Consensus on an Australian Nurse practitioner specialty framework using Delphi methodology: results from the CLLEVER 2 study

被引:17
作者
Helms, Christopher [1 ]
Gardner, Anne [2 ]
McInnes, Elizabeth [3 ,4 ,5 ,6 ]
机构
[1] Australian Catholic Univ, Sch Nursing Midwifery & Paramed, Fac Hlth Sci, Watson, ACT, Australia
[2] James Cook Univ, Sch Nursing Midwifery & Paramed, Fac Hlth Sci, Nursing, Townsville, Qld, Australia
[3] Australian Catholic Univ, Sch Nursing Midwifery & Paramed, Fac Hlth Sci, Nursing, Sydney, NSW, Australia
[4] Australian Catholic Univ, Sch Nursing Midwifery & Paramed, Fac Hlth Sci, Sydney, NSW, Australia
[5] Nursing Res Inst SVHA Syd, Darlinghurst, NSW, Australia
[6] ACU, St Vincents Hosp, Darlinghurst, NSW, Australia
基金
澳大利亚研究理事会;
关键词
Australia; consensus; Delphi; framework; metaspecialty; nurse practitioner; nursing; specialty; CONTENT VALIDITY; EDUCATION; WORKFORCE; CARE; TOOL;
D O I
10.1111/jan.13109
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
AimThe aim of this study was to achieve profession-wide consensus on an Australian nurse practitioner specialty framework. BackgroundSince its introduction in 1998, the Australian nurse practitioner profession has grown to over 1300 endorsed practitioners, representing over 50 different specialties. To complement better a generalist learning and teaching framework with specialist clinical education, prior research proposed a broad framework of Australian nurse practitioner specialty areas termed metaspecialties. DesignThis study employed an online three-round modified Delphi method. MethodRecruitment using purposive sampling and snowballing techniques identified an eligible sample from a population of nurse practitioners with at least 12months' postendorsement experience (n=966). Data were collected using online survey software from September 2014-January 2015 and analysed using descriptive statistics and content analysis. The Content Validity Index and McNemar's Test for Change were used to determine consensus on the nurse practitioner metaspecialties. ResultsOne-fifth of the total eligible population completed the study. Participants achieved high consensus on four metaspecialties, including: Emergency and acute care, primary health care, child and family health care and mental health care. Two metaspecialties did not achieve consensus and require further investigation. ConclusionA large sample of nurse practitioners achieved consensus on an Australian metaspecialty framework, increasing the likelihood of widespread acceptance across the profession. This technique may be appropriate for use in jurisdictions with smaller populations of nurse practitioners. Ongoing research is needed to re-evaluate the metaspecialties as the profession grows.
引用
收藏
页码:433 / 447
页数:15
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