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Developing a Competency Model for Mobile Nurses in Chinese Tertiary Hospitals: A Delphi-AHP Approach.

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  • 1School of Nursing, Shanxi Medical University, Taiyuan, Shanxi, China.

Journal of Nursing Management
|October 20, 2025
PubMed
Summary

A new competency framework for mobile nurses in hospitals enhances workforce optimization during crises. It details essential personality traits, knowledge, skills, and professionalism for effective crisis intervention and adaptive resilience.

Keywords:
competency frameworkmobile nursenursing competencyresource optimisationworkforce agility

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Area of Science:

  • Nursing Workforce Management
  • Healthcare Crisis Response
  • Competency-Based Education

Background:

  • Mobile nurses are crucial for emergency response and coordination in tertiary hospitals.
  • Lack of standardized competency models hinders effective workforce deployment during healthcare crises.
  • Existing frameworks do not adequately address the unique demands placed on mobile nursing staff.

Purpose of the Study:

  • To establish an evidence-based competency framework for mobile nurses in tertiary hospitals.
  • To address critical gaps in workforce optimization during healthcare crises.
  • To provide a foundation for standardized training and performance evaluation of mobile nursing staff.

Main Methods:

  • A mixed-methods approach was employed, integrating literature synthesis of 85 articles (2015-2025).
  • Semistructured interviews were conducted with 32 clinicians across four Chinese tertiary hospitals.
  • A two-round Delphi-Analytic Hierarchy Process (AHP) consultation with 18 experts established weighted competencies.

Main Results:

  • The final framework includes 3 domains: Personality Traits (44.47%), Knowledge/Skills (37.02%), and Professionalism (18.51%), comprising 10 subdomains and 40 indicators.
  • Expert consensus was significantly strengthened (p < 0.001) with high authority (Cr=0.85).
  • Key competencies identified include crisis intervention, Electronic Health Record (EHR) proficiency, and emotional resilience.

Conclusions:

  • This is the first evidence-based competency framework specifically designed for mobile nurses in dynamic healthcare settings.
  • The framework offers actionable metrics for recruitment, training, and performance evaluation.
  • It supports precise talent allocation and tailored professional development, aligning with global health workforce goals.