Professional Competence Among Registered Nurses Working in Hospitals in Saudi Arabia and Their Experiences of Quality of Nursing Care and Patient Safety

Abstract

Introduction:

The Kingdom of Saudi Arabia (KSA) plans to become self-sufficient, generating a national nursing workforce. The study’s purpose was to assess nurses’ self-reported professional competence and illuminate experiences of the quality of nursing care and patient safety.

Methodology:

A cross-sectional design with 469 nurses working in different units from two public hospitals and Regions of the KSA participated. The Nurse Professional Competence Scale short version including six professional areas of nursing care was used.

Results:

There are significant relationships between self-reported professional competence and the quality of nursing care, patient safety, nurse’s characteristics, and workplace.

Discussion:

Registered nurses’ professional competence is related to the clinical areas in which they work and the nature of their involvement in patient care. The Nurse Professional Competence Scale can identify professional competence areas for further development, which is important for culturally congruent health care in KSA for their transformation process.

Keywords

professional competence NPC Scale patient safety quality of care nursing Saudi Arabia

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References

Ahmed

M. A.

(2016). The effects of saudization on the universities: Localization in Saudi Arabia. International Higher Education, 86(Summer), 25-27. https://doi.org/10.6017/ihe.2016.86.9373

Aiken

L. H.

Sermeus

Van den Heede

Sloane

D. M.

Busse

McKee

Bruyneel

Rafferty

A. M.

Griffiths

Moreno-Casbas

M. T.

Tishelman

Scott

Brzostek

Kinnunen

Schwendimann

Heinen

Zikos

Sjetne

I. S.

Smith

S. L.

Kutney-Lee

(2012). Patient safety, satisfaction, and quality of hospital care: Cross sectional surveys of nurses and patients in 12 countries in Europe and the United States. British Medical Journal, 344, Article e1717. https://doi.org/10.1136/bmj.e1717

Alhawsawi

Wazzan

Alwahabi

(2017). Essentials of patient safety (1st ed.). Saudi Commission for Health Specialties.

Al-Hazmi

(2015). Role of duration of catheterization and length of hospital stay on the rate of catheter-related hospital-acquired urinary tract infections. Research and Reports in Urology, 7, 41-47. https://doi.org/10.2147/RRU.S75419

Aljohani

K. A.

Alomari

(2018). Turnover among Filipino nurses in Ministry of Health hospitals in Saudi Arabia: Causes and recommendations for improvement. Annals of Saudi Medicine, 38(2), 140-142. https://doi.org/10.5144/0256-4947.2018.140

Almutairi

A. F.

(2015). A case study examination of the influence of cultural diversity in the multicultural nursing workforce on the quality of care and patient safety in a Saudi Arabian hospital [Doctoral dissertation, Queensland University of Technology]. https://eprints.qut.edu.au/51580/1/Adel_Almutairi_Thesis.pdf

Alomran

Alhosni

Alzahrani

Alamodi

Alhazmi

(2017). The reality of the Saudi health workforce during the next ten years 2018-2027. Saudi Commission for Health Specialties.

Alsafi

Baharoon

Ahmed

Al-Jahdali

H.H.

Al Zahrani

Al Sayyari

(2015). Physicians’ knowledge and practice towards medical error reporting: A cross-sectional hospital-based study in Saudi Arabia. Eastern Mediterranean Health Journal (EMHJ), 21(9), 655-664. https://doi.org/10.26719/2015.21.9.655

Al-Yateem

AlYateem

Rossiter

(2015). Cultural and religious educational needs of overseas nurses working in the Kingdom of Saudi Arabia and the United Arab Emirates. Holistic Nursing Practice, 29(4), 205-215. https://doi.org/10.1097/HNP.0000000000000095

10.

Berman

Snyder

S. J.

Frandsen

(2016). Kozier and Erb’s fundamentals of nursing (10th ed.). Pearson.

11.

Dreyfus

Gayle

Trueman

Delhougne

Siddiqui

(2018). Assessment of risk factors associated with hospital-acquired pressure injuries and impact on health care utilization and cost outcomes in US hospitals. American Journal of Medical Quality, 33(4), 348-358. https://doi.org/10.1177/1062860617746741

12.

