Community nurse specialists' translation of newly learned knowledge in primary healthcare: A mixed methods study.

Aim: To investigate how graduates of a Nurse Specialist Education in Community and Primary Healthcare Nursing programme self‐assess their competencies and possibilities to translate knowledge into practice. Methods: A mixed methods design based on the triangulation convergence model was used. Thirty...

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Published in:Scandinavian Journal of Caring Sciences Vol. 37; no. 2; pp. 337 - 350
Main Authors: Berthelsen, Connie, Møller, Nicoline, Andersen, Heidi M., Bondesen, Anne, Rothenberg, Manja B., Hølge‐Hazelton, Bibi
Format: research tables/charts Journal Article
Published: Wiley-Blackwell Jun2023
Online Access:View this record in EBSCOhost
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      dt: Jun2023
      vid: 37
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/scs.13113
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        atl: Community nurse specialists' translation of newly learned knowledge in primary healthcare: A mixed methods study.
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        au:
          Berthelsen, Connie
          Møller, Nicoline
          Andersen, Heidi M.
          Bondesen, Anne
          Rothenberg, Manja B.
          Hølge‐Hazelton, Bibi
        affil: Department of Regional Health Research, University of Southern Denmark, Odense, Denmark
      sug:
        subj:
          Community Health Nursing Denmark
          Clinical Nurse Specialists
          Learning
          Self Assessment
          Clinical Competence Evaluation
          Primary Health Care
          Nurse Attitudes
          Education, Nursing, Graduate
          Human
          Female
          Adult
          Middle Age
          Denmark
          Multimethod Studies
          Cross Sectional Studies
          Semi-Structured Interview
          Descriptive Statistics
          Thematic Analysis
          Professional Knowledge
          Medical Practice
          Professional Development
          Decision Making, Ethical
          Leadership
          Collaboration
          Critical Thinking
          Convenience Sample
          Funding Source
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
      ab: Aim: To investigate how graduates of a Nurse Specialist Education in Community and Primary Healthcare Nursing programme self‐assess their competencies and possibilities to translate knowledge into practice. Methods: A mixed methods design based on the triangulation convergence model was used. Thirty‐four community nurse specialists, who had graduated from a Nurse Specialist Education in Community and Primary Healthcare Nursing programme, participated in a cross‐sectional survey and of these; seven nurses participated in a semi‐structured interview. Data from the survey were analysed using descriptive statistics and data from the interviews underwent a thematic analysis. All results were combined and compared according to the study design. Findings: The combined comparison of the results from the survey and the findings from the interviews showed, how the community nurse specialists self‐assessed their competencies in direct clinical practice, professional development, ethical decision‐making, clinical leadership, cooperation and collaboration, and critical thinking as high. However, they experienced very few opportunities to translate their new knowledge in practice due to low alignment between the statutory purpose of the education and their own expectations. Conclusions: Competent clinical nurses working in community care settings who completed an education in advanced community care experienced few opportunities to use their new knowledge in practice. The community nurse specialists' expectations of how to use their new knowledge in practice after graduation does not align with the statutory order of the specialist education, which is directed towards combining direct and specialised patient care with coordination of care trajectories for the most fragile patients. It is important to include the managers in coordination of the community nurse specialists' usage of their new knowledge in practice.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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