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Construction of the core competencies training system for thoracic surgery specialist nurses: A mixed-methods study
Yingjin Li1, Yan Chen2, Qiuju Chen3
1School of Nursing, Nanjing University of Chinese Medicine, Nanjing, China.
Plos One
|February 2, 2026
Summary
A new training system was developed to enhance the core competencies of thoracic surgery specialist nurses. This system provides a comprehensive framework for specialized nursing education and practice.
Area of Science:
- Nursing Education
- Surgical Nursing
- Healthcare Professional Development
Background:
- Thoracic surgery demands specialized nursing expertise.
- Existing training for thoracic surgery specialist nurses may be insufficient.
- A structured competency-based training system is needed.
Purpose of the Study:
- To develop a comprehensive training system for cultivating core competencies in thoracic surgery specialist nurses.
- To establish a scientific and evidence-based framework for specialized nursing education.
Main Methods:
- A mixed-methods approach was utilized, combining literature review and semi-structured interviews.
- A two-round Delphi expert consultation was conducted to refine and finalize the training system.
- Involved thoracic surgical healthcare professionals in the development process.
Main Results:
- A consensus-based core competency framework was established, including 6 first-level and 17 second-level indicators.
- 92 curriculum content items with corresponding teaching methods were identified.
- Agreed upon 17 aspects of organizational management and 8 evaluation methods for the training system.
Conclusions:
- A scientific and comprehensive specialty training system for thoracic surgery specialist nurses was successfully developed.
- The system addresses practical nursing needs and contributes to the evidence base in surgical nursing.
- The training system offers significant clinical and practical value to stakeholders and requires further empirical validation.
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