ArticleInternational journal of nursing studies advances2025
Development and validation of competencies for home-based nursing care: an e-Delphi study.
Article in International journal of nursing studies advances, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Development and content validation of an interprofessional collaboration model for child sexual abuse prevention in primary health care.BMC primary care · 2026Article
- The lived experiences with "online booking, offline service" home nursing care service from the perspectives of nurses and patients/family caregivers: a qualitative interview study.Frontiers in public health · 2026Article
- Development and validation of a serious game for nursing leadership in Primary Health Care.Revista brasileira de enfermagem · 2026Article
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Authors and funding
9 authors.
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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.
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