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Relationships between medical incidents, clinical competency, and clinical experience in child and adolescent psychiatric in-patient nursing: A structural equation modeling approach.

PROBLEM
Psychiatric nurses experience medical incidents, including potential errors and adverse incidents. We aimed to identify the elements of clinical competency related to medical incidents and to test the hypothesized relationships between medical incidents, clinical competency, and clinical experience.


METHODS
A self-administered survey was conducted among 406 nurses working in child and adolescent psychiatric wards at 29 Japanese hospitals.


FINDINGS
Medical incidents were significantly negatively correlated with two competencies-collecting client information and solving potential problems-and significantly positively correlated with the competency of collaboration with team members.


CONCLUSIONS
Our hypothesis was partially supported, suggesting that medical incidents involve various factors other than nurses' clinical competency.