An Analysis of the Relationship between Resilience and Clinical Competence in Nurses : Descriptive-analytical Study
Keywords:
clinical competence, resilience, nurses
Abstract
Objective: Resilience and clinical competence are two important components of providing nursing care to patients. The goal was to determine the correlation between clinical competence and resilience in the nurses at Babol University of Medical Sciences.
Methods: This descriptive and correlational study was conducted in 2019-20. A total of 424 nurses working in the intensive care units and general wards of six hospitals affiliated with Babol University of Medical Sciences were selected using the stratified sampling technique. Liou’s Nursing Clinical Competence Questionnaire was used to assess the clinical competence of the nurses, and Connor-Davidson Resilience Scale was used to assess the nurses’ resilience. The descriptive statistics, Pearson’s correlation coefficient, t student, and one-way ANOVA methods were used in data analysis.
Results: The mean score on the seven dimensions of clinical competence was high (174.8624.19). The nurses had the highest mean scores on “clinical care” and “management and leadership” dimensions (4.7731.50, 4.728.61) in the order mentioned. They also had the lowest mean scores on the “mentoring and teaching” and “professional progress” dimensions in the order mentioned (3.5319.10, 3.4119.14). The meanstandard deviation of the nurses’ resilience score was 73.3612.66. The results of Pearson’s correlation test indicated a positive significant relationship between all clinical competence dimensions and nurses’ resilience (p<0.001, r=0.493).
Conclusion: Given the strong relationship between resilience and clinical competence, nursing managers are recommended to carry out proper planning to improve the clinical competence and resilience of nurses.
References
References
1. Hasandoost F, Ghanbari Khanghah A, Salamikohan K, Kazemnezhad Leili E, Norouzi Pareshkouh N. Prioritization of general clinical competency indicators from nurses view employed in emergency wards. Holist Nurs Midwifery. 2015; 25(4):53–63.
URL: http://hnmj.gums.ac.ir/article-1-579-en.html
2. Komeili-Sani M, Etemadi A, Boustani H, Bahreini M, Hakimi A. The relationship between nurses' clinical competency and job stress in Ahvaz university hospital, 2013. Journal of clinical nursing and midwifery. 2015; 4(1): 39-49. (Persian) URL: http://jcnm.skums.ac.ir/article-1-103-en.html
3. Kahya E, Oral1 N. Measurement of clinical nurse performance: Developing a tool including contextual items. Journal of Nursing Education and Practice. 2018; 8(6):112-123. https://doi.org/10.5430/jnep.v8n6p112
4. Notarnicola I, Petrucci C, De Jesus Barbosa MR, Giorgi F, Stievano A, Lancia L. Clinical competence in nursing: A concept analysis. Prof Inferm. 2016; 69(3):174-181. https://doi: 10.7429/pi.2016.693181.
5. Mirzabeygi G, Sanjari M, Salemi S, Babaei F, Kheradmand M. The Necessity for Specialty Education in Nursing MS Program: Viewpoints of the Faculty Members of School of Nursing and Midwifery in Iran. Iranian Journal of Medical Education. 2010; 9(3): 263-271. (Persian)
URL: http://ijme.mui.ac.ir/article-1-1058-en.html
6. Manoochehri H, Imani E, Atashzadeh-Shoorideh F, Alavi-Majd H. Competence of novice nurses: role of clinical work during studying. J Med Life.2015; 8(Spec Iss 4): 32‐38.
7. Karami A, Farokhzadian J, Foroughameri G . Nurses’ professional competency and organizational commitment: Is it important for human resource management? PLoS ONE.2017; 12(11): e0187863. https:// doi: 10.1371/journal.pone.0187863.
8. Yılmaz E B. Resilience as a strategy for struggling against challenges related to the nursing profession. Chin Nurs Res. 2017; 4(1): 9-13. https:// doi: 10.1016/j.cnre.2017.03.004.
