Aim: The purpose of this research is to examine the relationship between the clinical nursing competence and nursing occupational experience in hospice/palliative care nurses (HPN) in Japan. Methods: A mail survey usi...Aim: The purpose of this research is to examine the relationship between the clinical nursing competence and nursing occupational experience in hospice/palliative care nurses (HPN) in Japan. Methods: A mail survey using an anonymous self-administered questionnaire was conducted on clinical nursing competence regarding communication, care and prediction of worsening of symptoms with the authors’ previous research as a framework. The subjects were nurses working in hospice/palliative care units in Japan, and the period of survey was January to February, 2014. Results: In this study, the relationship between the clinical nursing competence and nursing occupational experience of HPNs in hospice/palliative care which was clarified in the authors’ previous research was examined. The results showed that the amount of clinical nursing experience as a nurse was related to clinical nursing competence in the care of end-of-life patients and worsening of symptoms. The abundance of specialized nursing experience was also related to clinical nursing competence in communication in addition to care and prediction of worsening of symptoms. Training experience was also shown to be effective for hospice/palliative care. Conclusion: From these results, clinical nursing competence of HPNs in care of end-of-life patients and prediction of worsening of symptoms are possibly learned through the accumulation of clinical nursing experience as a nurse. However, HPN’s clinical nursing competence in communication was suggested to be developed through nursing practice in hospice/palliative care.展开更多
Competency-based assessments for healthcare professionals are critical for safe and effective client outcomes. Rehabilitation clinical skill competency assessments must be validated and revised to produce safe and ski...Competency-based assessments for healthcare professionals are critical for safe and effective client outcomes. Rehabilitation clinical skill competency assessments must be validated and revised to produce safe and skilled practitioners. The revised American Occupational Therapy Association (AOTA) Fieldwork Performance Evaluation (FWPE) instrument measures occupational therapy student performance to determine readiness for practice. The assessment includes thirty-seven competencies that address both profession specific clinical skills and general professional behavior skills. The objective of this study was to use Rasch methods to explore the use of the revised FWPE in actual fieldwork practice and to determine the instrument’s psychometric properties when separating the item components into two distinct subdomains: General Health Professions Competences and Occupational Therapy-Specific Competencies. Internal construct validity and test reliability were analyzed using data from 149 occupational therapy students after completing their initial Level II A fieldwork clinical internship. This study examined the item difficulty hierarchy, item fit, person-fit to model, person separation index, person separation reliability coefficient, strata, ceiling and floor effect, and unidimensionality of the FWPE instrument as a whole and as two separate domains. With the exception of not meeting the criteria for unidimensionality, the full FWPE instrument and the Occupational Therapy-Specific Competencies subdomain showed acceptable item-level psychometrics for reliability and precision. While the General Health Professions Competencies subdomain showed good item-level psychometrics, it was below the criterion for reliability and only separated the sample into two strata. Results support the validity, reliability, and clinical use of the revised FWPE full instrument and the Occupational Therapy-Specific Competencies subdomain to measure entry-level clinical skill competencies in practice.展开更多
The study focused on occupational competencies required by secondary school graduates in palm wine tapping for sustainable income in Enugu State. Four research questions guided the study. Survey research design was ad...The study focused on occupational competencies required by secondary school graduates in palm wine tapping for sustainable income in Enugu State. Four research questions guided the study. Survey research design was adopted. It was carried out in Enugu State. The population for the study was 2,781 registered palm wine tappers. The sample for study was 556 （10%） of palm wine tappers. A random sampling technique was used for the study. A 49 structured competency item questionnaire was used for data collection. Three experts validated the instrument. Cronbach Alphal reliability method was used to determine the internal consistency of the instrument. A reliability coefficient of 0.98 was obtained. 556 copies of the questionnaire were administered to the respondents 541 copies were retrieved and analyzed using mean and standard deviation. The result revealed that 48 competencies were required by secondary school graduates in palm wine tapping occupation for sustainable income in Enugu State. Recommendation was made based on the findings of the study.展开更多
The shortage of individuals with the abilities to perform a job position successfully demands innovative educational approaches. Competency Based Education (CBE) is a methodology that focuses on endowing students with...The shortage of individuals with the abilities to perform a job position successfully demands innovative educational approaches. Competency Based Education (CBE) is a methodology that focuses on endowing students with the skills demanded by the in-dustries and evaluates them regarding what they are able to do. A bank of competen-cies that students must acquire in a university academic program was discussed. Occupational trends as well as associated skills demands were detected. This research could be a source of practical knowledge for those organizations seeking to understand CBE foundations and for those wishing to initiate their path through this global educational trend.展开更多
