家庭护理能力的发展和验证：一项e-Delphi研究

IF 3.1 Q1 NURSING

International Journal of Nursing Studies Advances Pub Date : 2025-04-14 DOI:10.1016/j.ijnsa.2025.100330

Khairul Dzakirin Bin Rusli , Ying Lau , Siew Tiang Lau , Laura Schmidt Tham , Michelle Mong Nee Kee , Qi Wen Ng , Shu Fen Ong , Strickland Karen , Sok Ying Liaw

{"title":"家庭护理能力的发展和验证：一项e-Delphi研究","authors":"Khairul Dzakirin Bin Rusli , Ying Lau , Siew Tiang Lau , Laura Schmidt Tham , Michelle Mong Nee Kee , Qi Wen Ng , Shu Fen Ong , Strickland Karen , Sok Ying Liaw","doi":"10.1016/j.ijnsa.2025.100330","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>The expected competencies of nurses in home-based care remain unclear. A list of professional competencies that are agreed upon by a panel of content expert are needed to offer some form of standardized expectations among nurses and home-based care stakeholders.</div></div><div><h3>Objectives</h3><div>To evaluate the content validity of the professional competencies identified for home-based nursing care.</div></div><div><h3>Design</h3><div>An e-Delphi method was used.</div></div><div><h3>Settings</h3><div>A purposive sampling of local and international experts in home-based nursing care or community nursing.</div></div><div><h3>Methods</h3><div>Preliminary competency items were developed inductively from earlier studies and deductively by a steering committee. Sixteen experts performed two rounds of content validation. The Item-Content Validity Index, Scale-Content Validity Index/Average (S-CVI/Ave) and Fleiss’ kappa coefficient were evaluated.</div></div><div><h3>Results</h3><div>In Round One, the list was revised to 49 items. In Round Two, the list was revised to 45 items, categorized into eight domains of practice: (1) client assessment and care planning; (2) nursing care in a home-based setting; (3) management of clients with health conditions, (4) interpersonal relationships and communications; (5) collaboration and teamwork; (6) critical thinking and problem-solving skills; (7) professional development and leadership; and (8) innovation and research. The S-CVI/Ave was 0.95. The overall acceptable clarity was 94.1 %.</div></div><div><h3>Conclusions</h3><div>This study generated a list of competencies that have reached consensus among a panel of experts. The list offers insights into the expected competencies of home-based care nurses. Further validity and reliability testing is needed to determine the underlying structure of the competencies.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100330"},"PeriodicalIF":3.1000,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Development and validation of competencies for home-based nursing care: an e-Delphi study\",\"authors\":\"Khairul Dzakirin Bin Rusli , Ying Lau , Siew Tiang Lau , Laura Schmidt Tham , Michelle Mong Nee Kee , Qi Wen Ng , Shu Fen Ong , Strickland Karen , Sok Ying Liaw\",\"doi\":\"10.1016/j.ijnsa.2025.100330\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>The expected competencies of nurses in home-based care remain unclear. A list of professional competencies that are agreed upon by a panel of content expert are needed to offer some form of standardized expectations among nurses and home-based care stakeholders.</div></div><div><h3>Objectives</h3><div>To evaluate the content validity of the professional competencies identified for home-based nursing care.</div></div><div><h3>Design</h3><div>An e-Delphi method was used.</div></div><div><h3>Settings</h3><div>A purposive sampling of local and international experts in home-based nursing care or community nursing.</div></div><div><h3>Methods</h3><div>Preliminary competency items were developed inductively from earlier studies and deductively by a steering committee. Sixteen experts performed two rounds of content validation. The Item-Content Validity Index, Scale-Content Validity Index/Average (S-CVI/Ave) and Fleiss’ kappa coefficient were evaluated.</div></div><div><h3>Results</h3><div>In Round One, the list was revised to 49 items. In Round Two, the list was revised to 45 items, categorized into eight domains of practice: (1) client assessment and care planning; (2) nursing care in a home-based setting; (3) management of clients with health conditions, (4) interpersonal relationships and communications; (5) collaboration and teamwork; (6) critical thinking and problem-solving skills; (7) professional development and leadership; and (8) innovation and research. The S-CVI/Ave was 0.95. The overall acceptable clarity was 94.1 %.</div></div><div><h3>Conclusions</h3><div>This study generated a list of competencies that have reached consensus among a panel of experts. The list offers insights into the expected competencies of home-based care nurses. Further validity and reliability testing is needed to determine the underlying structure of the competencies.</div></div>\",\"PeriodicalId\":34476,\"journal\":{\"name\":\"International Journal of Nursing Studies Advances\",\"volume\":\"8 \",\"pages\":\"Article 100330\"},\"PeriodicalIF\":3.1000,\"publicationDate\":\"2025-04-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Nursing Studies Advances\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2666142X25000402\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Nursing Studies Advances","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2666142X25000402","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 0

摘要

家庭护理中护士的预期能力尚不清楚。需要一份由内容专家小组商定的专业能力清单，为护士和家庭护理利益相关者提供某种形式的标准化期望。目的评价居家护理专业能力的内容效度。设计采用e-Delphi法。目的：对本地和国际居家护理或社区护理专家进行有目的的抽样调查。方法初步胜任力项目由前期研究归纳得出，并由指导委员会演绎得出。16位专家进行了两轮内容验证。评估项目-内容效度指数、量表-内容效度指数/平均值（S-CVI/Ave）和Fleiss kappa系数。结果第一轮，清单修改为49项。在第二轮中，清单被修改为45个项目，分为8个实践领域：(1)客户评估和护理计划；(2)居家护理；(3)健康客户管理；(4)人际关系与沟通；(5)协作和团队合作；(6)批判性思维和解决问题的能力；(7)专业发展和领导力；(8)创新与研究。S-CVI/Ave为0.95。总体可接受的清晰度为94.1%。这项研究产生了一个专家小组达成共识的能力清单。这份名单提供了对居家护理护士的预期能力的见解。需要进一步的效度和信度测试来确定胜任力的基本结构。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Development and validation of competencies for home-based nursing care: an e-Delphi study

Background

The expected competencies of nurses in home-based care remain unclear. A list of professional competencies that are agreed upon by a panel of content expert are needed to offer some form of standardized expectations among nurses and home-based care stakeholders.

Objectives

To evaluate the content validity of the professional competencies identified for home-based nursing care.

Design

An e-Delphi method was used.

Settings

A purposive sampling of local and international experts in home-based nursing care or community nursing.

Methods

Preliminary competency items were developed inductively from earlier studies and deductively by a steering committee. Sixteen experts performed two rounds of content validation. The Item-Content Validity Index, Scale-Content Validity Index/Average (S-CVI/Ave) and Fleiss’ kappa coefficient were evaluated.

Results

In Round One, the list was revised to 49 items. In Round Two, the list was revised to 45 items, categorized into eight domains of practice: (1) client assessment and care planning; (2) nursing care in a home-based setting; (3) management of clients with health conditions, (4) interpersonal relationships and communications; (5) collaboration and teamwork; (6) critical thinking and problem-solving skills; (7) professional development and leadership; and (8) innovation and research. The S-CVI/Ave was 0.95. The overall acceptable clarity was 94.1 %.

Conclusions

This study generated a list of competencies that have reached consensus among a panel of experts. The list offers insights into the expected competencies of home-based care nurses. Further validity and reliability testing is needed to determine the underlying structure of the competencies.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

International Journal of Nursing Studies Advances Nursing-General Nursing

CiteScore

5.80

自引率

0.00%

发文量

审稿时长

81 days