Document Type : Original Article

Authors

1 Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

2 Shahid Beheshti University of Medical Sciences, Tehran, Iran

3 Social Determinants of Health Research Center, School of Nursing and Midwifery, Lorestan University of Medical Sciences, Khorramabad, Iran

4 Department of Pediatric Nursing, Nursing and Midwifery School, Tabriz University of Medical Sciences, Tabriz, Iran

5 Department of Medical and Surgical Nursing, Nursing and Midwifery School, Tabriz University of Medical Sciences, Tabriz, Iran

6 Department of Medical and Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Science, Tehran, Iran

Abstract

BACKGROUND: Planning for the issuance of professional competency examination has been put on
the agenda of professional policymakers, but the ways of evaluating and conducting examinations and
its dimensions are the main challenges. The present study aimed to explain the essential dimensions
of professional competency examination in Iran from academic and clinical nurses’ perspective.
MATERIALS AND METHODS: The present mixed‑method study was performed at three stages,
systematic review, qualitative, and quantitative stages. At the first stage, 56 articles and texts were
collected from PubMed, CINHAL, Ovid, and ProQuest databases, by using the keywords, namely
professional competency examination and assessment. Base on the inclusion criteria and eligibility
assessment of article, six articles and one text on regulation were selected. At the second stage,
the results of the literature review were approved by 20 nursing experts. Direct content analysis was
used for data analysis. The results were prepared in the form of a questionnaire. At the last stage,
the questionnaire was given to 2209 clinical, academic, nurse managers, and nurses.
RESULTS: Based on findings of the review literature, essential dimensions of the professional
competency examination included a central theme of the client’s needs with four categories. At the
second stage, the Professional Competency Examination dimensions were approved by experts.
At the third stage, a comparison of findings indicated that clinical nurses emphasized more on
cardiopulmonary resuscitation, client safety, and implementation of procedures, while academic
nurses emphasized on the client’s needs, client education, and clients’ physiological integrity.
CONCLUSION: The client’s need is the most important dimension in the professional competency
examination. The nurses will be successful in providing care if they can identify the clients’ needs
and provide care plans based on client needs and priorities.

