Factors influencing the level of competency of nurses

The competency levels of nurses in the Intensive Care Unit (ICU) are
influenced by a multitude of factors that encompass both individual and systemic
aspects. Factors such as educational background, professional experience, and
specialized training significantly impact nurses' competencies within the ICU setting.
Continuous education, advanced certifications, and participation in ongoing
professional development programs contribute to refining clinical skills, critical
thinking abilities, and specialized knowledge essential for effective ICU care.
Additionally, the work environment, staffing ratios, availability of resources, and
organizational support also play important roles. Adequate staffing, supportive
teamwork, access to necessary equipment, and effective mentorship programs foster
an environment conducive to enhancing nurses' competencies, allowing them to
deliver high-quality care while navigating the complex and dynamic nature of critical
care settings. Moreover, the emotional and psychological aspects of the work
environment, including stress levels, burnout, and morale, can significantly impact
nurses' confidence and abilities, influencing their overall competency in the ICU.
Nurse competence in critical care settings is a broad area that includes a
variety of skills, knowledge, and personal characteristics required to provide good
patient care. Numerous research studies have contributed on various aspects and
factors that contribute to nurses' competence in critical care units.
In 2023, Morton and Thurman's book "Critical Care Nursing: A Holistic
Approach" provides a comprehensive overview of competencies critical care nurses
require. It emphasizes clinical skills, critical thinking, communication, ethical
decision-making, interdisciplinary collaboration, self-care, and cultural competence.
These competencies are essential for navigating the complexities and challenges
inherent in critical care nursing. Research by Murshid et al. (2021) evaluates the
competencies of ICU nurses and identifies factors influencing their proficiency.
Educational qualifications, training programs, work experience, and institutional
support were highlighted as potential influencers on competency levels among ICU
nurses. Similarly, Ubas-Sumagasyay and Oducado (2020) examined the perceived
competence and transition experiences of newly graduated Filipino nurses. Their
study shed light on how educational preparation, clinical exposure during training,
and workplace support impact novice nurses' confidence and competence in their
early professional roles, contributing to a deeper understanding of the factors
influencing new nurses' competency perceptions. Wei, Niu, and Ge's study in 2019
focused on identifying essential core competencies required for nurses working in
Intensive Care Units (ICUs) in China. Their findings provided crucial insights into the
necessary skills and capabilities for nurses in critical care settings. This study's
implications extend to nursing education, training programs, and professional
development initiatives aimed at enhancing the competence and quality of care
delivered by ICU nurses in China. Moreover, Jalali et al. (2019) explored the
relationship between spiritual health and clinical competency among ICU nurses. It
investigated how higher levels of spiritual health might be linked to enhanced clinical
competencies in ICU settings, highlighting the interconnections of personal well-
being and professional proficiency.
These studies highlight the complex nature of critical care nursing
competence, which includes clinical proficiency, educational background, workplace
support, personal well-being, and interdisciplinary teamwork. They emphasize the
necessity of a holistic strategy in developing and enhancing nurses' competence to
ensure high-quality treatment in critical care settings.

Implication of competency level of nurses

The competency level of nurses holds profound implications for the quality,
safety, and effectiveness of healthcare delivery. Nurses, as frontline healthcare
professionals, play a pivotal role in patient care. A higher level of competence among
nurses directly translates into improved patient outcomes, reduced medical errors, and
enhanced overall healthcare efficiency. Competent nurses possess the necessary skills,
knowledge, and critical thinking abilities to assess patient needs accurately, make
informed clinical judgments, and deliver appropriate interventions. Furthermore, their
competency influences the development and implementation of evidence-based
practices, fostering innovation and advancement within healthcare systems.
Conversely, inadequate competency levels may lead to compromised patient care,
increased risks, and potential adverse events. Therefore, continuous professional
development, ongoing education, and robust training programs are essential to ensure
nurses maintain and enhance their competence, ultimately elevating the standards of
healthcare delivery.
The study led by Dobrowolska, Gutysz-Wojnicka, Ozga, Barkestad,
Benbenishty, Breznik, and Blackwood (2020) focuses on assessing the cultural
competency of intensive care nurses across Europe offers implications for nursing
practice and education, emphasizing the importance of cultural competency in
providing quality care to diverse patient populations. It suggests also the strategies to
enhance cultural competence among intensive care nurses, recommending educational
initiatives and interventions that support culturally sensitive care delivery. The study
conducted by Faraji, Karimi, Azizi, Janatolmakan, and Khatony (2019) focuses on
evaluating the clinical competence of Intensive Care Unit (ICU) nurses in
Kermanshah, Iran. The study offers implications for nursing practice by pinpointing
factors such as educational qualifications, years of experience, training programs
attended, workload, and workplace support. The researchers provides
recommendations to enhance nurses' clinical capabilities, suggesting interventions to
strengthen competencies in areas that may require improvement. The study conducted
by Feliciano, Feliciano, Feliciano-Pena, Mejia, and Osman (2019) delves into the
assessment of nursing competency within the context of the Philippine healthcare
system. It highlights specific skills where nurses may require further training,
education, or support to enhance their overall competence.