Building bridges of excellence: a comprehensive competence framework for nurses in hospice and palliative care—a mixed method study
Abstract Background Hospice and Palliative Care (HPC) is in high demand in China; however, the country is facing the shortage of qualified HPC nurses. A well-suited competence framework is needed to promote HPC human resource development. Nevertheless, existing unstandardized single-structured frame...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-12-01
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| Series: | BMC Palliative Care |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12904-023-01318-x |
| _version_ | 1827581325163364352 |
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| author | Wei-Ying Li Ying Fang Yi-qing Liang Shu-qin Zhu Ling Yuan Qin Xu Yue Li Yin-long Chen Chang-xian Sun Xiao-xu Zhi Xiao-yan Li Rong Zhou Mai Du |
| author_facet | Wei-Ying Li Ying Fang Yi-qing Liang Shu-qin Zhu Ling Yuan Qin Xu Yue Li Yin-long Chen Chang-xian Sun Xiao-xu Zhi Xiao-yan Li Rong Zhou Mai Du |
| author_sort | Wei-Ying Li |
| collection | DOAJ |
| description | Abstract Background Hospice and Palliative Care (HPC) is in high demand in China; however, the country is facing the shortage of qualified HPC nurses. A well-suited competence framework is needed to promote HPC human resource development. Nevertheless, existing unstandardized single-structured frameworks may not be sufficient to meet this need. This study aimed at constructing a comprehensive multi-structured HPC competence framework for nurses. Methods This study employed a mixed-method approach, including a systematic review and qualitative interview for HPC competence profile extraction, a two-round Delphi survey to determine the competences for the framework, and a cross-sectional study for framework structure exploration. The competence profiles were extracted from publications from academic databases and interviews recruiting nurses working in the HPC field. The research team synthesized profiles and transferred them to competences utilizing existing competence dictionaries. These synthesized competences were then subjected to Delphi expert panels to determine the framework elements. The study analyzed theoretical structure of the framework through exploratory factor analysis (EFA) based on a cross-sectional study receiving 491 valid questionnaires. Results The systematic review involved 30 publications from 10 countries between 1995 and 2021, while 13 nurses from three hospitals were interviewed. In total, 87 and 48 competence profiles were respectively extracted from systematic review and interview and later synthesized into 32 competences. After the Delphi survey, 25 competences were incorporated into the HPC competence framework for nurses. The EFA found a two-factor structure, with factor 1 comprising 18 competences namely Basic Competences; factor 2 concluding 7 competences namely Developmental Competences. Conclusions The two-factor HPC competence framework provided valuable insights into the need and directions of Chinese HPC nurses’ development. |
| first_indexed | 2024-03-08T22:34:46Z |
| format | Article |
| id | doaj.art-e1c72e0aa15d492ba29ad311f84546df |
| institution | Directory Open Access Journal |
| issn | 1472-684X |
| language | English |
| last_indexed | 2024-03-08T22:34:46Z |
| publishDate | 2023-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Palliative Care |
| spelling | doaj.art-e1c72e0aa15d492ba29ad311f84546df2023-12-17T12:33:34ZengBMCBMC Palliative Care1472-684X2023-12-0122111810.1186/s12904-023-01318-xBuilding bridges of excellence: a comprehensive competence framework for nurses in hospice and palliative care—a mixed method studyWei-Ying Li0Ying Fang1Yi-qing Liang2Shu-qin Zhu3Ling Yuan4Qin Xu5Yue Li6Yin-long Chen7Chang-xian Sun8Xiao-xu Zhi9Xiao-yan Li10Rong Zhou11Mai Du12School of Nursing, Nanjing Medical UniversitySchool of Nursing, Nanjing Medical UniversitySchool of Medicine, Jiangsu UniversitySchool of Nursing, Nanjing Medical UniversityThe Comprehensive Cancer Centre of Drum Tower Hospital, Medical School of Nanjing University, Clinical Cancer Institute of Nanjing UniversitySchool of Nursing, Nanjing Medical UniversityJiangsu Institute of Quality and StandardizationJiangsu Institute of Quality and StandardizationSchool of Health Sciences, Jiangsu Vocational Institute of CommerceNursing Department, Jiangsu Cancer Hospital and Nanjing Medical University Affiliated Cancer Hospital and Jiangsu Institute of Cancer ResearchHospice Unit, The Air Force Hospital From Eastern Theater of PLASchool of Nursing, Nanjing Medical UniversitySchool of Nursing, Nanjing Medical UniversityAbstract Background Hospice and Palliative Care (HPC) is in high demand in China; however, the country is facing the shortage of qualified HPC nurses. A well-suited competence framework is needed to promote HPC human resource development. Nevertheless, existing unstandardized single-structured frameworks may not be sufficient to meet this need. This study aimed at constructing a comprehensive multi-structured HPC competence framework for nurses. Methods This study employed a mixed-method approach, including a systematic review and qualitative interview for HPC competence profile extraction, a two-round Delphi survey to determine the competences for the framework, and a cross-sectional study for framework structure exploration. The competence profiles were extracted from publications from academic databases and interviews recruiting nurses working in the HPC field. The research team synthesized profiles and transferred them to competences utilizing existing competence dictionaries. These synthesized competences were then subjected to Delphi expert panels to determine the framework elements. The study analyzed theoretical structure of the framework through exploratory factor analysis (EFA) based on a cross-sectional study receiving 491 valid questionnaires. Results The systematic review involved 30 publications from 10 countries between 1995 and 2021, while 13 nurses from three hospitals were interviewed. In total, 87 and 48 competence profiles were respectively extracted from systematic review and interview and later synthesized into 32 competences. After the Delphi survey, 25 competences were incorporated into the HPC competence framework for nurses. The EFA found a two-factor structure, with factor 1 comprising 18 competences namely Basic Competences; factor 2 concluding 7 competences namely Developmental Competences. Conclusions The two-factor HPC competence framework provided valuable insights into the need and directions of Chinese HPC nurses’ development.https://doi.org/10.1186/s12904-023-01318-xHospice and palliative care nursingCompetenceSystematic reviewDelphi techniqueInterviewCross-sectional study |
| spellingShingle | Wei-Ying Li Ying Fang Yi-qing Liang Shu-qin Zhu Ling Yuan Qin Xu Yue Li Yin-long Chen Chang-xian Sun Xiao-xu Zhi Xiao-yan Li Rong Zhou Mai Du Building bridges of excellence: a comprehensive competence framework for nurses in hospice and palliative care—a mixed method study BMC Palliative Care Hospice and palliative care nursing Competence Systematic review Delphi technique Interview Cross-sectional study |
| title | Building bridges of excellence: a comprehensive competence framework for nurses in hospice and palliative care—a mixed method study |
| title_full | Building bridges of excellence: a comprehensive competence framework for nurses in hospice and palliative care—a mixed method study |
| title_fullStr | Building bridges of excellence: a comprehensive competence framework for nurses in hospice and palliative care—a mixed method study |
| title_full_unstemmed | Building bridges of excellence: a comprehensive competence framework for nurses in hospice and palliative care—a mixed method study |
| title_short | Building bridges of excellence: a comprehensive competence framework for nurses in hospice and palliative care—a mixed method study |
| title_sort | building bridges of excellence a comprehensive competence framework for nurses in hospice and palliative care a mixed method study |
| topic | Hospice and palliative care nursing Competence Systematic review Delphi technique Interview Cross-sectional study |
| url | https://doi.org/10.1186/s12904-023-01318-x |
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