Livio, Enschede, the Netherlands.
Vilans, Utrecht, the Netherlands.
J Adv Nurs. 2021 Apr;77(4):1783-1799. doi: 10.1111/jan.14719. Epub 2020 Dec 13.
to identify: (1) nursing competencies for FCC in a hospital setting; and (2) to explore perspectives on these competencies among Dutch and Australian professionals including lecturers, researchers, Registered Nurses and policy makers.
A multinational cross-sectional study using Q-methodology.
First, an integrative review was carried out to identify known competencies regarding FCC and to develop the Q-set (search up to July 2018). Second, purposive sampling was used to ensure stakeholder involvement. Third, participants sorted the Q-set using a web-based system between May and August 2019. Lastly, the data were analysed using a by-person factor analysis. The commentaries on the five highest and lowest ranked competencies were thematically analysed.
The integrative review identified 43 articles from which 72 competencies were identified. In total 69 participants completed the Q-sorting. We extracted two factors with an explained variance of 24%. The low explained variance hampered labelling. Based on a post-hoc qualitative analysis, four themes emerged from the competencies that were considered most important, namely: (a) believed preconditions for FCC; (b) promote a partnership between nurses, patients and families; (c) be a basic element of nursing; and (d) represent a necessary positive attitude and strong beliefs of the added value of FCC. Three themes appeared from the competencies that were considered least important because they: (a) were not considered a specific nursing competency; (b) demand a multidisciplinary approach; or (c) require that patients and families take own responsibility.
Among healthcare professionals, there is substantial disagreement on which nursing competencies are deemed most important for FCC.
Our set of competencies can be used to guide education and evaluate practicing nurses in hospitals. These findings are valuable to consider different views on FCC before implementation of new FCC interventions into nursing practice.
确定：（1）医院环境中 FCC 的护理能力；（2）探索荷兰和澳大利亚专业人员（包括讲师、研究人员、注册护士和政策制定者）对这些能力的看法。
一项使用 Q 方法学的多国横断面研究。
首先，进行综合审查以确定与 FCC 相关的已知能力，并制定 Q 集（搜索至 2018 年 7 月）。其次，采用目的抽样法确保利益相关者的参与。第三，参与者在 2019 年 5 月至 8 月之间使用基于网络的系统对 Q 集进行排序。最后，通过个人因素分析对数据进行分析。对排名前 5 位和后 5 位的能力的评论进行了主题分析。
综合审查从 43 篇文章中确定了 72 项能力，其中 69 名参与者完成了 Q 排序。我们提取了两个具有 24%解释方差的因素。低解释方差妨碍了标签。基于事后的定性分析，从被认为最重要的能力中出现了四个主题，即：（a）相信 FCC 的前提条件；（b）促进护士、患者和家庭之间的伙伴关系；（c）是护理的基本要素；（d）代表 FCC 的附加价值的必要积极态度和坚定信念。从被认为不重要的能力中出现了三个主题，因为它们：（a）不被认为是特定的护理能力；（b）需要多学科方法；或（c）要求患者和家庭承担自己的责任。
在医疗保健专业人员中，对于 FCC 最重要的护理能力存在很大分歧。
我们的能力集可用于指导教育和评估医院中的执业护士。在将新的 FCC 干预措施引入护理实践之前，考虑 FCC 的不同观点，这些发现很有价值。