Keywords

1. Lindsay AC, Bishop J, Harron K, Davies S, Haxby E. Use of a safe
procedure checklist in the cardiac catheterisation laboratory. BMJ
Open Qual 2018;7:e000074.
2. Julianne M. Nurses create a culture of patient safety: It takes more
than projects. Online J Issues Nurs 2011;16:2.
3. Benefiel D. The story of nurse licensure. Nurse Educ 2011;36:16‑20.
4. Oskouie F, Parvizy S, Mohammadi N, Sheikhi MR, Ghafouri R.
Nursing educational regulation model: A meta‑synthesis. Int J
Med Res Health Sci 2016;5:82‑7.
5. Oskouei F, Nejatian A, Parvizy S. Registration/licensure: Essential
need of nursing regulation in Iran. Int J Med Res Health Sci
2016;5:423‑8.
6. Rafii F, Oskouie F, Parvizy S, Mohammadi N, GhafouriR. Nursing
professional regulation: Rodgers’ evolutionary concept analysis.
Int J Med Res Health Sci 2016;5:436‑42.
7. Cho SM, Choi J. Patient safety culture associated with patient
safety competencies among registered nurses. J Nurs Scholarsh
2018;50:549‑57 8. Tate ET, Moody K. The public good: Regulation of nursing
students. JONAS Healthc Law Ethics Regul 2005;7:47‑53.
9. Wolf ZR. Nursing practice breakdowns: Good and bad nursing.
Medsurg Nurs 2012;21:16‑22, 36.
10. Chornick N. APRN licensure versus APRN certification: What is
the difference? JONAS Healthc Law Ethics Regul 2008;10:90‑3.
11. 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;5:317‑24.
12. Kugler EC, Burhans LD, George JL. Removal of legal barriers to
the practice of advanced practice registered nurses. N C Med J
2011;72:285‑8.
13. Manouchehri H, Atashzadeh‑Shoorideh F, Alavimajd H. Lived
experiences nursing managers about the role of students’ work
in attaining clinical competency newly nurses. Q J Nurs Manag
2018;7:29‑40.
14. Nordstrom PM, Kwan JA, Wang M, Qiu ZW, Cummings GG,
Giblin C. Internationally educated nurses’ competency assessment
and registration outcomes. Int J Mig Health Soc Care 2018; 14,
332–346.
15. Fealy GM, Carney M, Drennan J, Treacy M, Burke J, O’Connell D,
et al. Models of initial training and pathways to registration:
A selective review of policy in professional regulation. J Nurs
Manag 2009;17:730‑8.
16. Terry K, Stirling C, Bull R, Fassett D. An overview of the ways
nurses understand and utilise the existing Australian Competency
Standards for Registered Nurses. Collegian 2017;24:109‑16.
17. Upton P, Scurlock‑Evans L, Williamson K, Rouse J, Upton D.
The evidence‑based practice profiles of academic and clinical
staff involved in pre‑registration nursing students’ education:
A cross sectional survey of US and UK staff. Nurse Educ Today
2015;35:80‑5.
18. World Health Organization. Transforming and Scaling up
Health Professional Education and Training, World Health
Organization guidline 2013; 2013.Genève: World Health
Organization. Available from: https://apps.who.int/iris/
bitstream/handle/10665/93635/9789241506502_eng.pdf. [Last
accessed on 2020 Dec 02].
19. The International Council of Nurses. An International
Comparative Study; 2009.Genève: The International Council of
Nurses.
20. Nichols BL, Davis CR, Richardson DR. International Models of
Nursing. The Future of Nursing: Leading Change, Advancing
Health; 2010. Washington, DC: The National Academies Press.
p. 565‑639.
21. Meister L, Heath J, Andrews J, Tingen MS. Professional nursing
portfolios: A global perspective. Medsurg Nurs 2002;11:177‑82.
22. York University. Systematic Reviews: CRD’s Guidance for
Undertaking Reviews in Health Care. 3rd ed. Toronto: Centre for
Reviews and Dissemination, University of York, York Publishing
Services Ltd.; 2008.
23. GhafouriR, Ofoghi S. Trustworth and rigor in qualitative research.
Int J Adv Biotechnol Appl Behav Sci 2016;7:90‑101.
24. Polit DF, Yang F. Measurement and the Measurement of Change:
A Primer for the Health Professions. Philadelphia: Wolters Kluwer
Health; 2015.
25. Fukada M. Nursing competency: Definition, structure and
development. Yonago Acta Med 2018;61:1‑7.
26. Zhong EH, Kenward K, Sheets VR, Doherty ME, Gross L.
Probation and recidivism: Remediation among disciplined nurses
in six states. Am J Nurs 2009;109:48‑50, 52‑7.
27. Atashzadeh‑Shoorideh F, Mohtashami J, Pishgooie SAH,
Jamshidi T, Sedghi S. Effectiveness of implementation of “mental
health nursing students’ clinical competency model” on academic
performance of nursing students. F1000Res 2018;7:1212.
28. Kleib M, Nagle L. Psychometric properties of the Canadian nurse
informatics competency assessment scale. Comput Inform Nurs
2018;36:359‑65.
29. Marrs JA, Alley NM. Moral turpitude: A benchmark toward
eligibility for registered nurse licensure? JONAS Healthc Law
Ethics Regul 2004;6:54‑9.
30. Hellquist K, Majek M, Brous E. Protecting the public from bad
nurses. Interview by Sibyl Shalo. Am J Nurs 2009;109:25‑6.
31. Dobson CL, Hess RG. Pursuing competence through continuing
education. J Nurs Regul 2010;1:8‑13.
32. Takase M, Yamamoto M, Sato Y, Niitani M, Uemura C. The
relationship between workplace learning and midwives’ and
nurses’ self‑reported competence: A cross‑sectional survey. Int J
Nurs Stud 2015;52:1804‑15.
33. Kleib M, Nagle L. Development of the Canadian nurse informatics
competency assessment scale and evaluation of Alberta’s
registered nurses’ self‑perceived informatics competencies.
Comput Inform Nurs 2018;36:350‑8.
34. Kavanagh JM, Szweda C. A crisis in competency: The strategic
and ethical imperative to assessing new graduate nurses’ clinical
reasoning. Nurs Educ Perspect 2017;38:57‑62.
35. Yanhua C, Watson R. A review of clinical competence assessment
in nursing. Nurse Educ Today 2011;31:832‑6.
36. Wang CC. Closing the gap in nursing education: Comparing
nursing registration systems in Australia and China. Chin Nurs
Res 2016;3:1‑6.
37. Mills J. Professional portfolios and Australian registered nurses’
requirements for licensure: Developing an essential tool. Nurs
Health Sci 2009;11:206‑10.
38. Attree M, Cooke H, Wakefield A. Patient safety in an English
pre‑registration nursing curriculum. Nurse Educ Pract
2008;8:239‑48.
39. Lakanmaa RL, Suominen T, Perttilä J, Puukka P, Leino‑Kilpi H.
Competence requirements in intensive and critical care
nursing – still in need of definition? A Delphi study. Intensive
Crit Care Nurs 2012;28:329‑36.