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Competency framework for specialist critical care nurses: A modified Delphi study.

Xiaoning Zhang1, Kun Meng1, Shuang Chen1

  • 1School of Nursing, Xuzhou Medical University, Xuzhou, China.

Nursing in Critical Care
|August 3, 2019
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Summary
This summary is machine-generated.

A new competency framework for specialist critical care nurses in China was developed. This framework provides a foundation for assessing and training nurses to improve patient care.

Keywords:
Delphi studycompetencycritical care nursingfocus groupspecialist nurses

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Area of Science:

  • Nursing Science
  • Healthcare Management

Background:

  • Specialist critical care nurses are essential for evidence-based practice.
  • Competency guidance exists in developed countries, but not for China.
  • No existing research addresses a competency framework for Chinese specialist critical care nurses.

Purpose of the Study:

  • To construct a specific competency framework for specialist critical care nurses in China.

Main Methods:

  • A two-phased approach was used, starting with a literature review and focus groups.
  • A modified Delphi process with 30 national experts was conducted over three rounds.
  • Consensus was achieved using a 75% agreement threshold on a 5-point Likert scale.

Main Results:

  • The framework evolved from 101 initial statements to 92 agreed-upon competencies.
  • Expert consensus was reached with high participation rates across three Delphi rounds.
  • The final framework is organized into six domains: evidence-based practice, complex decisions, professionalism, communication and co-operation, education and development, and leadership.

Conclusions:

  • An expert-consensus competency framework for specialist critical care nurses in China has been established.
  • This framework offers a robust basis for the assessment and training of these nurses.
  • The framework is intended to enhance nursing performance, professional development, and healthcare quality.