Understanding clinical expertise: nurse education, experience, and the hospital context.

Abstract:

:Clinical nursing expertise is central to quality patient care. Research on factors that contribute to expertise has focused largely on individual nurse characteristics to the exclusion of contextual factors. To address this, we examined effects of hospital contextual factors and individual nurse education and experience on clinical nursing expertise in a cross-sectional analysis of data from 8,611 registered nurses. In a generalized ordered logistic regression analysis, the composition of the hospital staff, particularly the proportion of nurses with at least a bachelor of science in nursing degree, was associated with significantly greater odds of a nurse reporting a more advanced expertise level. Our findings suggest that, controlling for individual characteristics, the hospital context significantly influences clinical nursing expertise.

journal_name

Res Nurs Health

authors

McHugh MD,Lake ET

doi

10.1002/nur.20388

subject

Has Abstract

pub_date

2010-08-01 00:00:00

pages

276-87

issue

4

eissn

0160-6891

issn

1098-240X

journal_volume

33

pub_type

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