9. Hart PL, Brannan JD, De Chesnay M. Resilience in nurses: an integrative - review. J Nurs Manag. 2014; 22 (6): 720-734.
10. Hylton Rushton C, Batcheller J, Schroeder K, Donohue, P. Burnout and resilience among nurses practicing in high-intensity settings. Am J Crit Care . 2015; 24 (5): 412-421. https:// doi: 10.1111/j.1365-2834.2012.01485.x.
11. Mealer M, Jones J, Moss M. A qualitative study of resilience and posttraumatic stress disorder in United States ICU nurses. Intensive Care Med .2012; 38: 1445-1451. https:// doi: 10.1007/s00134-012-2600-6.
12. Abolghasemi A, Taklavi Varaniyab S. Resilience and perceived stress: predictors of life satisfaction in the students of success and failure. Procedia - Social and Behavioral Sciences. 2010; 5: 748 -752.
13. Salehi Fadardi J, Azad H, Nemati A. The relationship between resilience, motivational structure, and substance use. Procedia - Social and Behavioral Sciences. 2010; 5: 1956-1960.
https:// doi:10.1016/j.sbspro.2010.07.395.
14. McDonald G, Jackson D, Wilkes L, Vickers MH. A work-based educational intervention to support the development of personal resilience in nurses and midwives. Nurse Educ Today. 2012; 32(4): 378-84. https:// doi: 10.1016/j.nedt.2011.04.012.
15. Ren Y, Zhou Y, Wang S, Luo T, Huang M, Zeng Y. Exploratory study on resilience and its influencing factors among hospital nurses in Guangzhou, China. International Journal of Nursing Sciences. 2018; 5 : 57-62. https://doi.org/10.1016/j.ijnss.2017.11.001
16. Kong L, Liu Y, Li G, Fang Y, Kang X, Li P. Resilience moderates the relationship between emotional intelligence and clinical communication ability among Chinese practice nursing students: A structural equation model analysis. Nurse Educ Today. 2016; 1(46):64-8. https://doi: 10.1016/j.nedt.2016.08.028.
17. Liu M , Yin L , Ma E , Lo S, Zeng L. Competency Inventory for Registered Nurses in Macao :instrument validation. J Adv Nurs 2009; 65(4):893–900. https://doi: 10.1111/j.1365-2648.2008.04936.x..
18. Ghasemi E, Janani L, Dehghan Nayeri N, Negarandeh R. Psychometric Properties of Persian Version of the Competency Inventory for Registered Nurse (CIRN). IJN.2014; 27(87):1-13. (Persian) URL: http://ijn.iums.ac.ir/article-1-1743-en.html
19. Connor KM, Davidson JR. Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC). Depress Anxiety. 2003; 18(2): 76-82. https://doi: 10.1002/da.10113.
20. Abolghasemi A. The relationship of resilience, self-efficacy and stress with life satisfaction in the students with high and low educational achievement. Quarterly Journal of Psychological Studies. 2011; 7(3): 131-152. (Persian)
21. Min ES. Relationship among Stress of Clinical Practice, Stress Coping, Ego-Resilience and Clinical Competence in Nursing Students. Health Commun. 2018; 13(1):71.
22. Goliroshan S, Babanataj R, Aziznejadroshan P. Investigating the Self-assessment of Clinical Competency of Nurses Working in Babol University of Medical Sciences Hospitals. World Family Medicine. 2018; 16(3):279-284. https://doi: 10.5742/MEWFM.2018.93331.
23. Adib Hajbaghery M, Shraghi Arani N. Assessing Nurses’ Clinical Competence from Their Own Viewpoint and the Viewpoint of Head Nurses: A Descriptive Study. IJN .2018; 31(111):52- 64. (Persian) URL: http://ijn.iums.ac.ir/article-1-2628-en.html
24. Numminen O, Leino-Kilpi H, Isoaho H, Meretoja R. Congruence between nurse managers’ and nurses’ competence assessments: A correlation study. Journal of Nursing Education and Practice. 2014; 5(1):142-50. https://doi.org/10.5430/jnep.v5n1p142.
