HomeJournal of Interdisciplinary Perspectivesvol. 3 no. 5 (2025)

Innovative Competency of Nursing Attendants: Evidence from the Philippines

Cristy A. Averilla

Discipline: nursing (non-specific)

 

Abstract:

Nursing attendants play a vital role in healthcare, yet their competencies in knowledge, skills, attitude, training, and digital literacy require continuous assessment and improvement. This study evaluated their competencies and identified challenges to propose an innovative competency framework. Using a quantitative descriptive research design, data were collected from 131 nursing attendants in nine government hospitals in Sorsogon Province through a self-assessment tool. Respondents had at least two years of experience, were actively employed, and voluntarily participated. The questionnaire was adapted from established competency standards and validated by a chief nurse from another province. Findings revealed that most nursing attendants were young to mid-career professionals, predominantly female, with a college education. While many engaged in training, access to professional development varied. Self-assessments indicated strong competencies in clinical knowledge, practical skills, and attitude, with attitude scoring the highest. However, training received lower scores, indicating a need for more learning opportunities, while digital and technological competence ranked the lowest. Strengths included effective patient monitoring, timely care delivery, and teamwork, contributing to patient safety and positive healthcare outcomes. Challenges included inadequate compensation, difficulty using modern equipment, and educational gaps. The study recommends targeted training programs, enhanced digital literacy, and hands-on experience with advanced technology. It also proposes adopting the developed competency framework to guide policy improvements and ensure high-quality patient care.



References:

