Developing a competence framework for nurses in pharmaceutical care: A Delphi study.

Clinical Competence Delphi Technique Europe Humans Nurse's Role Nurses Pharmaceutical Services
Attitudes Competences Delphi study Education Interprofessional pharmaceutical care Knowledge Medicines management Nursing Pharmaceutical care Skills

Journal

Nurse education today
ISSN: 1532-2793
Titre abrégé: Nurse Educ Today
Pays: Scotland
ID NLM: 8511379

Informations de publication

Date de publication:
Sep 2021
Historique:
received: 17 12 2020
revised: 22 03 2021
accepted: 13 04 2021
pubmed: 19 7 2021
medline: 28 7 2021
entrez: 18 7 2021
Statut: ppublish

Résumé

Nurses play an important role in pharmaceutical care. They are involved in: detecting clinical change; communicating/discussing pharmacotherapy with patients, their advocates, and other healthcare professionals; proposing and implementing medication-related interventions; and ensuring follow-up of patients and medication regimens. To date, a framework of nurses' competences on knowledge, skills, and attitudes as to interprofessional pharmaceutical care tasks is missing. To reach agreement with experts about nurses' competences for tasks in interprofessional pharmaceutical care. A two-phase study starting with a scoping review followed by five Delphi rounds was performed. Competences extracted from the literature were assessed by an expert panel on relevance by using the RAND/UCLA method. The experts (n = 22) involved were healthcare professionals, nurse researchers, and educators from 14 European countries with a specific interest in nurses' roles in interprofessional pharmaceutical care. Descriptive statistics supported the data analysis. The expert panel reached consensus on the relevance of 60 competences for 22 nursing tasks. Forty-one competences were related to 15 generic nursing tasks and 33 competences were related to seven specific nursing tasks. This study resulted in a competence framework for competency-based nurse education. Future research should focus on imbedding these competences in nurse education. A structured instrument should be developed to assess students' readiness to achieve competence in interprofessional pharmaceutical care in clinical practice.

Sections du résumé

BACKGROUND BACKGROUND
Nurses play an important role in pharmaceutical care. They are involved in: detecting clinical change; communicating/discussing pharmacotherapy with patients, their advocates, and other healthcare professionals; proposing and implementing medication-related interventions; and ensuring follow-up of patients and medication regimens. To date, a framework of nurses' competences on knowledge, skills, and attitudes as to interprofessional pharmaceutical care tasks is missing.
OBJECTIVES OBJECTIVE
To reach agreement with experts about nurses' competences for tasks in interprofessional pharmaceutical care.
METHODS METHODS
A two-phase study starting with a scoping review followed by five Delphi rounds was performed. Competences extracted from the literature were assessed by an expert panel on relevance by using the RAND/UCLA method. The experts (n = 22) involved were healthcare professionals, nurse researchers, and educators from 14 European countries with a specific interest in nurses' roles in interprofessional pharmaceutical care. Descriptive statistics supported the data analysis.
RESULTS RESULTS
The expert panel reached consensus on the relevance of 60 competences for 22 nursing tasks. Forty-one competences were related to 15 generic nursing tasks and 33 competences were related to seven specific nursing tasks.
CONCLUSIONS CONCLUSIONS
This study resulted in a competence framework for competency-based nurse education. Future research should focus on imbedding these competences in nurse education. A structured instrument should be developed to assess students' readiness to achieve competence in interprofessional pharmaceutical care in clinical practice.

Identifiants

DOI: 10.1016/j.nedt.2021.104926 PMID: 34274774
pubmed: 34274774
pii: S0260-6917(21)00183-0
doi: 10.1016/j.nedt.2021.104926
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

104926

Informations de copyright

Copyright © 2021 The Authors. Published by Elsevier Ltd.. All rights reserved.

Auteurs

Nienke E Dijkstra (NE)

Research Group Care for the Chronically Ill, HU University of Applied Sciences Utrecht, Utrecht, the Netherlands. Electronic address: nienke.dijkstra@hu.nl.

Elyne De Baetselier (E)

Nursing and Midwifery, Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium. Electronic address: elyne.debaetselier@uantwerpen.be.

Tinne Dilles (T)

Nursing and Midwifery, Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium. Electronic address: tinne.dilles@uantwerpen.be.

