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The differences between learned and practiced competences among nurses: An international pilot study.

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Summary

Nurses generally apply learned skills, but all nursing roles show low learned and practiced competence levels. This highlights a need to enhance nursing skills in both education and practice settings.

Keywords:
Advanced nurse practitionerGeneral care nurseHealth care assistantNursing competencePsychometric testingReliabilitySpecialist nurseValidity

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Area of Science:

  • Nursing education and practice
  • Healthcare workforce development
  • International nursing standards

Background:

  • The gap between learned and practiced nursing competencies is an under-researched area internationally.
  • Understanding this gap is crucial for addressing under- or over-education in nursing.

Purpose of the Study:

  • To compare learned versus practiced nursing competencies in Italian and Slovenian nursing staff.
  • To validate an international instrument for measuring nursing competencies.

Main Methods:

  • An observational study involving 426 nursing staff from Italy and Slovenia in 2019.
  • Utilized the Nursing Competence Instrument, aligned with European Federation of Nursing Associations standards.
  • Followed Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines.

Main Results:

  • The Nursing Competence Instrument demonstrated strong construct validity with four dimensions (Cronbach's alpha 0.82–0.93).
  • General care nurses reported slightly higher practiced than learned competencies.
  • Health care assistants, specialist nurses, and advanced practice nurses reported lower learned than practiced competencies.

Conclusions:

  • Nurses tend to apply their education, but overall competence levels (learned and practiced) are low across all roles.
  • There is a need to optimize nursing competencies in both academic and clinical settings.
  • Mapping these competencies can guide improvements for nurses, educators, and managers, with international comparisons offering further insights.