Evidence map›Paper›PMID 38087276›Full record

ArticleBMC palliative care2023

Building bridges of excellence: a comprehensive competence framework for nurses in hospice and palliative care-a mixed method study.

Wei-Ying Li, Ying Fang, Yi-Qing Liang, Shu-Qin Zhu, Ling Yuan, Qin Xu, Yue Li, Yin-Long Chen, Chang-Xian Sun, Xiao-Xu Zhi and 3 more

Abstract read
In one paragraph

Article in BMC palliative care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Wei-Ying Li *School of Nursing, Nanjing Medical University, Nanjing, 211166, P. R. China.
Ying Fang *School of Nursing, Nanjing Medical University, Nanjing, 211166, P. R. China.
Yi-Qing LiangSchool of Medicine, Jiangsu University, Zhenjiang, 212000, China.
Shu-Qin ZhuSchool of Nursing, Nanjing Medical University, Nanjing, 211166, P. R. China. zsq@njmu.edu.cn.
Ling YuanThe Comprehensive Cancer Centre of Drum Tower Hospital, Medical School of Nanjing University, Clinical Cancer Institute of Nanjing University, Nanjing, 210008, P. R. China. yuanling@njglyy.com.
Qin XuSchool of Nursing, Nanjing Medical University, Nanjing, 211166, P. R. China. qinxu@njmu.edu.cn.
Yue LiJiangsu Institute of Quality and Standardization, Nanjing, 210029, China.
Yin-Long ChenJiangsu Institute of Quality and Standardization, Nanjing, 210029, China.
Chang-Xian SunSchool of Health Sciences, Jiangsu Vocational Institute of Commerce, Nanjing, 211168, China.
Xiao-Xu ZhiNursing Department, Jiangsu Cancer Hospital and Nanjing Medical University Affiliated Cancer Hospital and Jiangsu Institute of Cancer Research, Nanjing, 210009, China.
Xiao-Yan LiHospice Unit, The Air Force Hospital From Eastern Theater of PLA, Nanjing, 210002, China.
Rong ZhouSchool of Nursing, Nanjing Medical University, Nanjing, 211166, P. R. China.
Mai DuSchool of Nursing, Nanjing Medical University, Nanjing, 211166, P. R. China.

Funding

National Natural Science Foundation of China 72004099National Natural Science Foundation of China 82073407Priority Discipline Development Program of Jiangsu Higher Education Institution 2018, No. 87
6 · The paper itself

Abstract

backgroundHospice and Palliative Care (HPC) is in high demand in China; however, the country is facing the shortage of qualified HPC nurses. A well-suited competence framework is needed to promote HPC human resource development. Nevertheless, existing unstandardized single-structured frameworks may not be sufficient to meet this need. This study aimed at constructing a comprehensive multi-structured HPC competence framework for nurses.

methodsThis study employed a mixed-method approach, including a systematic review and qualitative interview for HPC competence profile extraction, a two-round Delphi survey to determine the competences for the framework, and a cross-sectional study for framework structure exploration. The competence profiles were extracted from publications from academic databases and interviews recruiting nurses working in the HPC field. The research team synthesized profiles and transferred them to competences utilizing existing competence dictionaries. These synthesized competences were then subjected to Delphi expert panels to determine the framework elements. The study analyzed theoretical structure of the framework through exploratory factor analysis (EFA) based on a cross-sectional study receiving 491 valid questionnaires.

resultsThe systematic review involved 30 publications from 10 countries between 1995 and 2021, while 13 nurses from three hospitals were interviewed. In total, 87 and 48 competence profiles were respectively extracted from systematic review and interview and later synthesized into 32 competences. After the Delphi survey, 25 competences were incorporated into the HPC competence framework for nurses. The EFA found a two-factor structure, with factor 1 comprising 18 competences namely Basic Competences; factor 2 concluding 7 competences namely Developmental Competences.

conclusionsThe two-factor HPC competence framework provided valuable insights into the need and directions of Chinese HPC nurses' development.

Indexed as

Hospice and Palliative Care NursingHospice CareHospicesNursesClinical CompetenceCross-Sectional StudiesHumansPalliative CareSurveys and QuestionnairesSystematic Reviews as TopicCompetenceCross-sectional studyDelphi techniqueHospice and palliative care nursingInterviewSystematic review

Identifiers

PMID38087276
PMCPMC10714629

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.