Evidence map›Paper›PMID 42816843›Full record

ArticleBMC nursing2026

Development of a core competency evaluation indicator system for weight management nurses: a Delphi and analytic hierarchy process study.

Liang Wang, Hao Yang, Yan Zhang, Xiwei Wang, Xinyuan Qi, Siyi Zhang, Li Gou

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Article in BMC nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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7 authors.

Liang WangDepartment of Geriatric Endocrinology, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China.
Hao YangDepartment of Medical Affairs, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China.
Yan ZhangDepartment of Geriatric Endocrinology, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China.
Xiwei WangDepartment of Gastroenterology, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China.
Xinyuan QiSchool of Medicine, University of Electronic Science and Technology of China, Chengdu, Sichuan, China.
Siyi ZhangDepartment of Geriatric Endocrinology, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China.
Li GouDepartment of Nursing Research Centre, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China. gouli_sunny@uestc.edu.cn.

Funding

Sichuan Provincial Department of Science and Technology General Program 2024NSFSC0562Sichuan Provincial Grassroots Health Development Research Center Project SWFZ24-Z-15
6 · The paper itself

Abstract

backgroundWeight management services increasingly require nurses to contribute to risk assessment, behavioural support, multidisciplinary coordination and long-term follow-up. However, there is limited consensus on the competencies required for nurses working in this emerging field. This study aimed to develop an evaluation indicator system for the core competencies of weight management nurses.

methodsA methodological study was conducted using semi-structured interviews, grounded theory coding, two rounds of Delphi consultation and the analytic hierarchy process. An initial indicator pool was developed from interviews with 20 weight management professionals and literature review. From April to June 2026, 18 experts in clinical nursing, nursing management, nursing education, clinical medicine and health management rated the importance of the indicators. Indicator screening was based on the mean importance score, coefficient of variation and expert comments. Expert consensus was evaluated using the coefficient of variation and Kendall's coefficient of concordance, and indicator weights were determined using the analytic hierarchy process (AHP).

resultsThe valid response rate was 100.0% in both Delphi rounds, and the expert authority coefficient was 0.843. Kendall's coefficients of concordance for first-, second- and third-level indicators were 0.229, 0.183 and 0.139 in the first round and 0.241, 0.196 and 0.171 in the second round, respectively; all were statistically significant. In the second round, the coefficients of variation for all indicators were less than 0.25. The final system included 5 first-level, 21 second-level and 62 third-level indicators. The first-level weights were intervention implementation (0.211), knowledge integration (0.206), professional motivation (0.203), multidisciplinary coordination (0.198) and professional development (0.183).

conclusionsThe indicator system provides a structured framework for competency-based training, selection and evaluation of weight management nurses. Further validation in different healthcare settings is needed before broad application.

Indexed as

Analytic hierarchy processCompetency-based educationCore competencyDelphi techniqueNursesObesity careWeight management

Identifiers

PMID42816843
PMCPMC13628801

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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.