养老院注册护士的能力：一项改良德尔菲研究。
The competencies of Registered Nurses working in care homes: a modified Delphi study.
作者信息
Stanyon Miriam Ruth, Goldberg Sarah Elizabeth, Astle Anita, Griffiths Amanda, Gordon Adam Lee
机构信息
University of Nottingham, Division of Psychiatry & Applied Psychology, Institute of Mental Health, School of Medicine, Nottingham , United Kingdom.
University of Nottingham, Division of Rehabilitation and Ageing, Queens Medical Centre Medical School Nottingham, Nottingham NG7 2UH , United Kingdom.
出版信息
Age Ageing. 2017 Jul 1;46(4):582-588. doi: 10.1093/ageing/afw244.
BACKGROUND
registered Nurses (RNs) working in UK care homes receive most of their training in acute hospitals. At present the role of care home nursing is underdeveloped and it is seen as a low status career. We describe here research to define core competencies for RNs working in UK care homes.
METHODS
a two-stage process was adopted. A systematic literature review and focus groups with stakeholders provided an initial list of competencies. The competency list was modified over three rounds of a Delphi process with a multi-disciplinary expert panel of 28 members.
RESULTS
twenty-two competencies entered the consensus process, all competencies were amended and six split. Thirty-one competencies were scored in round two, eight were agreed as essential, one competency was split into two. Twenty-four competencies were submitted for scoring in round three. In total, 22 competencies were agreed as essential for RNs working in care homes. A further 10 competencies did not reach consensus.
CONCLUSION
the output of this study is an expert-consensus list of competencies for RNs working in care homes. This would be a firm basis on which to build a curriculum for this staff group.
背景
在英国养老院工作的注册护士（RN）大多是在急症医院接受培训。目前，养老院护理的作用尚未得到充分发展，且被视为地位较低的职业。我们在此描述一项旨在确定在英国养老院工作的注册护士核心能力的研究。
方法
采用两阶段流程。系统的文献综述以及与利益相关者进行的焦点小组讨论提供了一份能力初始清单。通过三轮德尔菲法，与一个由28名成员组成的多学科专家小组对能力清单进行了修改。
结果
22项能力进入了共识达成流程，所有能力均被修改，6项被拆分。在第二轮中对31项能力进行了评分，8项被确定为必不可少，1项能力被拆分为两项。24项能力被提交到第三轮进行评分。总共，22项能力被确定为在养老院工作的注册护士必不可少的能力。另有10项能力未达成共识。
结论
本研究的成果是一份针对在养老院工作的注册护士的专家共识能力清单。这将是为该员工群体制定课程的坚实基础。
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