Development and application of a core competency evaluation index system for pediatric asthma specialist nurses in China: a mixed-method study

Abstract Background Specialist nurses’ core competencies are crucial for pediatric asthma management, yet no evaluation system exists for these competencies. Objective To construct a core competency evaluation index system for pediatric asthma specialist nurses. Design A mixed-method study using sem...

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Main Authors: Yi Qin, Xiaoyan Cai, Yelin Ji, Jianing Lu, Caifeng Zhang, Yan Gao, Shujing Yan, Rongshan Chen, Rulin Huang, Lan Ma, Xiao Chun, Fengxia Yan
Format: Article
Language:English
Published: BMC 2025-05-01
Series:BMC Nursing
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Online Access:https://doi.org/10.1186/s12912-025-03185-8
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author Yi Qin
Xiaoyan Cai
Yelin Ji
Jianing Lu
Caifeng Zhang
Yan Gao
Shujing Yan
Rongshan Chen
Rulin Huang
Lan Ma
Xiao Chun
Fengxia Yan
author_facet Yi Qin
Xiaoyan Cai
Yelin Ji
Jianing Lu
Caifeng Zhang
Yan Gao
Shujing Yan
Rongshan Chen
Rulin Huang
Lan Ma
Xiao Chun
Fengxia Yan
author_sort Yi Qin
collection DOAJ
description Abstract Background Specialist nurses’ core competencies are crucial for pediatric asthma management, yet no evaluation system exists for these competencies. Objective To construct a core competency evaluation index system for pediatric asthma specialist nurses. Design A mixed-method study using semi-structured interview, Delphi method and cross-sectional survey. Methods Literature review and semi-structured interviews were performed to developed the initial competencies evaluation index system for pediatric asthma specialist nurses. A two-round Delphi survey was conducted from May 2022 to August 2022, with 21 experts from four provinces in China to rate the importance of each indicator and propose modifications to the evaluation index system. A questionnaire survey with the evaluation indicators was conducted to investigate the level of nurses’ core competency after pediatric asthma specialist training. Results The effective questionnaire recovery rates were 100% and 95% in two rounds of expert consultation, with expert authority coefficients of 0.892 and 0.910, respectively. The core competency evaluation index system for pediatric asthma specialist nurses included 2 definitions, 6 first-level indicators, 16 second-level indicators and 63 third-level indicators. The Kendall’s W coefficients were 0.343 and 0.384 for the first- and second-level indicators in the second round of consultations. Of 80 questionnaires, 69 were valid, wtith Cronbach’s α coefficients of the first-level indicators ranging from 0.896 to 0.968. Conclusion A core competency evaluation index system for pediatric asthma specialist nurses was developed, and demonstrated to be scientific, reliable, and applicable. Statement of implications The core competency index system for pediatric asthma nurses standardizes the assessments, and supports professional development, ultimately enhancing patient outcomes.
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spelling doaj-art-5a8cd84a4e8745d99c04c7f84f21765d2025-08-20T02:33:24ZengBMCBMC Nursing1472-69552025-05-0124111410.1186/s12912-025-03185-8Development and application of a core competency evaluation index system for pediatric asthma specialist nurses in China: a mixed-method studyYi Qin0Xiaoyan Cai1Yelin Ji2Jianing Lu3Caifeng Zhang4Yan Gao5Shujing Yan6Rongshan Chen7Rulin Huang8Lan Ma9Xiao Chun10Fengxia Yan11Department of Respiratory, Guangzhou Women and Children’s Medical CenterDepartment of Nursing, Foshan University Hospital of Stomatology, Foshan Stomatologcal HospitalSchool of Nursing, Jinan UniversityDepartment of Respiratory, Guangzhou Women and Children’s Medical CenterDepartment of Respiratory, Guangzhou Women and Children’s Medical CenterDepartment of Respiratory, Guangzhou Women and Children’s Medical CenterDepartment of Respiratory, Guangzhou Women and Children’s Medical CenterDepartment of Respiratory, Guangzhou Women and Children’s Medical CenterDepartment of Respiratory, Guangzhou Women and Children’s Medical CenterDepartment of Respiratory, Guangzhou Women and Children’s Medical CenterDepartment of Internal Medicine, Guangzhou Women and Children’s Medical CenterSchool of Nursing, Jinan UniversityAbstract Background Specialist nurses’ core competencies are crucial for pediatric asthma management, yet no evaluation system exists for these competencies. Objective To construct a core competency evaluation index system for pediatric asthma specialist nurses. Design A mixed-method study using semi-structured interview, Delphi method and cross-sectional survey. Methods Literature review and semi-structured interviews were performed to developed the initial competencies evaluation index system for pediatric asthma specialist nurses. A two-round Delphi survey was conducted from May 2022 to August 2022, with 21 experts from four provinces in China to rate the importance of each indicator and propose modifications to the evaluation index system. A questionnaire survey with the evaluation indicators was conducted to investigate the level of nurses’ core competency after pediatric asthma specialist training. Results The effective questionnaire recovery rates were 100% and 95% in two rounds of expert consultation, with expert authority coefficients of 0.892 and 0.910, respectively. The core competency evaluation index system for pediatric asthma specialist nurses included 2 definitions, 6 first-level indicators, 16 second-level indicators and 63 third-level indicators. The Kendall’s W coefficients were 0.343 and 0.384 for the first- and second-level indicators in the second round of consultations. Of 80 questionnaires, 69 were valid, wtith Cronbach’s α coefficients of the first-level indicators ranging from 0.896 to 0.968. Conclusion A core competency evaluation index system for pediatric asthma specialist nurses was developed, and demonstrated to be scientific, reliable, and applicable. Statement of implications The core competency index system for pediatric asthma nurses standardizes the assessments, and supports professional development, ultimately enhancing patient outcomes.https://doi.org/10.1186/s12912-025-03185-8Pediatric asthmaSpecialist nursesCore competenciesDelphi methodAnalytic hierarchy process
spellingShingle Yi Qin
Xiaoyan Cai
Yelin Ji
Jianing Lu
Caifeng Zhang
Yan Gao
Shujing Yan
Rongshan Chen
Rulin Huang
Lan Ma
Xiao Chun
Fengxia Yan
Development and application of a core competency evaluation index system for pediatric asthma specialist nurses in China: a mixed-method study
BMC Nursing
Pediatric asthma
Specialist nurses
Core competencies
Delphi method
Analytic hierarchy process
title Development and application of a core competency evaluation index system for pediatric asthma specialist nurses in China: a mixed-method study
title_full Development and application of a core competency evaluation index system for pediatric asthma specialist nurses in China: a mixed-method study
title_fullStr Development and application of a core competency evaluation index system for pediatric asthma specialist nurses in China: a mixed-method study
title_full_unstemmed Development and application of a core competency evaluation index system for pediatric asthma specialist nurses in China: a mixed-method study
title_short Development and application of a core competency evaluation index system for pediatric asthma specialist nurses in China: a mixed-method study
title_sort development and application of a core competency evaluation index system for pediatric asthma specialist nurses in china a mixed method study
topic Pediatric asthma
Specialist nurses
Core competencies
Delphi method
Analytic hierarchy process
url https://doi.org/10.1186/s12912-025-03185-8
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