25. Aliakbari F , Aein F , Bahrami M. Assessment competencies among emergency nurses for responding in disaster situation with Objective Structured Clinical Examination. J H P M. 2014; 3(3):47-57. (Persian) URL: http://jhpm.ir/article-1-283-en.html
26. Abbasi AR , Bahreini M ,Yazdankhah Fard MR, Mirzaei K. Compare Clinical Competence and Job Satisfaction Among Nurses Working in Both University and Non-University Hospital in Bushehr 2015. Iran South Med J 2017; 20(1): 77-89. (Persian) URL: http://ismj.bpums.ac.ir/article-1-859-en.html
27. Istomina N, Suominen T, Razbadauskas A, Martinkenas A, Meretoja R, Leino-Kilpi H. Competence of nurses and factors associated with it. Medicina (Kaunas). 2011; 47(4):230-7.
28. Mirlashari J, Qommi R, Nariman S, Bahrani N, Begjani J. Clinical Competence and Its Related Factors of Nurses in Neonatal Intensive Care Units. J caring sci. 2016; 5(4):317. https:// doi: 10.15171/jcs.2016.033.
29. Namadi-Vosoughi M, Tazakkori Z, Habibi A, Abotalebi-Daryasari G, Kazemzadeh R. Assessing Nursing Graduates′ Clinical Competency from the Viewpoints of Graduates and Head Nurses. Journal of Health and care. 2014; 16(1):66-73. URL: http://hcjournal.arums.ac.ir/article-1-243-en.html
30. Shakerinia I, Mohammadpour M. Relationship between job stress and resiliency with occupational burnout among nurses. Journal of Kermanshah University of Medical Sciences.2010; 14(2): 161-9. (Persian)
31. Amini F. The Relationship between Resiliency and Burnout in Nurses. J Res Dev Nurs Midwifery. 2013-2014; 10(2): 94-102. (Persian) URL: http://nmj.goums.ac.ir/article-1-461-en.html
32. Obeidavi A, Elahi N, Saberipour B. Relationship between resilience and occupational stress among the faculty members of Ahvaz Jundishapur University of Medical Sciences. Int J Bio Med Public Health. 2018; 1(3):136-140. https://doi: 10.22631/ijbmph.2018.126323.1050.
33. Salimi S, Pakpour V, Feizollahzadeh H, Rahmani A. Resilience and its association with the intensive care unit nurses’ intention to leave their profession. Hayat, Journal of School of Nursing and Midwifery, Tehran University of Medical Sciences. 2017; 23(3): 254-265. (Persian) URL: http://hayat.tums.ac.ir/article-1-2008-en.html
34. Gillespie BM, Chaboyer W, Wallis M. The influence of personal characteristics on the resilience of operating room nurses: a predictor study. Int J Nurs Stud. 2009; 46(7): 968-76. https://doi: 10.1016/j.ijnurstu.2007.08.006.
35. FangLiang H, Wu K M, Hung C C, Wang Y H, Peng N H. Resilience enhancement among student nurses during clinical practices: A participatory action research study. Nurse Education Today.2019; 75:22-27. https://doi: 10.1016/j.nedt.2019.01.004.
36. Kim MJ, Kim YJ. Variables Affecting Nursing Competency of Clinical Nurses. Indian J Sci Technol 2015; 8(26):1-9. https://doi:10.17485/ijst/2015/v8i26/80758.
37. Komeili-Sani M, Etemadi A, Boustani H, Bahreini M, Hakimi A. The relationship between nurses' clinical competency and job stress in Ahvaz university hospital, 2013. Journal of clinical nursing and midwifery. 2015; 4(1): 39- 49. (Persian) URL: http://jcnm.skums.ac.ir/article-1-103-en.html
38. Lee KJ, Forbes ML, Lukasiewicz GJ, Williams T, Sheets A, Fischer K, et al. Promoting staff resilience in the pediatric Intensive Care Unit. Am J Crit Care . 2015 : 24(5): 422-30. https:// doi: 10.4037/ajcc2015720.
