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  • 1. Castrèn, M
    et al.
    Mäkinen, M
    Nilsson, Jan
    Sophiahemmet University.
    Lindström, V
    The effects of interprofessional education - Self-reported professional competence among prehospital emergency care nursing students on the point of graduation - A cross-sectional study2017In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 32, p. 50-55, article id S1755-599X(16)30143-4Article in journal (Refereed)
    Abstract [en]

    The aim of the study was to investigate whether interprofessional education (IPE) and interprofessional collaboration (IPC) during the educational program had an impact on prehospital emergency care nurses' (PECN) self-reported competence towards the end of the study program. A cross-sectional study using the Nurse Professional Competence (NPC) Scale was conducted. A comparison was made between PECN students from Finland who experienced IPE and IPC in the clinical setting, and PECN students from Sweden with no IPE and a low level of IPC. Forty-one students participated (Finnish n=19, Swedish n=22). The self-reported competence was higher among the Swedish students. A statistically significant difference was found in one competence area; legislation in nursing and safety planning (p<0.01). The Finnish students scored significantly higher on items related to interprofessional teamwork. Both the Swedish and Finnish students' self-reported professional competence was relatively low according to the NPC Scale. Increasing IPC and IPE in combination with offering a higher academic degree may be an option when developing the ambulance service and the study program for PECNs.

  • 2. Forsman, Henrietta
    et al.
    Jansson, Inger
    Leksell, Janeth
    Lepp, Margret
    Sundin Andersson, Christina
    Engström, Maria
    Nilsson, Jan
    Sophiahemmet University.
    Clusters of competence: Relationship between self-reported professional competence and achievement on a national examination among graduating nursing students2020In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 76, no 1, p. 199-208Article in journal (Refereed)
    Abstract [en]

    AIMS: To identify clusters based on graduating nursing students' self-reported professional competence and their achievement on a national examination. Furthermore, to describe and compare the identified clusters regarding sample characteristics, students' perceptions of overall quality of the nursing programme and students' general self-efficacy.

    DESIGN: A cross-sectional study combining survey data and results from a national examination.

    METHODS: Data were collected at two universities and one university college in Sweden in January 2017, including 179 students in the final term of the nursing programme. The study was based on the Nurse Professional Competence Scale, the General Self-Efficacy scale and results from the National Clinical Final Examination. A Two-Step Cluster Analysis was used to identify competence profiles, followed by comparative analyses between clusters.

    RESULTS: Three clusters were identified illustrating students' different competence profiles. Students in Cluster 1 and 2 passed the examination, but differed in their self-assessments of competence, rating themselves under and above the overall median value respectively. Students in Cluster 3 failed the examination but rated themselves at the overall median level or higher.

    CONCLUSION: The study illustrates how nursing students' self-assessed competence might differ from competency assessed by examination, which is challenging for nursing education. Self-evaluation is a key learning outcome and is, in the long run, essential to patient safety.

    IMPACT: The study has identified clusters of students where some overestimate and others underestimate their competence. Students who assessed their competence low but passed the exam assessed their general self-efficacy lower than other students. The findings illuminate the need for student-centered strategies in nursing education, including elements of self-assessment in relation to examination to make the students more aware of their clinical competence.

  • 3. Frieberg, Otto-Patrik
    et al.
    Millqvist, Eva
    Nilsson, Jan
    Sophiahemmet University.
    From, Ingrid
    Development and validation of the self-administered Falun health instrument (SAFHI) using data from health promoted workplaces in Sweden2017In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, article id 1403494817728668Article in journal (Refereed)
    Abstract [en]

    AIM: The aim of this study was to develop and to validate the self-administered Falun health instrument. An additional aim was to test its applicability in measuring people's lifestyles linked to health.

