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 t...
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| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-06-01
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| Series: | International Journal of Nursing Studies Advances |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666142X25000402 |
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| Summary: | 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. |
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| ISSN: | 2666-142X |