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Developing Core Competency Assessment Metrics for Dementia Care for Geriatric Nurse Specialists: A Delphi Method
Haojie Wang1, Yaxuan Wu2, Weiqing Zhang3
1Henan Provincial People's Hospital of Zhengzhou University.
Journal of Gerontological Nursing
|May 6, 2026
Summary
This study developed core competency assessment metrics for dementia care for geriatric nurse specialists in China. The validated indicator system aids in training, assessment, and standardizing dementia care skills.
Area of Science:
- Gerontology
- Nursing Education
- Healthcare Quality
Background:
- Dementia care requires specialized skills for geriatric nurse specialists.
- Standardized competency assessment is crucial for effective dementia care training.
- Existing frameworks may not adequately address the specific needs of Chinese geriatric nurses.
Purpose of the Study:
- To develop and validate a core competency assessment metric system for dementia care.
- To establish a foundational resource for training and evaluating geriatric nurse specialists in dementia care.
- To enhance the quality of dementia care through standardized competency evaluation.
Main Methods:
- Literature review and qualitative interviews to establish an initial framework.
- Delphi expert consensus method involving specialists across eight Chinese provinces.
- Three rounds of expert consensus to refine and validate the competency framework.
Main Results:
- A comprehensive core competency framework for dementia care was established, comprising six dimensions and 39 competencies.
- High expert authority coefficients (0.904, 0.891, 0.891) indicate strong consensus.
- Importance scores (3.76-4.95) and low coefficients of variation (0.06-0.24) demonstrate the relevance and reliability of the competencies.
Conclusions:
- The developed dementia care core competency indicator system possesses strong scientific validity and reliability.
- This system serves as a valuable reference for training, assessment, and standardization of dementia care competencies.
- It supports the professional development of geriatric nurse specialists in China for improved dementia patient outcomes.
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