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Developing a psychological care competences framework for nurses in China: a mixed methods study.

Qinghong Fang1, Xingwen Li1, Yuanyuan Luo1

  • 1School of Nursing, Southern Medical University, Guangzhou, Guangdong Province, China.

BMC Nursing
|February 19, 2024
PubMed
Summary
This summary is machine-generated.

This study developed a Psychological Care Competence (PCC) framework for Chinese nurses, essential for meeting growing mental health service demands. The framework provides a reliable basis for nursing education and assessment.

Keywords:
Competence frameworkDelphi techniqueMixed-method approachPsychological care

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Area of Science:

  • Nursing
  • Mental Health
  • Healthcare Education

Background:

  • Growing demand for psychological health services in China necessitates qualified psychological care nurses.
  • A clear understanding of Psychological Care Competences (PCC) is crucial for nurse selection, training, and assessment.
  • This study addresses the challenge of training sufficient qualified psychological care nurses in China.

Purpose of the Study:

  • To develop a comprehensive Psychological Care Competence (PCC) framework tailored for Chinese nurses.
  • To achieve expert consensus on the proposed PCC framework.

Main Methods:

  • A descriptive mixed-methods approach combining literature review and semi-structured interviews.
  • Three rounds of Delphi consultation with 16 experts (nurses, managers, educators) from nine Chinese provinces.
  • Descriptive statistics were employed for data analysis.

Main Results:

  • A PCC framework was developed based on the Iceberg Model, integrating 5 dimensions (knowledge, skills, ethics, traits, motivations) and 22 subdomains.
  • Expert consensus was achieved on the framework through Delphi rounds, with high response rates (80-92.86%) and reliability (Cr 0.89-0.90).
  • The framework was refined through literature review and qualitative interviews, confirming and expanding upon initial themes.

Conclusions:

  • A scientific and systematic PCC framework for Chinese nurses was successfully developed using rigorous research methods.
  • The developed framework is feasible and reliable, offering a foundation for integration into nursing education.
  • Further development of formal assessment tools is recommended to evaluate nurses' PCC in clinical practice.