Priority Needs and Approaches Toward Nursing Competency Development Among Registered Nurses Caring for Surgical Critical Cardiovascular and Thoracic Patients in Southern Thailand
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Abstract
Objective: This research aimed to explore the needs of nursing competency development among registered nurses caring for surgical critical patients in cardiovascular thoracic areas (CVT) in Southern Thailand and the development approaches. Methods: This descriptive research consisted of 127 samples of registered nurses who caring for CVT surgical critical patients from hospitals in Southern Thailand. The research instrument was a questionnaire divided into three parts: 1) personal information, 2) needs for competency development, and The questionnaire verified by 3 experts, presenting CVIs of 1.0 and 0.97, respectively. Part 1 had reliability values related to competency perception regarding actual performance and expectation, with Cronbach’s Alpha Coefficient of 0.99. Part 2 demonstrated a reliability value of Pearson Product Moment Correlation Coefficient at 0.87. Data were analyzed using mean, standard deviation, frequency, percentage, paired-samples t-test, and the Modified Priority Needs Index (PNImodified). Results: The overall competency perception related to actual performance presented a mean score at a high level. The overall competency perception regarding expectation revealed a mean score at the highest level, All mean scores of competency perception regarding expectation were significantly higher than these of the competency perception related to actual performance (p < .01). The first ranking of nursing competency needs was the quality improvement and research domain, the second ranking was the domain of assisting physicians conduct procedures and the third ranking was the medication management domain The most-preferred approaches of nursing competency development were learning from experienced colleagues and in-house training , respectively. Conclusion: Registered nurses caring for critically ill patients with CVT surgery in Southern Thailand revealed competency development in the domains of quality improvement and research, nursing care related to assisting physicians conduct procedures, and medication management. Most nurses preferred competency development through experiential learning and in-service training within their institutions.
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