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ABSTRACT

The purposes of this study were to (1) understand and compared pre and post nursing competence (2)

analyze the factors impacting nursing competence. The study was conducted from Dec 1,1999 and ended

on Jul. 31, 2001. A total of 321 nurses participated in pre implementation clinical ladder system and 222

nurses took the posttest in a medical center. A 5-point Likert scale was used to test nursing competence. The

results showed that (1) the average pre and post nursing competence mean scores were 3.77 and 3.78; (2) the

mean pre and post-test scores of six nursing competence areas including caring, communicating, teaching,

managing, research, self-growth and professional development ability were 4.04, 4.03; 3.95, 3.95; 3.83,

3.78; 3.69, 3.71; 2.85, 2.98; 3.60, and 3.68; (3) there were no significant differences between these two

groups in the six nursing competence areas; (4) there were significant differences in age, working position,

marital status, number of children, years of service, attending training, motivation to attend clinical ladder

systems, subjective nursing competence classification, objective nursing competence classification (N1,

N2, N3, and N4), and importance of work by using ANOVA. Subjective nursing competence classification,

boss's leadership, family support, personal motivation, and working years could explain 21.7% of the vari-

ance by using stepwise regression. There were 78.3% impact factors not found in this study. The research-

ers suggested evaluating nursing competence 2 years later continuously in order to use this data to improve

teaching and evaluate the quality of nursing care.

Key words: Clinical Ladder Systems, nursing competence, evaluation

The Comparison of Pre and Post Nursing Competence and

Influencing Factor in Implementing

Clinical Ladder Systems

Nanly Hsu • Pi-chu Lin • Man-ying Hsu • Ke-ping Yang