Clinical practice competencies for standard critical care nursing: consensus statement based on a systematic review and Delphi survey.
Adult intensive & critical care
INTENSIVE & CRITICAL CARE
MEDICAL EDUCATION & TRAINING
Journal
BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874
Informations de publication
Date de publication:
25 01 2023
25 01 2023
Historique:
entrez:
25
1
2023
pubmed:
26
1
2023
medline:
28
1
2023
Statut:
epublish
Résumé
A clear development process and scientifically validated clinical practice competencies in standard critical care nursing (SCCN) have not yet been developed in Japan. Thus, this study aimed to develop a consensus-based set of SCCN competencies to provide a framework for critical care nursing education, training and evaluation. Multistep, modified Delphi study (a systematic review, focus group interviews, a three-round web-based Delphi survey and an external validation process). A systematic review of 23 studies, focus group interviews by 12 experts, a Delphi survey by 239 critical care experts (physicians, nurses and physical therapists) and an external validation by 5 experts (physicians and nurses). A systematic review identified 685 unique competencies. The focus group interviews resulted in the addition of 3 performance indicator items, a synthesis of 2 subdomains and 10 elements. Of the 239 participants, 218 (91.2%), 209 (98.9%) and 201 (96.2%) responded in rounds 1, 2 and 3 of the Delphi survey, respectively. After round 3, 57 items were below the consensus level and were removed in the final round. External validation process feedback was received from experts after two revisions to ensure that the final competencies were valid, applicable, useful and clear. The final set of competencies was classified into 6 domains, 26 subdomains, 99 elements and 525 performance indicators. This study found a set of SCCN competencies after a multistep, modified Delphi study. The results of this study are robust, and the competency framework can be used in multiple areas to improve clinical practice, including the assessment, training and certification of standard critical care nurses.
Identifiants
pubmed: 36697042
pii: bmjopen-2022-068734
doi: 10.1136/bmjopen-2022-068734
pmc: PMC9884938
doi:
Types de publication
Systematic Review
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e068734Investigateurs
Miya Hamamoto
(M)
Junko Tatsuno
(J)
Yasunobu Tsuda
(Y)
Megumi Moriyasu
(M)
Satoshi Nakata
(S)
Sachie Nishimura
(S)
Ryutaro Seo
(R)
Akihisa Okuda
(A)
Etsuko Moro
(E)
Mio Kitayama
(M)
Yusuke Kawai
(Y)
Yukiko Katayama
(Y)
Kosuke Kitabeppu
(K)
Noriko Inagaki
(N)
Uemura Sakura
(U)
Tomomi Furumaya
(T)
Informations de copyright
© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
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