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Adaptation and validation of a nursing competencies framework for clinical practice on a continuum of care from childhood to adulthood: A Delphi study.
Nurse Educ Today. 2020 Jul 05; 93:104530.NE

Abstract

BACKGROUND

Too few of nursing competencies framework exceed applicability to a given environment, are validated by a research process or used to guide continuing development of nursing competencies.

OBJECTIVES

The study objectives were: 1) to adapt and validate a nursing competencies framework from the continuum of care from childhood to adulthood and 2) to explore implementation strategies.

DESIGN

A collaborative approach including nurses from different practice perspectives. A modified Delphi method supported the adaptation and the validation of a nursing competencies framework.

SETTING

This study was conducted in a pediatric and an adult care university hospitals in Montreal.

PARTICIPANTS

Forty-two nurses were recruited from both university hospitals.

METHODS

A modified Delphi study was conducted. An online questionnaire, containing dichotomous and open-ended questions, was used to collect data on the nursing competencies framework and the suggested implementation strategies for its use. Consensus percentage was calculated, and thematic analysis was used to analyze nurses' comments and implementation strategies suggested.

RESULTS

The nursing competencies framework (NCF), adapted and validated in this study, includes seven competencies and four development stages, from advanced beginner to clinical expert nurses. After three rounds, the nursing competencies framework describes the professional role from the continuum of care from childhood to adulthood, and proposes a self-assessment tool that promotes professional development and continuing education of nurses. Moreover, four strategies for implementing the framework in the clinical setting obtained a consensus of 70% or more.

CONCLUSIONS

A nursing competencies framework was validated by a rigorous research process and adapted to diverse contexts of care. The results revealed a common vision of the nursing practice for patients and their families on the life course from childhood to adulthood. This innovative framework carries the potential to be a relevant and unique reference tool. The nursing competencies framework can provide guidance for the development of nurses' competencies in clinical setting. Additionally, it is a relevant reference that should be use for knowing the scope and the standards of the professional practice in nursing education.

Authors+Show Affiliations

Faculty of Nursing, Université de Montréal, Canada; Center for innovation in nursing education (CIFI), Faculty of Nursing, Université de Montréal, Quebec, Canada. Electronic address: louise.boyer@umontreal.ca.Faculty of Nursing, Université de Montréal, Canada; Center for innovation in nursing education (CIFI), Faculty of Nursing, Université de Montréal, Quebec, Canada.Center for innovation in nursing education (CIFI), Faculty of Nursing, Université de Montréal, Quebec, Canada.Université de Montréal Hospital Center (CHUM), Canada.CHU Sainte-Justine, Canada.Faculty of Nursing, Université de Montréal, Canada.Université de Montréal Hospital Center (CHUM), Canada.Faculty of Nursing, Université de Montréal, Canada; Center for innovation in nursing education (CIFI), Faculty of Nursing, Université de Montréal, Quebec, Canada.Faculty of Nursing, Université de Montréal, Canada; Center for innovation in nursing education (CIFI), Faculty of Nursing, Université de Montréal, Quebec, Canada.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32653535

Citation

Boyer, Louise, et al. "Adaptation and Validation of a Nursing Competencies Framework for Clinical Practice On a Continuum of Care From Childhood to Adulthood: a Delphi Study." Nurse Education Today, vol. 93, 2020, p. 104530.
Boyer L, Pepin J, Dubois S, et al. Adaptation and validation of a nursing competencies framework for clinical practice on a continuum of care from childhood to adulthood: A Delphi study. Nurse Educ Today. 2020;93:104530.
Boyer, L., Pepin, J., Dubois, S., Descôteaux, R., Robinette, L., Déry, J., Brunet, F., Bolduc, J., & Deschênes, M. F. (2020). Adaptation and validation of a nursing competencies framework for clinical practice on a continuum of care from childhood to adulthood: A Delphi study. Nurse Education Today, 93, 104530. https://doi.org/10.1016/j.nedt.2020.104530
Boyer L, et al. Adaptation and Validation of a Nursing Competencies Framework for Clinical Practice On a Continuum of Care From Childhood to Adulthood: a Delphi Study. Nurse Educ Today. 2020 Jul 5;93:104530. PubMed PMID: 32653535.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Adaptation and validation of a nursing competencies framework for clinical practice on a continuum of care from childhood to adulthood: A Delphi study. AU - Boyer,Louise, AU - Pepin,Jacinthe, AU - Dubois,Sylvie, AU - Descôteaux,Renée, AU - Robinette,Louise, AU - Déry,Johanne, AU - Brunet,Fabrice, AU - Bolduc,Jolianne, AU - Deschênes,Marie-France, Y1 - 2020/07/05/ PY - 2019/07/30/received PY - 2020/05/07/revised PY - 2020/06/30/accepted PY - 2020/7/13/pubmed PY - 2020/7/13/medline PY - 2020/7/13/entrez KW - Adult and children care KW - Collaborative research KW - Competencies framework KW - Delphi study KW - Nursing practice SP - 104530 EP - 104530 JF - Nurse education today JO - Nurse Educ Today VL - 93 N2 - BACKGROUND: Too few of nursing competencies framework exceed applicability to a given environment, are validated by a research process or used to guide continuing development of nursing competencies. OBJECTIVES: The study objectives were: 1) to adapt and validate a nursing competencies framework from the continuum of care from childhood to adulthood and 2) to explore implementation strategies. DESIGN: A collaborative approach including nurses from different practice perspectives. A modified Delphi method supported the adaptation and the validation of a nursing competencies framework. SETTING: This study was conducted in a pediatric and an adult care university hospitals in Montreal. PARTICIPANTS: Forty-two nurses were recruited from both university hospitals. METHODS: A modified Delphi study was conducted. An online questionnaire, containing dichotomous and open-ended questions, was used to collect data on the nursing competencies framework and the suggested implementation strategies for its use. Consensus percentage was calculated, and thematic analysis was used to analyze nurses' comments and implementation strategies suggested. RESULTS: The nursing competencies framework (NCF), adapted and validated in this study, includes seven competencies and four development stages, from advanced beginner to clinical expert nurses. After three rounds, the nursing competencies framework describes the professional role from the continuum of care from childhood to adulthood, and proposes a self-assessment tool that promotes professional development and continuing education of nurses. Moreover, four strategies for implementing the framework in the clinical setting obtained a consensus of 70% or more. CONCLUSIONS: A nursing competencies framework was validated by a rigorous research process and adapted to diverse contexts of care. The results revealed a common vision of the nursing practice for patients and their families on the life course from childhood to adulthood. This innovative framework carries the potential to be a relevant and unique reference tool. The nursing competencies framework can provide guidance for the development of nurses' competencies in clinical setting. Additionally, it is a relevant reference that should be use for knowing the scope and the standards of the professional practice in nursing education. SN - 1532-2793 UR - https://www.unboundmedicine.com/medline/citation/32653535/Adaptation_and_validation_of_a_nursing_competencies_framework_for_clinical_practice_on_a_continuum_of_care_from_childhood_to_adulthood:_A_Delphi_study L2 - https://linkinghub.elsevier.com/retrieve/pii/S0260-6917(19)31168-2 DB - PRIME DP - Unbound Medicine ER -
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