Dunagan

P. B.

Kimble

L. P.

Gunby

S. S.

Andrews

M. M.

(2014). Attitudes of prejudice as a predictor of cultural competence among baccalaureate nursing students. Journal of Nursing Education, 53(6), 320-328. https://doi.org/10.3928/01484834-20140521-13

13.

Elmontsri

Almashrafi

Banarsee

Majeed

(2017). Status of patient safety culture in Arab countries: A systematic review. BMJ Open, 7(2), Article e013487. https://dx-doi-org.web.bisu.edu.cn/10.1136/bmjopen-2016-013487

14.

Falk

A. C.

Wallin

E. M.

(2016). Quality of patient care in the critical care unit in relation to nurse patient ratio: A descriptive study. Intensive and Critical Care Nursing, 35(August), 74-79. https://doi.org/10.1016/j.iccn.2016.01.002

15.

Gardulf

Florin

Carlsson

Leksell

Lepp

Lindholm

Nordström

Theander

Wilde-Larsson

Nilsson

(2019). The Nurse Professional Competence (NPC) Scale: A tool that can be used in national and international assessments of nursing education programmes. Nordic Journal of Nursing Research, 39(3), 137-142. https://doi.org/10.1177/2057158518824530

16.

Gashash

B. A.

(2015). Islamic values, cultural customs and influences upon delivery of acute and critical care nursing services to patients admitted to Saudi Arabian hospitals [Doctoral dissertation, RMIT University Melbourne]. https://researchbank.rmit.edu.au/eserv/rmit:161747/Gashash.pdf

17.

Halabi

J. O.

Lepp

Nilsson

(2021). Assessing self-reported competence among registered nurses working as a culturally diverse work force in public hospitals in the Kingdom of Saudi Arabia. Journal of Transcultural Nursing, 32(1), 69-76. https://doi.org/10.1177/1043659620921222

18.

Hassan

(2017). Strategies of improving the nursing practice in Saudi Arabia. Journal of Health Education Research & Development, 5(2). https://doi.org/10.4172/2380-5439.1000221

19.

Jansson

Eklund

A. J.

Larsson

Nilsson

(2020). Prehospital care nurses’ self reported competence: A cross-sectional study. International Emergency Nursing, 52(September), Article 100896. https://doi.org/10.1016/j.ienj.2020.100896

20.

Jones

S. L.

Ashton

C. M.

Kiehne

L. B.

Nicolas

J. C.

Rose

A. A.

Shirkey

B. P.

Masud

Wray

N. P.

(2016). Outcomes and resource use of sepsis-associated stays by presence on admission, severity, and hospital type. Medical Care, 54(3), 303-310. https://doi.org/10.1097/MLR.0000000000000481

21.

KSA Saudi Vision 2030. (2016). https://vision2030.gov.sa/en/node/68

22.

Ministry of Education. (2019). https://www.moe.gov.sa/ar/Pages/default.aspx

23.

Ministry of Health. (2014). Health Statistics Annual Book Kingdom of Saudi Arabia. www.moh.gov.sa

24.

Ministry of National Guard for Health Affairs. (2014). https://ngha.med.sa/English/Patients/Pages/PatientsRights.aspx

25.

National Patient Safety Foundation. (2015). Free from harm: Accelerating patient safety improvement fifteen years after To Err Is Human. http://www.ihi.org/resources/Pages/Publications/Free-from-Harm-Accelerating-Patient-Safety-Improvement.aspx

26.

Nilsson

Engström

Florin

Gardulf

Carlsson

(2018). A short version of the nurse professional competence scale for measuring nurses’ self-reported competence. Nurse Education Today, 71(December), 233-239. https://doi.org/10.1016/j.nedt.2018.09.028

27.

Nilsson

Johansson

Egmar

A-C.