42. Park EM, Song Y. Predictors of Emotional Labor and Resilience on Clinical Competency in Nursing Students. J Korean Acad Soc Nurs Educ. 2019; 25(3):357. https://doi.org/10.5977/jkasne.2019.25.3.357.
1. Hasandoost F, Ghanbari Khanghah A, Salamikohan K, Kazemnezhad Leili E, Norouzi Pareshkouh N. Prioritization of general clinical competency indicators from nurses view employed in emergency wards. Holist Nurs Midwifery. 2015; 25(4):53–63.
URL: http://hnmj.gums.ac.ir/article-1-579-en.html
2. Komeili-Sani M, Etemadi A, Boustani H, Bahreini M, Hakimi A. The relationship between nurses' clinical competency and job stress in Ahvaz university hospital, 2013. Journal of clinical nursing and midwifery. 2015; 4(1): 39-49. (Persian) URL: http://jcnm.skums.ac.ir/article-1-103-en.html
3. Kahya E, Oral1 N. Measurement of clinical nurse performance: Developing a tool including contextual items. Journal of Nursing Education and Practice. 2018; 8(6):112-123. https://doi.org/10.5430/jnep.v8n6p112
4. Notarnicola I, Petrucci C, De Jesus Barbosa MR, Giorgi F, Stievano A, Lancia L. Clinical competence in nursing: A concept analysis. Prof Inferm. 2016; 69(3):174-181. https://doi: 10.7429/pi.2016.693181.
5. Mirzabeygi G, Sanjari M, Salemi S, Babaei F, Kheradmand M. The Necessity for Specialty Education in Nursing MS Program: Viewpoints of the Faculty Members of School of Nursing and Midwifery in Iran. Iranian Journal of Medical Education. 2010; 9(3): 263-271. (Persian)
URL: http://ijme.mui.ac.ir/article-1-1058-en.html
6. Manoochehri H, Imani E, Atashzadeh-Shoorideh F, Alavi-Majd H. Competence of novice nurses: role of clinical work during studying. J Med Life.2015; 8(Spec Iss 4): 32‐38.
7. Karami A, Farokhzadian J, Foroughameri G . Nurses’ professional competency and organizational commitment: Is it important for human resource management? PLoS ONE.2017; 12(11): e0187863. https:// doi: 10.1371/journal.pone.0187863.
8. Yılmaz E B. Resilience as a strategy for struggling against challenges related to the nursing profession. Chin Nurs Res. 2017; 4(1): 9-13. https:// doi: 10.1016/j.cnre.2017.03.004.
9. Hart PL, Brannan JD, De Chesnay M. Resilience in nurses: an integrative - review. J Nurs Manag. 2014; 22 (6): 720-734.
10. Hylton Rushton C, Batcheller J, Schroeder K, Donohue, P. Burnout and resilience among nurses practicing in high-intensity settings. Am J Crit Care . 2015; 24 (5): 412-421. https:// doi: 10.1111/j.1365-2834.2012.01485.x.
11. Mealer M, Jones J, Moss M. A qualitative study of resilience and posttraumatic stress disorder in United States ICU nurses. Intensive Care Med .2012; 38: 1445-1451. https:// doi: 10.1007/s00134-012-2600-6.
12. Abolghasemi A, Taklavi Varaniyab S. Resilience and perceived stress: predictors of life satisfaction in the students of success and failure. Procedia - Social and Behavioral Sciences. 2010; 5: 748 -752.
