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Reflection ideas on competency in nursing
What is a competency in nursing
What is a competency in nursing
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Calman’s study examines, from the patients' perspective, what is meant by competent nursing and how, with this perspective in mind, patients would view the prospect of assessing the competence of nurses. The study was guided by a primary research question “how do patients construct the concept of competence of nurses?” (Calman, 2006). Her research aimed to create a theoretical understanding of patient’s views of nursing competence and what their opinions are when faced with the prospect of assessing the competence of the nurses that have cared for them. The research strives to be able to eventually provide evidence that would aid to improve the future planning of patient involvement in nurse education. Calman used an array of techniques to collect and analysis data, it could be suggested that it may have been more beneficial or appropriate to have chosen alternative techniques.
Calman adopted a qualitative approach to her research, using a grounded theory approach originally defined by Glaser and Strauss as "the discovery of theory from data systematically obtained from social research” (Glaser and Strauss, 1967, 2). Generally in grounded theory studies, and shown in Calman’s is they are "focused on social processes or actions: they ask about what happens and how people interact" (Sbaraini et al, 2001, 129) and they show an interest of symbolic interactionism. The principles of grounded theory were used to guide data collection, analysis and theory development in Calman’s study. Grounded theory studies begin with open general questions and in Calman's study it was “how do patients construct the concept of competence of nurses?”, and unlike other qualitative methods instead of following a set theory, grounded theory uses methods...
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...ts' views of nurse competence. Nurse Education Today 26:719-725
Corbin, Juliet & Strauss, Anselm (1990), Grounded Theory Research: Procedures, Canons and Evaluative Criteria. Zeitschrift fur Sociology 19:418-427
Glaser, Barney G & Strauss, Anselm L. (1967), The Discovery of Grounded Theory: Strategies for Qualitative Research. Chicago: Aldine Publishing Company
GSR International (2013) Nivivo 10 overview. http://www.qsrinternational.com/products_nvivo.aspx (accessed 11th January 2014)
Sbaraini, Alexandra, Carter, Stacy, Evans, Wendell & Blinkhorn, Anthony (2001) How To Do a Grounded Theory Study: A Worked Example Of a Study of Dental Practices. BMC Medical Research Methodology 11:128-137
Starks, Helene & Brown, Susan (2001) Choose Your Method: A Comparison of Phenomenology, Discourse Analysis, and Grounded Theory. Qualitative Health Research. 17:1372-1380.
In-class discussions focused in on these various images of nursing and their damaging consequences. I have observed that I am not as assertive as I should be to dispute these negative images of nursing. I need to recognize when individuals make comments insinuating a negative portrayal of nurses. I will then proceed to educate these individuals on their uninformed views by demonstrating an understanding of my role as a nurse. This step will require knowledge and confidence; which I hope to acquire by the following strategies outlined in my knowledge confidence
It is important that students have the ability of being competent in a clinical setting. To be deemed competent in skills according to nursing regulations and requirements. This is a challenging factor for many students, as they enter transition period. This is due to students feel they do not have the desired clinical competency that promotes the skills and authorities of a registered nurse (Harsin, Soroor & Soodabeh, 2012). Clinical research studies have found that students do have the required expected levels of knowledge, attitude and behaviour’s. However, the range of practical skills aren’t sufficient for the range of practice settings (Evans, 2008). This research has also found that other evidenced based studies found that competency in nursing skills is still lacking (Evans, 2008). These skills are lacked by students and newly graduated nursing how are in the first or second year of
Berg, L., & Danielson, E. (2007). Patients’ and nurses’ experiences of the caring relationship in hospital: an aware striving for trust. Scandinavian Journal of Caring Sciences, 501-506.
Competence in nursing is having the knowledge, judgement, skills and experience to carry out professional duties correctly and effectively (RCN, 2009). All nurses must prove their level of competence before they can become registered as a nurse. They must do this by showing their competencies in all fields of nursing, and by proving their specific competencies in their own field of nursing, without doing this, they will not be allowed to practice. This ensures that all practicing nurses have a high level of competency. The nursing and midwifery council also states that to protect the public they ensure that they set standards for education, training and conduct, and by ensuring registered nurses keep their skills and knowledge up to date.
Since its establishment as a profession more than a century ago, Nursing has been a source for numerous debates related to its course, methods and development of nursing knowledge. Many nursing definitions and theories have evolved over time. Furthermore it is in a constant process of being redefined.
