The Quality of Competence Through Nursing Career Paths Among Indonesian Nurses in Hospital Settings
Abstract
ntroduction: Nurses play a pivotal role in the provision of healthcare services both within the Indonesian context and on a worldwide scale. The development of nursing competence is crucial in order to guarantee the provision of high-quality healthcare services. To examine the elements that are linked to the enhancement of nurse competence by means of the adoption of nursing career paths within hospital settings in Indonesia.
Methods: A descriptive analytical design, utilising a cross-sectional approach with a sample size of 197 nurses. The data was obtained by administering a meticulously evaluated questionnaire, designed by the researchers, to the participants. The questionnaire's validity (r=0.361) and reliability (r=0.933) were thoroughly assessed. The analysis of the research data was conducted utilising multiple linear regression tests.
Results: As established through the use of multiple linear regression tests, demonstrate a statistically significant positive association (p<0.05) between organisational loyalty, organisational support, guidance, and financing, and the implementation of nurse competence quality. The obtained coefficient of determination was 0.260, suggesting that the four independent variables considered in this study have the ability to collectively account for 26% of the variability observed in the implementation of nurse competence quality. It is important to note that the remaining variation is likely impacted by additional factors not included in the analysis. The guiding element has been identified as the primary determinant in the cultivation of quality competence within hospital settings while implementing nursing career routes.
Conclusion: The present study establishes that factors such as organisational loyalty, organisational support, mentorship for nurses, and financial resources for career advancement have a significant impact on the enhancement of nursing competency along the career trajectory within hospital settings. The variable exerting the most significant influence is the provision of instructions for nurses.
References
Chipps E, Zadvinskis IM. Optimizing the role of the hospital-based nurse scientist in a changing nursing environment: Recommendations for nurse leaders. Nursing Administration Quarterly. 2023 Apr 1;47(2):118-25. https://doi.org/10.1097/NAQ.0000000000000568
Hodgson AK, Scanlan JM. A Concept Analysis of Mentoring in Nursing Leadership. Open J Nurs 2013;03. https://doi.org/10.4236/ojn.2013.35052.
Fukada M. Nursing competency: Definition, structure and development. Yonago Acta Med 2018;61. https://doi.org/10.33160/yam.2018.03.001.
Rizany I, Hariyati RTS, Handayani H. Factors that affect the development of nurses’ competencies: a systematic review. Enferm Clin 2018; 28:154–7. https://doi.org/10.1016/S1130-8621(18)30057-3.
Sandehang PM, Hariyati RTS, Rachmawati IN. Nurse career mapping: A qualitative case study of a new hospital. BMC Nurs 2019;18. https://doi.org/10.1186/s12912-019-0353-z.
Salvage J, White J. Nursing leadership and health policy: everybody’s business. Int Nurs Rev 2019;66. https://doi.org/10.1111/inr.12523.
Matsuo M. Leadership of learning and reflective practice: An exploratory study of nursing managers. Manag Learn 2012;43. https://doi.org/10.1177/1350507612440413.
Alligood MR. Nursing Theorists And Their Work-eighth edition. vol. 8. 2014.
Ministry of Health of the Republic of Indonesia. Regulation of the Minister of Health Number 40 of 2017 concerning the Development of Professional Career Pathways for Clinical Nurses. Indonesia: 2017.
Numminen O, Leino-Kilpi H, Isoaho H, Meretoja R. Newly Graduated Nurses’ Competence and Individual and Organizational Factors: A Multivariate Analysis. Journal of Nursing Scholarship 2015;47:446–57. https://doi.org/10.1111/jnu.12153.
Kuokkanen L, Leino-Kilpi H, Numminen O, Isoaho H, Flinkman M, Meretoja R. Newly graduated nurses’ empowerment regarding professional competence and other work-related factors. BMC Nurs 2016;15. https://doi.org/10.1186/s12912-016-0143-9.
Karami A, Farokhzadian J, Foroughameri G. Nurses’ professional competency and organizational commitment: Is it important for human resource management? PLoS One 2017;12. https://doi.org/10.1371/journal.pone.0187863.
Istomina N, Suominen T, Razbadauskas A, Martink?nas A, Meretoja R, Leino-Kilpi H. Competence of Nurses and Factors Associated With It. vol. 47. 2011.
Liu Y, Aungsuroch Y. Current Literature Review of Registered Nurses’ Competency in the Global Community. Journal of Nursing Scholarship 2018;50:191–9. https://doi.org/10.1111/jnu.12361.
Pfaff H, Braithwaite J. A parsonian approach to patient safety: Transformational leadership and social capital as preconditions for clinical risk management—the Gi factor. Int J Environ Res Public Health 2020;17. https://doi.org/10.3390/ijerph17113989.
