Tsay Shwu-Feng, Zedreck Gonzalez Judith F, Tsay Shiow-Luan, Tung Heng-Hsin, Engberg Sandra J, Hu Sophia H
Department of Health Services Administration, China Medical University, Taiwan, ROC; Department of Nursing and Health Care, Ministry of Health and Welfare, No. 488, Section 6, Zhongxiao E. Road, Nangang District, Taipei City 115, Taiwan, ROC.
School of Nursing, University of Pittsburgh, 3500 Victoria Building, Pittsburgh, PA 15261, United States of America.
Nurse Educ Today. 2021 Mar;98:104765. doi: 10.1016/j.nedt.2021.104765. Epub 2021 Jan 14.
Previous studies have shown that family nurse practitioners (FNPs) provide an important contribution to health promotion and disease management in primary care. Nevertheless, the position of FNP does not exist in Taiwan. In Taiwan, the leading cause of most disability and death is diabetes, for which an FNP has great potential to fulfill healthcare needs. Therefore, establishing how to cultivate competent FNPs is an important issue. It is feasible to train current acute care nurse practitioners (NPs) to become FNPs through enrollment in a transition program.
The purpose of this study is to develop an FNP transition program, including the necessary competencies and curriculum.
A modified Delphi method (use of an expert panel) is used to validate the preliminary curriculum of an FNP transition program.
The Delph method conducted through email and physical meetings.
Four expert panel groups involve in this project with different group has its own mission. Totally, there were 14 experts completed the transition program.
A modified Delphi method was used to validate the competencies and curriculum. Descriptive data analysis was used to evaluate the target consensus of 80%.
This study provided the first FNP transition program design in Taiwan, based on the global literature and a local gap analysis.
Nursing faculty, healthcare delivery system administration leaders, and policymakers can use the curriculum to train current NPs to become competent FNPs to provide optimal quality of care in the community.
先前的研究表明，家庭护士执业医师（FNP）在初级保健中的健康促进和疾病管理方面发挥着重要作用。然而，台湾并不存在FNP这一职位。在台湾，大多数残疾和死亡的主要原因是糖尿病，FNP在满足糖尿病医疗保健需求方面具有巨大潜力。因此，确定如何培养合格的FNP是一个重要问题。通过参加过渡计划将现有的急症护理护士执业医师（NP）培训成为FNP是可行的。
本研究的目的是制定一个FNP过渡计划，包括必要的能力和课程。
采用改良的德尔菲法（使用专家小组）来验证FNP过渡计划的初步课程。
通过电子邮件和面对面会议进行德尔菲法。
四个专家小组参与了该项目，每个小组都有自己的任务。共有14名专家完成了过渡计划。
采用改良的德尔菲法来验证能力和课程。使用描述性数据分析来评估80%的目标共识。
本研究基于全球文献和本地差距分析，提供了台湾首个FNP过渡计划设计。
护理教师、医疗服务系统管理领导者和政策制定者可以使用该课程将现有的NP培训成为合格的FNP，以便在社区提供最佳护理质量。
