Construction of a competency index system for Community-Based Gerontological Nurse Specialists: a Delphi study
摘要
To construct a competency index system for Community-Based Gerontological Nurse Specialists.
BackgroundGlobal population aging has created urgent demand for specialized geriatric nursing competencies, particularly in community settings. While international competency frameworks exist, a standardized competency index system for community-based gerontological nurse specialists (CGNS) that aligns with Chinese healthcare realities and policy priorities is lacking.
MethodsA literature review and semi-structured interviews were conducted to develop an initial framework. A two-round Delphi survey was employed to build the index system for Community-Based Gerontological Nurse Specialists.
ResultsThe final validated competency index system included 4 first-level indicators (knowledge, skills, abilities, motivation/traits), 13 s-level indicators and 40 third-level indicators. The effective response rates of the two expert consultation rounds were 100%. The expert authority coefficients were 0.888. The coefficients of variation were 0.1192 and 0.0961, and the Kendall’s coefficient of concordance were 0.254 and 0.382, respectively (P < 0.05).
ConclusionThe competency index system of community gerontological specialist nurses constructed through the competency onion model is scientific and practical, which can provide a reference for the training, assessment and evaluation of senior community geriatric nursing talents.