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The relationship competencies guiding tool: A development, content validation and implementation study.

Ana Choperena1, Inés Olza2, Miren Idoia Pardavila-Belio1

  • 1School of Nursing, University of Navarra, Calle Irunlarrea, 1, 31008 Pamplona, Spain; IdisNA, Navarra Institute for Health Research, Pamplona, Spain.

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This summary is machine-generated.

A new Relationship Competencies Guiding Tool helps nurses develop professional competencies through clinical narratives. This validated tool evaluates skills and values for authentic patient encounters, aiding reflective practice.

Keywords:
Clinical narrativesGuideNursingPatient-centered careProfessional developmentRelationship-based careValidation

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Area of Science:

  • Nursing Education
  • Healthcare Professional Development
  • Clinical Communication

Background:

  • Person-centered care emphasizes authentic nurse-patient relationships for therapeutic benefits.
  • Clinical narratives facilitate reflective practice and professional development in nurses.
  • A validated tool was developed to assess competencies for authentic patient encounters via narratives.

Purpose of the Study:

  • To present the development, validation, and implementation of the Relationship Competencies Guiding Tool.
  • To illustrate how tool items reflect in nurses' clinical narratives and justify scoring.
  • To describe narrative interpretation using the tool and identify application barriers/facilitators.

Main Methods:

  • Instrument development study with three steps: conceptualization, item generation, and content validation.
  • Implementation involved evaluating 25 clinical narratives using the tool.
  • One narrative underwent linguistic analysis for interpretative strategies.

Main Results:

  • The Relationship Competencies Guiding Tool was successfully developed, validated, and implemented.
  • The tool aids nurses in developing relationship-based competencies and guides evaluators in scoring.
  • Barriers and facilitators to tool application were identified during the evaluation process.

Conclusions:

  • The Relationship Competencies Guiding Tool is clear, relevant, and suitable for evaluating clinical narratives.
  • It can assess how nurses reflect professional competencies in narratives.
  • The tool serves as a preliminary step for developing a measurement instrument for nurse-patient relationship competencies.