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BMC Infectious Diseases

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Open Access 01-12-2021 | Care | Research

Construction of an index system of core competence assessment for infectious disease specialist nurse in China: a Delphi study

Authors: Chao Wu, Ping Wu, Pei Li, Feixia Cheng, Yanling Du, Shizhe He, Hongjuan Lang

Published in: BMC Infectious Diseases | Issue 1/2021

Abstract

Aim and objective

This study was to establish an index system for the evaluation of Chinese infectious disease specialist nurses’ core competence.

Background

The index system for the evaluation of infectious disease specialist nurses’ core competence has not been established.

Design

A two-round Delphi survey was conducted to seek opinions from experts about the index system for the evaluation of infectious disease specialist nurses’ core competence.

Methods

The study adopted several research methods, including literature retrieval, theoretical analysis and qualitative research. Based on the above method, the draft of core competence evaluation index system of infectious disease specialist nurses was constructed. A Delphi survey was used for the study of 30 infectious disease experts from 8 provinces and cities around China. A modified recommendation for the Conducting and Reporting of Delphi studies (CREDES) was also used to guide this study. A STROBE checklist was used.

Results

The Core Competence Evaluation Index System of Infectious Disease Nurses is composed of 6 primary indicators, namely, Nursing Abilities for Infectious Diseases, Infection Prevention and Control Abilities, Responsiveness to Infectious Diseases, Professional Development Abilities, Communication and Management Abilities, and Professionalism and Humanistic Accomplishment, 16 secondary indicators and 47 tertiary indicators. The authority coefficient, judgment coefficient and familiarity degree of Delphi experts were 0.923, 0.933 and 0.913 respectively.

Conclusions

The evaluation index system of core competence of diseases specialist nurses is scientific and reliable. It can be reference for future training and assessment of Chinese infectious disease specialist nurses.

Relevance to clinical practice

Infectious disease specialist nurses are the main force for infectious disease nursing. Their core competence is related to the quality of infectious disease nursing and treatment. The core competence of the nurses is important for identification of training strategies and can be regarded as reference for nurse assessment and promotion. The construction of the index system is based on the consensus of infectious disease experts, which is not only helpful to standardize the training strategies and selection standards of infectious disease specialist nurses in the future, but also meet the society’s needs in clinical infectious disease nursing.

Pitrelli N, Sturloni G. Infectious diseases and governance of global risks through public communication and participation. Ann Ist Super Sanita. 2007;43(4):336–43.PubMed

Rauch S, Jasny E, Schmidt KE, Petsch B. New vaccine technologies to combat outbreak situations. Front Immunol. 2018;9:1963. https://doi.org/10.3389/fimmu.2018.01963.CrossRefPubMedPubMedCentral

Triggle CR, Bansal D, Farag E, Ding H, Sultan AA. COVID-19: learning from lessons to guide treatment and prevention Interventions. mSphere. 2020;5(3):1-13. https://doi.org/10.1128/mSphere.00317-20.

Jump RLP, Crnich CJ, Mody L, Bradley SF, Nicolle LE, Yoshikawa TT. Infectious diseases in older adults of long-term care facilities: update on approach to diagnosis and management. J Am Geriatr Soc. 2018;66(4):789–803. https://doi.org/10.1111/jgs.15248.CrossRefPubMedPubMedCentral

Houghton C, Meskell P, Delaney H, Smalle M, Glenton C, Booth A, et al. Barriers and facilitators to healthcare workers’ adherence with infection prevention and control (IPC) guidelines for respiratory infectious diseases: a rapid qualitative evidence synthesis. Cochrane Database Syst Rev. 2020;4(4):Cd013582. https://doi.org/10.1002/14651858.cd013582.CrossRefPubMed

Whyte S. Specialist nurses in Australia: the ICN and international regulation. J Prof Nurs. 2000;16(4):210–8. https://doi.org/10.1053/jpnu.2000.7827.CrossRefPubMed

Jokiniemi K, Pietilä AM, Mikkonen S. Construct validity of clinical nurse specialist core competency scale: an exploratory factor analysis. J Clin Nurs. 2020. https://doi.org/10.1111/jocn.15587.

Taskiran G, Baykal U. Nurses’ disaster preparedness and core competencies in Turkey: a descriptive correlational design. Int Nurs Rev. 2019;66(2):165–75. https://doi.org/10.1111/inr.12501.CrossRefPubMed

Wei W, Niu Y, Ge X. Core competencies for nurses in Chinese intensive care units: a cross-sectional study. Nurs Crit Care. 2019;24(5):276–82. https://doi.org/10.1111/nicc.12398.CrossRefPubMed

10.

