Volume 6, Issue 4 (Autumn 2020)                   JCCNC 2020, 6(4): 239-256 | Back to browse issues page


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1- Nursing Care Research Center in Chronic Diseases, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
2- Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. , ashrafizadeh.h1993@gmail.com
Abstract:   (1601 Views)
Background: Nurses are the largest group of healthcare providers. What is most important in acquiring nursing competency is knowing the competency levels and the factors, barriers, and strategies to increase nurses’ competency. This study aimed to investigate the different dimensions of Iranian nurses’ competency.
Methods: The present study is a scoping review. The related Persian articles were searched for in SID, Magiran, ISI, Scopus, PubMed, and other databases, from 1988 to 2019. The searched keywords included skill, competency, and nurse. After identifying the relevant studies, the data were selected, screened, and charted. Finally, the results were collated, summarized, and reported. Also, data extracted from the studies included the study design, sample size, research population, sampling method, key results, the concept of competency, and other information (such as the level of competency, data gathering tools, the language of study, etc.).
Results: Totally, 210 studies were fully reviewed and the data from 160 studies were extracted and analyzed. The results of this study were summarized in five themes: nurses’ competency levels, nursing competency dimensions, effective factors in clinical competency, effective strategies for the promotion of clinical competency, and the relationship between nursing competency and other variables (such as job satisfaction, quality of work-life, emotional intelligence, and patient satisfaction).
Conclusion: The studies did not reach a collective consensus regarding the relationship between some variables and nursing competency. Besides, the use of different questionnaires made the comparison difficult. Therefore, further research is recommended in this area.
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● The present scoping review provided a comprehensive view of nursing competency in Iran. Also, most of the evidence was obtained from primary quantitative investigations.
● Among the studies, 26% evaluated competency through self-assessment and reported it to be at a desirable level.
 ● Based on the findings, a nurse is expected to have moral, clinical and special, cultural, emotional, and motivational competency. 
● The relationships between clinical competency and other variables were explored in several studies.
● Effective strategies for the promotion of clinical competency are explained and summarized.
Plain Language Summary 
Nowadays, the concept of nurses’ competency is addressed as a key criterion in the provision of high-quality care and patient satisfaction and is considered as the main index for the evaluation of nurses’ performance. This study aimed to investigate the different dimensions of Iranian nurses’ competency. The dimensions of nursing competency were summarized in five themes: nurses’ competency levels, nursing competency dimensions, effective factors in clinical competency, effective strategies for the promotion of clinical competency, and the relationship between nursing competency and other variables. Based on the findings, a nurse is expected to have moral, clinical and special, cultural, emotional, and motivational competency. Moreover, the present study explained and summarized the effective strategies for the promotion of clinical competency.

Type of Study: Research | Subject: Special
Received: 2020/12/4 | Accepted: 2020/12/22 | Published: 2020/11/1

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