Identification of factors influencing core competence promotion among professional nurses and midwives: A qualitative study using the COM-B model |
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| Affiliation: | 1. School of Nursing, Nanjing Medical University, 101 Longmian Avenue, Jiangning District, Nanjing, Jiangsu Province 211166, China;2. Delivery Room, Women''s Hospital of Nanjing Medical University (Nanjing Maternity and Child Health Care Hospital), 123 Tianfei Lane, Mochou Road, Qinhuai District, Nanjing, Jiangsu Province 210004, China;3. Department of gynecology, Women''s Hospital of Nanjing Medical University (Nanjing Maternity and Child Health Care Hospital), 123 Tianfei Lane, Mochou Road, Qinhuai District, Nanjing, Jiangsu Province 210004, China;4. Nursing Department, Women''s Hospital of Nanjing Medical University (Nanjing Maternity and Child Health Care Hospital), 123 Tianfei Lane, Mochou Road, Qinhuai District, Nanjing, Jiangsu Province 210004, China;1. MGH Institute of Health Professions, USA;2. Henry Ford College, USA;3. Ron and Kathy Assaf College of Nursing, USA;4. Nova Southeastern University, USA;5. Department of Anesthesia, Critical Care, & Pain Medicine, Harvard Medical School, USA;1. Hadassah Hebrew University, Faculty of Medicine School of Nursing, Israel;2. Jerusalem Technology College, PO Box 12000, Ein Kerem, Jerusalem 91120, Israel;3. Moshe Prywes Center for medical Education Faculty of Health Sciences Ben Gurion, University, Beer Sheva, Israel;4. RN PhD1, PO Box 12000, Ein Kerem, Jerusalem 91120, Israel;1. Akdeniz University Hospital, Pediatric Bone Marrow Transplant Unit, Antalya, Turkey;2. Akdeniz University Faculty of Nursing, Psychiatric Nursing Department, Antalya, Turkey;1. School of Nursing, The Hong Kong Polytechnic University, Hong Kong Special Administrative Region of China;2. School of Nursing, Tung Wah College, Hong Kong Special Administrative Region of China;1. Out-patient Department, Klinik Kesihatan Lahad Datu, Pejabat Kesihatan Kawasan Lahad Datu, 91120 Lahad Datu, Sabah, Malaysia;2. Department of Basic Sciences, Faculty of Health Sciences, Universiti Teknologi MARA Selangor, Puncak Alam Campus, 42300 Bandar Puncak Alam, Selangor, Malaysia;3. Integrated Nutrition Science and Therapy Research Group (INSPiRE), Faculty of Health Sciences, Universiti Teknologi MARA Selangor, Puncak Alam Campus, 42300 Bandar Puncak Alam, Selangor, Malaysia;1. Balıkesir University Faculty of Health Sciences, Department Of Nursing, Department of Pediatric Nursing, Balıkesir, Turkey;2. Department of Nursing, Faculty of Health Sciences, Balikesir University, Balıkesir, Turkey |
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| Abstract: | AimTo identify factors influencing a behaviour of improving core competencies among nurses and midwives in the Maternity and Child Health Care Hospital using the capability, opportunity, motivation and behaviour (COM-B) model.BackgroundWith the increasing number of women with pregnancy complications and the COVID-19 pandemic, nurses and midwives are being challenged and enhancing their core competencies is imperative to ensure high-quality care. To develop effective intervention strategies, it is essential to systematically explore what influences nurses and midwives to improve their core competencies. To this end, this study applied the COM-B model of behavioural change.DesignQualitative study using the COM-B model.MethodsThis qualitative descriptive study was conducted in 2022 using face-to-face interviews, including 49 nurses and midwives. Topic guides for the interviews were developed based on the COM-B model. Transcribed verbatim interviews were analysed using deductive thematic analysis.ResultsThe COM-B model captures several factors. Capability factors included clinical knowledge and self-directed learning abilities. Opportunity factors included professional education covering necessary clinical skills, adequate clinical practice, personalised training, available time, insufficient clinical learning resources, absence of scientific research resources and support from leadership. Motivational factors were access to long-term work, incentive policies based on individuals’ work values and responses to upward social comparison.ConclusionsThe findings of this study suggested that prior to developing intervention strategies to enhance the core competencies of nurses and midwives, processing barriers to nurses’ and midwives’ capabilities, opportunities and motivation can facilitate the implementation of interventions. |
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| Keywords: | Core competence Nurse Midwife Influencing factors COM-B model |
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