de Goumoëns Véronique, Lefrançois Laurence Ebacher, Forestier Arnaud, Grandjean Chantal, Balice-Bourgois Colette, Quillet-Cotting Jocelyne, Thévoz Anne-Laure, Ramelet Anne-Sylvie
La Source School of Nursing, HES-SO, University of Applied Sciences and Arts, Western Switzerland, Av. Vinet 30, Lausanne, Switzerland.
Department Woman-Mother-Child, Lausanne University Hospital, (CHUV), Lausanne, Switzerland.
Nurse Educ Today. 2025 Feb;145:106487. doi: 10.1016/j.nedt.2024.106487. Epub 2024 Nov 13.
Caring for children from birth to adulthood requires extensive knowledge and skills specific to that population. In Switzerland, bachelor's nursing degree programs focus primarily on generalist competencies and may be insufficient for registered nurses to provide appropriate and safe care to sick children and their families.
This study aimed to identify the competencies required for generalist nurses to care for children and their families in hospital and home-care settings.
A multicentered descriptive study was used.
Registered nurses' experts in their respective pediatric field were recruited via a regional network for pediatric nursing education in the French and Italian speaking part of Switzerland.
A 3-round Delphi e-survey was used to develop a list of competencies.
Round 1 consisted of mapping 23 competencies clustered in seven domains, from four competency models by a panel of eight experts. Consensus was reached in Round 2 and 3, by 129 and 132 participants, respectively. After Round 3, all 23 competencies were rated expected or very much expected. The seven domains of competencies identified as most important were "Advocacy and Moral Agency" (cum. mean: 4,5), "Diversity Families Responsiveness" (cum. mean: 4,5), Collaboration (cum. mean: 4,4), Caring Practices (cum. mean: 4,4), Clinical Judgment and Inquiry (cum. mean: 4,4), Facilitating Learning (cum. mean: 4,3) and System Thinking (cum. mean: 4,2).
The comprehensive list of 23 competencies for nurses to care for sick children and their families in hospital and community settings, provides a solid base to review and benchmark existing nursing under-graduate program in Switzerland and beyond.
从出生到成年照顾儿童需要针对该人群的广泛知识和技能。在瑞士，护理学学士学位课程主要侧重于通科能力，注册护士可能不足以向患病儿童及其家庭提供适当和安全的护理。
本研究旨在确定通科护士在医院和家庭护理环境中照顾儿童及其家庭所需的能力。
采用多中心描述性研究。
通过瑞士法语区和意大利语区的儿科护理教育区域网络招募了各自儿科领域的注册护士专家。
采用三轮德尔菲电子调查来制定能力清单。
第一轮由八名专家组成的小组根据四个能力模型对23项能力进行映射，这些能力分为七个领域。第二轮和第三轮分别有129名和132名参与者达成了共识。在第三轮之后，所有23项能力都被评为预期或非常预期。确定为最重要的七个能力领域是“倡导与道德行为”（累积平均分：4.5）、“对多元家庭的反应能力”（累积平均分：4.5）、协作（累积平均分：4.4）、护理实践（累积平均分：4.4）、临床判断与探究（累积平均分：4.4）、促进学习（累积平均分：4.3）和系统思维（累积平均分：4.2）。
这份为护士在医院和社区环境中照顾患病儿童及其家庭的23项能力的综合清单，为审查和衡量瑞士及其他地区现有的护理学本科课程提供了坚实的基础。
