Table 5 Need for further learning (B-scale). Statistical significant differences between groups based on experience as a nurse. ANOVA and post hoc Tukey
Item | Significant differences between groups | Mean difference | P | |
|---|---|---|---|---|
1 | I am independently responsible for health assessment (systematic physical examination), examinations and treatment of patients with complicated medical conditions | +++ | A/C: 1.715 B/C: 1.109 | A/C: .000 B/C: .016 |
2 | I am independently responsible for health assessment (systematic physical examination), examinations and treatment of patients with uncomplicated medical conditions | ++++ | A/B: 1.063 B/C: 1.023 A/C: 2.086 | A/B: .013 B/C: .039 A/C: .000 |
3 | I plan and prioritise nursing and medical interventions | ++ | A/B: 1.411 A/C: 1.984 | A/B: .001 A/C: .000 |
4 | I identify patients’ health problems | ++ | A/B: 1.390 A/C: 2.161 | A/B: .001 A/C: .000 |
5 | I assess patients’ symptoms | ++ | A/B: 1.311 A/C: 2.056 | A/C: .002 B/C: .000 |
6 | I evaluate and modify patients’ medical treatment | ++++ | A/B: 1.107 B/C: 1.052 A/C: 2.159 | A/B: .012 B/C: .038 A/C: .000 |
7 | I exclude differential diagnoses when assessing patients’ health conditions | ++++ | A/B: .810 B/C: 1.216 A/C: 2.026 | A/B: .049 B/C: .005 A/C: .000 |
8 | I interpret, analyse and reach alternative conclusions about patients’ health conditions after a detailed mapping of health history and health assessment (physical examination) | +++ | A/C: 1.593 B/C: 1.016 | A/C: .000 B/C: .022 |
9 | I apply both subjective and objective methods when examining, treating and caring for patients | ++++ | A/B: .996 B/C: 1.024 A/C: 2.020 | A/B: .013 B/C: .023 A/C: .000 |
10 | I utilise medical equipment in an appropriate and accurate manner | + | A/C: 1.115 | A/C: .014 |
11 | I have knowledge of the effects of medication and treatment for the patients I am responsible for | ++ | A/B: 1.613 A/C: 2.249 | A/B: .000 A/C: .000 |
12 | I identify changes in patients’ health and medical conditions | ++++ | A/B: .944 B/C: 1.228 A/C: 2.172 | A/B: .029 B/C: .008 A/C: .000 |
13 | I develop and administer health-promoting and illness-preventive actions for patients | +++ | A/C: 1.811 B/C: .993 | A/C: .000 B/C: .046 |
14 | I systematically gather information from each patient about her/his health resources | ++ | A/B: 1.266 A/C: 1.707 | A/B: .002 A/C: .000 |
15 | I have knowledge of the interactions of various types of medication and what side-effects they may cause for the patients I am responsible for | ++ | A/B: 1.466 A/C: 2.045 | A/B: .000 A/C: .000 |
16 | I generate a creative learning environment for staff at my workplace | + | A/C: 1.542 | A/C: .000 |
17 | I participate in quality development at my workplace | + | A/C: 1.408 | A/C: .001 |
19 | I improve routines/systems that fail to meet the needs of patients at my workplace | +++ | A/C: 1.794 B/C: 1.187 | A/C: .000 B/C: .015 |
21 | I take patients’ mental health needs (mood swings, feelings of hopelessness, depression, etc.) into account when assessing and planning for the health and life situation of patients | ++ | A/B: 1.168 A/C: 1.454 | A/B: .009 A/C: .000 |
22 | I take patients’ spiritual health needs (feelings of meaninglessness, existential needs, beliefs, fear of death, etc.) into account when assessing and planning for the health and life situation of patients | ++ | A/B: 1.007 A/C: 1.634 | A/B: .036 A/C: .000 |
23 | I take patients’ physical health needs (illness, pain, disabilities, etc.) into account when assessing and planning for the health and life situation of patients | ++ | A/B: 1.096 A/C: 1.012 | A/B: .025 A/C: .029 |
25 | I identify and assume responsibility for patients’ own health resources in planning nursing care | + | A/C: 1.149 | A/C: .007 |
26 | I take patients’ social health needs (leisure activities, friends, financial situation, etc.) into account when assessing and planning for the health and life situation of patients | +++ | A/C: 1.927 B/C: 1.110 | A/C: .000 B/C: .031 |
27 | I support and guide patients in mastering their illnesses and health problems | + | A/C: 1.590 | A/C: .000 |
29 | I take active responsibility for creating a good working environment | + | A/C: 1.132 | A/C: .014 |
30 | I put emphasis on patients’ own wishes when assessing and planning for nursing care and medical treatment | ++ | A/B: 1.007 A/C: 1.380 | A/B: .048 A/C: .002 |
31 | I make my own decisions in my work | ++ | A/B: 1.359 A/C: 2.450 | A/B: .006 A/C: .000 |
32 | I take full responsibility for my own actions | ++ | A/B: 1.547 A/C: 2.137 | A/B: .002 A/C: .000 |
33 | I am correct and accurate in speech and writing | + | A/C: 2.111 | A/C: .000 |
34 | I understand the consequences my decisions may have for patients | ++ | A/B: 1.367 A/C: 2.322 | A/B: .006 A/C: .000 |
35 | I experience a division of responsibility between the physician and me as a nurse | +++ | A/C: 2.503 B/C: 1.626 | A/C: .000 B/C: .003 |
36 | I cooperate well with the physician | +++ | A/C: 1.948 B/C: 1.392 | A/C: .000 B/C: .011 |
37 | I consult other professional experts when required | ++ | A/B: 1.123 A/C: 1.504 | A/B: .033 A/C: .001 |
38 | I cooperate actively with other health professionals when coordinating patients’ nursing, care and treatment | ++ | A/B: 1.571 A/C: 1.681 | A/B: .001 A/C: .000 |
39 | I am cognisant of when my medical knowledge is insufficient when assessing patients’ health conditions | + | A/C: 1.420 | A/C: .004 |
40 | I document the steps taken in assessing patients’ needs for nursing, care and treatment | ++ | A/B: 1.468 A/C: 1.714 | A/B: .003 A/C: .000 |
41 | I reflect on my actions | ++ | A/B: 1.238 A/C: 1.681 | A/B: .011 A/C: .000 |
42 | I analyse and evaluate my work continuously | + | A/C: 1.676 | A/C: .000 |
43 | I perceive opportunities and have visions for how nursing and clinical paths for patients can be developed | + | A/C: 1.716 | A/C: .000 |
44 | I have a vision of how nursing should be developed at my workplace | + | A/C: 1.541 | A/C: .000 |
45 | I assess patients’ health needs by telephone | +++ | A/C: 1.702 B/C: 1.657 | A/C: .000 B/C: .004 |
46 | I give health promotion advice and recommendations to patients by telephone | +++ | A/C: 1.901 B/C: 1.989 | A/C: .000 B/C: .000 |
47 | I give health promotion and illness preventive recommendations in accordance with national guidelines to patients | + | A/C: 1.082 | A/C: .015 |
48 | I have a supportive ongoing dialogue with patients about their needs and wishes | ++ | A/B: 1.295 A/C: 1.869 | A/B: .005 A/C: .000 |
49 | I focus on relatives’ need for support and guidance | ++ | A/B: 1.045A/C: 1.989 | A/B: .035 A/C: .000 |
50 | I report all incidents in accordance with the actual patient safety system | ++++ | A/B: 1.681 B/C: 1.294 A/C: 2.975 | A/B: .000 B/C: .020 A/C: .000 |