Development of competencies for advanced nursing practice in intensive care units across Europe: A modified e-Delphi study

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  • Ruth Endacott
  • Julie Scholes
  • Christina Jones
  • Carole Boulanger
  • Egerod, Ingrid Eugenie
  • Stijn Blot
  • Katerina Iliopoulou
  • Guy Francois
  • Jos Latour

Purpose: The aim of this study was to identify and define core competencies for advanced nursing roles in adult intensive care units across Europe. Methods: Three round electronic Delphi conducted between September 2018 and November 2019, with an expert panel of 184 nurses from 20 countries, supplemented by consensus meetings with 16 participants from 10 countries before each round. Results: In Round 1, participants generated 275 statements across 4 domains (knowledge skills and clinical performance; clinical leadership, teaching and supervision; personal effectiveness; safety and systems management). These were re-worded as competency statements and refined at a consensus meeting resulting in 230 statements in 30 sub-domains. The expert panel rated the ‘importance’ of each statement in Round 2; further refinement at the consensus meeting and the addition of descriptors for sub-domains resulted in 95 competency statements presented to the panel in Round 3. These were all retained in the final set of competency statements. Conclusion: We have used consensus techniques to generate competencies for advanced practice in intensive care nursing that are relevant across European countries and available in eight languages. These have provided the basis for an outline curriculum from which education programmes can be developed within countries.

OriginalsprogEngelsk
Artikelnummer103239
TidsskriftIntensive and Critical Care Nursing
Vol/bind71
Antal sider10
ISSN0964-3397
DOI
StatusUdgivet - 2022

Bibliografisk note

Funding Information:
This study would not have been possible without the contribution of our country contacts: Eva Akerman (Sweden), Catharina Alanko (Finland), Birte Baktoft (Denmark), Julie Benbenishty (Israel), Daniel Benlahouès (France), Zaneta Bogoevska-Miteva (Macedonia), Mathilde Elsa Christensen (Norway), Dejan Dobersek (Slovenia), Gordana Dragosev (Serbia), Elio Drigo (Italy), Maria Foka (Cyprus), Adriano Friganovic (Croatia), Evanthia Georgiou (Cyprus), Danijela Greganic (Poland), Alexandra Gutysz-Wojnicka (Poland), Judit Jakab (Hungary), Kaisa Jakobsson (Finland), Rannveig Jónasdottir (Iceland), Ebru Kiraner (Turkey), Karin Klas (Austria), Anna Kokko (Finland), Frederique Paulus (Netherlands), Sabrina Pelz (Germany), Colette Ram (Netherlands), Alicia San José (Spain), Drago Satosek (Slovenia), Bilijana Savic (Serbia), Silvia Scelsi (Italty), Andrea Schäfer (Germany), Jelena Slijepcevic (Croatia), Elin Steffenak (Norway), Iben Tousgaard (Denmark), Banu Terzi (Turkey), Margot van Mol (Netherlands), Manuel Zammit (Malta). We also acknowledge members of the ESICM community who commented on the study protocol and drafts of the results: Sherihane Bensemmane (ESICM, Brussels), Stijn Blot (Ghent University, Belgium), Marta Borkowska (Ghent University Hospital, Ghent, Belgium), Anne-Sophie Debue (Assistance Publique Hôpitaux de Paris, Hôpitaux Universitaires Paris; Centre, Hôpital Cochin, France and Université Paris-Saclay, UVSQ, INSERM, Équipe Recherches en éthique et épistémologie, CESP, Paris, France), Silvia Calvino- Gunther (CHU Grenoble Alpes, Grenoble, France), Gudrun Kaldan (Rigshospitalet, Copenhagen, Denmark), Dr Sonia Labeau (University College, Ghent, Belgium), Dr Mireia Llaurado Serra (Universitat Internacional de Catalunya, Spain), Sara Nordentoft (Rigshospitalet, Copenhagen, Denmark), Maureen Ben Nunn (Israeli Society of Cardiac and Intensive Care Nursing), Steve Dilworth (former ICU patient and research volunteer at ICUsteps).

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© 2022 Elsevier Ltd

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