Paper
Wednesday, 19 July 2006
This presentation is part of : Leadership and Management Strategies
A Study of Clinical Nurses' Competencies Based on Career Ladder, Tertiary Hospitals
Nongnuch Taechaveerakorn, RN, IPD Post sugery care, Chulalongkorn Hospital, Bangkok, Thailand
Learning Objective #1: Explore core competencies of clinical nurses, tertiary hospitals.
Learning Objective #2: -
  The purpose of this Ethnographic Delphi Future Research (EDFR) was to explore core competencies of clinical nurses, tertiary hospitals. Participants consisted of 21 experts: 3 committee members from the Thailand Nursing Council, 6 experts in nursing administration, 6 experts in nursing education, and 6 experts in clinical nursing. The EDFR consisted of 3 steps. Step 1: All experts were asked to describe core competencies of clinical nurse working in tertiary hospitals. Step 2: Study data were analyzed using content analysis and then a questionnaire was developed. All items in the questionnaire were ranked level of competency by   a panel   of experts.  Step 3: Items were analyzed using mean and interqurtile range and then a new questionnaire was developed and sent to experts for confirmation of item ranking. Ranked items were analyzed using mean and interqurtile range and used summarized competencies of clinical nurses.
The major findings were as follows:
 1) There were 4 levels of clinical nurses including:
1.1)      Clinical nurse 1 with working experience 0-2 years
1.2)      Clinical nurse 2 with working experience 2-5 years
1.3)      Clinical nurse 3 with working experience 5-10 years
1.4)      Clinical nurse 4 with working experience 10-15years
2) There were 7 competencies of clinical nurses including:
2.1)    Nursing care
2.2)   Self-development involving knowledge of nursing, research, and use of technology
2.3)   Leadership and management
2.4)   Human relationship and communication
2.5)   Decision making and problem solving
2.6)   Quality development and quality assurance
2.7)   Nursing ethics
Clinical nurses in each level had the core competencies but different in details of each competency. There were 20, 20, 23, and 20 items of core competencies of clinical nurses at levels 1, 2, 3, and 4 respectively.

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