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Assessing the relationship between nursing process competency and work environment among clinical nurses: a
Reza Nemati-Vakilabad1,2, Ehsan Kamalifar1, Mobina Jamshidinia3
1Students Research Committee, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran.
BMC Nursing
|February 5, 2025
Summary
A positive work environment, especially fairness and colleague support, significantly enhances nurses' process competency. Healthcare leaders should foster supportive conditions and provide targeted training to improve nursing skills and patient care.
Area of Science:
- Nursing Science
- Healthcare Management
- Organizational Psychology
Background:
- Nurses are critical to healthcare quality, influencing patient outcomes and satisfaction.
- The work environment significantly impacts nurses' ability to perform essential competencies.
- Understanding the link between work environment and nursing competency is vital for healthcare delivery.
Purpose of the Study:
- To assess the relationship between nursing process competency and the work environment among clinical nurses.
- To identify key factors within the work environment that influence nursing competency.
- To provide evidence-based recommendations for improving nursing practice and patient care.
Main Methods:
- Cross-sectional correlational design with 321 clinical nurses from five teaching hospitals.
- Data collected using the Competency of Nursing Process Questionnaire (CNPQ) and a work environment questionnaire.
- Statistical analysis included descriptive statistics, t-tests, ANOVA, and Pearson correlation.
Main Results:
- Significant positive relationships found between overall nursing process competency and supportive work conditions, including fairness in evaluation (r=0.388) and colleague support (r=0.306).
- Hierarchical regression identified position (Beta=0.21) and fairness in evaluation (Beta=0.22) as key predictors of competency.
- Implementation of the nursing process showed a negative impact on competency (Beta=-0.56), suggesting potential challenges in its application.
Conclusions:
- A positive work environment is crucial for enhancing nursing process competency.
- Healthcare institutions should foster supportive conditions, acknowledge nurse contributions, and encourage open communication.
- Targeted training programs focusing on the nursing process are recommended to boost nurse confidence and competency.
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