Consensus on Care Competencies for Community Citizens in Japan: A Modified Delphi Study

Japan's rapidly aging population necessitates new approaches that enable citizens to actively participate in caring for themselves and others. However, a comprehensive framework defining the specific competencies needed for this critical community role has not yet been established. This study, therefore, aimed to define the novel concept of "care competency" and establish a consensus on its comprehensive component list for community citizens. We defined care competencies and developed a list using a modified Delphi technique (RAND/University of California, Los Angeles) involving 10 nursing researchers. Items were adapted from Japan's Model Core Curriculum for Nursing Education, and a total of 528 items were evaluated and refined. In this study, care competency was defined as the complex ability to acquire and utilize knowledge and skills, based on evidence and intentional choices, to maintain the well-being of oneself, loved ones, and people in the community. The Delphi process identified 151 care competency items. This study thereby presents a novel framework that provides a foundation for developing globally applicable educational programs to foster mutual support and effective caregiving.