{"title":"在医院和家庭环境中护理儿童的本科护理能力：德尔菲研究。","authors":"Véronique de Goumoëns, Laurence Ebacher Lefrançois, Arnaud Forestier, Chantal Grandjean, Colette Balice-Bourgois, Jocelyne Quillet-Cotting, Anne-Laure Thévoz, Anne-Sylvie Ramelet","doi":"10.1016/j.nedt.2024.106487","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Caring for children from birth to adulthood requires extensive knowledge and skills specific to that population. In Switzerland, bachelor's nursing degree programs focus primarily on generalist competencies and may be insufficient for registered nurses to provide appropriate and safe care to sick children and their families.</p><p><strong>Objective: </strong>This study aimed to identify the competencies required for generalist nurses to care for children and their families in hospital and home-care settings.</p><p><strong>Design: </strong>A multicentered descriptive study was used.</p><p><strong>Participants: </strong>Registered nurses' experts in their respective pediatric field were recruited via a regional network for pediatric nursing education in the French and Italian speaking part of Switzerland.</p><p><strong>Methods: </strong>A 3-round Delphi e-survey was used to develop a list of competencies.</p><p><strong>Results: </strong>Round 1 consisted of mapping 23 competencies clustered in seven domains, from four competency models by a panel of eight experts. Consensus was reached in Round 2 and 3, by 129 and 132 participants, respectively. After Round 3, all 23 competencies were rated expected or very much expected. The seven domains of competencies identified as most important were \"Advocacy and Moral Agency\" (cum. mean: 4,5), \"Diversity Families Responsiveness\" (cum. mean: 4,5), Collaboration (cum. mean: 4,4), Caring Practices (cum. mean: 4,4), Clinical Judgment and Inquiry (cum. mean: 4,4), Facilitating Learning (cum. mean: 4,3) and System Thinking (cum. mean: 4,2).</p><p><strong>Conclusion: </strong>The comprehensive list of 23 competencies for nurses to care for sick children and their families in hospital and community settings, provides a solid base to review and benchmark existing nursing under-graduate program in Switzerland and beyond.</p>","PeriodicalId":54704,"journal":{"name":"Nurse Education Today","volume":"145 ","pages":"106487"},"PeriodicalIF":3.6000,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Bachelor nursing competencies to care for children in hospital and home settings: A Delphi study.\",\"authors\":\"Véronique de Goumoëns, Laurence Ebacher Lefrançois, Arnaud Forestier, Chantal Grandjean, Colette Balice-Bourgois, Jocelyne Quillet-Cotting, Anne-Laure Thévoz, Anne-Sylvie Ramelet\",\"doi\":\"10.1016/j.nedt.2024.106487\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Caring for children from birth to adulthood requires extensive knowledge and skills specific to that population. In Switzerland, bachelor's nursing degree programs focus primarily on generalist competencies and may be insufficient for registered nurses to provide appropriate and safe care to sick children and their families.</p><p><strong>Objective: </strong>This study aimed to identify the competencies required for generalist nurses to care for children and their families in hospital and home-care settings.</p><p><strong>Design: </strong>A multicentered descriptive study was used.</p><p><strong>Participants: </strong>Registered nurses' experts in their respective pediatric field were recruited via a regional network for pediatric nursing education in the French and Italian speaking part of Switzerland.</p><p><strong>Methods: </strong>A 3-round Delphi e-survey was used to develop a list of competencies.</p><p><strong>Results: </strong>Round 1 consisted of mapping 23 competencies clustered in seven domains, from four competency models by a panel of eight experts. Consensus was reached in Round 2 and 3, by 129 and 132 participants, respectively. After Round 3, all 23 competencies were rated expected or very much expected. The seven domains of competencies identified as most important were \\\"Advocacy and Moral Agency\\\" (cum. mean: 4,5), \\\"Diversity Families Responsiveness\\\" (cum. mean: 4,5), Collaboration (cum. mean: 4,4), Caring Practices (cum. mean: 4,4), Clinical Judgment and Inquiry (cum. mean: 4,4), Facilitating Learning (cum. mean: 4,3) and System Thinking (cum. mean: 4,2).</p><p><strong>Conclusion: </strong>The comprehensive list of 23 competencies for nurses to care for sick children and their families in hospital and community settings, provides a solid base to review and benchmark existing nursing under-graduate program in Switzerland and beyond.</p>\",\"PeriodicalId\":54704,\"journal\":{\"name\":\"Nurse Education Today\",\"volume\":\"145 \",\"pages\":\"106487\"},\"PeriodicalIF\":3.6000,\"publicationDate\":\"2024-11-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Nurse Education Today\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.nedt.2024.106487\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"EDUCATION, SCIENTIFIC DISCIPLINES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nurse Education Today","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.nedt.2024.106487","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"EDUCATION, SCIENTIFIC DISCIPLINES","Score":null,"Total":0}
Bachelor nursing competencies to care for children in hospital and home settings: A Delphi study.
Background: Caring for children from birth to adulthood requires extensive knowledge and skills specific to that population. In Switzerland, bachelor's nursing degree programs focus primarily on generalist competencies and may be insufficient for registered nurses to provide appropriate and safe care to sick children and their families.
Objective: This study aimed to identify the competencies required for generalist nurses to care for children and their families in hospital and home-care settings.
Design: A multicentered descriptive study was used.
Participants: Registered nurses' experts in their respective pediatric field were recruited via a regional network for pediatric nursing education in the French and Italian speaking part of Switzerland.
Methods: A 3-round Delphi e-survey was used to develop a list of competencies.
Results: Round 1 consisted of mapping 23 competencies clustered in seven domains, from four competency models by a panel of eight experts. Consensus was reached in Round 2 and 3, by 129 and 132 participants, respectively. After Round 3, all 23 competencies were rated expected or very much expected. The seven domains of competencies identified as most important were "Advocacy and Moral Agency" (cum. mean: 4,5), "Diversity Families Responsiveness" (cum. mean: 4,5), Collaboration (cum. mean: 4,4), Caring Practices (cum. mean: 4,4), Clinical Judgment and Inquiry (cum. mean: 4,4), Facilitating Learning (cum. mean: 4,3) and System Thinking (cum. mean: 4,2).
Conclusion: The comprehensive list of 23 competencies for nurses to care for sick children and their families in hospital and community settings, provides a solid base to review and benchmark existing nursing under-graduate program in Switzerland and beyond.
期刊介绍：
Nurse Education Today is the leading international journal providing a forum for the publication of high quality original research, review and debate in the discussion of nursing, midwifery and interprofessional health care education, publishing papers which contribute to the advancement of educational theory and pedagogy that support the evidence-based practice for educationalists worldwide. The journal stimulates and values critical scholarly debate on issues that have strategic relevance for leaders of health care education.
The journal publishes the highest quality scholarly contributions reflecting the diversity of people, health and education systems worldwide, by publishing research that employs rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of education and systems globally. The journal will publish papers that show depth, rigour, originality and high standards of presentation, in particular, work that is original, analytical and constructively critical of both previous work and current initiatives.
Authors are invited to submit original research, systematic and scholarly reviews, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing and related health care education, and which will meet and develop the journal''s high academic and ethical standards.
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