    METHODS: In 2002, an instrument was constructed containing questions regarding the hazardous use of alcohol, tobacco, unhealthy diets and insufficient physical activity. A pilot study using the instrument was assessed between 2002 and 2006. In Sweden, it was further expanded and tested during the years 2004-2014 among a total of 1295 people.

    RESULTS: Face validity was evaluated among colleagues and experts for clarity and completeness resulting in minor adjustments of some questions. With the test-retest method, the self-administered Falun health questionnaire showed a positive and high reproducibility and high compliance. Cronbach's alpha showed a high level of consistency (average 0.86). Factor analysis demonstrated the choice of questions correlated highly to the measured lifestyle.

    CONCLUSIONS: This study showed that the self-administered Falun health questionnaire is a valid and reliable instrument, useful for detecting individuals at risk of developing diseases that are related to individual choice of lifestyle.

  • 4. Gardulf, Ann
    et al.
    Florin, Jan
    Carlsson, Marianne
    Leksell, Janeth
    Lepp, Margret
    Lindholm, Christina
    Sophiahemmet University.
    Nordström, Gun
    Theander, Kersti
    Wilde-Larsson, Bodil
    Nilsson, Jan
    Sophiahemmet University.
    The Nurse Professional Competence (NPC) Scale: A tool that can be used in national and international assessments of nursing education programmes2019In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 39, no 3, p. 137-142Article in journal (Refereed)
    Abstract [en]

    The quality of basic nursing bachelor programmes nationally and internationally must regularly be assessed to ensure that they fulfil requirements and are appropriate in relation to developments and changes in societies and healthcare systems. There is a need for instruments in helping to assess this. The aim of this study was to investigate whether the Nurse Professional Competence (NPC) Scale could serve as a tool to measure and detect possible differences between universities/university colleges regarding nursing students' self-reported competence. Totally, 543 nursing students who had just completed their academic three-year nursing bachelor programmes at 10 universities/university colleges in Sweden participated in the study (response rate 71%). The students answered the NPC Scale with its 88 items constituting eight competence areas (CAs) and two overarching themes. The results from using the NPC Scale by the students were then compared between the 10 universities/university colleges. Significant mean score differences were found between the universities/university colleges on all CAs and on both themes. The highest mean score differences were found for the CAs 'Medical and technical care' and 'Documentation and information technology'. The lowest mean score differences were found for the CAs 'Value-based nursing care' and 'Leadership in and development of nursing'. It is concluded that the NPC Scale can serve as a useful tool in national and international assessments of nursing bachelor programmes.

  • 5. Halabi, Jehad O
    et al.
    Lepp, Margret
    Nilsson, Jan
    Sophiahemmet University.
    Assessing self-reported competence among registered nurses working as a culturally diverse work force in public hospitals in the Kingdom of Saudi Arabia2020In: Journal of Transcultural Nursing, ISSN 1043-6596, E-ISSN 1552-7832, article id 1043659620921222Article in journal (Refereed)
    Abstract [en]

    Introduction: Nurses in the Kingdom of Saudi Arabia (KSA) represent a multicultural workforce who are educated in different countries from around the world. The purpose was to assess professional competence among a multicultural workforce of registered nurses in KSA in relation to individual and work-related factors.

    Method: The Nurse Professional Competence Scale was used in a cross-sectional design.

    Results: Registered nurses (N = 541) reported highest scores for "nursing care," and "value-based nursing care," and lowest scores for "care pedagogics," and "development, leadership, and organization of nursing care." All CAs achieved 0.80 or more Cronbach's alpha. Known-group validity was verified by comparing nurse managers and staff nurses competence in organization, administration, and leadership of nursing care (p = .000).

    Discussion: There is room for competence development in care pedagogics, and development, leadership, and organization of nursing care. Assessing registered nurses competence is of importance for planning and implementing cultural congruent nursing care.

