Bagnasco Annamaria, Barisone Michela, Aleo Giuseppe, Watson Roger, Catania Gianluca, Zanini Milko, Thompson David R, Sasso Loredana
Department of Health Sciences, University of Genoa, Via Pastore, 1, 16132 Genoa, Italy.
University of Piemonte Orientale "Amedeo Avogadro", Department of Translational Medicine, via Solaroli, 17 - 28100 Novara, Italy.
Eur J Cardiovasc Nurs. 2021 Oct 27;20(7):684-691. doi: 10.1093/eurjcn/zvab003.
The management of cardiovascular patients requires increasingly competent nursing professionals. In Italy, there are no specific postgraduate courses focused on specialist cardiac skills development for nurses. To develop such courses, content incorporating appropriate competencies is required and this study was designed to meet this. To delineate a set of core competencies to develop national educational interventions to ensure cardiac nurses in Italy achieve international standards.
A three-round e-Delphi study including a panel of 32 expert cardiac nurses from the UK, Canada, Australia, New Zealand, and Italy was conducted; 26 respondents completed all three rounds. The first round sought a list of five competencies from each participant which they were asked to prioritize in Round 2. In Round 3, they were asked to prioritize again with the knowledge of the priorities identified in Round 2. The final list of competencies was those achieving 70% agreement among participants. We identified 14 core competencies spanning a range of areas of competence including technical, interpersonal, health promotion, use of evidence, and management. Only minor differences were evident between the Italian and the international panel regarding the priority given to some core competences, such a leadership and taking patient history.
This is the first study in Italy to delineate cardiac nurses' core competencies. As such, it provides a foundation for the development of postgraduate educational programmes for cardiac nurses including competencies that are congruent with international standards.
心血管疾病患者的管理需要越来越多有能力的护理专业人员。在意大利，没有专门针对护士心脏专科技能发展的研究生课程。为了开发这样的课程，需要纳入适当能力的内容，本研究旨在满足这一需求。确定一套核心能力，以制定国家教育干预措施，确保意大利的心脏科护士达到国际标准。
开展了一项三轮电子德尔菲研究，专家小组由来自英国、加拿大、澳大利亚、新西兰和意大利的32名心脏科护士专家组成；26名受访者完成了所有三轮调查。第一轮要求每位参与者列出五项能力，并在第二轮中对其进行优先级排序。在第三轮中，要求他们根据第二轮确定的优先级再次进行优先级排序。最终的能力清单是那些在参与者中达成70%共识的能力。我们确定了14项核心能力，涵盖一系列能力领域，包括技术、人际、健康促进、证据运用和管理。在一些核心能力（如领导力和采集患者病史）的优先级方面，意大利专家小组和国际专家小组之间仅存在细微差异。
这是意大利第一项界定心脏科护士核心能力的研究。因此，它为心脏科护士研究生教育项目的开发提供了基础，包括与国际标准一致的能力。
