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Constructing content validity of clinical nurse specialist core competencies: exploratory sequential mixed-method study.

https://arctichealth.org/en/permalink/ahliterature299343
Source
Scand J Caring Sci. 2018 Dec; 32(4):1428-1436
Publication Type
Comparative Study
Journal Article
Validation Studies
Date
Dec-2018
Author
Krista Jokiniemi
Riitta Meretoja
Anna-Maija Pietilä
Author Affiliation
Department of Nursing Science, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland.
Source
Scand J Caring Sci. 2018 Dec; 32(4):1428-1436
Date
Dec-2018
Language
English
Publication Type
Comparative Study
Journal Article
Validation Studies
Keywords
Adult
Canada
Clinical Competence - standards
Female
Finland
Guidelines as Topic
Humans
Male
Middle Aged
Nurse Clinicians - standards
Nurse Specialists - standards
Nurse's Role
United States
Abstract
The demand to increase nursing competence is brought on by the requirement of safe, accessible and more effective use of healthcare provider expertise. Clinical nurse specialist competency development dates back to the late 20th century; however, an examination of the literature reveals a lack of research and discussion to support the competency development.
To describe the formulation and validation process of the clinical nurse specialist core competencies.
Exploratory sequential mixed-method design.
This mixed-method study, conducted between 2013 and 2017 in Finland, involved four phases: I) a Policy Delphi study (n = 25, n = 22, n = 19); II) cross-mapping of preliminary competency criteria against international competency sets; III) content validity study of expanded competency criteria (n = 7, n = 10); and IV) verification of competency criteria with practicing CNSs (n = 16). Data were analysed by both qualitative and quantitative analysis methods.
Seventy-four preliminary clinical nurse competency criteria were formulated in the first phase of the study. Through cross-mapping the competencies against the US and Canadian clinical nurse specialist competency sets, they were further concised to 61 criteria. The examination of Content Validity Indexes and experts' comments led to the clarification and consequent inclusion of 50 criteria to the final scale, with Scale Content Validity Index Average of 0.94. The competency criteria were evaluated to be a solid set with potential to clarify and uniform the clinical nurse specialist roles.
Through a rigorous research process, validated clinical nurse specialist competency criteria were formed with a high Scale Content Validity Index Average. The results allude to the potential of formulating international competency criteria to support global role clarity and understanding. However, further research is needed to validate the content and construct of the formulated competencies with a larger population across countries.
PubMed ID
29963720 View in PubMed
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From challenges to advanced practice registered nursing role development: Qualitative interview study.

https://arctichealth.org/en/permalink/ahliterature280740
Source
Int J Nurs Pract. 2015 Dec;21(6):896-903
Publication Type
Article
Date
Dec-2015
Author
Krista Jokiniemi
Kaisa Haatainen
Anna-Maija Pietilä
Source
Int J Nurs Pract. 2015 Dec;21(6):896-903
Date
Dec-2015
Language
English
Publication Type
Article
Keywords
Advanced Practice Nursing
Finland
Humans
Nurse's Role
Qualitative Research
Abstract
The aim of this study is to describe the factors hindering and facilitating the implementation of the advanced practice registered nurses role at Finnish university hospitals, and to examine the implications for its future development. A descriptive qualitative approach, using thematic individual interviews, was conducted in 2011 with a sample of 11 advanced practice registered nurses. The data were analysed using qualitative content analysis. The advanced practice registered nurses role barriers had an impact on the role development needs. In turn, the facilitating factors helped encounter the challenges of the role, therefore having an impact on both the current role achievement, as well as contributing to the future role development. The factors hindering and facilitating the advanced practice registered nurses role need to be acknowledged to support the role implementation and planning of the future of the role.
PubMed ID
24754703 View in PubMed
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