J Korean Acad Community Health Nurs.  2017 Dec;28(4):397-409. 10.12799/jkachn.2017.28.4.397.

Competencies of Nurses in a Maternal Early Childhood Sustained Home-Visiting Program

Affiliations
  • 1College of Nursing · Health Care Research Center, Kangwon National University, Chuncheon, Korea. leejiyun@kangwon.ac.kr
  • 2Department of Nursing, Soonchunhyang University, Asan, Korea.
  • 3College of Nursing, Seoul National University, Seoul, Korea.

Abstract

PURPOSE
Competency is a key foundation of the nursing education curriculum and a baseline element of nursing practice. The purpose of this study was to explore the competencies of community health nurses in a maternal early childhood sustained home-visiting program based on nurses' field experiences.
METHODS
The participants were 21 nurses who had more than 1 year of experience in this program. Reflective interviews were performed; lasting 1 hour per nurse, on August 18, 2016, and the collected data were analyzed using qualitative directed content analysis.
RESULTS
Twenty-four themes were extracted for 9 competencies. The major themes included implementing a long-term relationship-based approach, providing client-led service rather than expert-led service, helping mothers with psychosocial difficulties, and applying skills in a practical manner in the home environment.
CONCLUSION
In order to develop a home-visiting program as part of maternal-early childhood nursing practice, nurses should develop competencies that help them make significant and positive interventions. Results indicate that the curriculum for community health nurses should be changed to improve competencies in building relationships with clients and to focus on the application of skills in specific cases and in clinical practice.

Keyword

Competency-based education; Nurses; Community health; Qualitative research

MeSH Terms

Competency-Based Education
Curriculum
Education, Nursing
Humans
Mothers
Nurses, Community Health
Nursing
Qualitative Research

Reference

References

1. Gonczi A, Hager P, Oliver L. Establishing competency-based standards in the professions. National Office of Overseas Skills Recognition Research paper. Canberra: Australian Government Publishing Service;1990. Report No.: 1.
2. Spencer LM, Spencer SM. Competence at work: Models for superior performance. 1st ed.Min BM, Park DG, Park JG & Jeong JC, translator. Seoul: PSI Counseling;1998.
3. O'Neil E. The opportunity that is nursing. Nursing and Health Care Perspectives. 1999; 20(1):10–11.
4. Park YI, Kim JA, Ko JK, Chung MS, Bang KS, Choe MA, et al. An identification study on core nursing competency. The Journal of Korean Academic Society of Nursing Education. 2013; 19(4):663–674. https://doi.org/10.5977/jkasne.2013.19.4.663.
Article
5. Prelip M, Flores R, Kinsler J, Stevenson A, Simonsen SE, Sharif M. Evaluation of statewide public health nursing training in Utah. Public Health Nursing. 2012; 29(1):52–61. https://doi.org/10.1111/j.1525-1446.2011.00973.x.
6. Kim HS. The essence of nursing practice: philosophy and perspective. 1st ed.Kwon IG, Kim DS, Kim SJ, Kim HS, Eun Y, June KJ, translator. Seoul: Jungdam Media Publishing;2016.
7. American Association of Colleges of Nursing. Competencies and curricular expectations for clinical nurse leader education and practice [Internet]. Washington, DC: Author;[cited 2017 May 1]. Available form:. http://www.aacnnursing.org/Portals/42/AcademicNursing/CurriculumGuidelines/CNL-Competencies-October-2013.pdf.
8. Schoneman D, Simandl G, Hansen JM, Garrett S. Competency-based project to review community/public health curriculum. Public Health Nursing. 2014; 31(4):373–383. https://doi.org/10.1111/phn.12091.
9. Kwon MS, Yang SO, Eom SO. Job performance and self confidence by visiting nurses who are engaged in the consolidated health promotion program in Gangwon-province. Journal of Korean Public Health Nursing. 2015; 29(2):190–202. https://doi.org/10.5932/JKPHN.2015.29.2.190.
Article
10. Halcomb E, Stephens M, Bryce J, Foley E, Ashley C. Nursing competency standards in primary health care: An integrative review. Journal of Clinical Nursing. 2016; 25(9-10):1193–1205. https://doi.org/10.1111/jocn.13224.
Article
11. Kitzman H, Olds DL, Henderson CR, Hanks C, Cole R, Tatel-baum R, et al. Effect of prenatal and infancy home visitation by nurses on pregnancy outcomes, childhood injuries, and repeated childbearing: A randomized controlled trial. Journal of the American Medical Association. 1997; 278(8):644–652. https://doi.org/10.1001/jama.1997.03550080054039.
Article
12. Olds DL, Henderson CR Jr, Kitzman HJ, Eckenrode JJ, Cole RE, Tatelbaum RC. Prenatal and infancy home visitation by nurses: Recent findings. The Future of Children. 1999; 9(1):44–65. https://doi.org/10.2307/1602721.
Article
13. Seoul Metropolitan Government, Seoul MECSH Support team. The manual of Seoul maternal early childhood sustained home-visiting. 1st ed. Seoul: Author;2016. p. 228.
14. University of New South Wales Research Centre for Health Care and Equity. Maternal early childhood sustained home-visiting program manual. 1st ed. Sydney: Author;2012. p. 80.
15. Johns C. Framing learning through reflection within Carper's fundamental ways of knowing in nursing. Journal of Advanced Nursing. 1995; 22(2):226–234. https://doi.org/10.1046/j.1365-2648.1995.22020226.x.
Article
16. Holsti OR. Content analysis for the social sciences and humanities. Reading, Mass: Addison-Wesley Pub. Co. 1969. Cited by Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qualitative Health Research. 2005; 15(9):1277–1288.
17. Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qualitative Health Research. 2005; 15(9):1277–1288. https://dor.org/10.1177/1049732305276687.
Article
18. Kemp L, Anderson T, Travaglia J, Harris E. Sustained nurse home visiting in early childhood: Exploring Australian nursing competencies. Public Health Nursing. 2005; 22(3):254–259. https://doi.org/10.1111/j.0737-1209.2005.220309.x.
Article
19. Quad Council of Public Health Nursing Organizations. Quad council competencies for Public Health Nurses [Internet]. Author;[cited 2017 May 1]. Available form:. https://www.achne.org/files/quad%20council/quadcouncilcompetenciesforpublichealthnurses.pdf.
20. Nam HK, Cho KS. Job analysis of the nurses who work in customized visiting health care services using DACUM technique. Journal of Muscle Joint Health. 2015; 22(3):205–218. https://doi.org/10.5953/JMJH.2015.22.3.205.
Article
21. Child and Family Health Nurses Association. Competency Standards for Child and Family Health Nurses [Internet]. Sydney: Author;[cited 2017 May 1]. Available form:. https://www.cafhna.org.au/images/pdf/pdf-forms/CAFHNA-Competency-Standards-for-Child-and-Family-Health-Nurses-o.pdf.
22. Hanks CA, Smith J. Implementing nurse home visitation programs. Public Health Nursing. 1999; 16(4):235–245. https://doi.org/10.1046/j.1525-1446.1999.00235.x.
Article
23. Halcomb EJ, Davidson PM, Salamonson Y, Ollerton R, Griffiths R. Nurses in Australian general practice: implications for chronic disease management. Journal of Nursing & Healthcare of Chronic Illness. 2008; 17(5A):6–15. https://doi.org/10.1111/j.1365-2702.2007.02141.x.
Article
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