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National Delphi study to determine competencies for nursing leadership in public health
T R Misener1, J W Alexander, A J Blaha
1University of South Carolina, College of Nursing, Columbia 29208, USA.
Purpose:
To identify competencies needed by nurse leaders in public health programs.
Design:
Five-round national Delphi.
Sample:
Convenience sample of members of major public health nursing associations and nurse and non-nurse public health leaders in the USA.
Methods:
Mailed survey in 1994-1995 using a modified snowball technique based on a modification of the Pew Foundation health professions' competencies for Round 1. Four additional rounds produced consensus.
Findings:
Initially, 62 competencies were identified. Factor analysis resulted in four factors: political competencies, business acumen, program leadership, and management capabilities; 57 competencies were clustered in the four groupings and accounted for 91.4% of the variance.
Conclusions:
Graduate schools in nursing and public health must prepare students with broad-based competencies from a variety of disciplines. Findings of this national survey provide a database for curriculum development and evaluation of programs to prepare nurse leaders for roles in public health-based delivery systems.
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