title: Building competencies for nurse administrators in the Republic of Georgia.
abstract: OBJECTIVE
  To assess the level of competency among nurse administrators in the Republic of Georgia (Georgia) and to recommend interventions to implement effective nursing management practices in a resource constrained setting.
  
  
  BACKGROUND
  The collapse of the Soviet Union in 1991 resulted in deterioration of the healthcare system in Georgia. Even though the 1995 healthcare reformers recognized that baccalaureate educated nurses were essential resources for quality health care, limited resources delayed further steps. Hence, Georgia has struggled to raise nursing education levels and to establish nursing as a professional occupation.
  
  
  METHODS
  Using an exploratory descriptive research technique, surveys of nurse managers were conducted in 2004 and in 2005. This study assessed the level of practice among Georgian nurse administrators compared with the international competencies of the International Council of Nurses.
  
  
  RESULTS
  There were no organized procedures to evaluate competencies of nurses on a regular basis. While minimal clinical nursing practice guidelines exist, nurse managers did not fully utilize them for either mentoring the staff nurses or assuring an adequate quality of nursing care. Many nurse managers viewed financial constraints as an obstacle to delivering better nursing care.
  
  
  CONCLUSIONS
  Recommendations include: (1) establishing effective protocols to evaluate the competencies of nurses, (2) mandating the use of existing nursing guidelines, (3) establishing effective resource inventory systems, and (4) mandating safety education and ensuring a safe work environment.
authors.affiliation: Juneau Public Health Center, Juneau, AK, USA. masayo.nishiyama@alaska.gov
authors.forename: M
authors.initials: M
authors.lastname: Nishiyama
authors.forename: J L
authors.initials: JL
authors.lastname: Wold
authors.forename: N
authors.initials: N
authors.lastname: Partskhladze
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D004506:Education, Nursing / Q000458:organization & administration*; D005260:Female; D005846:Georgia (Republic); D006801:Humans; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D009718:Nurse Administrators; D009732:Nursing Care / Q000458:organization & administration*; D017410:Practice Guidelines as Topic; D011361:Professional Competence