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Table 3 Self-assessment of competence (A-scale). Statistical significant differences between groups based on experience as a nurse. ANOVA and post hoc Tukey

From: Self-assessed competence and need for further training among registered nurses in somatic hospital wards in Sweden: a cross-sectional survey

Item

Significant differences between groups

Mean difference

p

1

I am independently responsible for health assessment (systematic physical examination), examinations and treatment of patients with complicated medical conditions +

+++

A/C: − 1.447

B/C: − 1.011

A/C: .000

B/C: .001

2

I am independently responsible for health assessment (systematic physical examination), examinations and treatment of patients with uncomplicated medical conditions

+++

A/C:-1.146

B/C: −.667

A/C: .000

B/C: .024

3

I plan and prioritise nursing and medical interventions

+

A/C: −.633

A/C: .005

4

I identify patients’ health problems

+++

A/C: −1.110

B/C: −.849

A/C: .000

B/C: .004

5

I assess patients’ symptoms

+++

A/C: −.904

B/C: −.586

A/C: .000

B/C: .034

6

I evaluate and modify patients’ medical treatment

+++

A/C: −1.127

B/C: −.670

A/C: .000

B/C: .031

7

I exclude differential diagnoses when assessing patients’ health conditions

+++

A/C: −1.318

B/C: −.914

A/C: .000

B/C: .012

8

I interpret, analyse and reach alternative conclusions about patients’ health conditions after a detailed mapping of health history and health assessment (physical examination)

+++

A/C: −.979

B/C: −1.030

A/C: .000

B/C: .001

9

I apply both subjective and objective methods when examining, treating and caring for patients

+

A/C: −.981

A/C: .000

10

I utilise medical equipment in an appropriate and accurate manner

+

A/C: −.648

A/C: .004

11

I have knowledge of the effects of medication and treatment for the patients I am responsible for

++++

A/B: −.905

B/C: −.805

A/C: −1.711

A/B: .003

B/C: .022

A/C: .000

12

I identify changes in patients’ health and medical conditions

+++

A/C: −.969

B/C: −.729

A/C: .000

B/C: .013

14

I systematically gather information from each patient about her/his health resources

+

A/C: −.668

A/C: .017

15

I have knowledge of the interactions of various types of medication and what side-effects they may cause for the patients I am responsible for

++++

A/B: −1.347

B/C: −.874

A/C: −2.221

A/B: .000

B/C: .036

A/C: .000

16

I generate a creative learning environment for staff at my workplace

+++

A/C: −1.775

B/C: − 1.129

A/C: .000

B/C: .015

17

I participate in quality development at my workplace

++++

A/B: −1.552

B/C: − 1.236

A/C: − 2.788

A/B: .000

B/C: .012

A/C: .000

18

I take responsibility for competence development at my workplace

+

A/C: −.700

A/C: .016

19

I improve routines/systems that fail to meet the needs of patients at my workplace

++++

A/B: −1.414

B/C: − 1.057

A/C: −2.471

A/B: .000

B/C: .027

A/C: .000

20

I am actively responsible for my own professional development

+

A/C: −.785

A/C: .009

27

I support and guide patients in mastering their illnesses and health problems

+

A/C: −.597

A/C: .035

29

I take active responsibility for creating a good working environment

+

A/C: −.803

A/C: .004

31

I make my own decisions in my work

++

A/B: −.646

A/C: −1.203

A/B: .032

A/C: .000

32

I take full responsibility for my own actions

+

A/C: −.705

A/C: .000

33

I am correct and accurate in speech and writing

+++

A/C: −1.099

B/C: −.851

A/C: .000

B/C: .012

34

I understand the consequences my decisions may have for patients

+

A/C: −.577

A/C: .019

35

I experience a division of responsibility between the physician and me as a nurse

+++

A/C: −1.211

B/C: − 1.221

A/C: .000

B/C: .003

36

I cooperate well with the physician

+++

A/C: −.715

B/C: −.824

A/C: .010

B/C: .013

40

I document the steps taken in assessing patients’ needs for nursing, care and treatment

+

A/C: −.746

A/C: .001

41

I reflect on my actions

+

A/C: −.633

A/C: .005

43

I perceive opportunities and have visions for how nursing and clinical paths for patients can be developed

+

A/C: −1.016

A/C: .002

44

I have a vision of how nursing should be developed at my workplace

+

A/C: −1.234

A/C: .000

45

I assess patients’ health needs by telephone

+++

A/C: −1.815

B/C: − 1.651

A/C: .000

B/C: .003

46

I give health promotion advice and recommendations to patients by telephone

+++

A/C: −2.103

B/C: −1.964

A/C: .000

B/C: .000

47

I give health promotion and illness preventive recommendations in accordance with national guidelines to patients

+

A/C: −1.153

A/C: .004

50

I report all incidents in accordance with the actual patient safety system

+

A/C: −1.873

A/C: .000

  1. Groups based on experience as a nurse: Group A: ≤ 0.5 years, Group B: > 0.5–5 years, Group C: ≥ 6 years
  2. +Significant differences between group A/C
  3. ++Significant differences between group A/B and A/C
  4. +++Significant differences between group A/C and group B/C
  5. ++++Significant differences between all groups (i.e. A/C, A/B, B/C)