Ortega-Lapiedra R, Barrado-Narvión MJ, Bernués-Oliván J. Acquisition of Competencies of Nurses: Improving the Performance of the Healthcare System. Int J Environ Res Public Health 2023;20. https://doi.org/10.3390/ijerph20054510.
Ortega J, Hooshmand M, Foronda C, Padron M, Simon D, Waters M, et al. Developing nurse leaders across the Americas: evaluation of an online nursing leadership course. Revista Panamericana de Salud Publica/Pan American Journal of Public Health 2018;42. https://doi.org/10.26633/RPSP.2018.152.
Nugroho D, Azam SF. Influence of organizational structure, work design and competency toward nurses performance satisfaction. European Journal of Management and Marketing Studies. 2021 Mar 1;6(2). https://doi.org/10.46827/ejmms.v6i2.1014
Kim SO, Choi YJ. Nursing competency and educational needs for clinical practice of Korean nurses. Nurse Educ Pract 2019;34. https://doi.org/10.1016/j.nepr.2018.11.002.
Wang Y, Liu Y, Tian J, Jing M, Zhang K. Analysis on nursing competence and training needs of dementia caregivers in long-term care institutions. Int J Nurs Sci 2020;7. https://doi.org/10.1016/j.ijnss.2020.03.003.
Yu F, Raphael D, Mackay L, Smith M, King A. Personal and work-related factors associated with nurse resilience: A systematic review. International journal of nursing studies. 2019 May 1;93:129-40. https://doi.org/10.1016/j.ijnurstu.2019.02.014
Boamah SA, Laschinger HK, Wong C, Clarke S. Effect of transformational leadership on job satisfaction and patient safety outcomes. Nursing outlook. 2018 Mar 1;66(2):180-9. https://doi.org/10.1016/j.outlook.2017.10.004
Ma H, Zhu X, Huang J, Zhang S, Tan J, Luo Y. Assessing the effects of organizational support, psychological capital, organizational identification on job performance among nurses: a structural equation modeling approach. BMC Health Services Research. 2023 Jul 27;23(1):806. https://doi.org/10.1186/s12913-023-09705-z
Torres-Alzate H. Nursing Global Health Competencies Framework. Nurs Educ Perspect 2019;40. https://doi.org/10.1097/01.NEP.0000000000000558.
Lúcia A, Oliveira A, Fernandes JD, Deolinda M, Lopes L, Maurício D. Human capital in the nursing management of hospitals * 2017:1–6.
Hookmni AA, Lalani N, Sultan N, Zubairi A, Hussain A, Hasan BS, Rasheed MA. Development of an on-job mentorship programme to improve nursing experience for enhanced patient experience of compassionate care. BMC nursing. 2021 Sep 18;20(1):175. https://doi.org/10.1186/s12912-021-00682-4.
Moran P, Duffield C, Donoghue J, Stasa H, Blay N. Factors impacting on career progression for nurse executives. Contemp Nurse 2011;38. https://doi.org/10.5172/conu.2011.38.1-2.45.
Gunawan J, Aungsuroch Y, Fisher ML, Marzilli C, Liu Y. Factors related to the clinical competence of registered nurses: Systematic review and meta?analysis. Journal of Nursing Scholarship. 2020 Nov;52(6):623-33. https://doi.org/10.1111/jnu.12594
Al-Abri N, Kooli C. Factors Affecting the Career Path Choice of Graduates: A Case of Omani. International Journal of Youth Economy 2018;2. https://doi.org/10.18576/ijye/020203.
Scully NJ. Leadership in nursing: The importance of recognising inherent values and attributes to secure a positive future for the profession. Collegian 2015;22. https://doi.org/10.1016/j.colegn.2014.09.004.
Collins E, Owen P, Digan J, Dunn F. Applying transformational leadership in nursing practice. Nurs Stand 2020;35. https://doi.org/10.7748/ns.2019.e11408.
Huh A, Shin JH. Person-centered care practice, patient safety competence, and patient safety nursing activities of nurses working in geriatric hospitals. Int J Environ Res Public Health 2021;18. https://doi.org/10.3390/ijerph18105169.
Streimelweger B, Wac K, Seiringer W. Human-factor-based risk management in the healthcare to improve Patient Safety. International Journal of E-Health and Medical Communications 2016;7. https://doi.org/10.4018/IJEHMC.2016070102.
Gottlieb LN, Gottlieb B, Bitzas V. Creating empowering conditions for nurses with workplace autonomy and agency: How healthcare leaders could be guided by strengths-based nursing and healthcare leadership (SBNH-l). J Healthc Leadersh 2021;13. https://doi.org/10.2147/JHL.S221141.
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