Information Management Group, Centre for Addiction and Mental Health, 1001 Queen St W, Toronto, ON, M6J 1H4, Canada; Institute of Health Policy, Management and Evaluation, University of Toronto, 155 College St, Toronto, ON, M5T 1P8, Canada.
Faculty of Nursing, University of New Brunswick, 33 Dineen Dr, Fredericton, NB, E3B 5A3, Canada.
Int J Med Inform. 2019 Sep;129:211-218. doi: 10.1016/j.ijmedinf.2019.06.012. Epub 2019 Jun 18.
Nurse leaders in senior leadership positions in various parts of the world can play an important role in the acquisition, implementation and use of health information technologies. To date, international research related to nurse leader informatics competencies has been carried out in specific healthcare delivery contexts with very specific health information technology environments. In this body of literature, the definition of a 'nurse leader' has not been clearly defined. As a result, it is challenging for senior nurse leaders in leadership and management positions in other countries to apply this research to their unique contexts.
The objective of this study was to obtain consensus on the informatics competencies of priority to senior Canadian nurse leaders. The goal of completing this work was to adapt and validate a set of nurse leader informatics competencies to be endorsed and supported nationally.
This study used a modified Delphi technique with a panel of nurse leaders with significant informatics knowledge from across Canada. Three rounds of information gathering were completed electronically. In Round 1, participants were provided a series of 26 potential competency statements obtained from a review of the literature; they were asked to comment on the clarity and wording of each statement. Two statements were eliminated after Round 1 due to redundancy. In Rounds 2 and 3, participants rated the remaining competency statements on a 7-point Likert scale for relative priority to nurse leaders.
A total of 25, 24 and 23 participants completed the survey in Rounds 1, 2 and 3 respectively. Consensus was achieved at the end of Round 3 with the inclusion of 24 competency statements. All of the statements had a mean of 5 or greater on a 7-point Likert scale (1=low priority and 7=high priority).
The study participants agreed upon 24 informatics competency statements of priority to Canadian nurse leaders. These competencies will be presented to senior national nursing leaders and nursing informatics organizations for endorsement. Inspired by work completed in the United States, the authors plan to develop a self-assessment instrument for use by Canadian nurse leaders using the identified competency statements. Future anticipated work includes identifying and creating resources for nurse leaders to develop these important informatics competencies.
在世界各个地区担任高级领导职位的护士领导者可以在获取、实施和使用卫生信息技术方面发挥重要作用。迄今为止，与护士领导者信息学能力相关的国际研究是在特定的医疗保健服务环境中进行的，并且具有非常特定的卫生信息技术环境。在这一文献中，“护士领导者”的定义没有明确界定。因此，其他国家处于领导和管理职位的高级护士领导者很难将这项研究应用于其独特的环境。
本研究旨在就加拿大高级护士领导者的优先信息学能力达成共识。完成这项工作的目标是调整和验证一套护士领导者信息学能力，以便在全国范围内得到认可和支持。
本研究采用了一种经过修改的德尔菲技术，由来自加拿大各地的具有丰富信息学知识的护士领导者组成了一个小组。共完成了三轮电子信息收集。在第一轮中，参与者收到了一系列 26 项潜在的能力陈述，这些陈述是从文献回顾中获得的；他们被要求对每个陈述的清晰度和措辞发表意见。第一轮结束后，由于冗余，删除了两条陈述。在第二轮和第三轮中，参与者根据相对优先级对剩余的能力陈述进行了 7 点李克特量表评估。
分别有 25、24 和 23 名参与者在第一轮、第二轮和第三轮中完成了调查。在第三轮结束时达成了共识，纳入了 24 项能力陈述。所有陈述在 7 点李克特量表上的平均值均为 5 或更高（1=低优先级，7=高优先级）。
研究参与者就加拿大护士领导者的优先信息学能力达成了 24 项共识。这些能力将提交给高级国家护理领导人护理信息学组织认可。受美国完成的工作启发，作者计划使用确定的能力陈述为加拿大护士领导者开发自我评估工具。未来预期的工作包括确定和创建资源，供护士领导者发展这些重要的信息学能力。
