Department of Nursing Administration and Education, King Saud University College of Nursing, Riyadh, P.O. Box 642, Saudi Arabia.
Department of Medical Surgical Nursing, King Saud University College of Nursing, Riyadh, P.O. Box 642, Saudi Arabia.
Nurse Educ Today. 2024 Oct;141:106315. doi: 10.1016/j.nedt.2024.106315. Epub 2024 Jul 18.
Advanced practice nursing requires a diverse set of competencies that define what advanced practice nurses need to know and be able to do to deliver safe, effective, and high-quality healthcare. Given the lack of evidence regarding core competencies and the evolution of advanced practice nursing roles in Saudi Arabia, it is becoming increasingly important to develop core competencies to standardize educational and clinical training programs.
To define the core competencies of advanced practice nursing in Saudi Arabia.
Utilizing a modified Delphi design and snowball sampling technique, data were collected between April and July 2023 using an online questionnaire consisting of 28 core competencies that was developed based on an in-depth literature review and a critical analysis of advanced practice nursing core competencies published by leading professional organizations. Two rounds of Delphi surveys were conducted.
The study was set in clinical and academic settings in Saudi Arabia.
Nursing experts with graduate degrees as advanced practice nurses.
In Round 1, 34 advanced practice nursing experts reached full consensus on 24 of the 28 core competencies, and four core competencies reached partial consensus. Based on suggestions and feedback from the experts, the investigators revised ten core competencies to reflect the improvement suggestions and created three new core competencies. A total of 26 core competencies were used in Round 2, which achieved a full consensus among the 34 advanced practice nursing experts, under the following six core competency domains: knowledge of advanced practice nursing, person-centered care, professional improvement, professionalism, communication and interprofessional partnership, and leadership and system-based practice.
Given the need for a standardized competency framework, the 26 core competencies proposed in our study have the potential to guide education and training in academic programs and facilitate the implementation of advanced practice nursing in clinical settings.
高级实践护理需要一套多样化的能力，这些能力定义了高级实践护士需要知道什么和能够做什么，以提供安全、有效和高质量的医疗保健。鉴于缺乏关于核心能力的证据以及沙特阿拉伯高级实践护理角色的演变，制定核心能力以标准化教育和临床培训计划变得越来越重要。
确定沙特阿拉伯高级实践护理的核心能力。
利用改良德尔菲设计和滚雪球抽样技术，于 2023 年 4 月至 7 月期间，使用基于深入文献回顾和对领先专业组织发布的高级实践护理核心能力的批判性分析而开发的包含 28 项核心能力的在线问卷，通过在线方式收集数据。进行了两轮德尔菲调查。
研究在沙特阿拉伯的临床和学术环境中进行。
具有研究生学位的高级实践护士护理专家。
在第一轮中，34 名高级实践护理专家就 28 项核心能力中的 24 项达成了完全共识，4 项核心能力达成了部分共识。根据专家的建议和反馈，研究人员对 10 项核心能力进行了修订，以反映改进建议，并创建了 3 项新的核心能力。在第二轮中，共有 26 项核心能力被使用，34 名高级实践护理专家达成了完全共识，这 26 项核心能力属于以下六个核心能力领域：高级实践护理知识、以人为本的护理、专业提升、职业精神、沟通和跨专业合作、领导力和基于系统的实践。
鉴于需要标准化的能力框架，本研究提出的 26 项核心能力有可能指导学术项目的教育和培训，并促进在临床环境中实施高级实践护理。
