Background 

Cancer survivors are required to manage their health, healthcare, and a myriad of symptoms through self-management.

Objective 

The aim of this study was to develop a comprehensive framework of competencies and performance criteria that identifies the requisite knowledge and skills for nursing practice in the provision of self-management support for cancer survivors and their families.

Methods 

The competency framework was developed using the following 3-stage consensus building approach: (1) development of a preliminary list of self-management support competencies and performance criteria informed by relevant literature, (2) a 2-round modified Delphi conducted with a panel of cancer nurse experts, and (3) a research team consensus meeting to finalize framework components.

Results 

Seventy-one items, comprising 13 core competencies and 58 performance criteria, across 6 domains were generated. In round 1 of the modified Delphi, a panel of 21 oncology nurses produced consensus on retaining 28 items for inclusion in the final framework. Thirty-one items (including new items generated in round 1) were sent to round 2 for further rating. A panel of 19 nurses produced consensus on retaining a further 20 items in the framework in round 2. Of the 11 items that did not reach consensus, the research team proposed to include 7 in the final framework. Fifty-nine items were included in the final framework.

Conclusions 

This study provides a comprehensive, self-management support competency framework for oncology nurses.

Implications for Practice 

This framework is the first step toward the development of training program curricula that prepares nurses in self-management for cancer and associated coaching knowledge and skills.

中文翻译：

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制定护士向癌症人群提供自我管理支持的国际能力框架

背景 

癌症幸存者需要通过自我管理来管理他们的健康、医疗保健和各种症状。

客观的 

本研究的目的是开发一个全面的能力和绩效标准框架，以确定为癌症幸存者及其家人提供自我管理支持的护理实践所需的知识和技能。

方法 

能力框架是使用以下 3 阶段共识建立方法制定的：(1) 根据相关文献制定自我管理支持能力和绩效标准的初步清单，(2) 由小组进行 2 轮修改德尔菲法癌症护士专家组成的团队；(3) 研究团队共识会议，以最终确定框架组成部分。

结果 

生成了跨越 6 个领域的 71 个项目，包括 13 项核心能力和 58 项绩效标准。在修改后的 Delphi 的第一轮中，由 21 名肿瘤科护士组成的小组就保留 28 项纳入最终框架达成了共识。三十一个项目（包括第一轮中生成的新项目）被发送到第二轮进行进一步评级。由 19 名护士组成的小组就在第二轮框架中保留另外 20 个项目达成了共识。在未达成共识的 11 个项目中，研究小组建议将 7 个项目纳入最终框架中。最终框架包含五十九项。

结论 

这项研究为肿瘤科护士提供了一个全面的自我管理支持能力框架。

对实践的影响 

该框架是开发培训计划课程的第一步，该课程旨在帮助护士做好癌症自我管理以及相关辅导知识和技能的准备。