Development of an International Competency Framework for Nurses in the Provision of Self-management Support to Cancer Populations : Cancer Nursing

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Development of an International Competency Framework for Nurses in the Provision of Self-management Support to Cancer Populations

Chan, Raymond J. PhD, RN; Agbejule, Oluwaseyifunmi Andi BRadTherapy; Crawford-Williams, Fiona PhD; Yates, Patsy M. PhD, RN; Koczwara, Bogda MBioethics, BM, BS; Erickson, Jeanne PhD, RN; So, Winnie K. W. PhD; Howell, Doris PhD, RN;  on behalf of the ISNCC Knowledge Development and Dissemination Committee

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Cancer Nursing ():10.1097/NCC.0000000000001143, July 29, 2022. | DOI: 10.1097/NCC.0000000000001143

Abstract

Background 

Cancer survivors are required to manage their health, healthcare, and a myriad of symptoms through self-management.

Objective 

The aim of this study was to develop a comprehensive framework of competencies and performance criteria that identifies the requisite knowledge and skills for nursing practice in the provision of self-management support for cancer survivors and their families.

Methods 

The competency framework was developed using the following 3-stage consensus building approach: (1) development of a preliminary list of self-management support competencies and performance criteria informed by relevant literature, (2) a 2-round modified Delphi conducted with a panel of cancer nurse experts, and (3) a research team consensus meeting to finalize framework components.

Results 

Seventy-one items, comprising 13 core competencies and 58 performance criteria, across 6 domains were generated. In round 1 of the modified Delphi, a panel of 21 oncology nurses produced consensus on retaining 28 items for inclusion in the final framework. Thirty-one items (including new items generated in round 1) were sent to round 2 for further rating. A panel of 19 nurses produced consensus on retaining a further 20 items in the framework in round 2. Of the 11 items that did not reach consensus, the research team proposed to include 7 in the final framework. Fifty-nine items were included in the final framework.

Conclusions 

This study provides a comprehensive, self-management support competency framework for oncology nurses.

Implications for Practice 

This framework is the first step toward the development of training program curricula that prepares nurses in self-management for cancer and associated coaching knowledge and skills.

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