ExperiencesinCompetencyDevelopment-Dartmouth.ppt

Competency for Entry into Practice Utilizing Human Patient Simulation Outcomes and Summary Linda J. Kobokovich, PhD, RN Director of Nursing Practice Administration Co-Director Nurse Residency Program Evaluation of Processes and Outcomes Quantitative Measures Simulated Structured Clinical Scenario Performance Evaluation (SSCS) Self-efficacy for practice - revised Level of competence Level of confidence Readiness for independent practice Length of orientation Evaluation of Performance - SSCS Simulated Structured Clinical Scenario Performance Evaluation (SSCS) Attitudes/behaviors Technical skills/competency Intellectual skills Interpersonal skills NRP: Performance Outcomes Performance evaluations demonstrate: a consistent pattern of increased proficiency and confidence an ability to “think on the fly” utilization of resources to problem solve complex or difficult clinical situations. Self-Efficacy for Practice Measured with “Nurse Resident’s Readiness for Entry-into-Practice Competence Questionnaire.” 53-item scale – adopted from Self-Efficacy for Professional Nursing Competencies Instrument (Babenko-Mould, Yolando et. al) Journal of Nursing Education – April 2004, 43 (4), 149-155. Self-Efficacy for Practice Components Nurse/client relationship (5 items) “use therapeutic communication techniques” Illness/injury prevention (5 items) “identify actual or potential safety risks to client” Curative/supportive care (43 items) “collect data from appropriate sources” “intervene in a rapidly changing health situation” Self-Efficacy for Practice Alpha = 0.98 (n = 44) Mean at baseline = 72.75 (SD = 10.95) Mean at midpoint = 77.21 (SD = 9.90) Mean at final = 86.44 (SD = 9.10) Paired t-test (b-f) = -8.444, Sig. .001 Self-Efficacy for Practice: Discussion Most significant changes in scores occur in items related to the use of technology in providing nursing interventions, synthesizing clinical data, and making clinical decisions in rapidly changing health situations.