www.elsevier.es/enfermeriaclinica Enfermería Clínica Enferm Clin. 2018;28(Supl 1 Part A):154-157 Inv Inv Invest est est iga iga iga ció ció ciónnn Asi Asi Asiste ste ste nci nci nciaaaa Doc Doc Docenc enc encia ia ia Ges Ges Gestió tió tiónnn Enfermería Clínica Volumen 28, Suplemento 1, Febrero 2018 i G Part A: 1st International Nursing Scholars Congress Depok (Indonesia), 15-16 November 2016 1130-8621/© 2018 Elsevier España, S.L.U. Todos los derechos reservados. *Corresponding author. Email: rrtutik@yahoo.com (R.T.S. Hariyati). Factors that affect the development of nurses’ competencies: a systematic review Ichsan Rizany a , Rr Tutik Sri Hariyati b, * and Hanny Handayani b a Nursing Program, Faculty of Medicine, Universitas Lambung Mangkurat, Banjarmasin, Indonesia b Faculty of Nursing, Universitas Indonesia, Depok, Jawa Barat, Indonesia KEYWORDS Competences; Nurses; Work experience; Education Abstract Objective: To investigate factors affecting the development of nursing competency based on a review of the literature. Method: A systematic review was utilized. The articles were taken from the databases of Pro- Quest, ScienceDirect, SpringerLink, and Scopus. They were retrieved using the following key- words: nursing competence, nurse competencies and clinical competence. Twenty-one papers were selected. Results: Competence development is a continuous process of improving knowledge, attitudes DQG VNLOOV DQG LV LQÁXHQFHG E\ D P\ULDG RI IDFWRUV 6L[ IDFWRUV ZHUH LGHQWLÀHG WKDW DIIHFWHG WKH development of nursing competence in our systematic review: (1) work experience, (2) type of nursing environment, (3) educational level achieved, (4) adherence to professionalism, (5) crit- LFDO WKLQNLQJ DQG  SHUVRQDO IDFWRUV :RUN H[SHULHQFH DQG HGXFDWLRQ ZHUH VKRZQ WR VLJQLÀ- FDQWO\ LQÁXHQFH WKH GHYHORSPHQW RI FRPSHWHQF\ RI QXUVHV Conclusions: 1XUVH PDQDJHUV QHHG WR VXSSRUW VWDIÀQJ FRPSHWHQFH WKURXJK RQJRLQJ HGXFDWLRQ PHQWRULQJSUHFHSWRUVKLS WUDLQLQJ DQG FDVHUHÁHFWLRQGLVFXVVLRQ WHDFKLQJ SURJUDPV © 2018 Elsevier España, S.L.U. Todos los derechos reservados. Introduction 1XUVLQJ VHUYLFHV PDNH D VLJQLÀFDQW FRQWULEXWLRQ WR WKH TXDO- ity of healthcare services. They are performed over 24-hour periods and are divided into shifts that are performed three times a day, seven days a week 1 . They should be implement- ed in accordance with nursing ethical codes and career lad- der of competence 2,3 . Competent nurses impact on patient safety. Therefore, it is important that nurses’ competencies are developed. Nursing competency remains a considerable issue in health care 4 . The assumption is that nurses have to be competent but perceptions are that this is not always the case 5 . Nevertheless, QXUVHV DUH H[SHFWHG WR GHOLYHU TXDOLW\ FDUH DQG VHUYLFHV 6 . It has EHHQ HYDOXDWHG LQ PDQ\ VWXGLHV ,W LV GHÀQHG DV WKH DELOLW\ WR perform tasks that result in an anticipated outcome 7 . Nurses’ competencies encompass all aspects of nursing, and include knowledge, attitude, and skills 8  ,Q RUGHU WR DFTXLUH RSWLPDO competencies, nurses must have critical thinking skills 9 . 7KH FRPSHWHQFH RI QXUVHV KDV D VLJQLÀFDQW LPSDFW RQ TXDOLW\ RI FDUH DQG LV FORVHO\ DVVRFLDWHG ZLWK MRE SHUIRU- mance, satisfaction, and absenteeism 2,8 . The dynamic de- YHORSPHQW RI QXUVHV· FRPSHWHQFLHV LV LQÁXHQFHG WR D ODUJH extent by the environment 10 .