  1. Abadian, L., Alavi, N., & Tagharrobi, Z. (2024). Clinical nursing competency during epidemics: a qualitative content analysis. BMC Nursing, 23, 306. https://doi.org/10.1186/s12912-024-01977-y
  2. Abun, D., Asuncion, S., Lazaro, J., Magallanes, T., & Catbalagan, N. (2021). The effect of educational attainment, length of work experience on the self-efficacy of teachers and employees. International Journal of Business Ecosystem and Strategy. 3, 16-28.  https://bussecon.com/ojs/index.php/ijbes/article/view/258
  3. Abbas, A., & Atiyah, H. (2021). Nurses’ practices toward aseptic techniques at Kidney Transplant Center in Baghdad City. Mosul Journal of Nursing, 9, 62-69. https://tinyurl.com/2p9sx4ya
  4. Allvin, R., Bisholt, B., Blomberg, K., Bååth, C. & Wangensteen, S. (2020). Self-assessed competence and need for further training among registered nurses in somatic hospital wards in Sweden: a cross-sectional survey. BMC Nursing, 19, 74. https://tinyurl.com/3h5xrme8
  5. Almarwani, A., & Alzahrani, N. (2023). Factors affecting the development of clinical nurses’ competency: a systematic review. Nurse Education in Practice. DOI: 10.1016/j.nepr.2023.103826 
  6. Alshammari, M., & Alenezi, A. (2023). Nursing workforce competencies and job satisfaction: the role of technology integration, self-efficacy, social support, and prior experience. BMC Nursing, 22, 308. https://doi.org/10.1186/s12912-023-01474-8
  7. Baidun, A. (2024). The role of work competence and compensation on increasing organizational commitment. Journal of Management, 3, 577–589. https://myjournal.or.id/index.php/JOM/article/view/241
  8. Benner, P. (1982). From novice to expert. The American Journal of Nursing, 82, 402-407. https://theclinicalpreceptor.weebly.com/uploads/4/2/6/1/42617329/benner_1982.pdf
  9. Civil Service Commission. (2013). Revised policies on the grant of eligibility under CSC MC No. 11, s. 1996, as amended (CSC Memorandum Circular No. 10, Series of 2013). Civil Service Commission. https://www.csc.gov.ph/phocadownload/userupload/irmo/mc/2013/mc10s2013.pdf
  10. Creswell, J. W., & Creswell, J. D. (2018). Research design: qualitative, quantitative, and mixed methods approach (Fifth edition). Los Angeles: SAGE.
  11. Davidson, E., Jones, T., Baqir, W., & Fenwick, K. (2023). Does the implementation of self-administration policies for insulin improve patient safety in the hospital inpatient setting? A scoping review. International Journal of Pharmacy Practice, 31, 16. https://doi.org/10.1093/ijpp/riad074.019
  12. Davis, C. (2023). One-fifth of Nurses intend to leave the workforce by 2027. Retrieved from  https://tinyurl.com/4zdy3xre
  13. Dunn, A. (n.d.). common CNA struggles and how to overcome them. Retrieved from https://tinyurl.com/m9zne6r6
  14. Faris, H., & Abed, R. (2022). Effectiveness of an education program on nurses’ knowledge toward enteral nutrition support for unconscious patients at Critical Care Unit in Imam Al-Hussein Medical City in Holy Karbala. Pakistan Journal of Medical Health & Sciences, 16, 3. https://pjmhsonline.com/index.php/pjmhs/article/view/749 
  15. Farzandipour, M., Mohamadian, H., Akbari, H., Safari, S., & Jabali, M. (2020). Self-assessment of nursing informatics competencies in hospitals. Retrieved from https://tinyurl.com/5n797x47
  16. Fatema, K. & Barai, L. (2020). Infection prevention and control in health care settings during COVID-19 pandemic. BIRDEM Medical Journal. 10, 81–92. https://doi.org/10.3329/birdem.v10i0.50986
  17. Fuscaldo, D. (2023, October 13). Managing millennials in the workplace. Business News Daily. Retrieved from https://tinyurl.com/sj8uhkc
  18. Gasaba, E., Niciza, J., Muhayimana, D., & Niyongabo, E. (2020). Infection control measures among healthcare workers: knowledge, attitude, and practice., Open Journal of Nursing, 10, 1068-1080. https://www.scirp.org/journal/paperinformation?paperid=104431
  19. Goliroshan, S., Babanataj, R., & Aziznejadroshan,P. (2018). Investigating the self-assessment of clinical competency of nurses working in Babol University of Medical Sciences Hospitals. World Health Family Medicine, 16, 279-284. https://doi.org/10.5742/MEWFM.2018.93331
  20. Graan, A., Scrooby, B., & Bruin, Y. (2020). Recording and interpretation of vital signs in a selected private hospital in the KwaZulu-Natal province of South Africa. International Journal of Africa Nursing Sciences, 12. https://doi.org/10.1016/j.ijans.2020.100199 
  21. Hester, L., Reed, B., Bohannan, W., Box, M., Wells, M., & O’Neal, B., (2021) Using an educational mobile application to teach students to take vital signs. Nurse Education Today, 107. https://www.sciencedirect.com/science/article/abs/pii/S0260691721004111
  22. Hudson, H. (2023). Recruiting and retaining nurses: a critical challenge facing the healthcare industry.  Onco Zine-The International Oncology Network. https://doi.org/10.14229/onco.2023.09.01.010
  23. Jayasuriya, P., Roach, S., Bailey, L., & Shaw, E. (2001). Self-management for chronic disease. an introduction. Aust Fam Physician, 30, 913-6. https://pubmed.ncbi.nlm.nih.gov/11676324/
  24. Kim, S., & Choi, Y. (2019). Nursing competency and educational needs for clinical practice of Korean nurses. Nurse Education in Practice, 34, 43-47. https://doi.org/10.1016/j.nepr.2018.11.002
  25. Lagatta, J., Uhing, M., Acharya, K., Lavoie, J., Rholl, E., Malin, K., Malnory, M., Leuthner, J., & Brousseau, D. (2021). Actual and potential impact of a home nasogastric tube feeding program for Infants whose NICU discharge is affected by delayed oral feedings. The Journal of Pediatrics, 4, 38-45. https://doi.org/10.1016/j.jpeds.2021.03.046
  26. Lapitan, M. (2023). The feminine vs masculine nurse: the effects of gender stereotypes in nursing. Dominican Scholar. https://doi.org/10.33015/dominican.edu/2023.NURS.ST.16
  27. Lazem, A. & Hassan, H. (2024). Evaluation of nurse’s competency concerning delivered care and pedagogy in nursing at emergency unit: comparative study. AlQalam Journal of Medical and Applied Sciences, 7. https://journal.utripoli.edu.ly/index.php/Alqalam/article/view/549
  28. Linares, J., Jurado, M, Fuentes, M., Pecco, I., Martinez, A., & Martin, A. (2022). The “mask effect” of the emotional factor in nurses’ adaptability to change: mental health in a COVID-19 setting. Healthcare, 10, 1457. https://tinyurl.com/yc8jj6aw
  29. Mou, J., Sun, J., Zhang, R., Yang, Y., Yang, W., & Zhao, X. (2021). Experiences and needs of home caregivers for enteral nutrition: A systematic review of qualitative research. Nursing Open, 9, 11-21. https://doi.org/10.1002/nop2.990
  30. Murshid, B. (2021). Assessment of competencies’ level of critical and intensive care unit nurses at King Abdulaziz Medical City and King Abdullah Specialized Children Hospital. American Journal of Nursing Science, 10. https://www.sciencepublishinggroup.com/article/10.11648/j.ajns.20211001.16
  31. Osman, M., Ibrahim, M., & Diab, G. (2019). Relationship between nurses’ competencies and quality of patient care at intensive care units. Menoufia Nursing Journal, 4, 1-14.  https://menj.journals.ekb.eg/article_118373_85f97f05673ae0f9bc3a413ab8082e68.pdf
  32. Park, S. (2022). Influencing factors for the patient safety activities of nursing assistants. Asia-pacific Journal of Convergent Research Interchange, 8, 211-220. https://doi.org/10.47116/apjcri.2022.10.19 
  33. Ronghe, V., Mahakalkar, M., Thool, B., Ankar, R., Gomase, K., & Teltumbde, A. (2022). A wearable device for remote vital signs monitoring: a review article. 2022 3rd International Conference on Electronics and Sustainable Communication Systems (ICESC), 966-969. https://ieeexplore.ieee.org/document/9885302
  34. Saiki, M., Takemura, Y., & Kunie, K. (2021). Nursing assistants’ desired roles, perceptions of nurses’ expectations and effect on team participation: A cross‐sectional study. Journal of Nursing Management, 29(5), 1046–1053. https://doi.org/10.1111/jonm.13242
  35. Sapra, A., Malik, A., & Bhandari, P. (2025). Vital sign assessment. In StatPearls. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK553213/
  36. Sharma, S., Kalal, N., & Rani, R. (2021). Clinical practice readiness of nursing graduates. Clinics Mother Child Health, 18. https://tinyurl.com/3ab5j7fw
  37. Shrestha, I., Payakkaraung, S., & Sanasuttipun, W. (2023). Pain management competency and its associated factors among nurses. Journal of Nepal Health Research Council, 20, 623-629. https://doi.org/10.33314/jnhrc.v20i3.3968
  38. Thwin, N., Janarthanan, M., & Bhaumik, A. (2023). Impact of career advancement on employee retention. International Journal of Latest Engineering and Management Research (IJLEMR), 8, 106-109. https://tinyurl.com/vhd857tf
  39. Varanasi, R., Vashistha, A., Kizilcec, R., & Dell, N. (2021). Investigating technostress among teachers in low-income Indian schools. ACM Journal, 5, 1-29. https://doi.org/10.1145/3476081