I still believe that this profession revolves around the nursing metaparadigm, which involves the aspects of nursing, health, the person, and the environment (Bender & Feldman, 2015), but I now see that it is also grounded in critical thinking. This critical thinking allows for nurses to gain a deeper understanding into each aspect of the metaparadigm and without this aspect or lack thereof, Arli, Bakan, Ozturk, Erisik, and Yildirim (2017) believes that the care being provided could be negatively affected. Moreover, while reflecting on what my philosophy entails, I first inquired into what I believe nursing to be. For me, nursing is a profession unlike any other and contrary to what I used to believe in first year, only those who are registered under the College of Nurses can be a part of this profession. It is important to remember that although anyone can help bandage a cut, this does not mean that they are a nurse or part of the profession. The difference between how nurses bandage a cut and everyone else is that nurses do so in a way that is more therapeutic and patient-centred. Next, while exploring my beliefs on the concept of health, I noticed that they parallel the beliefs I had during my first year. To me, health is a holistic concept that will always convey a different meaning for each person. As a result of these differences, nurses must engage in conversation with patients about their perception(s) of their current state of health and what health means to them so that care can be guided accordingly. From here, I thought about the concept of the person and how I originally believed that a patient could only be a single, holistic individual who has specific needs that must be cared for. Despite still agreeing with this, my definition of who the person is has expanded to also encompass the patient’s family and even their community if either/or are said to be within the
McIntyre, M. & McDonald, C. (2014). Nursing Philosophies, Theories, Concepts, Frameworks, and Models. In Koizer, B., Erb, G., Breman, A., Snyder, S., Buck, M., Yiu, L., & Stamler, L. (Eds.), Fundamentals of Canadian nursing (3rd ed.). (pp.59-74). Toronto, Canada: Pearson.
The author could have employed other methods of qualitative research such as, narrative analysis, grounded theory, discourse analysis, data display and analysis, content analysis and quantifying qualitative data and computer assisted qualitative data analysis software (CAPDAS) (Saunders et al., 2016). Nevertheless, these approaches seem cumbersome sometimes and take a long time to complete (Willig, 1999; Braun and Clarke, 2006 and Smith and Bekker,
Introduction McCurry et all (2009/2010)?? ** state ‘Nursing as a profession has a social mandate to contribute to the good of society through knowledge-based practice.’ Acknowledging this statement and in recognition of the challenges faced in today’s healthcare system it is imperative that nurses know who they are as a profession. Without an explicit understanding of our identity as nurses and our role in society we have no worth or purpose other than to aid and promote the medical discipline (Newman et al., 2008).
Introduction The nursing process consists of five Phases; Assessing, Diagnosis, Planning, Implementation and Evaluating. The process was developed by Ida Jean Orlando in 1958 as she observed that that the patient need to be the most important part of the nurse’s care and the nursing care should be directed at improving the result of patient’s care instead of the nursing goals (Camilleri,2013) .The notion of nursing process occurred in the United States throughout the yeas of the 1960s, the nursing process was formed by the American context but then it was sent to the United Kingdom in a limited form, and there it was altered to accommodate a different context. (Cuesta, 1983)., The nursing process is used as to help assess the patients’ needs and also help to produce a sequence of actions to report and resolve the patient problems. The nursing process neither a model nor a philosophy as it is something defined but it is basically a process of logical thinking and it needs to be practiced by nurses as it is the common part of practice that unitise different types of nurses who work in different areas as the vital part of practice for the nurses is to deliver holistic, patient-focused care. (Roper, Logan, Tierany, 1996 p.51).
Many persons go into the healthcare ground because they want to work with people. For these nurses, it is the nurse-patient relationship that is one of the most significant things. By understanding the nurse-patient relationship, nurses can be better furnished to work with their patients and, eventually, deliver superior care for them. Hildegard Peplau's model of nursing emphases on that nurse-patient relationship and recognizes the diverse roles nurses take on when working with patients.
Marshall, C, Rossman, Gretchen B, (2006). Designing qualitative research, 4th edition, Thousand Oaks, California: Sage Publications.
A core phenomenon in a substantive study has clear implications for a formal grounded theory (Strauss 1987).
... data (Myers, 2013). To illustrate the application of grounded theory to the tourism and hospitality industry in this article, the two dimensional framework proposed Urquhart, Lehman and Myers (2010) is depicted in Figure 4. Connell and Lowe (1997) demonstrate interpretation on the degree of conceptualization on the x-axis and substantive focus of the theory scope on the y-axis (Myers, 2013). The article notes that data collection interview and fieldwork produced 40,000 words of data and sufficient evidence (Connell and Lowe, 1997), but the article does not show any of the data (Pratt, 2009). As a result, it is not clear how the researcher connects the data to the practical application of the approach in international tourism and hospitality industry. The article does explain the motive and need (Pratt, 2009) for inductive qualitative research using grounded theory.
Glaser, B.G., Strauss, A.L. (1967), The Discovery of Grounded Theory: Strategies for Qualitative Research, Chicago: Aldine.