Title: A study of relating factors of writing competence of promotion N3 clinical ladder case report for nurses in the surgical units
Shui-Tao Hu, RN, PhD, Ling-Ling Yeh, RN, BSN, Chia-Jou Su, RN, BSN, Yu-Ying Chen, RN, BSN, Su-O Yeh, RN, BSN, Ying-Lan Lin, RN, BSN, Chia-Hui Chen, RN, BSN
Chang Gung Memorial Hospital, Taiwan
Abstract: Purpose: The purposes of this study were to understand the relating factors of writing competence of promotion N3 case report for nurses in the surgical units.
Methods: The study was based on a survey study. The sample of this study included 41 nurses who were more than six months of N2 level surgical units’ nurses during September 3 to September 10, 2018 in a teaching hospital, Keelung, Taiwan. The Questionnaire of Case Report Writing Competence was used in the study. The questionnaire was accorded to the case report review standard of Taiwan Nursing Association (TNA), which contain 11 domains including topic selection, text description, abstract, introduction, literature review, nursing assessment, problem establishment, nursing intervention, results evaluation, discussion and conclusion, and reference list. The questionnaire was on the Likert 1-10 scoring, which indicated the higher score and the better self-assessment writing competence of case report.
Results: SPSS 17.0 was used, which included descriptive statistics, and correlations for data analysis. The results showed that: 1) Married was 13 subjects (31.7%), more than 1 child was 12 subjects (29.3%), and average age was 30.2 years and average nursing years was 8.1 years. Motivation was 26 subjects (63.4%). 2)The writing difficulties included did not have any directions/did not know where to start 26 subjects (63.4%) and did not know content review standard of the case report was 4 subjects (10.0%). The need to assist included providing case report examples was 16 subjects (39.0%) and arrange consultant for one by one was 7 subjects (17.1%). 3)The average score of total nursing competence was 4.93. The lowest score was discussion and conclusion competence (4.73). Followed by literature review competence (4.88), and reference list (4.89). 4) Age and nursing years were significant negatively correlation with the average score of total competence (r-.41, p＜.01), which indicated that the elder and senior, the lower writing competence of the case report.
Conclusion: Based on the results of the study, the improvement measures will be formulated in the future. The counseling plan of motivating subject will: 1) arrange the case report training program with a brief content review standard of the case report, and emphasis on lowest competence, including discussion and conclusion, literature review, and reference list, etc. 2) arrange consultant for one by one. 3) Regular performance bedside teaching round. 4) Arrange subjects with passing case report for sharing. 5) Provide case report samples for subjects as a reference.
Audience Take Away:
- The audience could understand factors of writing competence of case report for promotion to N3for nurses in the surgical units through listening.
- The audience could understand factors of writing competence of case report for promotion to N3for nurses of the surgical units to formulate measures through questionnaire of writing competence.
- The Questionnaire of Case Report Writing Competence, according to the case report review standard of Taiwan Nursing Association (TNA), which include 11 domains (26items), on the Likert 1-10 scoring self-assessment writing competence, which indicate the higher the score, the better self-assessment writing competence of case report.
- The research mainly presents the influencing factors on writing competence of case reports for promotion to N3in clinical nurses. This research could provide other faculty to promote relevant research or teaching, especial in school.
- The subject of this study is based on the clinically qualified nurse, who is required to write a case report for promotion to N3, but the nurse has not written. There analyzes the unwitting problem, and based on the writing competence to formulate measures on writing case reports for promotion to N3 in clinical nurses.
- The sample of research may consider other nurses to be inclusion criteria in order to increase sample size and understand writing competence of different unit nurses.
Shui-Tao have been worked Intensive Care Unit (ICU) from new nurses to assistant head nurse for 7 years in Chang Gung Memorial Hospital, Taiwan. 1. Now, nursing supervisor of surgical unit, out-patient department, health promotion, international medical service, and nursing informatics in Chang Gung Memorial Hospital, Taiwan. 2. Now, assistant professor, college of nursing, Chang Gung University of Science and Technology, Taiwan. 3. Research Reviser of Sigma Theta Tau International Honor Society of Nursing (STTI), Indianapolis, Indiana, USA from 2013 to now. 4. Actively joined the international conference with different countries more than 30 times, which included invited moderator, PhD curriculum presentations, keynote speech, and oral/poster presentation from 1999 to now.