  • 6. Halabi, Jehad O
    et al.
    Nilsson, Jan
    Sophiahemmet University.
    Lepp, Margret
    Professional competence among registered nurses working in hospitals in Saudi Arabia and their experiences of quality of nursing care and patient safety2021In: Journal of Transcultural Nursing, ISSN 1043-6596, E-ISSN 1552-7832, Vol. 32, no 4, p. 425-433, article id 1043659621992845Article in journal (Refereed)
    Abstract [en]

    INTRODUCTION: The Kingdom of Saudi Arabia (KSA) plans to become self-sufficient, generating a national nursing workforce. The study's purpose was to assess nurses' self-reported professional competence and illuminate experiences of the quality of nursing care and patient safety.

    METHODOLOGY: A cross-sectional design with 469 nurses working in different units from two public hospitals and Regions of the KSA participated. The Nurse Professional Competence Scale short version including six professional areas of nursing care was used.

    RESULTS: There are significant relationships between self-reported professional competence and the quality of nursing care, patient safety, nurse's characteristics, and workplace.

    DISCUSSION: Registered nurses' professional competence is related to the clinical areas in which they work and the nature of their involvement in patient care. The Nurse Professional Competence Scale can identify professional competence areas for further development, which is important for culturally congruent health care in KSA for their transformation process.

  • 7. Jansson, Jörgen
    et al.
    Josse Eklund, Anna
    Larsson, Maria
    Nilsson, Jan
    Sophiahemmet University.
    Prehospital care nurses' self reported competence: A cross-sectional study2020In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 52, article id 100896Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: The Swedish ambulance service has undergone major changes in recent decades due to advancements being made in medical and technical resources, professional competence, and patient care. Registered and specialist nurses share the same role, accountabilities, and responsibilities in the ambulance service, and their professional competence has not yet been evaluated.

    OBJECTIVES: The aim of the study was to investigate and compare self-reported professional competence among nurses working in the ambulance service and to explore associations between potentially predictive background factors and self-reported professional competence.

    METHOD: A cross-sectional study with a digital questionnaire was used for collecting data from 34 registered nurses and 71 specialist nurses. The Ambulance Nurse Competence Scale and the Research Utilization Questionnaire were used for data collection.

    RESULTS: Significant differences were found among the nursing categories in terms of age, gender, education, and work experience. Prehospital emergency nurses reported the highest professional competence. Nurses with a master's degree did not report significantly higher professional competence than nurses with a bachelor's degree.

    CONCLUSIONS: The findings indicated that there are differences in the professional competence of registered nurses and specialist nurses. Length of work experience in the ambulance service is an important factor associated with higher professional competence.

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  • 8. Jansson, Jörgen
    et al.
    Larsson, Maria
    Nilsson, Jan
    Sophiahemmet University.
    Specialister i prehospital akutsjukvård eller generalister anpassade till ett allt bredare och mera varierat ambulansuppdrag: En systematisk litteraturstudie om avancerade paramedics och sjuksköterskors kompetens2019Conference paper (Other academic)
  • 9. Lachmann, Hanna
    et al.
    Nilsson, Jan
    Sophiahemmet University.
    Dual use of instruments for assessing nursing students professional - and clinical competence2020In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 96, article id 104616Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Changes in demographics and the development of health systems have a direct impact on patients' nursing needs and nurses' ability to meet them. Modern and forward-looking nursing education programmes that will help nursing students to develop their professional competence require useful tools for assessment and self-reflection that can be combined in theoretical and clinical education.

    OBJECTIVES: To investigate the associations between the Nurse Professional Competence Scale - Short Form (NPC-SF), and the tool Assessment of Clinical Education (AssCE) tool, and to assess the graduating students´ professional competence based on their self-assessment.

    DESIGN: A cross-sectional descriptive study design was used.

    PARTICIPANTS AND SETTINGS: A total of 151 nursing students at a Swedish university college completed the NPC-SF and the AssCE (response rate 77%).

