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Development of an International Competency Framework for Nurses in the Provision of Self-management Support to Cancer
Raymond J Chan1, Oluwaseyifunmi Andi Agbejule, Fiona Crawford-Williams
1Author Affiliations: Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Bedford Park, South Australia, Australia (Drs Chan and Crawford-Williams, and Ms Agbejule); Department of Supportive Care, Princess Margaret Cancer Research Institute and Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Ontario, Canada (Dr Howell); Centre for Healthcare Transformation, Queensland University of Technology, Brisbane, Queensland, Australia (Drs Chan, Yates, and Crawford-Williams); Flinders University and Flinders Medical Centre, Bedford Park, South Australia, Australia (Dr Koczwara); University of Wisconsin-Milwaukee College of Nursing, Wisconsin (Dr Erickson); The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China (Dr So).
Background:
Cancer survivors are required to manage their health, healthcare, and a myriad of symptoms through self-management.
Objective:
The aim of this study was to develop a comprehensive framework of competencies and performance criteria that identifies the requisite knowledge and skills for nursing practice in the provision of self-management support for cancer survivors and their families.
Methods:
The competency framework was developed using the following 3-stage consensus building approach: (1) development of a preliminary list of self-management support competencies and performance criteria informed by relevant literature, (2) a 2-round modified Delphi conducted with a panel of cancer nurse experts, and (3) a research team consensus meeting to finalize framework components.
Results:
Seventy-one items, comprising 13 core competencies and 58 performance criteria, across 6 domains were generated. In round 1 of the modified Delphi, a panel of 21 oncology nurses produced consensus on retaining 28 items for inclusion in the final framework. Thirty-one items (including new items generated in round 1) were sent to round 2 for further rating. A panel of 19 nurses produced consensus on retaining a further 20 items in the framework in round 2. Of the 11 items that did not reach consensus, the research team proposed to include 7 in the final framework. Fifty-nine items were included in the final framework.
Conclusions:
This study provides a comprehensive, self-management support competency framework for oncology nurses.
Implications For Practice:
This framework is the first step toward the development of training program curricula that prepares nurses in self-management for cancer and associated coaching knowledge and skills.
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