Boyer Louise, Pepin Jacinthe, Dubois Sylvie, Descôteaux Renée, Robinette Louise, Déry Johanne, Brunet Fabrice, Bolduc Jolianne, Deschênes Marie-France
Faculty of Nursing, Université de Montréal, Canada; Center for innovation in nursing education (CIFI), Faculty of Nursing, Université de Montréal, Quebec, Canada.
Faculty of Nursing, Université de Montréal, Canada; Center for innovation in nursing education (CIFI), Faculty of Nursing, Université de Montréal, Quebec, Canada.
Nurse Educ Today. 2020 Oct;93:104530. doi: 10.1016/j.nedt.2020.104530. Epub 2020 Jul 5.
Too few of nursing competencies framework exceed applicability to a given environment, are validated by a research process or used to guide continuing development of nursing competencies.
The study objectives were: 1) to adapt and validate a nursing competencies framework from the continuum of care from childhood to adulthood and 2) to explore implementation strategies.
A collaborative approach including nurses from different practice perspectives. A modified Delphi method supported the adaptation and the validation of a nursing competencies framework.
This study was conducted in a pediatric and an adult care university hospitals in Montreal.
Forty-two nurses were recruited from both university hospitals.
A modified Delphi study was conducted. An online questionnaire, containing dichotomous and open-ended questions, was used to collect data on the nursing competencies framework and the suggested implementation strategies for its use. Consensus percentage was calculated, and thematic analysis was used to analyze nurses' comments and implementation strategies suggested.
The nursing competencies framework (NCF), adapted and validated in this study, includes seven competencies and four development stages, from advanced beginner to clinical expert nurses. After three rounds, the nursing competencies framework describes the professional role from the continuum of care from childhood to adulthood, and proposes a self-assessment tool that promotes professional development and continuing education of nurses. Moreover, four strategies for implementing the framework in the clinical setting obtained a consensus of 70% or more.
A nursing competencies framework was validated by a rigorous research process and adapted to diverse contexts of care. The results revealed a common vision of the nursing practice for patients and their families on the life course from childhood to adulthood. This innovative framework carries the potential to be a relevant and unique reference tool. The nursing competencies framework can provide guidance for the development of nurses' competencies in clinical setting. Additionally, it is a relevant reference that should be use for knowing the scope and the standards of the professional practice in nursing education.
护理能力框架中很少有超出特定环境适用性的，经过研究过程验证或用于指导护理能力持续发展的。
本研究的目的是：1）从儿童期到成年期的连续护理过程中调整和验证护理能力框架；2）探索实施策略。
采用包括来自不同实践视角护士的协作方法。改良的德尔菲法支持护理能力框架的调整和验证。
本研究在蒙特利尔的一家儿科和一家成人护理大学医院进行。
从两家大学医院招募了42名护士。
进行了一项改良的德尔菲研究。使用包含二分法和开放式问题的在线问卷收集关于护理能力框架及其使用建议实施策略的数据。计算共识百分比，并使用主题分析来分析护士的评论和建议的实施策略。
本研究中调整和验证的护理能力框架（NCF）包括七个能力和四个发展阶段，从高级初学者到临床专家护士。经过三轮，护理能力框架从儿童期到成年期的连续护理过程描述了专业角色，并提出了一种促进护士专业发展和继续教育的自我评估工具。此外，在临床环境中实施该框架的四种策略获得了70%或更高的共识。
一个护理能力框架通过严格的研究过程得到验证，并适用于不同的护理环境。结果揭示了患者及其家庭在从儿童期到成年期的生命历程中对护理实践的共同愿景。这个创新框架有可能成为一个相关且独特的参考工具。护理能力框架可以为临床环境中护士能力的发展提供指导。此外，它是一个应被用于了解护理教育中专业实践范围和标准的相关参考。
