nursingmanagement.org

Volume 11 Issue 12

Assessment of the Psychometric Characteristics of the Italian Version of the Nurse Manager Actions Scale

Marzia Lommi,Rosario Caruso,Gianluca Conte,Arianna Magon,Barbara Porcelli,Alessandro Stievano,Gennaro Rocco,Ippolito Notarnicola,Laura Sabatino,Roberto Latina,Maddalena De Maria,Emanuele Di Simone,Anna De Benedictis,Raffaella Gualandi,Daniela Tartaglini andDhurata Ivziku
1Emergency and Trauma Intensive Care Unit, Careggi University Hospital, 50134 Florence, Italy
2Department of Experimental and Clinical Medicine, University of Florence, 50134 Florence, Italy
3Emergency Medical System—AUSL Toscana Centro, 50122 Florence, Italy
4Medicine and Surgery Department, University of Perugia, 06100 Perugia, Italy
5Teaching and Quality Department, Perugia University Hospital, 06100 Perugia, Italy
6UOS Terapia Intensiva Generale e UOSD Emergenza Intraospedaliera e Trauma Team, Fondazione IRCCS San Gerardo dei Tintori, 20900 Monza, Italy
7Emergency Department, Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone, 90100 Palermo, Italy
8Department of Education, Languages, Intercultural Studies, Literatures and Psychology, University of Florence, 50135 Florence, Italy
9Center for the Study of Complex Dynamics (CSDC), University of Florence, 50134 Florence, Italy
10Department of Health Sciences, University of Florence, 50134 Florence, Italy
Author to whom correspondence should be addressed.

Abstract

Nurses’ competency toward evidence-based practice (EBP) has been extensively investigated by several studies worldwide. However, factors affecting the competence of Greek nurses working in the NHS have not been fully investigated in terms of EBP. Thus, this study aimed to explore the impact of the individual qualifications of nurses on their competence toward EBP. Data from 473 registered nurses working in 10 hospitals in the Greek National Health Service (NHS) were collected between October and December 2020 using a convenience sampling method in a cross-section design. The Greek version of the 35-item (five-point Likert scale) Evidence-Based Practice Competency Questionnaire for Professional Registered Nurses (EBP-COQ Prof) was used to assess the competence level of nurses, focusing on attitudes, skills, and knowledge, as well as the utilization of EBP in clinical practice. One-way ANOVA and Pearson coefficient tests were applied to compare the possible differences among variables (two or more groups) as appropriate. A multi-factorial regression model was applied to explore participants’ qualifications, including demographics (MSc degree, gender, English language knowledge, etc.) as independent variables, and to control for potential confounding effects toward EBP competency. The p-values < 0.05 were considered statistically significant. The mean age of the 473 participants (402 women and 71 men) was 44.7 ± 9.2 years old. The mean value of competence subscales was found as follows: attitudes 3.9 ± 0.6, knowledge 3.7 ± 0.6, skills 3.1 ± 0.8, and utilization 3.4 ± 0.7. A multivariate regression analysis revealed that associates of “Master’s degree” (t = 3.039, p = 0.003), “Writing an academic article” (3.409, p = 0.001), “Working in a University clinic” (2.203, p = 0.028), and “Computer Skills” (2.404, p = 0.017) positively affected “Attitudes”, “Knowledge”, “Skills”, and “Utilization”, respectively. The research data suggest that nurses working in the Greek NHS were limited in competence regarding EBP in comparison with other European countries. Therefore, vocational, educational, and training programs tailored to EBP enhancement are crucially important. This study was not registered.
Keywords: evidence-based practice; nurses; competency; attitude; knowledge; skills; utilization