Prioritizing Competencies of Nurses by a New Fuzzy Method: A Case Study on Hospital Emergency Wards
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Abstract
Introduction: Core nursing competencies refer to the effective application of a person’s combination of knowledge, skills, and judgment in job. This study aimed to determine the essential competencies of nurses working in hospital emergency wards, considering the characteristics of the emergency workplace, using a new approach.
Methods: A mixed-method study was conducted in 2023. Twenty-two experts were organized into two groups of five and two groups of six. Then, qualitative approaches were employed to collect data. Group brainstorming sessions identified the list of essential competencies and characteristics of the emergency workplace, while focus group discussions were used to finalize them. Ultimately, a fuzzy pairwise comparison matrix was applied using MATLAB 23.1 to weight and prioritize the competencies.
Results: Eleven key items emerged as the main characteristics of the workplace, while thirteen were identified as the essential competencies of nurses in the emergency ward. The “unpredictability of clients” and “high levels of team discipline and autonomy” were rated as the most important workplace features. In terms of nursing competencies, “high scientific abilities and skill capacities in managing diverse care situations from infancy to elderly” also received the highest score. When incorporating the workplace characteristics into the evaluation, “speed of action, professionalism, and coordination” notably ascended to the top rank, while “responsibility” dropped to fourth.
Conclusion: The characteristics of the workplace represented a more realistic rank of nurses’ competencies. Accordingly, emergency department nurse staff should be selected and evaluated based on competencies adapted to the characteristics of the workplace.
Journal of Mazandaran University of Medical Sciences 2008;18(67):35-42.
2. South African Nursing Council. Competencies for Emergency Nursing. South African Nursing Council. Accessed July 15, 2022. Available from: https://www.sanc.co.za/wp-content/uploads/2020/06/SANC- Competencies-Emergency-Nurse.pdf
3. Mamikhani J, Tofighi S, Sadeghifar J, Heidari M, Hossieni Jenab V. Prioritizing the compensation mechanisms for nurses
working in emergency department of hospital using fuzzy DEMATEL technique: a survey from Iran. Glob J Health Sci
2013;6(2):86–93. doi:10.5539/gjhs.v6n2p86
4. Clark M, Raffray M, Hendricks K, Gagnon AJ. Global and public health core competencies for nursing education: A
systematic review of essential competencies. Nurse Educ Today 2016;40:173–80. doi:10.1016/j.nedt.2016.02.026
5. Fukada M. Nursing Competency: Definition, Structure and Development. Yonago Acta Med 2018;61(1):1–7.
doi:10.33160/yam.2018.03.001
6. Li X, Zhou M, Wang H, Hao W. Factors associated with core competencies of emergency-room nurses in tertiary hospitals in China. Jpn J Nurs Sci 2020;17(3):e12337. doi:10.1111/ jjns.12337
7. Bahreini M, Moattari M, Kaveh M, Ahmadi F. Self assessment of the clinical competence of nurses in a major educational hospital of Shiraz University of Medical Sciences. Pars of Jahrom University of Medical Sciences 2010;8:28–36.doi:10.29252/jmj.8.1.28
8. Alexander MF, Runciman PJ. ICN framework of competencies for the generalist nurse: Report of the development process and consultation. International Council of Nurses; 2003.
9. Bartlett HP, Simonite V, Westcott E, Taylor HR. A comparison of the nursing competence of graduates and diplomates from UK nursing programmes. J Clin Nurs 2000;9(3):369–79. doi:10.1046/j.1365-2702.2000.00331.x
10. Safadi R, Jaradeh M, Bandak A, Froelicher E. Competence assessment of nursing graduates of Jordanian universities.
Nurs Health Sci 2010;12(2):147–54. doi:10.1111/j.1442-2018.2009.00507.x
11. Holanda FLd, Marra CC, Cunha ICKO. Professional competency profile of nurses working in emergency
services. Acta Paulista de Enfermagem 2015;28(4):308–14.doi:10.1590/1982-0194201500053
12. Najafi Ghezeljeh T, Keyvanloo Shahrestanaki S, Mohammadbeigi T, Haghani S. Patient Safety Competency
in Emergency Nurses in Educational-Medical Centers of Iran University of Medical Sciences, 2020. Iran Journal of Nursing 2022;34(134):60–73. doi:10.32598/ijn.34.6.5
13. Lakanmaa RL, Suominen T, Ritmala-Castrén M, Vahlberg T, Leino-Kilpi H. Basic Competence of Intensive Care Unit
Nurses: Cross-Sectional Survey Study. Biomed Res Int 2015;2015:536724. doi:10.1155/2015/536724
14. Adib-Hajbaghery M, Eshraghi Arani N. Assessing Nurses’ Clinical Competence from Their Own Viewpoint and the
Viewpoint of Head Nurses: A Descriptive Study. Iran Journal of Nursing 2018;31(111):52–64. doi:10.29252/ijn.31.111.52
