Clinical Competence in the Nursing Field


Upon graduating from nursing school and passing the state boards test to become a registered nurse, new nurses are very inexperienced and must learn clinical competency.  Even nurses with years of experiences may go through the same frustration as newly licensed nurses when they switch units within a hospital. Hospitals have become more patient with these nurses creating orientations and programs in order to help nurses transition more easily (Benner 2001).  It has been found that it takes nurses 2-3 years to fully gain competence. As they gain more experience they become more confident with what they are doing and start to think more long term with patient care plans. It has also helpful to keep experienced nurses around health organizations as they can be useful in guiding new nurses around and providing tips and advice. It is important that health care organizations implement orientations, programs and guidance as it will save money and increase patient outcomes. Lastly it is important for health care organizations to stress the importance of continuing education and do their best to promote it as it will improve nurses’ abilities (Benner 2001).


The effects of Leadership Characteristics on Pediatric Registered Nurses’ Job Satisfaction


It has been found that autonomy and distributive justice greatly influence the job satisfaction of nurses in a positive way (Aiken 2002). When leaders provide more support to the nurses and have positive attitudes, work performance and job satisfaction will be improved. Some of the effects of negative job satisfaction can have on the nurses’ workforce is a shortage in nurses and an increase in older nurses who are not being replaced due to the negative feedback some people become aware of. With a shortage of nurses, health care organizations will lose money, time, and a decrease in the quality of patient care. Some of the factors that influence nurses’ satisfaction in work are quality of work, leadership, emotional stress, the number of weekends worked, climate and organization commitment (Ruggiero 2005). Not too surprising that pediatric nurses have reported a higher job satisfaction than any other specialty but still faced organizational policies, stressful task requirements and low salary. There has been many different studies done to express how important the relationship between leaders and nurses are in hospitals (Laohavichien, 2009). Findings of these studies suggested that when leaders considered the different strategies to increase work satisfaction increase registered nurses’ job satisfaction as well as increasing autonomy and distributive justice among nurses.