Abstract:

The study on determinants of Competence Acquisition and Application in Nursing Service Delivery by Comprehensive Nurse Graduates was conducted from Regional Referral and District hospitals in Uganda. With objectives to identify factors associated with competence acquisition and competence application and to determine the satisfaction of patients and stakeholders regarding nursing service delivery by the Comprehensive Nurse graduates in Uganda. A descriptive structured cross-sectional design with a sample size of 336. Data collection using a semi- structured questionnaire and interview guide in December 2019 - January 2020. Data analysis by statistical analyses: SPSS 21 statistical software. The overall competence on average, stood at 3.51±0.32, suggesting good competence acquisition. However, 14 of 24 stakeholders in hospitals stated training CNs exposed to was inadequate. Gauging the service delivery in therapeutic interventions, staff described CNs performance as good in-patient care outcomes, incorporation of relevant knowledge to provision of optimal care, and decision making for particular situations. Despite a good rating of performance majority pointed to very poor service delivery. However, the majority of stakeholders expressed dissatisfaction, more so competences in midwifery. In analyses, training and working experience emerged as significant determinants in predicting competence acquisition. Associated factors included the length of service at the health facility. The stakeholder satisfaction was negative, unlike the patients with a positive attitude. Similarly, individual and contextual factors have effects on competence acquisition and application. Organizing In-Service Training/Continuous Professional Developments for CN graduates, attention in areas of skill gaps, sufficient time allocation for courses, and more staff recruitment to be considered.

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