Adapting and validating informatics competencies for senior nurse leaders in the Canadian context: Results of a Delphi study.

Delphi technique Health informatics Health information technology Informatics competencies Nurse leader Nursing informatics

Journal

International journal of medical informatics
ISSN: 1872-8243
Titre abrégé: Int J Med Inform
Pays: Ireland
ID NLM: 9711057

Informations de publication

Date de publication:
09 2019
Historique:
received: 21 03 2019
revised: 09 06 2019
accepted: 16 06 2019
pubmed: 25 8 2019
medline: 28 11 2019
entrez: 25 8 2019
Statut: ppublish

Résumé

Nurse leaders in senior leadership positions in various parts of the world can play an important role in the acquisition, implementation and use of health information technologies. To date, international research related to nurse leader informatics competencies has been carried out in specific healthcare delivery contexts with very specific health information technology environments. In this body of literature, the definition of a 'nurse leader' has not been clearly defined. As a result, it is challenging for senior nurse leaders in leadership and management positions in other countries to apply this research to their unique contexts. The objective of this study was to obtain consensus on the informatics competencies of priority to senior Canadian nurse leaders. The goal of completing this work was to adapt and validate a set of nurse leader informatics competencies to be endorsed and supported nationally. This study used a modified Delphi technique with a panel of nurse leaders with significant informatics knowledge from across Canada. Three rounds of information gathering were completed electronically. In Round 1, participants were provided a series of 26 potential competency statements obtained from a review of the literature; they were asked to comment on the clarity and wording of each statement. Two statements were eliminated after Round 1 due to redundancy. In Rounds 2 and 3, participants rated the remaining competency statements on a 7-point Likert scale for relative priority to nurse leaders. A total of 25, 24 and 23 participants completed the survey in Rounds 1, 2 and 3 respectively. Consensus was achieved at the end of Round 3 with the inclusion of 24 competency statements. All of the statements had a mean of 5 or greater on a 7-point Likert scale (1=low priority and 7=high priority). The study participants agreed upon 24 informatics competency statements of priority to Canadian nurse leaders. These competencies will be presented to senior national nursing leaders and nursing informatics organizations for endorsement. Inspired by work completed in the United States, the authors plan to develop a self-assessment instrument for use by Canadian nurse leaders using the identified competency statements. Future anticipated work includes identifying and creating resources for nurse leaders to develop these important informatics competencies.

Sections du résumé

BACKGROUND
Nurse leaders in senior leadership positions in various parts of the world can play an important role in the acquisition, implementation and use of health information technologies. To date, international research related to nurse leader informatics competencies has been carried out in specific healthcare delivery contexts with very specific health information technology environments. In this body of literature, the definition of a 'nurse leader' has not been clearly defined. As a result, it is challenging for senior nurse leaders in leadership and management positions in other countries to apply this research to their unique contexts.
PURPOSE
The objective of this study was to obtain consensus on the informatics competencies of priority to senior Canadian nurse leaders. The goal of completing this work was to adapt and validate a set of nurse leader informatics competencies to be endorsed and supported nationally.
METHODS
This study used a modified Delphi technique with a panel of nurse leaders with significant informatics knowledge from across Canada. Three rounds of information gathering were completed electronically. In Round 1, participants were provided a series of 26 potential competency statements obtained from a review of the literature; they were asked to comment on the clarity and wording of each statement. Two statements were eliminated after Round 1 due to redundancy. In Rounds 2 and 3, participants rated the remaining competency statements on a 7-point Likert scale for relative priority to nurse leaders.
RESULTS
A total of 25, 24 and 23 participants completed the survey in Rounds 1, 2 and 3 respectively. Consensus was achieved at the end of Round 3 with the inclusion of 24 competency statements. All of the statements had a mean of 5 or greater on a 7-point Likert scale (1=low priority and 7=high priority).
CONCLUSIONS
The study participants agreed upon 24 informatics competency statements of priority to Canadian nurse leaders. These competencies will be presented to senior national nursing leaders and nursing informatics organizations for endorsement. Inspired by work completed in the United States, the authors plan to develop a self-assessment instrument for use by Canadian nurse leaders using the identified competency statements. Future anticipated work includes identifying and creating resources for nurse leaders to develop these important informatics competencies.

Identifiants

pubmed: 31445258
pii: S1386-5056(19)30321-1
doi: 10.1016/j.ijmedinf.2019.06.012
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't Validation Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

211-218

Informations de copyright

Copyright © 2019 Elsevier B.V. All rights reserved.

Auteurs

Gillian Strudwick (G)

Information Management Group, Centre for Addiction and Mental Health, 1001 Queen St W, Toronto, ON, M6J 1H4, Canada; Institute of Health Policy, Management and Evaluation, University of Toronto, 155 College St, Toronto, ON, M5T 1P8, Canada. Electronic address: Gillian.Strudwick@camh.ca.

Lynn M Nagle (LM)

Faculty of Nursing, University of New Brunswick, 33 Dineen Dr, Fredericton, NB, E3B 5A3, Canada. Electronic address: lnagle@nagleassoc.ca.

Alicia Morgan (A)

University of Waterloo, 200 University Ave West, Waterloo, ON, N2L 3G1, Canada. Electronic address: alicia.morgan@edu.uwaterloo.ca.

Margaret Ann Kennedy (MA)

Gevity Consulting, 350-375 Water St, Vancouver, BC, V6B 5C6, Canada. Electronic address: mkennedy@gevityinc.com.

Leanne M Currie (LM)

University of British Columbia, T201-2211 Wesbrook Mall, Vancouver, BC, V5T 2B1, Canada. Electronic address: Leanne.Currie@ubc.ca.

Brian Lo (B)

Information Management Group, Centre for Addiction and Mental Health, 1001 Queen St W, Toronto, ON, M6J 1H4, Canada; Institute of Health Policy, Management and Evaluation, University of Toronto, 155 College St, Toronto, ON, M5T 1P8, Canada. Electronic address: Brian.Lo@camh.ca.

Peggy White (P)

Canadian Nursing Association, 50 Driveway, Ottawa, ON, K2P 1E2, Canada. Electronic address: pwhite001@sympatico.ca.

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Classifications MeSH