    METHODS: In their final weeks of the nursing programme, students were invited to respond to two questionnaires: the NPC Scale - Short Form (35 items) and the AssCE tool (21 items).

    RESULT: There are significant correlations between the nursing students' responses to the NPC-SF competence areas and the AssCE areas (r = 0.19-0.57). Students score in the NPC-SF were highest in Value-based Nursing Care and lowest in Development, Leadership and Organization of Nursing Care, and in the AssCE areas student scores were highest in Examination and treatment and Professional Approach and lowest in Management and Cooperation.

    CONCLUSION: The NPC-SF and AssCE are valid and reliable instruments, showing a high level of correlation. Results imply that dual use could strengthen student-centred theoretical and clinical learning as well as professional competence development. Additional research is needed to assess student's competence development during the nursing program.

  • 10. Larsson, M
    et al.
    Nilsson, Jan
    Sophiahemmet University.
    Bjuresäter, K
    Olsson, C
    Contact Nurses' self-reported competence in managing cancer related symptoms and consequences: a cross sectional survey2019Conference paper (Other academic)
  • 11. Lepp, Margret
    et al.
    Nilsson, Jan
    Sophiahemmet University.
    Nursing education in Europe - the use of self-reported competence among nurse students: A research project within the European Network of Nursing Academies (ENNA)2019Conference paper (Other academic)
  • 12.
    Nilsson, Jan
    et al.
    Sophiahemmet University.
    Engström, Maria
    Florin, Jan
    Gardulf, Ann
    Carlsson, Marianne
    A short version of the nurse professional competence scale for measuring nurses' self-reported competence2018In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 71, p. 233-239, article id S0260-6917(18)30695-6Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: The Nurse Professional Competence (NPC) Scale with 88-items has been used to measure self-reported competence among nursing students and registered nurses in many national and international nursing research projects. However, a shorter version of the scale with maintained quality has been requested to further enhance its usability.

    OBJECTIVES: To develop and evaluate the construct validity and internal consistency of a shorter version of the NPC Scale.

    DESIGN: A developmental and methodological design.

    PARTICIPANTS AND SETTINGS: The study was based on a sample of 1810 nursing students at the point of graduation from 12 universities in Sweden.

    METHODS: The number of items in the original NPC Scale was reduced using several established research steps and then evaluated for data quality and construct validity using principal component analysis and confirmatory factor analysis. Reliability was measured as internal consistency using Cronbach's alpha.

    RESULTS: The extensive process of reducing the number of items resulted in a version with 35 items. Principal component analysis resulted in six factors explaining 53.6% of the variance: "Nursing Care", "Value-based Nursing Care", "Medical and Technical Care", "Care Pedagogics", "Documentation and Administration of Nursing Care", and "Development, Leadership, and Organization of Nursing Care". All factors showed Cronbach's alpha values of >0.70. The confirmative factor analysis goodness-of-fit indexes were for root mean square error of approximation 0.05 and for comparative fit index 0.89.

    CONCLUSIONS: The NPC Scale Short Form (NPC Scale-SF) 35-items revealed promising results with a six-factor structure explaining 53.6% of the total variance. This 35-item scale can be an asset when used alone and together with other instruments it can provide the possibility of more complex analyses of self-reported competence among nursing students and registered nurses.

  • 13.
    Nilsson, Jan
    et al.
    Sophiahemmet University.
    Florin, Jan
    Gardulf, Ann
    The Nurse Professional Competence scale: an important tool contributing to professional developmentand life long learning2019Conference paper (Other academic)
  • 14.
    Nilsson, Jan
    et al.
    Sophiahemmet University.
    Johansson, Susanne
    Nordström, Gun
    Wilde-Larsson, Bodil
    Development and validation of the Ambulance Nurse Competence scale2020In: Journal of Emergency Nursing, ISSN 0099-1767, E-ISSN 1527-2966, Vol. 46, no 1, p. 34-43, article id S0099-1767(19)30460-XArticle in journal (Refereed)
    Abstract [en]

    INTRODUCTION: In recent decades, major competency shifts have taken place in prehospital care in Sweden because staffing ambulances with registered/specialized nurses has become a priority. The aim of this study was to develop and validate a new instrument to measure the self-reported professional competency of specialist ambulance nursing students and registered/specialist nurses working in prehospital care.

