McErlean Gemma, Hui Heidi, Crawford-Williams Fiona, Hart Nicolas H, Krishnasamy Meinir, Koczwara Bogda, Walwyn Thomas, Iddawela Mahesh, McIntosh Rebecca, Chan Raymond J, Jefford Michael
School of Nursing, University of Wollongong, Sydney, NSW, Australia.
Centre for Research in Nursing and Health, St George Hospital, Sydney, NSW, Australia.
J Cancer Surviv. 2025 May 3. doi: 10.1007/s11764-025-01804-6.
To establish capabilities required by nurses to deliver quality cancer survivorship care in Australia.
A two-round online modified Delphi involving Australian cancer nurses. Initial domains and capability statements were based on the Quality of Cancer Survivorship Care Framework and supplemented by national and international nursing frameworks. In Round 1 (R1), experts categorised the applicability of 53 capabilities for cancer nurses, across eight domains, in relation to Australian National Professional Development Framework for Cancer Nursing (EdCaN) groups: 'All', 'Many', 'Some', and 'Few' nurses, or not relevant. In Round 2 (R2), experts rated agreement with capabilities allocated to the nurse groups. A priori consensus was set at ≥ 80%.
Surveys were distributed to 51 experts, with a response rate of 92% (47/51) for R1 and 75% (38/51) for R2. Following R1, ten capabilities were added, resulting in 63 capabilities for R2 to establish consensus allocation to EdCaN groupings. Fifty-seven capabilities reached consensus; four capabilities were moved from 'many' to 'some' nurses; one capability was moved from 'some' to 'few' nurses; and one capability was retained in 'all' nurses following Delphi feedback and research team discussion.
Sixty-three capabilities across eight cancer survivorship care domains were identified and allocated to different nursing groupings. This study provides important foundational work by identifying the capabilities of cancer nurses to deliver quality cancer survivorship care in Australia.
The identification of clearly defined capabilities may improve the quality of cancer survivorship care through the enrichment and standardisation of educational curricula and continuing professional education, and through improved workforce planning.
确定澳大利亚护士提供高质量癌症幸存者护理所需的能力。
对澳大利亚癌症护士进行两轮在线改良德尔菲法。初始领域和能力陈述基于癌症幸存者护理质量框架，并辅以国家和国际护理框架。在第一轮（R1）中，专家根据澳大利亚癌症护理国家专业发展框架（EdCaN）组，将53项癌症护士能力在八个领域的适用性分为：“所有”、“许多”、“一些”和“少数”护士适用，或不相关。在第二轮（R2）中，专家对分配给护士组的能力的认可度进行评分。预先设定的共识为≥80%。
向51名专家发放了调查问卷，R1的回复率为92%（47/51），R2的回复率为75%（38/51）。在R1之后，增加了10项能力，因此R2有63项能力以确定其在EdCaN分组中的共识分配。57项能力达成共识；4项能力从“许多”护士适用改为“一些”护士适用；1项能力从“一些”护士适用改为“少数”护士适用；1项能力在德尔菲反馈和研究团队讨论后仍保留在“所有”护士适用类别中。
确定了八个癌症幸存者护理领域的63项能力，并将其分配到不同的护理分组中。本研究通过确定澳大利亚癌症护士提供高质量癌症幸存者护理的能力，提供了重要的基础工作。
明确界定能力可能会通过丰富和标准化教育课程以及持续专业教育，并通过改进劳动力规划，提高癌症幸存者护理的质量。
