Clinical competencies of nurses and forms of postgraduate education

Sabina Katarzyna Stadnicka, Magdalena Kowal, Alina Trojanowska, Danuta Zarzycka


Over the last few years, the health care system has been transforming. The qualifications of medical staff are systematically improving due to the increasing pressure to raise the level of competence in line with the development of medicine and the expectations of healthcare recipients.
The aim of the study is the comparison of the clinical competence of the nurses whilst taking into the account the forms of postgraduate education.
Material and research methods
The study included 120 nurses aged 24-53 years, working in paediatric wards in Antoni Gębala University Hospital for Children in Lublin. The research tool was a questionnaire Belimage which contains 38 questions covering five areas: demographics, competence, nursing care, teamwork and care environment.
The research demonstrates that the professional competence level of the respondents was the most significantly influenced by: practical experience and own reflections (85.00%), introduction in the current workplace (52.50%), sharing competence and experience with colleagues-nurses (tutorial guidance, working meetings, conversations) (51.67%). In the surveyed group, 100% of the respondents claimed that it was necessary to invest in various fields in order to optimize the level of nursing competence. The nurses who completed a specialization (43.48%) and higher education (79.17%) also evaluated the quality of care as excellent. Instrumental and technical competencies (4.50), as well as social and communication skills (4.20) are important for the nurses with Master’s degree.
It has been proven that practical experience and own perspectives have the biggest influence on the respondents’ professional competence level. Investing in various forms of postgraduate education and training, such as specialist courses and training, and university education, will optimize the level of nursing proficiency. Education, work experience and the time elapsed since graduation do not affect the assessment of the level of respondents’ competence. The survey participants with higher education, specialization and certificates of completed training, felt slightly more often that the quality of patient care on the ward is excellent.


nurses 'competence, clinical competence of paediatric nurses, nurses' education, postgraduate education of nurses

Full Text:



Poznańska S. Pielęgniarka w opiece nad zdrowiem [in:] Pielęgniarstwo. ed. Zahradniczek K. Wydawnictwo Lekarskie PZWL 2004: 44.

Urbanek B. Zmagania o profesję w XIX i XX wieku (do roku 1963) [in:] Zawód pielęgniarki na ziemiach polskich w XIX i XX wieku. ed. Urbanek B. Wydawnictwo Makmed 2008: 56.

Urbanek B. Zawód pielęgniarki na ziemiach polskich w XIX i XX wieku. ed. Urbanek B. Wydawnictwo Makmed 2008.

Stanowisko Polskiego Towarzystwa Pielęgniarskiego w sprawie zapotrzebowania na umiejętności i kompetencje poszczególnych profesjonalistów ochrony zdrowia. i_kompetencje.pdf (on 20.09.2015.)

Tomaszewska M, Cieśla D, Czerniak J, Dykowska G. Możliwości doskonalenia zawodowego pielęgniarek – potrzeby a rzeczywistość. Problemy Pielęgniarstwa 2008; 16 (1-2): 40-47.

Ciechaniewicz W, Górajek-Jóźwik J. Pielęgniarstwo budowane na doświadczeniu, oparte na podstawach naukowych i przyjętych założeniach filozoficznych [in:] Filozofia i teorie pielęgniarstwa ed. Górajek-Jóźwik J. Wydawnictwo Czelej 2007: 384.

Kózka M. Kompetencje zawodowe pielęgniarki [in:] Diagnozy i interwencje pielęgniarskie. ed. Kózka M, Płaszewska-Żywko L. Wydawnictwo Lekarskie PZWL 2008: 19.

Glińska J, Nowak A, Brosowska B, Lewandowska M. Analiza poziomu świadomości pielęgniarek w zakresie autonomii zawodowej. Problemy Pielęgniarstwa 2010; 18(4): 477-482.

Istomina N, Suominen T, Razbadauskas A, et al. Competencies of Nurses and Factors Associated With It. Medicina (Kaunas) 2011; 47(4): 230-237.

Meretoja R, Isoaho H, Leino-Kilpi H. Nurse Competence Scale: development and psychometric testing. J Adv Nurs 2004; 47(2): 124-33.

