title: Competence of nurses and factors associated with it.
abstract: OBJECTIVE
  Nurse competence became a relevant topic for discussion among nurse practitioners and nurse researchers. However, the factors connected with nurse competence need deeper exploring. The aim of this study was to explore nurse competence and factors associated with it from the perspective of nurses for predicting the possible ways for upgrading the nursing practice.
  
  
  METHODS
  A multicenter, descriptive study was performed in 11 surgical wards of 7 Lithuanian hospitals. Data were collected from November 2007 to January 2008. Lithuanian nurses (n=218) who were working with patients after abdominal surgery participated in this study. The response rate was 91%. Two instruments, both originally developed in Finland, were used: the Nurse Competence Scale and the Good Nursing Care Scale for Nurses.
  
  
  RESULTS
  The overall level of nurse competence and the frequency of using the competencies in practice as perceived by nurses were high. Nurses assessed the competencies in managing situations and work role the highest and in teaching-coaching and ensuring quality the lowest. Sociodemographic factors such as nurse education, experience, professional development, independence, and work satisfaction as well as the evaluation of quality of nursing care were identified as factors associated with nurse competence.
  
  
  CONCLUSIONS
  The findings of study allow us to make the assumption that nurse education, nurse experience, and nurse professional development play a significant role in the evaluation of nurse competence as well as the evaluation of quality of nursing care. It is necessary to upgrade nursing education programs at all levels of nursing education in Lithuania: university, non-university, and professional development courses. The qualities of preconditions for nursing care, cooperation with relatives, caring and supporting initiative are related to nurse competence.
authors.affiliation: Department of Nursing, University of Turku, Finland. natalja.istomina@ku.lt
authors.forename: Natalja
authors.initials: N
authors.lastname: Istomina
authors.forename: Tarja
authors.initials: T
authors.lastname: Suominen
authors.forename: Artūras
authors.initials: A
authors.lastname: Razbadauskas
authors.forename: Arvydas
authors.initials: A
authors.lastname: Martinkėnas
authors.forename: Riitta
authors.initials: R
authors.lastname: Meretoja
authors.forename: Helena
authors.initials: H
authors.lastname: Leino-Kilpi
mesh_terms: D000328:Adult; D002983:Clinical Competence; D004506:Education, Nursing; D006801:Humans; D008097:Lithuania; D008875:Middle Aged; D009726:Nurses; D011795:Surveys and Questionnaires; D055815:Young Adult