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Defining competencies for nurse anaesthetists: A Delphi study
Montse Sanclemente-Dalmau1,2, Paola Galbany-Estragués3,4, Xavier Palomar-Aumatell3,5
1ESIMar (Mar Nursing School), Parc de Salut Mar, Universitat Pompeu Fabra-affiliated, Barcelona, Spain.
Journal of Advanced Nursing
|July 1, 2022
Summary
This study defined nurse anesthetist competencies in Catalonia using the Delphi method. Consensus was reached on 24 key competencies, highlighting health education and patient empowerment as crucial for standardized practice.
Area of Science:
- Nursing
- Anesthesiology
- Healthcare Competency Frameworks
Background:
- Nurse anesthetists' competencies are crucial for patient safety and quality of care.
- Variability in training and practice exists due to a lack of standardized competencies.
- Defining these competencies is essential for professional development and healthcare system improvement.
Purpose of the Study:
- To establish a consensus on the essential competencies for nurse anesthetists in Catalonia based on clinical practice.
- To provide a foundation for standardizing nurse anesthetist training and practice.
Main Methods:
- A consensus-building process utilizing the Delphi method with 16 nurse anesthetists.
- A two-round questionnaire survey with 142 questions across seven domains.
- Analysis of competency consensus, including discarding and proposing new competencies.
Main Results:
- In the first round, 18 competencies were discarded, and 9 had inconclusive results.
- Eighteen new competencies were proposed by participants.
- In the second round, consensus was achieved on 24 competencies after discarding 3 of the 27 tested.
Conclusions:
- Health education and patient/family empowerment are vital components of nurse anesthetist practice, particularly in pre-anesthetic assessment and pain management.
- Standardized competencies can address variability in training and practice, benefiting Spain and other countries.
- Regulation of nurse anesthetist competencies will enhance their contribution to patient care and safety.
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