Delphi survey on the application of advanced practice nursing competencies: Strong points and unfinished business in cancer care

Aim: This study assessed the application of advanced practice nursing competencies in cancer care to identify obstacles to their full implementation. Background: Internationally, the implementation of advanced practice nursing roles depends on the context and environment, which shape the definition,...

Full description

Bibliographic Details
Authors: Serra Barril, Mª Antònia, Benito-Aracil, Llúcia, Pla i Consuegra, Margarida, Ferro, Tàrsila
Format: article
Status:Published version
Publication Date:2022
Country:España
Institution:Universidad de Barcelona
Repository:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/216189
Online Access:https://hdl.handle.net/2445/216189
Access Level:Open access
Keyword:Infermeria oncològica
Serveis d'infermeria
Procés d'infermeria
Tècniques d'infermeria
Enquestes
Oncology nursing
Nursing services
Nursing process
Nursing care
Surveys
id ES_80eaebf425a18e232cc3fb11b0cfdf12
oai_identifier_str oai:diposit.ub.edu:2445/216189
network_acronym_str ES
network_name_str España
repository_id_str
spelling Delphi survey on the application of advanced practice nursing competencies: Strong points and unfinished business in cancer careSerra Barril, Mª Antònia Benito-Aracil, LlúciaPla i Consuegra, MargaridaFerro, TàrsilaInfermeria oncològicaServeis d'infermeriaProcés d'infermeriaTècniques d'infermeriaEnquestesOncology nursingNursing servicesNursing processNursing careSurveysAim: This study assessed the application of advanced practice nursing competencies in cancer care to identify obstacles to their full implementation. Background: Internationally, the implementation of advanced practice nursing roles depends on the context and environment, which shape the definition, scope and competencies associated with these roles. Methods: Nurses participated in two rounds of an online Delphi survey about the competencies of advanced practice oncology nurses. The threshold for expert consensus was set at 75%. Results: Eleven competency domains were proposed; all yielded consensus of over 75%. However, for 57.8% of the specific competencies proposed in round 1 and for 62.2% in round 2, there was no consensus on which were applied in practice. There was more agreement on the competencies applied in the domains of direct clinical practice, consultation and collaboration and interprofessional relations than in dimensions such as health care promotion, quality improvement, evidence-based practice and research. Barriers related to unimplemented competencies were identified. Conclusions: The competencies applied in advanced practice nursing reflect incomplete development of these roles. Domains related to direct clinical practice, consultation and collaboration and interprofessional relations are relatively well developed, whereas those related to leadership, research, evidence-based practice and quality improvement are not. The identified barriers hindering implementation of some competencies can inform strategies to develop this role in cancer care. Implications for Nursing Management: Hospital administrators and nurse managers should reflect and be mindful of the development of advanced practice nurse (APN) competencies along with the challenges associated with implementing advanced practice roles.John Wiley & Sons2022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/216189Articles publicats en revistes (Infermeria Fonamental i Clínica)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https://doi.org/10.1111/jonm.13843Journal of Nursing Management, 2022, vol. 30, num.8, p. 4339-4353https://doi.org/10.1111/jonm.13843cc by-nc (c) Serra Barril, M. Antònia et al., 2022https://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/2161892026-05-27T06:46:51Z
dc.title.none.fl_str_mv Delphi survey on the application of advanced practice nursing competencies: Strong points and unfinished business in cancer care
title Delphi survey on the application of advanced practice nursing competencies: Strong points and unfinished business in cancer care
spellingShingle Delphi survey on the application of advanced practice nursing competencies: Strong points and unfinished business in cancer care
Serra Barril, Mª Antònia
Infermeria oncològica
Serveis d'infermeria
Procés d'infermeria
Tècniques d'infermeria
Enquestes
Oncology nursing
Nursing services
Nursing process
Nursing care
Surveys
title_short Delphi survey on the application of advanced practice nursing competencies: Strong points and unfinished business in cancer care
title_full Delphi survey on the application of advanced practice nursing competencies: Strong points and unfinished business in cancer care
title_fullStr Delphi survey on the application of advanced practice nursing competencies: Strong points and unfinished business in cancer care
title_full_unstemmed Delphi survey on the application of advanced practice nursing competencies: Strong points and unfinished business in cancer care
title_sort Delphi survey on the application of advanced practice nursing competencies: Strong points and unfinished business in cancer care
dc.creator.none.fl_str_mv Serra Barril, Mª Antònia
Benito-Aracil, Llúcia
Pla i Consuegra, Margarida
Ferro, Tàrsila
author Serra Barril, Mª Antònia
author_facet Serra Barril, Mª Antònia
Benito-Aracil, Llúcia
Pla i Consuegra, Margarida
Ferro, Tàrsila
author_role author
author2 Benito-Aracil, Llúcia
Pla i Consuegra, Margarida
Ferro, Tàrsila
author2_role author
author
author
dc.subject.none.fl_str_mv Infermeria oncològica
Serveis d'infermeria
Procés d'infermeria
Tècniques d'infermeria
Enquestes
Oncology nursing
Nursing services
Nursing process
Nursing care
Surveys
topic Infermeria oncològica
Serveis d'infermeria
Procés d'infermeria
Tècniques d'infermeria
Enquestes
Oncology nursing
Nursing services
Nursing process
Nursing care
Surveys
description Aim: This study assessed the application of advanced practice nursing competencies in cancer care to identify obstacles to their full implementation. Background: Internationally, the implementation of advanced practice nursing roles depends on the context and environment, which shape the definition, scope and competencies associated with these roles. Methods: Nurses participated in two rounds of an online Delphi survey about the competencies of advanced practice oncology nurses. The threshold for expert consensus was set at 75%. Results: Eleven competency domains were proposed; all yielded consensus of over 75%. However, for 57.8% of the specific competencies proposed in round 1 and for 62.2% in round 2, there was no consensus on which were applied in practice. There was more agreement on the competencies applied in the domains of direct clinical practice, consultation and collaboration and interprofessional relations than in dimensions such as health care promotion, quality improvement, evidence-based practice and research. Barriers related to unimplemented competencies were identified. Conclusions: The competencies applied in advanced practice nursing reflect incomplete development of these roles. Domains related to direct clinical practice, consultation and collaboration and interprofessional relations are relatively well developed, whereas those related to leadership, research, evidence-based practice and quality improvement are not. The identified barriers hindering implementation of some competencies can inform strategies to develop this role in cancer care. Implications for Nursing Management: Hospital administrators and nurse managers should reflect and be mindful of the development of advanced practice nurse (APN) competencies along with the challenges associated with implementing advanced practice roles.
publishDate 2022
dc.date.none.fl_str_mv 2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/216189
url https://hdl.handle.net/2445/216189
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1111/jonm.13843
Journal of Nursing Management, 2022, vol. 30, num.8, p. 4339-4353
https://doi.org/10.1111/jonm.13843
dc.rights.none.fl_str_mv cc by-nc (c) Serra Barril, M. Antònia et al., 2022
https://creativecommons.org/licenses/by-nc/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc by-nc (c) Serra Barril, M. Antònia et al., 2022
https://creativecommons.org/licenses/by-nc/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv John Wiley & Sons
publisher.none.fl_str_mv John Wiley & Sons
dc.source.none.fl_str_mv Articles publicats en revistes (Infermeria Fonamental i Clínica)
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869411935398658048
score 15.812429

Similar Items