O'Connell Jane, Gardner Glenn
School of Nursing, Queensland University of Technology, Victoria Park Rd, Kelvin Grove, Qld 4059, Australia.
Australas Emerg Nurs J. 2012 Nov;15(4):195-201. doi: 10.1016/j.aenj.2012.10.004.
Nurse practitioner education and practice has been guided by generic competency standards in Australia since 2006. Development of specialist competencies has been less structured and there are no formal standards to guide education and continuing professional development for specialty fields. There is limited international research and no Australian research into development of specialist nurse practitioner competencies. This pilot study aimed to test data collection methods, tools and processes in preparation for a larger national study to investigate specialist competency standards for emergency nurse practitioners. Research into specialist emergency nurse practitioner competencies has not been conducted in Australia.
Mixed methods research was conducted with a sample of experienced emergency nurse practitioners. Deductive analysis of data from a focus group workshop informed development of a draft specialty competency framework. The framework was subsequently subjected to systematic scrutiny for consensus validation through a two round Delphi Study.
The Delphi study first round had a 100% response rate; the second round 75% response rate. The scoring for all items in both rounds was above the 80% cut off mark with the lowest mean score being 4.1 (82%) from the first round.
The authors collaborated with emergency nurse practitioners to produce preliminary data on the formation of specialty competencies as a first step in developing an Australian framework.
自2006年以来，澳大利亚执业护士的教育和实践一直以通用能力标准为指导。专科能力的发展较少有系统性，且没有正式的标准来指导专科领域的教育和持续专业发展。关于专科执业护士能力发展的国际研究有限，澳大利亚也没有相关研究。这项试点研究旨在测试数据收集方法、工具和流程，为一项更大规模的全国性研究做准备，该全国性研究旨在调查急诊执业护士的专科能力标准。澳大利亚尚未开展关于专科急诊执业护士能力的研究。
对经验丰富的急诊执业护士样本进行混合方法研究。通过焦点小组研讨会对数据进行演绎分析，形成了一份专科能力框架草案。随后通过两轮德尔菲研究对该框架进行系统审查，以达成共识验证。
德尔菲研究第一轮的回复率为100%；第二轮为75%。两轮中所有项目的得分均高于80%的截止分数，第一轮最低平均得分为4.1（82%）。
作者与急诊执业护士合作得出了关于专科能力形成的初步数据，作为制定澳大利亚框架的第一步。
