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Developing a core competency framework for advanced practice nursing in mainland China: a sequential exploratory

Hongxia Guo1, Wei Zhu2, Jiping Li3

  • 1Department of Nursing, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan, China. guohongxia_99219@163.com.

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Summary

This study identified core competencies for advanced practice nursing (APN) in China. A framework with six domains and 61 items was developed to guide APN education and assessment.

Keywords:
Advanced practice nurseAdvanced practice nursingCompetency frameworkProfessional roleSequential exploratory study

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Area of Science:

  • Nursing Science
  • Healthcare Management
  • Professional Development

Background:

  • Advanced Practice Nursing (APN) is crucial in healthcare.
  • Establishing new APN roles requires competency clarity.
  • International comparisons of APN competence frameworks are lacking, particularly in China.

Purpose of the Study:

  • To identify the core competencies for advanced practice nursing in China.
  • To develop a defined competency framework for APN roles.

Main Methods:

  • Two-phase study: qualitative interviews with 46 stakeholders and a Delphi technique with 28 experts.
  • Qualitative content analysis to extract initial competencies.
  • Delphi technique to refine and finalize the core competency framework.

Main Results:

  • A core competency framework with six domains and 61 items was established.
  • Domains include: direct clinical practice, research, professional development, organization/management, mentoring/consultation, and ethical/legal practice.
  • The framework emerged from qualitative data and expert consensus via Delphi rounds.

Conclusions:

  • The developed six-domain, 61-item framework provides a basis for advanced practice nursing.
  • It can be utilized for competency-based education and assessment of advanced practice nurses.
  • This framework addresses the need for defined APN competencies in China.