15. Khodadadei N, Rezaei B, Salehi S. Relationship between organizational commitment and nurses’ clinical competency.
Quarterly Journal of Nursing Management 2018;7(1):18–28. doi:10.29252/ijnv.7.1.18
16. Coll-Badell M, Jiménez-Herrera MF, Llaurado-Serra M. Emergency Nurse Competence in Electrocardiographic
Interpretation in Spain: A Cross-Sectional Study. J Emerg Nurs 2017;43(6):560–70. doi:10.1016/j.jen.2017.06.001
17. Noviyanti L, Junianto A, Ahsan A. A cross-sectional study of the knowledge, skills, and 6 rights on medication administration by nurses at emergency department. Healthcare in Lowresource Settings 2023;11(s1). doi:10.4081/hls.2023.11177
18. Kırpık G, Çetin Y. Examining the Relationship Between Communication and Information Sharing and Organisational
Ambidexterity: A Study on Nurses in TRC1 Region. Sosyoekonomi 2023;31(55):11–35. doi:10.17233/ sosyoekonomi.2023.01.01
19. Park MS, Jeoung Y, Lee HK, Sok SR. Relationships among communication competence, self-efficacy, and job satisfaction in Korean nurses working in the emergency medical center setting. J Nurs Res 2015;23(2):101–8. doi:10.1097/jnr.0000000000000059
20. Sanjana IW, Widyandari NM, Agustini NLP. Nursing Competencies in Ambulance Needs at Prehospital: A
Scoping Review. Jurnal Info Kesehatan 2023;21(2):212–25. doi:10.31965/infokes.Vol21.Iss2.960
21. Bahreini M, Shahamat S, Hayatdavoudi P, Mirzaei M. Comparison of the clinical competence of nurses working
in two university hospitals in Iran. Nurs Health Sci 2011;13(3):282–8. doi:10.1111/j.1442-2018.2011.00611.x
22. Bench S, Crowe D, Day T, Jones M, Wilebore S. Developing a competency framework for critical care to match patient need. Intensive Crit Care Nurs 2003;19(3):136–42. doi:10.1016/ s0964-3397(03)00030-2
23. Ličen S, Plazar N. Identification of nursing competency assessment tools as possibility of their use in nursing education in Slovenia---a systematic literature review. Nurse Educ Today 2015;35(4):602–8. doi:10.1016/j.nedt.2014.12.023
24. Meeker J, Perry A, Dolan C, Emary C, Golden K, Abla C, et al. Development of a competency framework for the nutrition in emergencies sector. Public Health Nutr 2014;17(3):689–99. doi:10.1017/s1368980013002607
25. Meretoja R, Leino-Kilpi H, Kaira AM. Comparison of nurse competence in different hospital work environments. J
Nurs Manag 2004;12(5):329–36. doi:10.1111/j.1365-2834.2004.00422.x
26. Parashakti RD, Fahlevi M, Ekhsan M, Hadinata A. The influence of work environment and competence on motivation and its impact on employee performance in health sector. In3rd Asia Pacific International Conference of Management and Business Science (AICMBS 2019) 2020 Apr 13 (pp. 259-267). Atlantis Press.
27. Sutaguna INT, Yusuf M, Ardianto R, Wartono P. The Effect Of Competence, Work Experience, Work Environment, And
Work Discipline On Employee Performance. Asian Journal of Management, Entrepreneurship and Social Science
2023;3(1):367–81. doi:10.63922/ajmesc.v3i01.263
28. Tofighi Sh, Nazari Manesh L. Assessment of leadership and management competencies among healthcare and medical managers in a military unit. Internal report. Tehran: Baqiyatallah University of Medical Sciences.
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| Issue | Vol 10 No 1 (2026) | |
| Section | Articles | |
| Keywords | ||
| Clinical competence Nurses Hospital emergency services Hospital Workplace environment Fuzzy logic Iran | ||
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