| Abstract [eng] |
Introduction: Nurses face significant difficulties and challenges at work, so it is important to analyze how nurses manage to maintain their excellence in providing quality healthcare services to patients during stressful times. The aim of the work is to investigate the self-efficacy and deliberate practice of nurses in clinical activities. The study will allow to identify and reveal the links between the self-efficacy of nurses and deliberate practice in clinical activities. These findings may be useful in shaping health care policy and practice, especially related to the education of nurses, professional development programs and the activities of health care institutions, in order to improve the quality of health care and for nurses to achieve expert level. Methodology and material. A quantitative study was conducted using an anonymous online survey method. The General Self-Efficacy Scale (GSE) and deliberate practice questionnaire (DPMI) were used for data collection. The data were analyzed using MS Excel Office (version 16) and SPSS (version 30.0) computer programs. Results. The study included 111 working nurses, the vast majority of whom were women (98.2%). More than half of the nurses had a bachelor's/professional bachelor's degree (60.4%), worked in a hospital (69.4%), and almost half of the subjects had up to 5 years of work experience (43.2%). The study found that nurses very often consciously maintain the congruence of Goals and activities (6.46±0.82), less often maintain the Nursing Process Improvement (5.62±0.81) and Activity Analysis (5.56±0.86), but only sometimes, in complex situations, use the task decomposition principle (4.95±0.94). The greater the nurses' work experience, the more nurses consciously maintain the congruence of Goals and activities (r=0.226; p=0.037). Nurses' self-efficacy is higher than average (32.08±4.85). Nurses' self-efficacy ensures that problems are better solved during work (3.38±0.58), except in cases where someone starts to object to nurses (2.97±0.71). The objections of others prevent nurses from solving complex problems, adhering to the set goals and achieving them. The methods of solving problems depend on how calmly nurses react to difficulties, on their resourcefulness and belief in effectively overcoming difficulties. There is no statistically significant difference (p>0.05) and no significant relationship (p>0.05) between self-efficacy and sociodemographic indicators. It was found that self-efficacy correlates with Nursing Process Improvement (p<0.001; r=0.531), Task Decomposition (p=0.003; r=0.276), Activity Analysis (p<0.001; r=0.433), and Goal-Activity Alignment (p<0.001; r=0.422). Conclusions. When solving clinical situations, nurses usually consciously ensure the consistency of goals and activities, but less often apply the principles of nursing process improvement and activity analysis. In complex situations, only a part of them use the Task Decomposition Principle. The overall level of self-efficacy of nurses is higher than the average level. It has been established that the self efficacy of nurses helps to solve problems better, except in cases when they encounter objections from other people. The more nurses keep clinical activities conscious, the more the level of self efficacy of nurses increases. |
