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      A modified Delphi study on establishing a curriculum content structure for the leadership and management competency cultivation for future nurse managers in China

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          Abstract

          Background

          It is critical to train future nursing managers in advance for the prospective development of healthcare organizations, but a widely recognized curriculum content structure for leadership and management competency development for nurturing future nurse managers was lacking in China.

          Objective

          To establish a curriculum content structure for the leadership and management competency cultivation for future nurse managers in Chinese healthcare setting.

          Methods

          A modified Delphi study was conducted. 22 experts who have in-depth knowledge of nursing leadership and management from 4 main geographical regions in China were included. The initial curriculum content structure was constructed based on a previous qualitative study and two team meetings. Subsequently, a two-round Delphi survey was conducted with 22 panelists in the first round and 19 in the second round. Scores of importance and textual comments were collected and used to judge the achievement of consensus.

          Results

          After the two-round Delphi process, consensus was reached, as each item was rated ≥4 by 84.21–100% of the experts and each one had a coefficient of variance (CV) ≤ 0.174. The finalized curriculum content contains 9 modules and 27 items.

          Conclusions

          This study formed a curriculum content structure for leadership and management competency training for nurses preparing for managerial roles, which contribute to the establishment of a nursing management talent pipeline to meet the needs of healthcare institutions for contemporary nurse managers.

          Abstract

          Nursing leadership; Nursing management; Curriculum content; Future nurse managers; Delphi study.

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          Most cited references46

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          Guidance on Conducting and REporting DElphi Studies (CREDES) in palliative care: Recommendations based on a methodological systematic review.

          The Delphi technique is widely used for the development of guidance in palliative care, having impact on decisions with relevance for patient care.
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            Using and Reporting the Delphi Method for Selecting Healthcare Quality Indicators: A Systematic Review

            Objective Delphi technique is a structured process commonly used to developed healthcare quality indicators, but there is a little recommendation for researchers who wish to use it. This study aimed 1) to describe reporting of the Delphi method to develop quality indicators, 2) to discuss specific methodological skills for quality indicators selection 3) to give guidance about this practice. Methodology and Main Finding Three electronic data bases were searched over a 30 years period (1978–2009). All articles that used the Delphi method to select quality indicators were identified. A standardized data extraction form was developed. Four domains (questionnaire preparation, expert panel, progress of the survey and Delphi results) were assessed. Of 80 included studies, quality of reporting varied significantly between items (9% for year's number of experience of the experts to 98% for the type of Delphi used). Reporting of methodological aspects needed to evaluate the reliability of the survey was insufficient: only 39% (31/80) of studies reported response rates for all rounds, 60% (48/80) that feedback was given between rounds, 77% (62/80) the method used to achieve consensus and 57% (48/80) listed quality indicators selected at the end of the survey. A modified Delphi procedure was used in 49/78 (63%) with a physical meeting of the panel members, usually between Delphi rounds. Median number of panel members was 17(Q1:11; Q3:31). In 40/70 (57%) studies, the panel included multiple stakeholders, who were healthcare professionals in 95% (38/40) of cases. Among 75 studies describing criteria to select quality indicators, 28 (37%) used validity and 17(23%) feasibility. Conclusion The use and reporting of the Delphi method for quality indicators selection need to be improved. We provide some guidance to the investigators to improve the using and reporting of the method in future surveys.
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              Evaluating the quality of medical care. 1966.

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                Author and article information

                Contributors
                Journal
                Heliyon
                Heliyon
                Heliyon
                Elsevier
                2405-8440
                13 December 2022
                December 2022
                13 December 2022
                : 8
                : 12
                : e12183
                Affiliations
                [a ]Nursing Department, Zhongshan Hospital, Fudan University, Shanghai 200032, PR China
                [b ]School of Public Health, Fudan University, Shanghai 200032, PR China
                Author notes
                []Corresponding author. yuxiazhang@ 123456aliyun.com
                Article
                S2405-8440(22)03471-5 e12183
                10.1016/j.heliyon.2022.e12183
                9830176
                36636213
                3106f663-70e5-418b-b837-286236217e53
                © 2022 The Author(s)

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 9 September 2022
                : 20 November 2022
                : 30 November 2022
                Categories
                Research Article

                nursing leadership,nursing management,curriculum content,future nurse managers,delphi study

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