title: [The accreditation of professional competence: the analysis of nursing<BR>interventions to control anxiety in surgical patients].
abstract: . The accreditation of professional competence: the analysis of nursing interventions to control anxiety in surgical patients.
  
  
  BACKGROUND
  The preoperative anxiety is a state of discomfort or unpleasant tension resulting from concerns about illness, hospitalization, anesthesia, surgery or the unknown. Nurses play a vital role reducing preoperative anxiety. An accreditation program was developed in Andalusia (Spain) to measure nurses' competences in this and others fields.
  
  
  OBJECTIVE
  To analyze the accredited nurses' interventions spectrum to reduce anxiety in surgical patients and to check if their range of interventions depends upon their professional skills accreditation level.
  
  
  METHODS
  Cross-sectional study. From 20016 to 2014, 1.282 interventions performed by 303 operating room nurses accredited through the Professional Skills Accreditation Program of the Andalusian Agency for Health Care Quality (ACSA) were analyzed with the latent class analysis (LCA) and multinomial logistic regression.
  
  
  RESULTS
  Two-thirds of the sample was accredited in Advanced level, about 31% in Expert level and 2.6% in Excellent level. Mean age of patients was 58.5±19.8 years. Three professional profiles were obtained from the LCA. Those nurses classified in Class I (22.4% of the sample) were more likely to be women, to can for younger patients, and to be accredited in Expert or Excellent Level and to perform the larger range of interventions, becoming therefore the most complete professional profile.
  
  
  CONCLUSIONS
  Those nurses who perform a wider range of interventions and specifically two evidence based interventions such Calming Technique and Coping Enhancement are those who have a higher level of accreditation level.
authors: Pilar
authors: P
authors: Brea-Rivero
authors: Manuel
authors: M
authors: Herrera-Usagre
authors: Ana
authors: A
authors: Rojas-de-Mora-Figueroa
authors: Thomas
authors: T
authors: Esposito
mesh_terms: D000068:Accreditation; D001007:Anxiety / Q000517:prevention & control*; D002983:Clinical Competence; D003430:Cross-Sectional Studies; D006801:Humans; D009871:Operating Room Nursing / Q000592:standards*; D011300:Preoperative Care / Q000451:nursing*; D013514:Surgical Procedures, Operative