13. Salehi Fadardi J, Azad H, Nemati A. The relationship between resilience, motivational structure, and substance use. Procedia - Social and Behavioral Sciences. 2010; 5: 1956-1960.
https:// doi:10.1016/j.sbspro.2010.07.395.
14. McDonald G, Jackson D, Wilkes L, Vickers MH. A work-based educational intervention to support the development of personal resilience in nurses and midwives. Nurse Educ Today. 2012; 32(4): 378-84. https:// doi: 10.1016/j.nedt.2011.04.012.
15. Ren Y, Zhou Y, Wang S, Luo T, Huang M, Zeng Y. Exploratory study on resilience and its influencing factors among hospital nurses in Guangzhou, China. International Journal of Nursing Sciences. 2018; 5 : 57-62. https://doi.org/10.1016/j.ijnss.2017.11.001
16. Kong L, Liu Y, Li G, Fang Y, Kang X, Li P. Resilience moderates the relationship between emotional intelligence and clinical communication ability among Chinese practice nursing students: A structural equation model analysis. Nurse Educ Today. 2016; 1(46):64-8. https://doi: 10.1016/j.nedt.2016.08.028.
17. Liu M , Yin L , Ma E , Lo S, Zeng L. Competency Inventory for Registered Nurses in Macao :instrument validation. J Adv Nurs 2009; 65(4):893–900. https://doi: 10.1111/j.1365-2648.2008.04936.x..
18. Ghasemi E, Janani L, Dehghan Nayeri N, Negarandeh R. Psychometric Properties of Persian Version of the Competency Inventory for Registered Nurse (CIRN). IJN.2014; 27(87):1-13. (Persian) URL: http://ijn.iums.ac.ir/article-1-1743-en.html
19. Connor KM, Davidson JR. Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC). Depress Anxiety. 2003; 18(2): 76-82. https://doi: 10.1002/da.10113.
20. Abolghasemi A. The relationship of resilience, self-efficacy and stress with life satisfaction in the students with high and low educational achievement. Quarterly Journal of Psychological Studies. 2011; 7(3): 131-152. (Persian)
21. Min ES. Relationship among Stress of Clinical Practice, Stress Coping, Ego-Resilience and Clinical Competence in Nursing Students. Health Commun. 2018; 13(1):71.
22. Goliroshan S, Babanataj R, Aziznejadroshan P. Investigating the Self-assessment of Clinical Competency of Nurses Working in Babol University of Medical Sciences Hospitals. World Family Medicine. 2018; 16(3):279-284. https://doi: 10.5742/MEWFM.2018.93331.
23. Adib Hajbaghery M, Shraghi Arani N. Assessing Nurses’ Clinical Competence from Their Own Viewpoint and the Viewpoint of Head Nurses: A Descriptive Study. IJN .2018; 31(111):52- 64. (Persian) URL: http://ijn.iums.ac.ir/article-1-2628-en.html
24. Numminen O, Leino-Kilpi H, Isoaho H, Meretoja R. Congruence between nurse managers’ and nurses’ competence assessments: A correlation study. Journal of Nursing Education and Practice. 2014; 5(1):142-50. https://doi.org/10.5430/jnep.v5n1p142.
25. Aliakbari F , Aein F , Bahrami M. Assessment competencies among emergency nurses for responding in disaster situation with Objective Structured Clinical Examination. J H P M. 2014; 3(3):47-57. (Persian) URL: http://jhpm.ir/article-1-283-en.html
26. Abbasi AR , Bahreini M ,Yazdankhah Fard MR, Mirzaei K. Compare Clinical Competence and Job Satisfaction Among Nurses Working in Both University and Non-University Hospital in Bushehr 2015. Iran South Med J 2017; 20(1): 77-89. (Persian) URL: http://ismj.bpums.ac.ir/article-1-859-en.html
27. Istomina N, Suominen T, Razbadauskas A, Martinkenas A, Meretoja R, Leino-Kilpi H. Competence of nurses and factors associated with it. Medicina (Kaunas). 2011; 47(4):230-7.