Meretoja R, Leino-Kilpi H. Instruments for evaluating nurse competence. J Nurs Adm 2001; 31(7/8): 346-352.

Meretoja R, Leino-Kilpi H. Comparison of competence assessments made by nurse managers and practising nurses. J Nurs Manag 2003; 11: 404-9.

Meretoja R, Leino-Kilpi H, Kaira AM. Comparison of nurse competence in different hospital work environments. J Nurs Manag 2004; 12: 329-36.

Salonen AH, Kauhonen M, Meretoja R, Tarkka MT. Competence profiles of recently registered nurses working in intensive and emergency settings. J Nurs Manag 2007; 15: 792-800.

Adams A, Bond S. Hospital nurses’ job satisfaction, individual and organizational characteristics. J Adv Nurs 2001, 32: 536–543.

Dunn S, Wilson B, Esterman A. Perceptions of working as a nurse in an acute care setting. J Nurs Manag 2005: 22–31.

Currie V, Harvey G, West E, McKenna H, Keeney S. Relationship between quality of care, staffing levels, skill mix and nurse autonomy: literature review. J Adv Nurs 2005; 51(1): 73-82.

Bartlett HP, Simonite V, Westcott E, Taylor HR. A comparison of the nursing competence of graduates and diplomates from UK nursing programmes. JCN 2000; 9(3): 369–379.



  • There are currently no refbacks.

Copyright (c) 2018 © The Author(s)

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Journal of Education, Health and Sport formerly Journal of Health Sciences

Declaration on the original version.

Editors indicates that the main version of the magazine is to issue a "electronic".

The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019.

1223 Journal of Education, Health and Sport eISSN 2391-8306 7

ISSN 2391-8306 formerly ISSN: 1429-9623 / 2300-665X

Archives 2011 - 2014

PBN 2011 - 2014

POL-index 2011 - 2014

BASE 2011 - 2014

Indexed in Bases, Bazy indeksacyjne: ERIH Plus, Worldcat, PBN/POL-Index, ICI Journals Master List, Directory of Open Access Journals (DOAJ), ZBD, Ulrich's periodicals, Google Scholar, Polska Bibliografia Lekarska

US NLM = 101679844

101679844 - NLM Catalog Result - NCBI

Find a library that holds this journal:

Journal Language(s): English 

PBN Poland



Redaction, Publisher and Editorial Office

Instytut Kultury Fizycznej Uniwersytet Kazimierza Wielkiego w Bydgoszczy, Institute of Physical Education Kazimierz Wielki University in Bydgoszcz, Poland 85-091 Bydgoszcz ul. Sportowa 2 Copyright by Instytut Kultury Fizycznej UKW w Bydgoszczy  Open Access ISSN 2391-8306 formerly ISSN: 1429-9623 / 2300-665X

The journal has been approved for inclusion in ERIH PLUS.

The ERIH PLUS listing of the journal is available at

SIC Science citation index (calculated on the basis of TCI and Page Rank) 0

Russian Impact factor 0.16

Indexed in Index Copernicus Journals Master List.,p24782242,3.html

ICV 2018 = 95.95 ICV 2017 = 91.30 ICV 2016 = 84.69 ICV 2015 = 93.34 ICV 2014 = 89.51 Standardized Value: 8.27 ICV 2013: 7.32 ICV 2012: 6.41 ICV 20115.48

The InfoBase Index IBI Factor for the year 2015 is 3.56 in InfoBase


Universal Impact Factor 1.78 for year 2012. (

Indexed in Polish Scholarly Bibliography (PBN) (PBN Polska Bibliografia Naukowa) (

is a portal of the Polish Ministry of Science and Higher Education, collecting information on publications of Polish scientists and on Polish and foreign scholarly journals. Polish Scholarly Bibliograhpy is a part of POL-on - System of Information on Higher Education. It is operated by the Interdisciplinary Centre for Mathematical and Computational Modelling, University of Warsaw.

Indexed in Russian Sciences Index Российский индекс научного цитирования (РИНЦ)

Indexed in Arianta Polish scientific and professional electronic journals Aneta Drabek i Arkadiusz Pulikowski