Author Identifier
Karen Strickland: https://orcid.org/0000-0003-3123-8778
Document Type
Journal Article
Publication Title
International Journal of Nursing Studies Advances
Volume
8
Publisher
Elsevier
School
School of Nursing and Midwifery
RAS ID
81986
Funders
Ministry of Health, Singapore (MOH-000745)
Abstract
Background: The expected competencies of nurses in home-based care remain unclear. A list of professional competencies that are agreed upon by a panel of content expert are needed to offer some form of standardized expectations among nurses and home-based care stakeholders. Objectives: To evaluate the content validity of the professional competencies identified for home-based nursing care. Design: An e-Delphi method was used. Settings: A purposive sampling of local and international experts in home-based nursing care or community nursing. Methods: Preliminary competency items were developed inductively from earlier studies and deductively by a steering committee. Sixteen experts performed two rounds of content validation. The Item-Content Validity Index, Scale-Content Validity Index/Average (S-CVI/Ave) and Fleiss’ kappa coefficient were evaluated. Results: In Round One, the list was revised to 49 items. In Round Two, the list was revised to 45 items, categorized into eight domains of practice: (1) client assessment and care planning; (2) nursing care in a home-based setting; (3) management of clients with health conditions, (4) interpersonal relationships and communications; (5) collaboration and teamwork; (6) critical thinking and problem-solving skills; (7) professional development and leadership; and (8) innovation and research. The S-CVI/Ave was 0.95. The overall acceptable clarity was 94.1 %. Conclusions: This study generated a list of competencies that have reached consensus among a panel of experts. The list offers insights into the expected competencies of home-based care nurses. Further validity and reliability testing is needed to determine the underlying structure of the competencies.
DOI
10.1016/j.ijnsa.2025.100330
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.
Comments
Rusli, K. D. B., Lau, Y., Lau, S. T., Tham, L. S., Kee, M. M. N., Ng, Q. W., ... & Liaw, S. Y. (2025). Development and validation of competencies for home-based nursing care: An e-Delphi study. International Journal of Nursing Studies Advances, 8, 100330. https://doi.org/10.1016/j.ijnsa.2025.100330