28. Mirlashari J, Qommi R, Nariman S, Bahrani N, Begjani J. Clinical Competence and Its Related Factors of Nurses in Neonatal Intensive Care Units. J caring sci. 2016; 5(4):317. https:// doi: 10.15171/jcs.2016.033.
29. Namadi-Vosoughi M, Tazakkori Z, Habibi A, Abotalebi-Daryasari G, Kazemzadeh R. Assessing Nursing Graduates′ Clinical Competency from the Viewpoints of Graduates and Head Nurses. Journal of Health and care. 2014; 16(1):66-73. URL: http://hcjournal.arums.ac.ir/article-1-243-en.html
30. Shakerinia I, Mohammadpour M. Relationship between job stress and resiliency with occupational burnout among nurses. Journal of Kermanshah University of Medical Sciences.2010; 14(2): 161-9. (Persian)
31. Amini F. The Relationship between Resiliency and Burnout in Nurses. J Res Dev Nurs Midwifery. 2013-2014; 10(2): 94-102. (Persian) URL: http://nmj.goums.ac.ir/article-1-461-en.html
32. Obeidavi A, Elahi N, Saberipour B. Relationship between resilience and occupational stress among the faculty members of Ahvaz Jundishapur University of Medical Sciences. Int J Bio Med Public Health. 2018; 1(3):136-140. https://doi: 10.22631/ijbmph.2018.126323.1050.
33. Salimi S, Pakpour V, Feizollahzadeh H, Rahmani A. Resilience and its association with the intensive care unit nurses’ intention to leave their profession. Hayat, Journal of School of Nursing and Midwifery, Tehran University of Medical Sciences. 2017; 23(3): 254-265. (Persian) URL: http://hayat.tums.ac.ir/article-1-2008-en.html
34. Gillespie BM, Chaboyer W, Wallis M. The influence of personal characteristics on the resilience of operating room nurses: a predictor study. Int J Nurs Stud. 2009; 46(7): 968-76. https://doi: 10.1016/j.ijnurstu.2007.08.006.
35. FangLiang H, Wu K M, Hung C C, Wang Y H, Peng N H. Resilience enhancement among student nurses during clinical practices: A participatory action research study. Nurse Education Today.2019; 75:22-27. https://doi: 10.1016/j.nedt.2019.01.004.
36. Kim MJ, Kim YJ. Variables Affecting Nursing Competency of Clinical Nurses. Indian J Sci Technol 2015; 8(26):1-9. https://doi:10.17485/ijst/2015/v8i26/80758.
37. Komeili-Sani M, Etemadi A, Boustani H, Bahreini M, Hakimi A. The relationship between nurses' clinical competency and job stress in Ahvaz university hospital, 2013. Journal of clinical nursing and midwifery. 2015; 4(1): 39- 49. (Persian) URL: http://jcnm.skums.ac.ir/article-1-103-en.html
38. Lee KJ, Forbes ML, Lukasiewicz GJ, Williams T, Sheets A, Fischer K, et al. Promoting staff resilience in the pediatric Intensive Care Unit. Am J Crit Care . 2015 : 24(5): 422-30. https:// doi: 10.4037/ajcc2015720.
42. Park EM, Song Y. Predictors of Emotional Labor and Resilience on Clinical Competency in Nursing Students. J Korean Acad Soc Nurs Educ. 2019; 25(3):357. https://doi.org/10.5977/jkasne.2019.25.3.357.
Published
2022-06-20
How to Cite
Aziznejadroshan, P., Goliroshan , S., Qanbari Qalehsari , M., Hosseini , S. J., Geraili , Z., & Shaker Zavardehi , F. (2022). An Analysis of the Relationship between Resilience and Clinical Competence in Nurses : Descriptive-analytical Study . Christian Journal for Global Health, 9(1), 43-52. https://doi.org/10.15566/cjgh.v9i1.547
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