Xing Q, Zhang M, Zhao F, Zhou Y, Mo Y, Yuan L. The development of a standardized framework for primary nurse specialists in diabetes care in China: a Delphi study. J Nurs Res. 2019;27(6):e53. https://doi.org/10.1097/jnr.0000000000000330.CrossRefPubMed

11.

Ren H, Liu C, Wang R, Zhang M, Ma F, Li R, et al. Core competencies required for gastroenterology nursing specialists in China. Gastroenterol Nurs. 2019;42(2):169–78. https://doi.org/10.1097/sga.0000000000000392.CrossRefPubMed

12.

Eskes AM, Maaskant JM, Holloway S, van Dijk N, Alves P, Legemate DA, et al. Competencies of specialised wound care nurses: a European Delphi study. Int Wound J. 2014;11(6):665–74. https://doi.org/10.1111/iwj.12027.CrossRefPubMed

13.

Liu Q, Xu W, Lu S, Jiang J, Zhou J, Shao Z, et al. Landscape of emerging and re-emerging infectious diseases in China: impact of ecology, climate, and behavior. Front Med. 2018;12(1):3–22. https://doi.org/10.1007/s11684-017-0605-9.CrossRefPubMedPubMedCentral

14.

Yang S, Wu J, Ding C, Cui Y, Zhou Y, Li Y, et al. Epidemiological features of and changes in incidence of infectious diseases in China in the first decade after the SARS outbreak: an observational trend study. Lancet Infect Dis. 2017;17(7):716–25. https://doi.org/10.1016/s1473-3099(17)30227-x.CrossRefPubMedPubMedCentral

15.

Estes C, Anstee QM, Arias-Loste MT, Bantel H, Bellentani S, Caballeria J, et al. Modeling NAFLD disease burden in China, France, Germany, Italy, Japan, Spain, United Kingdom, and United States for the period 2016-2030. J Hepatol. 2018;69(4):896–904. https://doi.org/10.1016/j.jhep.2018.05.036.CrossRefPubMed

16.

Li M, Fan D, Wang X. Economic and health impacts of infectious diseases in China: a protocol for systematic review and meta analysis. Medicine (Baltimore). 2020;99(30):e21249. https://doi.org/10.1097/md.0000000000021249.CrossRef

17.

Wang FS, Fan JG, Zhang Z, Gao B, Wang HY. The global burden of liver disease: the major impact of China. Hepatology. 2014;60(6):2099–108. https://doi.org/10.1002/hep.27406.CrossRefPubMed

18.

Xiao J, Wang F, Wong NK, He J, Zhang R, Sun R, et al. Global liver disease burdens and research trends: analysis from a Chinese perspective. J Hepatol. 2019;71(1):212–21. https://doi.org/10.1016/j.jhep.2019.03.004.CrossRefPubMed

19.

Li H, Dong S, He L, Wang R, Long S, He F, et al. Nurses’ core emergency competencies for COVID-19 in China: a cross-sectional study. Int Nurs Rev. 2021. https://doi.org/10.1111/inr.12692.

20.

Tsai FJ, Tipayamongkholgul M. Are countries’ self-reported assessments of their capacity for infectious disease control reliable? Associations among countries’ self-reported international health regulation 2005 capacity assessments and infectious disease control outcomes. BMC Public Health. 2020;20(1):282. https://doi.org/10.1186/s12889-020-8359-8.CrossRefPubMedPubMedCentral

21.

Zakeri MA, Bazmandegan G, Ganjeh H, Zakeri M, Mollaahmadi S, Anbariyan A, et al. Is nurses’ clinical competence associated with their compassion satisfaction, burnout and secondary traumatic stress? A cross-sectional study. Nurs Open. 2021;8(1):354–63. https://doi.org/10.1002/nop2.636.CrossRefPubMed

22.

Heuzenroeder L, Ibrahim F, Khadka J, Woodman R, Kitson A. A Delphi study to identify content for a new questionnaire based on the 10 principles of dignity in care. J Clin Nurs. 2020. https://doi.org/10.1111/jocn.15462.

23.

