Chan Raymond J, Agbejule Oluwaseyifunmi Andi, Crawford-Williams Fiona, Yates Patsy M, Koczwara Bogda, Erickson Jeanne, So Winnie K W, Howell Doris
Author Affiliations: Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Bedford Park, South Australia, Australia (Drs Chan and Crawford-Williams, and Ms Agbejule); Department of Supportive Care, Princess Margaret Cancer Research Institute and Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Ontario, Canada (Dr Howell); Centre for Healthcare Transformation, Queensland University of Technology, Brisbane, Queensland, Australia (Drs Chan, Yates, and Crawford-Williams); Flinders University and Flinders Medical Centre, Bedford Park, South Australia, Australia (Dr Koczwara); University of Wisconsin-Milwaukee College of Nursing, Wisconsin (Dr Erickson); The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China (Dr So).
Cancer Nurs. 2023;46(6):477-487. doi: 10.1097/NCC.0000000000001143. Epub 2022 Dec 1.
Cancer survivors are required to manage their health, healthcare, and a myriad of symptoms through self-management.
The aim of this study was to develop a comprehensive framework of competencies and performance criteria that identifies the requisite knowledge and skills for nursing practice in the provision of self-management support for cancer survivors and their families.
The competency framework was developed using the following 3-stage consensus building approach: (1) development of a preliminary list of self-management support competencies and performance criteria informed by relevant literature, (2) a 2-round modified Delphi conducted with a panel of cancer nurse experts, and (3) a research team consensus meeting to finalize framework components.
Seventy-one items, comprising 13 core competencies and 58 performance criteria, across 6 domains were generated. In round 1 of the modified Delphi, a panel of 21 oncology nurses produced consensus on retaining 28 items for inclusion in the final framework. Thirty-one items (including new items generated in round 1) were sent to round 2 for further rating. A panel of 19 nurses produced consensus on retaining a further 20 items in the framework in round 2. Of the 11 items that did not reach consensus, the research team proposed to include 7 in the final framework. Fifty-nine items were included in the final framework.
This study provides a comprehensive, self-management support competency framework for oncology nurses.
This framework is the first step toward the development of training program curricula that prepares nurses in self-management for cancer and associated coaching knowledge and skills.
癌症幸存者需要通过自我管理来管理自身健康、医疗保健及众多症状。
本研究旨在制定一个全面的能力和绩效标准框架，以确定在为癌症幸存者及其家属提供自我管理支持时护理实践所需的知识和技能。
采用以下三阶段共识构建方法制定能力框架：（1）根据相关文献制定自我管理支持能力和绩效标准的初步清单；（2）与癌症护士专家小组进行两轮修改后的德尔菲法；（3）研究团队共识会议以确定框架组成部分。
共生成了6个领域的71项内容，包括13项核心能力和58项绩效标准。在修改后的德尔菲法第一轮中，21名肿瘤护士组成的小组就保留28项内容纳入最终框架达成共识。31项内容（包括第一轮产生的新内容）进入第二轮进行进一步评分。19名护士组成的小组在第二轮中就框架中再保留20项内容达成共识。在未达成共识的11项内容中，研究团队提议将7项纳入最终框架。最终框架包含59项内容。
本研究为肿瘤护士提供了一个全面的自我管理支持能力框架。
该框架是朝着开发培训项目课程迈出的第一步，该课程将使护士具备癌症自我管理及相关指导知识和技能。
