Understanding clinical expertise: Nurse education, experience, and the hospital context
Clinical nursing expertise is central to quality patient care. Research on factors that contribute to expertise has focused largely on individual nurse characteristics to the exclusion of contextual factors. To address this, we examined effects of hospital contextual factors and individual nurse edu...
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| Veröffentlicht in: | Research in nursing & health Jg. 33; H. 4; S. 276 - 287 |
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| Hauptverfasser: | , |
| Format: | Journal Article |
| Sprache: | Englisch |
| Veröffentlicht: |
Hoboken
Wiley Subscription Services, Inc., A Wiley Company
01.08.2010
Wiley Wiley Subscription Services, Inc |
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| ISSN: | 0160-6891, 1098-240X, 1098-240X |
| Online-Zugang: | Volltext |
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| Zusammenfassung: | Clinical nursing expertise is central to quality patient care. Research on factors that contribute to expertise has focused largely on individual nurse characteristics to the exclusion of contextual factors. To address this, we examined effects of hospital contextual factors and individual nurse education and experience on clinical nursing expertise in a cross‐sectional analysis of data from 8,611 registered nurses. In a generalized ordered logistic regression analysis, the composition of the hospital staff, particularly the proportion of nurses with at least a bachelor of science in nursing degree, was associated with significantly greater odds of a nurse reporting a more advanced expertise level. Our findings suggest that, controlling for individual characteristics, the hospital context significantly influences clinical nursing expertise. © 2010 Wiley Periodicals, Inc. Res Nurs Health 33:276–287, 2010 |
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| Bibliographie: | istex:99D292DCF772354B897A2AB92D6D3D00D2EA99A9 This study was supported by the National Institute of Nursing Research (T32-NR-007104; P30-NR-005043; R01-NR-004513; Aiken, PI; and K01-NR00166; Lake, PI) and the Agency for Healthcare Research and Quality (K08--HS-017551; McHugh, PI). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute for Nursing Research or the Agency for Healthcare Research and Quality. The authors thank the anonymous reviewers, Associate Editor, and Editor for their thoughtful reviews of and suggestions for this manuscript as well as Robert Lucero PhD, MPH, RN for his contributions to early drafts of this manuscript. ark:/67375/WNG-SJQ0G06X-4 ArticleID:NUR20388 This study was supported by the National Institute of Nursing Research (T32‐NR‐007104; P30‐NR‐005043; R01‐NR‐004513; Aiken, PI; and K01‐NR00166; Lake, PI) and the Agency for Healthcare Research and Quality (K08‐‐HS‐017551; McHugh, PI). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute for Nursing Research or the Agency for Healthcare Research and Quality. The authors thank the anonymous reviewers, Associate Editor, and Editor for their thoughtful reviews of and suggestions for this manuscript as well as Robert Lucero PhD, MPH, RN for his contributions to early drafts of this manuscript. Associate Professor. Assistant Professor. SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 14 ObjectType-Article-1 ObjectType-Feature-2 content type line 23 |
| ISSN: | 0160-6891 1098-240X 1098-240X |
| DOI: | 10.1002/nur.20388 |