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Identifying the core competencies of backup nurses in the acute care hospital through a modified Delphi process


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Figure 1

The framework of TNA. TNA, training need analysis.
The framework of TNA. TNA, training need analysis.

Figure 2

The first-round of modified Delphi questionnaire.
The first-round of modified Delphi questionnaire.

Core competencies of backup nurses for professional practice ability.

Items Mean ± SD Coefficient of variation Theoretical training hours Practical training hours Evaluation method
Nursing theory
1. Nursing care for critically ill patients with respiratory, circulatory, neurological, digestive, urinary and endocrine systems 4.13 ± 0.83 0.20 2.33 ± 0.82 4.00 ± 3.61 TE + CE
2. Nursing intervention for acutely transmitted diseases 4.63 ± 0.74 0.16 2.86 ± 0.69 3.00 ± 0.00 TE + CE
3. Pain intervention 4.63 ± 0.74 0.16 2.14 ± 0.69 2.00 ± 1.00 TE + CE
4. Mechanism of action, dosage, and adverse reactions of common first aid drugs 5 0 3.00 ± 1.53 2.67 ± 0.58 TE
5. Clinical significance of common biochemical indicators 4.63 ± 0.52 0.11 2.71 ± 1.50 3.00 ± 0.00 CE
6. Identification of common abnormal electrocardiogram 4.63 ± 0.74 0.16 3.57 ± 1.81 4.75 ± 2.75 TE + OE
Clinical nursing skills
7. Application of monitoring technology 4.75 ± 0.71 0.15 3.50 ± 2.35 4.29 ± 2.21 OE
8. Correct use of first aid equipment 5 0 2.60 ± 0.89 3.83 ± 1.60 OE
9. Mechanical ventilation knowledge, operating techniques and various simple fault handling 4.63 ± 0.52 0.11 2.33 ± 1.03 3.29 ± 1.70 OE
10. First aid technology cooperation 4.38 ± 0.74 0.17 3.33 ± 1.63 4.57 ± 2.15 OE
11. Ability to quickly and correctly place various tubes (stomach, urinary, venous access, etc.) 4.88 ± 0.35 0.07 2.00 ± 0.71 3.86 ± 3.67 OE
12. Effective treatment of severe multiple injuries 4.5 ± 0.76 0.17 2.17 ± 0.75 3.43 ± 2.70 OE
13. Advanced life support technologies 4.75 ± 0.71 0.15 4.17 ± 2.99 5.86 ± 3.13 OE
14. Retain various specimens 4.75 ± 0.71 0.15 2.00 ± 0.63 3.25 ± 1.71 TE + OE
15. Postoperative care technology for critically ill patients 4.75 ± 0.46 0.10 3.60 ± 1.14 4.00 ± 1.53 OE
16. Isolation measures for infectious diseases 4.38 ± 0.74 0.17 1.83 ± 0.75 3.20 ± 2.17 TE
17. Reasonable and effective health knowledge mission 4.25 ± 0.71 0.17 1.25 ± 0.96 3.00 ± 1.79 CE + SS

The scope of backup nurse training.

Item N Percentage (%)
The target selection of backup nurses
  1 year after entry 6 35.29
  2 years after entry 5 29.41
  Entry 3-4 years 4 23.53
  Entry 5 years and above 1 5.88
  New graduate 1 5.88
Department requiring training
  ICU 17 100
  Emergency department 17 100
  Cardiology 13 76.47
  Brain surgery 10 58.82
  Trauma 8 47.06
  Obstetrics 2 11.76
  Pediatrics 2 11.76
Employment period
  2 years 9 52.94
  1 year 6 35.29
  3 years 2 11.76
Training period
  1 year 9 52.94
  Same as the term of employment 4 23.53
  2 years 2 11.76
  Half a year 2 11.76

Core competencies of backup nurses for critical thinking ability.

Items Mean Importance Coefficient of variation Theoretical training hours Practical training hours Evaluation method
Foresight and judgment ability
18. Assessment of the impact of disease and trauma on patients 4.5 ± 0.53 0.12 3.14 ± 0.69 3.00 ± 1.00 CE
19. Dynamic assessment of the patient's condition 4.63 ± 0.52 0.11 2.75 ± 0.96 5.20 ± 3.11 CE + SS
Resilience
20. Agile to respond to sudden emergencies and implement effective treatment measures 4.88 ± 0.35 0.07 2.50 ± 1.29 3.80 ± 1.79 CE
Comprehensive analytical ability
21. Make correct judgments on preset goals and work plans 4.63 ± 0.52 0.11 2.50 ± 1.29 4.80 ± 3.56 CE + SS
22. Correctly execute the doctor's advice, and promptly ask if you have any questions. 4.88 ± 0.35 0.07 1.80 ± 0.45 2.20 ± 0.45 CE + SS
Decision-making capacity
23. Effective and continuous evaluation of care plans and measures for critically ill patients 4.5 ± 0.76 0.17 2.50 ± 0.58 3.40 ± 1.95 CE

Core competencies of backup nurses for interpersonal skills.

Items Mean importance Coefficient of variation Theoretical training hours Practical training hours Evaluation method
Collaboration
24. The medical care team has a good cooperation and team spirit 4.5 ± 0.76 0.17 1.20 ± 0.84 1.50 ± 0.58 PR
25. Maintain a harmonious relationship between nurses and patients 4.5 ± 0.53 0.12 1.25 ± 0.96 2.00 ± 0.82 SS
Self-adaptability
26. Reasonable adjustment of work stress and self-emotion 4.25 ± 0.71 0.17 2.20 ± 2.28 1.75 ± 0.96 SE
eISSN:
2544-8994
Sprache:
Englisch
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Fachgebiete der Zeitschrift:
Medizin, Gesundheitsfachberufe