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Nurses experiences of using clinical competencies a qualitative study.

Paula C Lamb1, Christine Norton2

  • 1School of Nursing, Faculty of Health, Social Care and Education, Kingston University and St George's University, London, UK.

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Summary

Standardized clinical competencies help novice nurses in haemodialysis units gain skills and confidence. Expert mentorship is crucial for training nurses and ensuring high-quality patient care.

Keywords:
CompetenciesHaemodialysisRenal nurse

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Area of Science:

  • Nursing Education
  • Renal Nursing
  • Clinical Competency Development

Background:

  • Nurses in haemodialysis units require technical proficiency for patient care.
  • A London National Health Service (NHS) hospital group updated haemodialysis clinical competencies in 2012.
  • These competencies aimed to standardize skill development for junior haemodialysis nurses.

Purpose of the Study:

  • To investigate the lived experiences of novice haemodialysis nurses and their mentors using updated clinical competencies.
  • To assess the impact of standardized competencies on skill acquisition and confidence in junior nurses.
  • To understand the role of mentorship in haemodialysis nursing education.

Main Methods:

  • Qualitative interpretive phenomenological methodology.
  • Semi-structured interviews conducted with 19 participants (10 novice nurses, 9 mentors).
  • Study conducted across six haemodialysis units within a large acute NHS London Hospital Group.

Main Results:

  • Haemodialysis clinical competencies were found beneficial for developing novice nurses' skills, knowledge, and competence.
  • Competencies provided a structured framework for assessing nursing competence.
  • Novice nurses reported experiencing stress and anxiety in unfamiliar situations, highlighting the need for support.

Conclusions:

  • Expert haemodialysis nurses play a crucial role in mentoring and training novice nurses.
  • Competent, skilled nurses are essential for providing optimal care to patients undergoing haemodialysis.
  • The competency document was valued as a tool for structured learning and assessment.