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Nurses' viewpoints on nursing competencies during epidemics: A Q methodology study.

Leila Abadian1, Negin Masoudi Alavi1, Zahra Tagharrobi1

  • 1Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran.

Journal of Education and Health Promotion
|January 23, 2026
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Summary
This summary is machine-generated.

Nurses require diverse competencies during epidemics, including critical care skills, infection control, and dedication. Understanding these varied nursing perspectives is crucial for effective epidemic preparedness and training programs.

Keywords:
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Area of Science:

  • Nursing Science
  • Public Health
  • Epidemiology

Background:

  • Epidemics significantly disrupt healthcare services, highlighting the need for prepared nursing staff.
  • Understanding diverse nursing perspectives on essential competencies during epidemics is vital for future training.
  • This study addresses the need to identify key nursing competencies for epidemic situations.

Purpose of the Study:

  • To investigate nurses' perspectives on essential competencies required during epidemic situations.
  • To utilize Q methodology to explore and categorize viewpoints on nursing competencies during health crises.

Main Methods:

  • A cross-sectional study employing Q methodology was conducted from September 2023 to February 2024.
  • Twenty-four nurses involved in COVID-19 patient care participated, sorting 72 statements on nursing competencies.
  • Q factor analysis with centroid factor analysis and Varimax rotation was used to analyze viewpoints.

Main Results:

  • A 3-factor solution best represented the data, identifying three distinct viewpoints on nursing competencies.
  • These viewpoints encompassed competencies for intensive care units (ICUs), infection control and basic skills, and dedication beyond routine duties.
  • Nurses expressed varied opinions on the relative importance of these critical competencies.

Conclusions:

  • Nurses need a broad skill set during epidemics, including ICU proficiency, fundamental nursing skills, and resilience in challenging environments.
  • Acknowledging the diversity in nurses' perspectives on competency importance is key for targeted educational and intervention strategies.
  • Findings can inform nurse managers and educators in developing robust preparedness programs for future epidemics.