Jünger S, Payne SA, Brine J, Radbruch L, Brearley SG. Guidance on conducting and REporting DElphi Studies (CREDES) in palliative care: recommendations based on a methodological systematic review. Palliat Med. 2017;31(8):684–706. https://doi.org/10.1177/0269216317690685.CrossRefPubMed

24.

Campos-Luna I, Miller A, Beard A, Leach M. Validation of mouse welfare indicators: a Delphi consultation survey. Sci Rep. 2019;9(1):10249. https://doi.org/10.1038/s41598-019-45810-y.CrossRefPubMedPubMedCentral

25.

Black M, Matthews LR, Millington MJ. Using an adapted Delphi process to develop a survey evaluating employability assessment in total and permanent disability insurance claims. Work. 2018;60(4):539–48. https://doi.org/10.3233/wor-182761.CrossRefPubMed

26.

Chan TE, Lockhart JS, Schreiber JB, Kronk R. Determining nurse practitioner core competencies using a Delphi approach. J Am Assoc Nurse Pract. 2020;32(3):200–17. https://doi.org/10.1097/jxx.0000000000000384.CrossRefPubMed

27.

Persson AC, Engström Å, Burström O, Juuso P. Specialist ambulance nurses’ experiences of births before arrival. Int Emerg Nurs. 2019;43:45–9. https://doi.org/10.1016/j.ienj.2018.08.002.CrossRefPubMed

28.

Weber DJ, Rutala WA, Fischer WA, Kanamori H, Sickbert-Bennett EE. Emerging infectious diseases: Focus on infection control issues for novel coronaviruses (Severe Acute Respiratory Syndrome-CoV and Middle East Respiratory Syndrome-CoV), hemorrhagic fever viruses (Lassa and Ebola), and highly pathogenic avian influenza viruses, A(H5N1) and A(H7N9). Am J Infect Control. 2016;44(5 Suppl):e91–e100. https://doi.org/10.1016/j.ajic.2015.11.018.CrossRefPubMedPubMedCentral

29.

Lavoie P, Michaud C, Bélisle M, Boyer L, Gosselin É, Grondin M, et al. Learning theories and tools for the assessment of core nursing competencies in simulation: a theoretical review. J Adv Nurs. 2018;74(2):239–50. https://doi.org/10.1111/jan.13416.CrossRefPubMed

30.

Harris T. Grounded theory. Nurs Stand. 2015;29(35):32–9. https://doi.org/10.7748/ns.29.35.32.e9568.CrossRefPubMed

31.

Noble H, Mitchell G. What is grounded theory? Evid Based Nurs. 2016;19(2):34–5. https://doi.org/10.1136/eb-2016-102306.CrossRefPubMed

32.

Shen L, Yang J, Jin X, Hou L, Shang S, Zhang Y. Based on Delphi method and analytic hierarchy process to construct the evaluation index system of nursing simulation teaching quality. Nurse Educ Today. 2019;79:67–73. https://doi.org/10.1016/j.nedt.2018.09.021.CrossRefPubMed

33.

World Medical Association. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA. 2013;310(20):2191-4. https://doi.org/10.1001/jama.2013.281053.

34.

Sutherland K, Yeung W, Mak Y, Levesque JF. Envisioning the future of clinical analytics: a modified Delphi process in New South Wales, Australia. BMC Med Inform Decis Mak. 2020;20(1):210. https://doi.org/10.1186/s12911-020-01226-7.CrossRefPubMedPubMedCentral

35.

Tanzi S, Alquati S, Martucci G, De Panfilis L. Learning a palliative care approach during the COVID-19 pandemic: a case study in an infectious diseases unit. Palliat Med. 2020;34(9):1220–7. https://doi.org/10.1177/0269216320947289.CrossRefPubMed

36.

Xue L, Cao X, Wan H. Releasing Wolbachia-infected mosquitos to mitigate the transmission of Zika virus. J Math Anal Appl. 2021;496(1):124804. https://doi.org/10.1016/j.jmaa.2020.124804.CrossRef

37.

Keesing F, Belden LK, Daszak P, Dobson A, Harvell CD, Holt RD, et al. Impacts of biodiversity on the emergence and transmission of infectious diseases. Nature. 2010;468(7324):647–52. https://doi.org/10.1038/nature09575.CrossRefPubMedPubMedCentral

38.

Kiely P, Gambhir M, Cheng AC, McQuilten ZK, Seed CR, Wood EM. Emerging infectious diseases and blood safety: modeling the transfusion-transmission risk. Transfus Med Rev. 2017;31(3):154–64. https://doi.org/10.1016/j.tmrv.2017.05.002.CrossRefPubMedPubMedCentral

39.

