a Competency Profile for Newly Graduated Registered Nurses in South Africa.” BMC Nursing 19 (1): 1–17. https://doi.org/10.1186/s12912-020-00453-7. DOI: https://doi.org/10.1186/s12912-020-00453-7

Ramani, Subha, and Sam Leinster. 2008. “AMEE Guide No. 34: Teaching in the Clinical Environment.” Medical Teacher 30 (4): 347–364. https://doi.org/10.1080/01421590802061613. DOI: https://doi.org/10.1080/01421590802061613

Rizany, Ichsan, Rr Tutik, and Sri Hariyati. 2016. Enfermería Clínica, November 2016. Universitas Lambung Mangkurat, Soulth Borneo.

Swart, Reece P., Ronel Pretorius, and Hester Klopper. 2015. “Educational Background of Nurses and Their Perceptions of the Quality and Safety of Patient Care.” Curationis 38 (1): 1–8. https://doi.org/10.4102/curationis.v38i1.1126. DOI: https://doi.org/10.4102/curationis.v38i1.1126

Uakarn, Chanuan. 2021. “Sample Size Estimation Using Yamane and Cochran and Krejcie and Morgan and Green Formulas and Cohen Statistical Power Analysis by G*Power and Comparisons,” 76–88.

Willman, Anna, Kaisa Bjuresäter, and Jan Nilsson. 2020. “Newly Graduated Nurses’ Clinical Competencies and Need for Further Training in Acute Care Hospitals.” Journal of Clinical Nursing 29 (13–14): 2209–20. https://doi.org/10.1111/jocn.15207. DOI: https://doi.org/10.1111/jocn.15207

Yamane, Taro. 1973. Statistics: An Introductory Analysis. London: John Weather Hill.

Downloads

Published

2022-08-24

How to Cite

Mugerwa, Pumla, Chinwe Iwi-Jaja, and Portia Jordan. 2022. “A Quantitative Study to Explore Clinical Competence of Newly Qualified Registered Nurses in Eastern Cape Province of South Africa”. Africa Journal of Nursing and Midwifery 24 (1):21 pages . https://doi.org/10.25159/2520-5293/9252.

Issue

Section

Articles
Received 2021-03-16
Accepted 2022-08-07
Published 2022-08-24