fa بررسی مقایسه‌ای شایستگی بالینی پرستاران بخش‌های مراقبت ویژه به دو روش خود ارزیابی و ارزیابی توسط سرپرستاران دانشگاه علوم پزشکی زنجان 1392 Midwifery Orginal research <p><strong><em>Background and Objectives: </em></strong>The high clinical competency of Critical Care Nurses (CCNs) is required, as the quality of nursing care in critical care units (CCUs) with critically ill patients is extremely important<span dir="RTL">.</span> This study was conducted to compare CCNs&#39; clinical competency using self-assessment method and assessment by their Head nurses.</p> <p><strong><em>Materials and Methods:</em></strong> This cross-sectional study was conducted on 148 CCNs who were included in the study in a period of six months (June -November 2014), in the hospitals of the Zanjan university of medical sciences. Data was collected using Nurse Competency Scale (NCS) which assesses 63 skills in seven different domains. The Cohen&#39;s kappa coefficient was used to compare the agreement between the clinical competency and the use of skills in CCNs and their head nurses.</p> <p><strong><em>Results</em></strong><strong>:</strong> The inter-rater agreement was poor between the nurses and their Head nurses in the evaluation of the clinical competency, and in two aspects was very poor. The &quot;Quality assurance&quot; (0.098) and the&quot; Helping Role&quot; (0.373) domains had the lowest and the highest level of agreement, respectively. The inter-rater agreement of the use of skills by nurses was reported very poor in all domains.</p> <p><strong><em>Conclusion:</em></strong> The current study revealed that there is no agreement between the evaluation of CCNs&#39; clinical competency by own nurses and their head nurses indicating these two methods are not interchangeable.</p> <p></p> Critical Care Nurse, Clinical competency, Self-assessment, Head nurses, Iran 72 82 http://nmcjournal.zums.ac.ir/browse.php?a_code=A-10-178-1&slc_lang=fa&sid=1 fatemeh mahdavisaeb فاطمه مهدوی صائب fmahdavisaeb@yahoo.com 10031947532846007926 10031947532846007926 No دانشگاه علوم پزشکی زنجان mahin ruhani مهین روحانی Roohani@zums.ac.ir 10031947532846007927 10031947532846007927 Yes دانشگاه علوم پزشکی زنجان nasrin hanifi نسرین حنیفی nasrinhanifi@yahoo.com 10031947532846007928 10031947532846007928 No دانشگاه علوم پزشکی زنجان kurosh kamali کوروش کمالی drkamali@zums.ac.ir 10031947532846007929 10031947532846007929 No دانشگاه علوم پزشکی زنجان