Volume 1, Issue 4 (Journal of Clinical and Basic Research(JCBR) 2017)                   jcbr 2017, 1(4): 13-19 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Halakou S, Bakhsha F, Jafari S Y, Yousefi Z, Aryaee M, Yousefi , M R. The Clinical Competencies of Nurse Anesthetists in Response to Community Needs: A Delphi Study. jcbr 2017; 1 (4) :13-19
URL: http://jcbr.goums.ac.ir/article-1-107-en.html
1- Golestan University of Medical Sciences
Abstract:   (4888 Views)
Introduction: Ensuring the clinical competencies of nurse anesthetists is an essential professional standard. The key and primary step in the assessment of nurse anesthesia educational programs is to understand the essential competencies from the perspective of anesthesia service providers in response to the community needs. This study aimed to determine the clinical competencies of nurse anesthetists for meeting the needs of the community. Materials and Methods: This descriptive survey was based on the classical Delphi method. The study was conducted in three stages. In the first stage, 25 questions were prepared by a non-systematic literature review. In the second and third stages, a list of clinical competencies for nurse anesthetists was determined. For assessing the content validity, two indices of content validity ratio and content validity index were calculated. Data were analyzed by SPSS software (version 16) using descriptive statistics and consensus validity.Results: After analyzing the data in the first stage, one item was removed from the 25 selected items, and 11 items were added to the initial checklist. The maximum and minimum coefficient of agreement was 100 and 0.54, respectively. The findings of the second stage showed that the percentage of agreement in 35 items was at least 70.7 and maximum 95.1. A competence from the education dimension was removed with a percentage of agreement of 0.59 and a total of 34 items were approved. Conclusions: This study determined the clinical competencies of nurse anesthetists. The development of clinical competencies for these nurses could be the starting point for understating, analyzing and planning in order to improve the quality of services provided.
Full-Text [PDF 260 kb]   (2492 Downloads)    
Article Type: Research | Subject: Nursing

References
1. Kajander-Unkuri S, Meretoja R, Katajisto J, Saarikoski M, Salminen L, Suhonen R, et al. Self-assessed level of competence of graduating nursing students and factors related to it. Nurse Education Today. 2014;34(5):795-801. [DOI:10.1016/j.nedt.2013.08.009]
2. Nesami M, F FR, Parvizi S, Esmaili R. Analysis of Competency in Nursing Concept: Qualitive Research and Presentation of a Hibrid Model. Journalof mazandaran university of medical science. 2008;18(67):22-47.
3. Welsh TB. Anesthesia simulators' relationship to clinical competence [dissertation], Mountain State University; 2009:25p.
4. Neft M, Okechukwu K, Grant P, Reede L. The revised scope of nurse anesthesia practice embodies the broad continuum of nurse anesthesia services. AANA journal. 2013;81(5):347-50.
5. Muckle TJ, Henderson JP. Advancing recertification for nurse anesthetists in an environment of increased accountability. AANA journal. 2011;79(5):413.
6. Abdollahi M, Entezari A, Khajeh Aminian M, Zare M. An Investigation on the Current Status of the Operation Recovery Rooms in Yazd Hospitals in 2010-2011. Journal of Shahid Sadoughi University of Medical Sciences. 2012;20(3):361-70.
7. Goldman J, Reeves S, Lauscher HN, Jarvis-Selinger S, Silver I. Integrating social accountability into continuing education and professional development at medical schools: the case of an institutional collaborative project in Canada. Journal of interprofessional care. 2008;22(sup1):40-50.
8. Yamani N, Fakhari M. Social Accountability of Medical Education Curriculum: Barriers and Implications. Iranian Journal of Medical Education. 2014;13(12):1082-98.
9. Andreja K, Seljak J, Stare J. The use of competency models to assess leadership in nursing. Iranian journal of public health. 2013;42(9):988.
10. Matsusaki T, Sakai T. The role of certified registered nurse anesthetists in the United States. Journal of anesthesia. 2011;25(5):734-40 [DOI:10.1007/s00540-011-1193-5]
11. Hoyt KS, Coyne EA, Ramirez EG, Peard AS, Gisness C, Gacki-Smith J. Nurse Practitioner Delphi Study: competencies for practice in emergency care. Journal of emergency nursing. 2010 Sep 1;36(5):439-49. [DOI:10.1016/j.jen.2010.05.001]
12. Ahmadi F, Nasiriani K, Abazari P. Delphi technique: a tool for research. Iranian Journal of Medical Education. 2008;8(1):175-85.
13. Ahmadi, N. Introduction and criticism of Delphi method. Journal of month book of social science . 2010;22(1):95-108.
14. Hsu C-C, Sandford BA. The Delphi technique: making sense of consensus. Practical Assessment, Research & Evaluation. 2007;12(10):1-8.
15. Hu J, Fallacaro MD, Jiang L, Wu J, Jiang H, Shi Z, et al. IFNA Approved Chinese Anaesthesia Nurse Education Program: A Delphi Method. Nurse Education Today. 2017;56(1):6-12. [DOI:10.1016/j.nedt.2017.05.017]
16. Horton B, Anang S, Riesen M, Yang HJ, Björkelund K. International federation of nurse anesthetists' anesthesia program approval process. International nursing review. 2014;61(2):285-9. [DOI:10.1111/inr.12089]
17. Ray WT, Desai SP. The history of the nurse anesthesia profession. Journal of Clinical Anesthesia. 2016;30:51-8. [DOI:10.1016/j.jclinane.2015.11.005]
18. Jeon Y, Lahtinen P, Meretoja R, Leino-Kilpi H. Anaesthesia nursing education in the Nordic countries: Literature review. Nurse education today. 2015;35(5):680-8. [DOI:10.1016/j.nedt.2015.01.015]
19. Sohrabi Z, Loni S, Taavoni S. Determining the Educational Needs of Emergency Nurses in Educational Hospitals of Iran, Tehran, and Shahid Beheshti Universities of Medical Sciences through Delphi Technique, 2013. Iranian Journal of Medical Education. 2014;14(5):448-64.
20. Garcia-Marcinkiewicz AG, Long TR, Danielson DR, Rose SH. Health literacy and anesthesia: patients' knowledge of anesthesiologist roles and information desired in the preoperative visit. Journal of clinical anesthesia. 2014;26(5):375-82. [DOI:10.1016/j.jclinane.2014.01.013]
21. Ghasemi E, Janani L, Dehghan Nayeri N, Negarandeh R. Psychometric Properties of Persian Version of the Competency Inventory for Registered Nurse (CIRN). Iran Journal of Nursing. 2014;27(87):1-13.
22. Yamani N, Alizadeh M, Changiz T, Taleghani F. Need Assessment for Master of Science in Family Nursing Curriculum: Using Delphi Technique. Iran Journal of Nursing. 2012;24(74):8-19.
23. Chang AM, Gardner GE, Duffield C, Ramis MA. A Delphi study to validate an advanced practice nursing tool. Journal of advanced nursing. 2010;66(10):2320-30. [DOI:10.1111/j.1365-2648.2010.05367.x]

Add your comments about this article : Your username or Email:
CAPTCHA

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Journal of Clinical and Basic Research

Designed & Developed by : Yektaweb

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0).