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Development and validation of competencies for home-based nursing care: an e-Delphi study.
Khairul Dzakirin Bin Rusli1, Ying Lau2, Siew Tiang Lau1
1Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
This study established a consensus list of 45 professional competencies for home-based care nurses. These competencies, validated by experts, provide standardized expectations for nurses and stakeholders in home-based care settings.
Area of Science:
- Nursing Science
- Healthcare Management
- Professional Development
Background:
- The expected professional competencies for nurses providing home-based care are not clearly defined.
- Standardized expectations are needed for nurses and stakeholders in home-based care.
- A consensus-based list of competencies is essential for quality home care.
Purpose of the Study:
- To evaluate the content validity of professional competencies identified for home-based nursing care.
- To establish a standardized set of expected competencies for home-based care nurses.
- To achieve expert consensus on essential nursing competencies in home-based settings.
Main Methods:
- An e-Delphi method was employed for expert consensus.
- Purposive sampling included local and international experts in home-based and community nursing.
- Content validity was assessed using Item-Content Validity Index, Scale-Content Validity Index/Average (S-CVI/Ave), and Fleiss' kappa coefficient.
Main Results:
- The initial list of competencies was refined to 45 items across eight domains after two rounds of expert validation.
- The eight domains include client assessment, care planning, home-based nursing care, health condition management, communication, collaboration, critical thinking, professional development, and innovation.
- The Scale-Content Validity Index/Average (S-CVI/Ave) was 0.95, with 94.1% overall acceptable clarity.
Conclusions:
- A consensus-based list of 45 professional competencies for home-based care nurses was generated.
- This list provides valuable insights into the expected competencies for nurses in home-based care.
- Further research is recommended to test the validity and reliability of the competency structure.
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