文摘Aim: The purpose of this research is to examine the relationship between the clinical nursing competence and nursing occupational experience in hospice/palliative care nurses (HPN) in Japan. Methods: A mail survey using an anonymous self-administered questionnaire was conducted on clinical nursing competence regarding communication, care and prediction of worsening of symptoms with the authors’ previous research as a framework. The subjects were nurses working in hospice/palliative care units in Japan, and the period of survey was January to February, 2014. Results: In this study, the relationship between the clinical nursing competence and nursing occupational experience of HPNs in hospice/palliative care which was clarified in the authors’ previous research was examined. The results showed that the amount of clinical nursing experience as a nurse was related to clinical nursing competence in the care of end-of-life patients and worsening of symptoms. The abundance of specialized nursing experience was also related to clinical nursing competence in communication in addition to care and prediction of worsening of symptoms. Training experience was also shown to be effective for hospice/palliative care. Conclusion: From these results, clinical nursing competence of HPNs in care of end-of-life patients and prediction of worsening of symptoms are possibly learned through the accumulation of clinical nursing experience as a nurse. However, HPN’s clinical nursing competence in communication was suggested to be developed through nursing practice in hospice/palliative care.
文摘Competency-based assessments for healthcare professionals are critical for safe and effective client outcomes. Rehabilitation clinical skill competency assessments must be validated and revised to produce safe and skilled practitioners. The revised American Occupational Therapy Association (AOTA) Fieldwork Performance Evaluation (FWPE) instrument measures occupational therapy student performance to determine readiness for practice. The assessment includes thirty-seven competencies that address both profession specific clinical skills and general professional behavior skills. The objective of this study was to use Rasch methods to explore the use of the revised FWPE in actual fieldwork practice and to determine the instrument’s psychometric properties when separating the item components into two distinct subdomains: General Health Professions Competences and Occupational Therapy-Specific Competencies. Internal construct validity and test reliability were analyzed using data from 149 occupational therapy students after completing their initial Level II A fieldwork clinical internship. This study examined the item difficulty hierarchy, item fit, person-fit to model, person separation index, person separation reliability coefficient, strata, ceiling and floor effect, and unidimensionality of the FWPE instrument as a whole and as two separate domains. With the exception of not meeting the criteria for unidimensionality, the full FWPE instrument and the Occupational Therapy-Specific Competencies subdomain showed acceptable item-level psychometrics for reliability and precision. While the General Health Professions Competencies subdomain showed good item-level psychometrics, it was below the criterion for reliability and only separated the sample into two strata. Results support the validity, reliability, and clinical use of the revised FWPE full instrument and the Occupational Therapy-Specific Competencies subdomain to measure entry-level clinical skill competencies in practice.
文摘The study focused on occupational competencies required by secondary school graduates in palm wine tapping for sustainable income in Enugu State. Four research questions guided the study. Survey research design was adopted. It was carried out in Enugu State. The population for the study was 2,781 registered palm wine tappers. The sample for study was 556 （10%） of palm wine tappers. A random sampling technique was used for the study. A 49 structured competency item questionnaire was used for data collection. Three experts validated the instrument. Cronbach Alphal reliability method was used to determine the internal consistency of the instrument. A reliability coefficient of 0.98 was obtained. 556 copies of the questionnaire were administered to the respondents 541 copies were retrieved and analyzed using mean and standard deviation. The result revealed that 48 competencies were required by secondary school graduates in palm wine tapping occupation for sustainable income in Enugu State. Recommendation was made based on the findings of the study.
文摘The shortage of individuals with the abilities to perform a job position successfully demands innovative educational approaches. Competency Based Education (CBE) is a methodology that focuses on endowing students with the skills demanded by the in-dustries and evaluates them regarding what they are able to do. A bank of competen-cies that students must acquire in a university academic program was discussed. Occupational trends as well as associated skills demands were detected. This research could be a source of practical knowledge for those organizations seeking to understand CBE foundations and for those wishing to initiate their path through this global educational trend.