Cho SY, Chung DR. Infection prevention strategy in hospitals in the era of community-associated methicillin-resistant staphylococcus aureus in the asia-pacific region: a review. Clin Infect Dis. 2017;64(suppl_2):S82–90. https://doi.org/10.1093/cid/cix133.CrossRefPubMed

40.

Fadare RI, Akpor OA, Ifechukwude IG, Richard DA, Bello CB. Nurses’ safety in caring for tuberculosis patients at a Teaching Hospital in South West Nigeria. J Environ Public Health. 2020;2020:3402527–9. https://doi.org/10.1155/2020/3402527.CrossRefPubMedPubMedCentral

41.

Tschudin-Sutter S, Kuijper EJ, Durovic A, Vehreschild M, Barbut F, Eckert C, et al. Guidance document for prevention of Clostridium difficile infection in acute healthcare settings. Clin Microbiol Infect. 2018;24(10):1051–4. https://doi.org/10.1016/j.cmi.2018.02.020.CrossRefPubMed

42.

Morens DM, Fauci AS. Emerging pandemic diseases: how we got to COVID-19. Cell. 2020;182(5):1077–92. https://doi.org/10.1016/j.cell.2020.08.021.CrossRefPubMedPubMedCentral

43.

Lee N, Lee HJ. South Korean nurses’ experiences with patient care at a COVID-19-designated hospital: growth after the frontline battle against an infectious disease pandemic. Int J Environ Res Public Health. 2020;17(23):9015-37. https://doi.org/10.3390/ijerph17239015.

44.

Lam SKK, Kwong EWY, Hung MSY, Chien WT. Investigating the strategies adopted by emergency nurses to address uncertainty and change in the event of emerging infectious diseases: a grounded theory study. Int J Environ Res Public Health. 2020;17(7):2490-503. https://doi.org/10.3390/ijerph17072490.

45.

Tan R, Yu T, Luo K, Teng F, Liu Y, Luo J, et al. Experiences of clinical first-line nurses treating patients with COVID-19: a qualitative study. J Nurs Manag. 2020;28(6):1381–90. https://doi.org/10.1111/jonm.13095.CrossRefPubMed

46.

Albert NM. Operationalizing a nursing innovation center within a health care system. Nurs Adm Q. 2018;42(1):43–53. https://doi.org/10.1097/naq.0000000000000266.CrossRefPubMed

47.

Curtis JR, Back AL, Ford DW, Downey L, Shannon SE, Doorenbos AZ, et al. Effect of communication skills training for residents and nurse practitioners on quality of communication with patients with serious illness: a randomized trial. JAMA. 2013;310(21):2271–81. https://doi.org/10.1001/jama.2013.282081.CrossRefPubMedPubMedCentral

48.

Grubaugh ML, Flynn L. Relationships among nurse manager leadership skills, conflict management, and unit teamwork. J Nurs Adm. 2018;48(7–8):383–8. https://doi.org/10.1097/nna.0000000000000633.CrossRefPubMed

49.

Gaur S, Pandya N, Dumyati G, Nace DA, Pandya K, Jump RLP. A structured tool for communication and care planning in the era of the COVID-19 pandemic. J Am Med Dir Assoc. 2020;21(7):943–7. https://doi.org/10.1016/j.jamda.2020.05.062.CrossRefPubMedPubMedCentral

50.

Maltezou HC, Dedoukou X, Tseroni M, Tsonou P, Raftopoulos V, Papadima K, et al. SARS-CoV-2 infection in healthcare personnel with high-risk occupational exposure: evaluation of 7-day exclusion from work policy. Clin Infect Dis. 2020;71(12):3182–7. https://doi.org/10.1093/cid/ciaa888.CrossRefPubMed

Title: Construction of an index system of core competence assessment for infectious disease specialist nurse in China: a Delphi study
Authors: Chao Wu
Ping Wu
Pei Li
Feixia Cheng
Yanling Du
Shizhe He
Hongjuan Lang
Publication date: 01-12-2021
Publisher: BioMed Central
Keyword: Care
Published in: BMC Infectious Diseases / Issue 1/2021
Electronic ISSN: 1471-2334
DOI: https://doi.org/10.1186/s12879-021-06402-2

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Abstract

Aim and objective

Background

Design

Methods

Results

Conclusions

Relevance to clinical practice

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