臺灣博碩士論文加值系統

Abstract
A competent healthcare workforce is an essential component of an effective health care system. Therefore competency among nurses is essential to provide safe and optimum health care for the population. The purpose of the study is to (1) identify the level of nursing competencies of new registered nurses by means of self assessment, (2) identify the perspective of the level of nursing competencies of new nurses by their clinical supervisors, (3) identify the difference in perceptions of nursing competencies between the nurse and their clinical supervisors and (4) identify the factors that relates to the level of nursing competencies among Belizean BSN nurses. The study is an exploratory study that used the quantitative approach for data collect and analysis. The Six-D Scale questionnaire was used to collect data from 34 nurses in their first year of practice and 34 of their clinical supervisors. The results of the study revealed that new nurses perceived themselves as more competent than the perception of the clinical supervisor. The nurses and the clinical supervisor perceived that nurses are most competent in the professional development domain, with mean 3.37 (SD=.471), mean 3.09 (SD= .415) and both rank among the second highest respectively. While their views differ in the domain where the nurses are least competent; nurses believed that they are least competent in the planning and evaluation domain mean 3.08 (SD = .567), and rank lowest, while supervisor results reveal that nurses are least competent in the critical care domain mean of 2.86 ( SD = .310) which ranked among the lowest scores. The results from this study can be used to shed some light for the hospital administrations, nursing educational institution and the ministry of health for the need of continuing education for nurses in Belize.

Abstract
A competent healthcare workforce is an essential component of an effective health care system. Therefore competency among nurses is essential to provide safe and optimum health care for the population. The purpose of the study is to (1) identify the level of nursing competencies of new registered nurses by means of self assessment, (2) identify the perspective of the level of nursing competencies of new nurses by their clinical supervisors, (3) identify the difference in perceptions of nursing competencies between the nurse and their clinical supervisors and (4) identify the factors that relates to the level of nursing competencies among Belizean BSN nurses. The study is an exploratory study that used the quantitative approach for data collect and analysis. The Six-D Scale questionnaire was used to collect data from 34 nurses in their first year of practice and 34 of their clinical supervisors. The results of the study revealed that new nurses perceived themselves as more competent than the perception of the clinical supervisor. The nurses and the clinical supervisor perceived that nurses are most competent in the professional development domain, with mean 3.37 (SD=.471), mean 3.09 (SD= .415) and both rank among the second highest respectively. While their views differ in the domain where the nurses are least competent; nurses believed that they are least competent in the planning and evaluation domain mean 3.08 (SD = .567), and rank lowest, while supervisor results reveal that nurses are least competent in the critical care domain mean of 2.86 ( SD = .310) which ranked among the lowest scores. The results from this study can be used to shed some light for the hospital administrations, nursing educational institution and the ministry of health for the need of continuing education for nurses in Belize.

TABLE OF CONTENTS
Acknowledgement 5
Abstract 6
Chapter One
Introduction
1.1 Background 7
1.2 Statement of the problem 8
1.3 Purpose of the study 9
1.4 Research Questions 9
1.5 Definition of Terms 10
Chapter Two
Literature Review
2.1 Core Nursing Competencies 11
2.2 Nursing Competency Evaluation 15
2.3 Factors Influencing Nursing Competencies 19
2.4 Summary 20
Chapter Three
Methods
3.1 Design 22
3.2 Setting and Sampling 22
3.3 Measurement 23
3.4 Data Collection 26
3.5 Data Analysis 28
3.6 Ethical Considerations 29
Chapter Four
Results
4.1 Description of Sample 30
4.2 Results for Question One 33
4.3 Results for Question Two 34
4.4 Results for Question Three 35
Nursing Competency 4
4.5 Results for Question Four 36
4.6 Summary of Results 36
Chapter Five
Discussion 38
5.1 Strengths and Limitations 41
Chapter Six
Conclusion
6.1 Implications for Nursing Education 42
6.2 Implications for Hospital Management 42
6.3 Recommendations for Future Research 43
6.4 Conclusion 44
References 45
Appendix
1. Consent Form for Participants 51
2. Consent for Use of Competency Scale 53
3. IRB Consent 54
4. Hospital Consent 55
5. Hospital Consent 57
6. Hospital Consent 59
7. Data Collection Form 61
8. Six-D Scale 62

TABLE OF CONTENTS
Acknowledgement 5
Abstract 6
Chapter One
Introduction
1.1 Background 7
1.2 Statement of the problem 8
1.3 Purpose of the study 9
1.4 Research Questions 9
1.5 Definition of Terms 10
Chapter Two
Literature Review
2.1 Core Nursing Competencies 11
2.2 Nursing Competency Evaluation 15
2.3 Factors Influencing Nursing Competencies 19
2.4 Summary 20
Chapter Three
Methods
3.1 Design 22
3.2 Setting and Sampling 22
3.3 Measurement 23
3.4 Data Collection 26
3.5 Data Analysis 28
3.6 Ethical Considerations 29
Chapter Four
Results
4.1 Description of Sample 30
4.2 Results for Question One 33
4.3 Results for Question Two 34
4.4 Results for Question Three 35
Nursing Competency 4
4.5 Results for Question Four 36
4.6 Summary of Results 36
Chapter Five
Discussion 38
5.1 Strengths and Limitations 41
Chapter Six
Conclusion
6.1 Implications for Nursing Education 42
6.2 Implications for Hospital Management 42
6.3 Recommendations for Future Research 43
6.4 Conclusion 44
References 45
Appendix
1. Consent Form for Participants 51
2. Consent for Use of Competency Scale 53
3. IRB Consent 54
4. Hospital Consent 55
5. Hospital Consent 57
6. Hospital Consent 59
7. Data Collection Form 61
8. Six-D Scale 62