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Developing a competence framework for nurses in pharmaceutical care: A Delphi study

NE. Dijkstra, E. De Baetselier, T. Dilles, B. Van Rompaey, LM. da Cunha Batalha, I. Filov, VA. Grøndahl, J. Heczkova, AK. Helgesen, S. Jordan, Z. Kafková, I. Karnjus, P. Kolovos, G. Langer, M. Lillo-Crespo, A. Malara, H. Padyšáková, M. Prosen, D....

. 2021 ; 104 (-) : 104926. [pub] 20210424

Language English

Document type Journal Article, Review

Persistent link   https://www.medvik.cz/link/bmc21025056

BACKGROUND: Nurses play an important role in pharmaceutical care. They are involved in: detecting clinical change; communicating/discussing pharmacotherapy with patients, their advocates, and other healthcare professionals; proposing and implementing medication-related interventions; and ensuring follow-up of patients and medication regimens. To date, a framework of nurses' competences on knowledge, skills, and attitudes as to interprofessional pharmaceutical care tasks is missing. OBJECTIVES: To reach agreement with experts about nurses' competences for tasks in interprofessional pharmaceutical care. METHODS: A two-phase study starting with a scoping review followed by five Delphi rounds was performed. Competences extracted from the literature were assessed by an expert panel on relevance by using the RAND/UCLA method. The experts (n = 22) involved were healthcare professionals, nurse researchers, and educators from 14 European countries with a specific interest in nurses' roles in interprofessional pharmaceutical care. Descriptive statistics supported the data analysis. RESULTS: The expert panel reached consensus on the relevance of 60 competences for 22 nursing tasks. Forty-one competences were related to 15 generic nursing tasks and 33 competences were related to seven specific nursing tasks. CONCLUSIONS: This study resulted in a competence framework for competency-based nurse education. Future research should focus on imbedding these competences in nurse education. A structured instrument should be developed to assess students' readiness to achieve competence in interprofessional pharmaceutical care in clinical practice.

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$a Dijkstra, Nienke E $u Research Group Care for the Chronically Ill, HU University of Applied Sciences Utrecht, Utrecht, the Netherlands. Electronic address: nienke.dijkstra@hu.nl
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$a Developing a competence framework for nurses in pharmaceutical care: A Delphi study / $c NE. Dijkstra, E. De Baetselier, T. Dilles, B. Van Rompaey, LM. da Cunha Batalha, I. Filov, VA. Grøndahl, J. Heczkova, AK. Helgesen, S. Jordan, Z. Kafková, I. Karnjus, P. Kolovos, G. Langer, M. Lillo-Crespo, A. Malara, H. Padyšáková, M. Prosen, D. Pusztai, F. Talarico, S. Tziaferi, CGM. Sino
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$a BACKGROUND: Nurses play an important role in pharmaceutical care. They are involved in: detecting clinical change; communicating/discussing pharmacotherapy with patients, their advocates, and other healthcare professionals; proposing and implementing medication-related interventions; and ensuring follow-up of patients and medication regimens. To date, a framework of nurses' competences on knowledge, skills, and attitudes as to interprofessional pharmaceutical care tasks is missing. OBJECTIVES: To reach agreement with experts about nurses' competences for tasks in interprofessional pharmaceutical care. METHODS: A two-phase study starting with a scoping review followed by five Delphi rounds was performed. Competences extracted from the literature were assessed by an expert panel on relevance by using the RAND/UCLA method. The experts (n = 22) involved were healthcare professionals, nurse researchers, and educators from 14 European countries with a specific interest in nurses' roles in interprofessional pharmaceutical care. Descriptive statistics supported the data analysis. RESULTS: The expert panel reached consensus on the relevance of 60 competences for 22 nursing tasks. Forty-one competences were related to 15 generic nursing tasks and 33 competences were related to seven specific nursing tasks. CONCLUSIONS: This study resulted in a competence framework for competency-based nurse education. Future research should focus on imbedding these competences in nurse education. A structured instrument should be developed to assess students' readiness to achieve competence in interprofessional pharmaceutical care in clinical practice.
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$a De Baetselier, Elyne $u Nursing and Midwifery, Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium. Electronic address: elyne.debaetselier@uantwerpen.be
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$a Dilles, Tinne $u Nursing and Midwifery, Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium. Electronic address: tinne.dilles@uantwerpen.be
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$a Van Rompaey, Bart $u Nursing and Midwifery, Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium. Electronic address: bart.vanrompaey@uantwerpen.be
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$a da Cunha Batalha, Luis M $u Higher School of Nursing of Coimbra Health Sciences Research Unit Nursing, Coimbra, Portugal. Electronic address: batalha@esenfc.pt
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$a Filov, Izabela $u Saint Kliment, Ohridski University Bitola, Bitola, Macedonia
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$a Grøndahl, Vigdis Abrahamsen $u Faculty of Health and Welfare, Østfold University College, Halden, Norway. Electronic address: vigdis.a.grondahl@hiof.no
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$a Heczkova, Jana $u Institute of Nursing Theory and Practice, Charles University First Faculty of Medicine, Praha, Czech Republic. Electronic address: jana.heczkova@lf1.cuni.cz
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$a Helgesen, Ann Karin $u Faculty of Health and Welfare, Østfold University College, Halden, Norway. Electronic address: ann.k.helgesen@hiof.no
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$a Jordan, Sue $u Department of Nursing, Midwifery and Health Care, University of Wales, Swansea, UK. Electronic address: s.e.jordan@swansea.ac.uk
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$a Kafková, Zuzana $u Faculty of Nursing and Professional Health Studies, Slovak Medical University in Bratislava, Bratislava, Slovakia. Electronic address: zuzana.vanekova@szu.sk
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$a Karnjus, Igor $u Faculty of Health Sciences, University of Primorska, Izola, Slovenia. Electronic address: igor.karnjus@fvz.upr.si
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$a Kolovos, Petros $u Department of Nursing, Laboratory of Integrated Health Care, University of Peloponnese, Tripolis, Greece
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$a Langer, Gero $u Medical Faculty, Institute of Health and Nursing Sciences, Martin-Luther-Universitat Halle-Wittenberg, Halle (Saale), Germany. Electronic address: gero.langer@medizin.uni-halle.de
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$a Lillo-Crespo, Manuel $u Department of Nursing, Universitat d'Alacant, Alacant, Spain. Electronic address: https://twitter.com/manuellilloc
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$a Malara, Alba $u ANASTE-Humanitas Foundation, Rome, Italy
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$a Padyšáková, Hana $u Faculty of Nursing and Professional Health Studies, Slovak Medical University in Bratislava, Bratislava, Slovakia. Electronic address: hana.padysakova@szu.sk
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$a Prosen, Mirko $u Faculty of Health Sciences, University of Primorska, Izola, Slovenia. Electronic address: mirko.prosen@fvz.upr.si
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$a Pusztai, Dorina $u Institute of Nursing Sciences, Basic Health Sciences and Health Visiting, University of Pecs Faculty of Health Sciences, Pecs, Hungary. Electronic address: dorina.pusztai@etk.pte.hu
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$a Talarico, Francesco $u Pugliese-Ciaccio Hospital, Cantazaro, Italy
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$a Tziaferi, Styliani $u Department of Nursing, Laboratory of Integrated Health Care, University of Peloponnese, Tripolis, Greece
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$a Sino, Carolien G M $u Research Group Care for the Chronically Ill, HU University of Applied Sciences Utrecht, Utrecht, the Netherlands. Electronic address: carolien.sino@hu.nl
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