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ABSTRACT

The purpose of this study was to (1) understand the subjective and objective cognition scores on nursing competence

after implementing clinical ladder systems in medical center, (2)analyze the influence factors impacting on the six nursing

competences. This study was conducted from Dec 1, 2001 and until June 16, 2002. There were 161 nurses in medical

centers participating in assessing six-nursing competences for subjective data and 30 head nurses evaluating their unit

nurses’ performances as objective data. The valid number was 150. A 5-point Likert scale was used to test nursing

competence. Cronbach's alpha was 0.96 and 0.97 for reliability. The validity of research tool was based on content

validity and experts' opinion. The results showed: (1) there was significant difference between nurses' and head nurses'

scores in caring ability, communicating, managing and self-growth (3.84, 3.70; 3.75,3.57; 3.50,3.32; 3.36,3.32). There

was no significant difference in teaching and research ability after implementing clinical ladder systems. (2) There was

significant difference on educational background, the experience of service, position, and classification of nurses. The

average scores of six nursing competence in medical center A was lower than medical center B. Hospital A nurses’

competence scores were also lower than Hospital B on the average of N1, N2, N3, and N4 competent ability. The results

will not only help nurses understand their strengths and weakness on nursing six-competence ability, but also improve

clinical service, teaching contents and elevate the quality of nursing care. (Tzu Chi Nursing Journal, 2003; 2:1, 53-62.)

Key words: Clinical Ladder Systems, nursing competence, evaluation.

A Comparison between Objective and Subjective Nursing

Competence in Post Implementing Clinical Ladder Systems

Nanly Hsu • Ru-ping Lee • Yun-ju Lee • Chang-fen Lai • Tai-chu Peng

Received: October 18, 2002 Revised: November 18, 2002 Accepted: January 14, 2003Address correspondence to: Tai-chu Peng, 880, Section 2, Chien Kuo Road, Hualien, Department of Nursing, Tzu Chi Collegeof Technology, Taiwan, R.O.C.Tel: (03)8572158 ext. 325 or (03)8565301 ext. 7508