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Developing a Competency Assessment Index System for Hematology Nurses in China: Delphi Study Insights
1Author Affiliations: Nurses-in-Charge (Xu, Gu, Sun, and Tu) and Cochief Superintendent Nurse (Wu), The First Ward of Gastrointestinal Cancer Department, and Nurse-in-Charge (Li) and Chief Superintendent Nurse (Hu), Nursing Department, The First Affiliated Hospital of the University of Science and Technology of China, Western District (Anhui Provincial Cancer Hospital), Hefei, Anhui, China.
This study developed a core competence assessment index for hematology nurses, enhancing patient care and safety. The index provides a framework for training and certification of these specialized nurses.
Area of Science:
- Nursing Science
- Hematology Nursing
- Healthcare Quality Improvement
Background:
- Core competencies of hematology nurses are crucial for effective patient management, care, and education.
- Nurse specialists significantly contribute to enhancing patient safety and the overall quality of nursing care.
- A gap exists in the literature regarding a standardized assessment index for hematology nurse core competencies.
Purpose of the Study:
- To construct a comprehensive core competency evaluation index system specifically for hematology nurses.
- To establish a standardized tool for assessing the essential skills and knowledge of hematology nurses.
- To address the lack of a formal index for evaluating the core competencies of specialized hematology nursing professionals.
Main Methods:
- A mixed-methods approach combining literature review, theoretical analysis, and group discussions.
- Two rounds of Delphi expert consultations with 26 hematology nursing experts across China.
- Indicator selection based on predefined importance scores and variation coefficients, with hierarchical weighting determined by precedence charts.
Main Results:
- A structured evaluation index comprising 6 primary, 18 secondary, and 70 tertiary indicators was developed.
- High response rates (100% and 92.86%) and significant expert consensus (Kendall's harmony coefficients) were achieved.
- Experts demonstrated high levels of familiarity, judgment, and authority in their assessments, validating the index's robustness.
Conclusions:
- The developed evaluation index system offers a valuable reference for hematology nurse training programs.
- The index can guide curriculum development and assessment strategies for hematology nursing education.
- It provides a foundation for qualification certification processes, ensuring a high standard of hematology nursing practice.