Florin

Leksell

Lepp

Lindholm

Nordström

Theander

Wilde-Larsson

Carlsson

Gardulf

(2014). Development and validation of a new tool measuring nurses self-reported professional competence: The nurse professional competence (NPC) Scale. Nurse Education Today, 34(4), 574-580. https://dx-doi-org-s.web.bisu.edu.cn/10.1016/j.nedt.2013.07.016

28.

Pirmohamed

James

Meakin

Green

Scott

Walley

Farrar

Park

B. K.

Breckenridge

(2004). Adverse drug reactions as cause of admission to hospital: Prospective analysis of 18 820 patients. British Medical Journal, 329(7456), 15-19. https://doi.org/10.1136/bmj.329.7456.15

29.

Sadat-Ali

Al-Shafei

B.A.

al-Turki

R. A.

Ahmed

S. A.

Al-Abbsa

S. A.

Al-Omran

A. S.

(2010). Medication administration errors in Eastern Saudi Arabia. Saudi Medical Journal, 32(5), 537-538.

30.

Saudi Commission for Health Specialties. (2015). Guideline of professional classification and registration for health practitioners (VE03-06-1435 02). https://www.scfhs.org.sa/en/registration/ClassAndRegister/Reregister/Documents/Professional%20Classification%20manual%20for%20Health%20Practitioners.pdf

31.

Saudi Commission for Health Specialties. (2017). Health Specialties launches the Councils of Professional Practice. https://www.scfhs.org.sa/en/Pages/default.aspx

32.

Saudi Commission for Health Specialties. (2018). The executive regulations of professional classification and registration. https://www.scfhs.org.sa/en/registration/Regulation/Documents/The%20executive%20regulations%20of%20Professional%20Classification%20and%20Registration%20aims.pdf

33.

Saudi Commission for Health Specialties. (2019). Essentials of patient safety: The first step to proper health care. Author. https://www.scfhs.org.sa/Media/DigitalLibrary/DocumentLibrary/OtherPublications/Documents/Patient%20Safety%20Book.pdf

34.

Shaheen

A. N.

(2011, January 8). Medical errors in Saudi hospitals at alarming levels. Gulfnews Saudi Arabia. https://gulfnews.com/news/gulf/saudi-arabia/medical-errors-insaudi-hospitals-at-alarming-levels-1.742903

35.

Steady rise in Saudization in private sector over last 3 years. (2020, June 10). https://saudigazette.com.sa/article/594085

36.

Swedish Associations of Local Authorities and Regions. (2018). Skador i vården: Utveckling 2013–2017 [Injuries in health care: Development 2013–2017]. https://webbutik.skl.se/

37.

The Saudi Central Board for Accreditation of Healthcare Institutions. (2016). Reporting medical errors. https://portal.cbahi.gov.sa/english/patient-safety/reporting-medical-errors

38.

von Vogelsang

A. C.

Swenne

C. L.

Gustafsson

B. Å.

Brynhildsen

K. F

. (2020). Operating theatre nurse specialist competence to ensure patient safety in the operating theatre: A discursive paper. Nursing Open, 7(2), 495-502. https://doi.org/10.1002/nop2.424

39.

World Health Organization. (2005). World alliance for patient safety: WHO draft guidelines for adverse event reporting and learning systems: From information to action. Author.

40.

World Health Organization. (2008a). Summary of the evidence on patient safety: Implications for research: The research priority setting working group of the WHO world alliance for patient safety. Author. https://apps.who.int/iris/bitstream/10665/43874/1/9789241596541_eng.pdf

41.

World Health Organization. (2008b). World Alliance for Patient Safety: WHO surgical safety checklist. https://www.who.int/patientsafety/safesurgery/tools_resources/SSSL_Manual_finalJun08.pdf

42.

World Health Organization. (2009). Global standards for the initial education of professional nurses (WHO/HRH/HPN/08.6). Nursing & Midwifery Human Resources for Health. https://www.who.int/hrh/nursing_midwifery/hrh_global_standards_education.pdf

43.

World Health Organization. (2015). Patient safety. https://www.euro.who.int/en/health-topics/Health-systems/patient-safety/patient-safety