    METHODS: This study used a quantitative cross-sectional design to evaluate psychometric properties of a new instrument. The sample included 179 registered/specialist ambulance nurses and 34 specialist ambulance nursing students.

    RESULTS: The analyses resulted in the Ambulance Nurse Competence (ANC) scale, consisting of 43 items and covering 8 factors: Nursing Care (n = 8), Value-based Nursing Care (n = 5), Medical Technical Care (n = 5), Care Environment's Community (n = 4), Care Environment's Serious Events (n = 8), Leadership Management (n = 3), Supervision and Professional Conduct (n = 4), and Research and Development (n = 6). All factors except Leadership Management achieved a Cronbach's alpha value greater than 0.71, explaining 59.62% of the total variance.

    DISCUSSION: The ANC scale was systematically tested and showed satisfactory psychometrical properties. The ANC scale can be used in the education programs of future registered/specialist ambulance nurses as a tool for self-reflected learning and could also be of potential use in identifying competence gaps in registered/specialist ambulance nurses, which could direct the design of introductory programs. The scale could also be used as an outcome measure together with other instruments.

  • 15.
    Nilsson, Jan
    et al.
    Sophiahemmet University.
    Mischo-Kelling, Maria
    Thiekoetter, Andrea
    Deufert, Daniela
    Cruz Mendez, Aida
    Fernandes, Ananda
    Kirchhoff, Jörg W.
    Lepp, Margret
    Nurse professional competence (NPC) assessed among newly graduated nurses in higher educational institutions in Europe2019In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 39, no 3, p. 159-167Article in journal (Refereed)
    Abstract [en]

    Nursing education will play an important role in further advancing healthcare transformation in the future. The aim of this study was to assess and compare nursing education and self-reported professional competence among nursing students graduating with a bachelor's degree from higher education institutions in Europe. Data were collected using the Nurse Professional Competence Scale including 88 items and eight competence areas. In total, 752 nursing students at 11 higher education institutions in Europe participated in the study, with a response rate of 88.7%. The highest measured mean scores were found in the competence areas 'Value-based nursing care' and 'Medical technical care' and the lowest were found in 'Legislation in nursing and safety planning' and 'Education and supervision of staff and students'. Nursing students in central Europe scored significantly higher on seven out of the eight competence areas than nursing students in northern and southern Europe. In order to standardize and further develop nursing education in Europe, the assessment of nursing-related competences is of crucial importance.

  • 16. Stephen, D
    et al.
    Nilsson, Jan
    Sophiahemmet University.
    Nordin, A
    Persenius, M
    Mobile health application indiabetes self-management2019Conference paper (Other academic)
  • 17. Willman, Anna
    et al.
    Bjuresäter, Kaisa
    Nilsson, Jan
    Sophiahemmet University.
    Insufficiently supported in handling responsibility and demands: Findings from a qualitative study of newly graduated nurses2021In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 30, no 1-2, p. 83-92Article in journal (Refereed)
    Abstract [en]

    AIM: To explore newly graduated registered nurses' experiences and how they manage complex patient situations.

    BACKGROUND: Newly graduated registered nurses' working in acute care hospital settings are challenged by managing complex patient situations in rapidly changing clinical contexts involving increased patient acuity, co-morbidities, and staffing shortages.

    DESIGN: Qualitative study design.

    METHODS: Data were collected using focus groups interviews of a total of 16 newly graduated registered nurses with clinical work experience of six months of direct patient care in an acute care hospital setting. Analyses were conducted using qualitative content analysis. COREQ reporting guidelines were used.

