Sastre-Fullana Pedro, De Pedro-Gómez Joan E, Bennasar-Veny Miquel, Fernández-Domínguez Juan C, Sesé-Abad Albert J, Morales-Asencio José M
Departamento de Enfermería, Facultad de Enfermería y Fisioterapia, Universitat de les Illes Balears, Palma de Mallorca, España.
Departamento de Enfermería, Facultad de Enfermería y Fisioterapia, Universitat de les Illes Balears, Palma de Mallorca, España.
Enferm Clin. 2015 Sep-Oct;25(5):267-75. doi: 10.1016/j.enfcli.2015.06.007. Epub 2015 Aug 8.
There is a lack of international consensus on the exact definition and core competencies of advanced practice nursing (APN) roles, a problem particularly acute in our national context due to the lack of APN role development, which has a significantly short history in our country. The main objective of this paper was the delineation of the competence framework for Advanced Practice Nurses in our national context based on expert consensus through the Delphi method
Based on a preliminary literature review process, a conglomerate of 17 domains of competence (clusters of related competencies) were identified. This initial set was revised, refined and validated by a group of expert panellists on the subject (clinicians, researchers, managers, and teachers) through successive rounds in search of a suitable consensus on each of the various proposed items
The results helped to establish a solid foundation in the form of a skills map that could identify those sets of more specific competencies for advanced practice roles, regardless of regulatory and professional practice context, identifying domains such as Research and Evidence Based Practice, Clinical and Professional Leadership, or Care Management
This set of skills related to advanced practice roles in our environment can delineate competency standards common to this level of nursing practice, and serve as a reference for policy development, a review of roles, or the establishment of academic profiles.
对于高级实践护理(APN)角色的确切定义和核心能力,国际上尚未达成共识。在我国,由于APN角色发展不足,这一问题尤为突出,我国APN角色的发展历史相当短暂。本文的主要目的是通过德尔菲法,在专家共识的基础上,勾勒出我国高级实践护士的能力框架。
在初步文献综述的基础上,确定了由17个能力领域(相关能力集群)组成的集合。一组该领域的专家小组成员(临床医生、研究人员、管理人员和教师)通过连续几轮对这一初始集合进行修订、完善和验证,以就各项提议达成合适的共识。
研究结果有助于以技能图谱的形式奠定坚实基础,该图谱可以识别高级实践角色中更具体的能力集,而不受监管和专业实践背景的影响,确定了如研究与循证实践、临床与专业领导力或护理管理等领域。
在我国环境下,这套与高级实践角色相关的技能可以勾勒出这一护理实践水平共有的能力标准,并作为政策制定、角色审查或学术形象确立的参考。