Author links open overlay panelRuthEndacottabPersonJulieScholesaChristinaJonescCaroleBoulangerdIngridEgerodeStijnBlotfKaterinaIliopoulougGuyFrancoishJosLatoura
Show moreNavigate DownShareShare
Cited ByCite
//doi.org/10.1016/j.iccn.2022.103239Get rights and content
Under a Creative Commons license
Open access
Abstract
Purpose
The aim of this study was to identify and define core competencies for advanced nursing roles in adult intensive care units across Europe.
Methods
Three round electronic Delphi conducted between September 2018 and November 2019, with an expert panel of 184 nurses from 20 countries, supplemented by consensus meetings with 16 participants from 10 countries before each round.
Results
In Round 1, participants generated 275 statements across 4 domains [knowledge skills and clinical performance; clinical leadership, teaching and supervision; personal effectiveness; safety and systems management]. These were re-worded as competency statements and refined at a consensus meeting resulting in 230 statements in 30 sub-domains. The expert panel rated the ‘importance’ of each statement in Round 2; further refinement at the consensus meeting and the addition of descriptors for sub-domains resulted in 95 competency statements presented to the panel in Round 3. These were all retained in the final set of competency statements.
Conclusion
We have used consensus techniques to generate competencies for advanced practice in intensive care nursing that are relevant across European countries and available in eight languages. These have provided the basis for an outline curriculum from which education programmes can be developed within countries.
Blanck-Köster, K., Roes, M. & Gaidys, U. Clinical-Leadership-Kompetenzen auf der Grundlage einer erweiterten und vertieften Pflegepraxis [Advanced Nursing Practice]. Med Klin Intensivmed Notfmed 115, 466–476 [2020]. //doi.org/10.1007/s00063-020-00716-wBackground: The competencies of advanced practice nurses [APN] include clinical activity in a special field, coaching and consulting, collaboration, leadership, ethical decision-making, and research competence. Clinical leaders initiate and implement changes in the healthcare system and respond to the needs of patients and healthcare institutions. Clinical leadership based on advanced nursing practice can challenge existing management and care structures.
Objectives: The aim of the review is to provide an overview of clinical leadership competencies based on advanced nursing practice. The investigated question deals with which roles and competencies of APN are associated with clinical leadership from a national and international perspective.
Methods: A systematic search in MEDLINE®[US National Center for Biotechnology Information [NCBI]]/PubMed, CINAHL and the Cochrane Library as well as a hand search in library catalogs and journals [April 2019 to January 2020] produced a total of 235 hits. Eight studies were included in the review and analyzed.
Results: Clinical leadership competencies are increasingly a topic of international studies and can be described and recognized in clinical practice on the basis of leadership models, and the role and leadership domains of APNs. Clinical leadership in nursing practice is recognized when APNs independently control treatment processes in complex nursing situations, exert influence, develop and implement change strategies, consult, coach, train, collaborate, and establish a connection to other health professionals and management. In order for clinical leadership competencies to be effective in nursing care processes, broad support in the multiprofessional team, structural support of the organization and legal legitimation are required.
Conclusions: There are hardly any studies in the German-language literature on the relevance, interpretation, and legitimacy of APN clinical leadership. Further research is needed on the interpretation of the roles of APNs, especially clinical leadership competencies, their influence on nursing care processes, leadership structures, and their interaction within the organizational culture.
Keywords: Advanced practice nurse; Health services research; Hospitals; Leadership models; Multiprofessional team.