Bart Van Rompaey (B)

Nursing and Midwifery, Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium. Electronic address: bart.vanrompaey@uantwerpen.be.

Luis M da Cunha Batalha (LM)

Higher School of Nursing of Coimbra Health Sciences Research Unit Nursing, Coimbra, Portugal. Electronic address: batalha@esenfc.pt.

Izabela Filov (I)

Saint Kliment, Ohridski University Bitola, Bitola, Macedonia.

Vigdis Abrahamsen Grøndahl (VA)

Faculty of Health and Welfare, Østfold University College, Halden, Norway. Electronic address: vigdis.a.grondahl@hiof.no.

Jana Heczkova (J)

Institute of Nursing Theory and Practice, Charles University First Faculty of Medicine, Praha, Czech Republic. Electronic address: jana.heczkova@lf1.cuni.cz.

Ann Karin Helgesen (AK)

Faculty of Health and Welfare, Østfold University College, Halden, Norway. Electronic address: ann.k.helgesen@hiof.no.

Sue Jordan (S)

Department of Nursing, Midwifery and Health Care, University of Wales, Swansea, UK. Electronic address: s.e.jordan@swansea.ac.uk.

Zuzana Kafková (Z)

Faculty of Nursing and Professional Health Studies, Slovak Medical University in Bratislava, Bratislava, Slovakia. Electronic address: zuzana.vanekova@szu.sk.

Igor Karnjus (I)

Faculty of Health Sciences, University of Primorska, Izola, Slovenia. Electronic address: igor.karnjus@fvz.upr.si.

Petros Kolovos (P)

Department of Nursing, Laboratory of Integrated Health Care, University of Peloponnese, Tripolis, Greece.

Gero Langer (G)

Medical Faculty, Institute of Health and Nursing Sciences, Martin-Luther-Universitat Halle-Wittenberg, Halle (Saale), Germany. Electronic address: gero.langer@medizin.uni-halle.de.

Manuel Lillo-Crespo (M)

Department of Nursing, Universitat d'Alacant, Alacant, Spain. Electronic address: https://twitter.com/manuellilloc.

Alba Malara (A)

ANASTE-Humanitas Foundation, Rome, Italy.

Hana Padyšáková (H)

Faculty of Nursing and Professional Health Studies, Slovak Medical University in Bratislava, Bratislava, Slovakia. Electronic address: hana.padysakova@szu.sk.

Mirko Prosen (M)

Faculty of Health Sciences, University of Primorska, Izola, Slovenia. Electronic address: mirko.prosen@fvz.upr.si.

Dorina Pusztai (D)

Institute of Nursing Sciences, Basic Health Sciences and Health Visiting, University of Pecs Faculty of Health Sciences, Pecs, Hungary. Electronic address: dorina.pusztai@etk.pte.hu.

Francesco Talarico (F)

Pugliese-Ciaccio Hospital, Cantazaro, Italy.

Styliani Tziaferi (S)

Department of Nursing, Laboratory of Integrated Health Care, University of Peloponnese, Tripolis, Greece.

Carolien G M Sino (CGM)

Research Group Care for the Chronically Ill, HU University of Applied Sciences Utrecht, Utrecht, the Netherlands. Electronic address: carolien.sino@hu.nl.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female

Evaluation of Low-Value Services Across Major Medicare Advantage Insurers and Traditional Medicare.

Ciara Duggan, Adam L Beckman, Ishani Ganguli et al.
1.00
Humans United States Aged Cross-Sectional Studies Medicare Part C

Effectiveness of Virtual Yoga for Chronic Low Back Pain: A Randomized Clinical Trial.

Hallie Tankha, Devyn Gaskins, Amanda Shallcross et al.
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH

questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Qualité des soins de santé › Compétence clinique › Developing a competence framework for nurses...
questionsmedicales.fr › Sciences de l'information › Analyse des systèmes › Méthode Delphi › Developing a competence framework for nurses...
questionsmedicales.fr › Régions géographiques › Europe › Developing a competence framework for nurses...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Developing a competence framework for nurses...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Prestations des soins de santé › Attitude du personnel soignant › Rôle de l'infirmier › Developing a competence framework for nurses...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Personnel de santé › Infirmières et infirmiers › Developing a competence framework for nurses...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Services pharmaceutiques › Developing a competence framework for nurses...