    RESULTS: The analysis resulted in the overarching theme `Not being sufficiently prepared and supported to meet responsibilities and demands´. The theme included three categories: `Responsibility is not in proportion to competence´, ` Lack of medical competence and experience complicates patient safety´, and `Strives for control to manage and organize nursing care´.

    CONCLUSION: The results show that newly graduated registered nurses' are not sufficiently supported for the level of responsibility and the demands placed on them when providing nursing in complex patient situations in acute care hospital settings. If they are given sole responsibility for multiple complex patient situations, patient safety may be compromised.

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  • 18. Willman, Anna
    et al.
    Bjuresäter, Kaisa
    Nilsson, Jan
    Sophiahemmet University.
    Newly graduated nurses' clinical competencies and need for further training in acute care hospitals2020In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 29, p. 2209-2220Article in journal (Refereed)
    Abstract [en]

    AIM: To assess self-reported clinical competence and the need for further training among newly graduated registered nurses (NGRNs) working in Swedish acute care hospital settings.

    BACKGROUND: NGRNs are expected to take full responsibility for patients' nursing care in an increasingly complex clinical context and professional nurses' clinical competence is critical in providing high quality and safe nursing care.

    DESIGN: A cross-sectional design.

    METHODS: Data were collected using the 50-item ProffNurse SAS II. A total of 85 NGRNs who had recently commenced working with direct patient care at three hospitals in central Sweden participated in the study. The response rate was 69%. The STROBE cross-sectional reporting guidelines was used.

    RESULTS: The NGRNs assessed their clinical competence as being highest in areas relating to team collaboration and ethics and lowest in areas relating to professional development and direct clinical practice. The need for further training was greatest in areas such as direct clinical practice and patient safety and lowest in areas such as team collaborating and ethics.

    CONCLUSION: The use of instruments to identify NGRNs' self-assessed clinical competence is of value when designing and evaluating introductory programs for NGRNs taking on positions in acute care hospital settings. The availability of experienced nurses from whom NGRNs can gain clinical competence and learn from is of importance, both from the perspective of the NGRNs themselves as well as patient safety.

    RELEVANCE TO CLINICAL PRACTICE: An understanding of NGRNs' clinical competence and their need for further training may assist in both planning and organizing nursing programs and in making clinical policy decisions when designing introduction programs in acute care settings.

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  • 19. Willman, Anna
    et al.
    Bjuresäter, Kajsa
    Nilsson, Jan
    Sophiahemmet University.
    Newly graduated registered nurses' self-assessed clinical competence and their need for further training2020In: Nursing Open, E-ISSN 2054-1058, Vol. 7, no 3, p. 720-730Article in journal (Refereed)
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  • 20. Xu, Lijuan
    et al.
    Nilsson, Jan
    Sophiahemmet University.
    Zhang, June
    Engström, Maria
    Psychometric evaluation of Nurse Professional Competence Scale: Short-form Chinese language version among nursing graduate students2021In: Nursing Open, E-ISSN 2054-1058, Vol. 8, no 6, p. 3232-3241Article in journal (Refereed)
    Abstract [en]

    AIM: The aim of the study was to determine the psychometric properties, construct validity and internal consistency of the Chinese language version of the Nurse Professional Competence scale short form.

    DESIGN: A methodological design was used.

    METHODS: Questionnaire data from 260 nursing students nearing graduation from 2 universities in China were analysed using confirmatory factor analysis, known-group validity and internal consistency.

    RESULTS: The confirmatory factor analysis revealed that the model was acceptable, and the analyses for known-group validity revealed statistically significant differences in all factors and the total scale of the Nurse Professional Competence scale short form. Internal consistency revealed that Cronbach's alpha values exceeded 0.70 for all factors and the total scale. The Chinese language version of the Nurse Professional Competence scale short form has acceptable construct validity and good internal consistency.

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