Developing a competence framework for nurses in pharmaceutical care: A Delphi study

Authors Nienke Dijkstra, Elyne De Baetselier, Tinne Dilles, Bart Van Rompaey, Luis M da Cunha Batalha, Izabela Filov, Vigdis Abrahamsen Grøndahl, Jana Heczkova, Ann Karin Helgesen, Sue Jordan, Zuzana Kafková, Igor Karnjus, Petros Kolovos, Gero Langer, Manuel Lillo-Crespo, Alba Malara, Hana Padyšáková, Mirko Prosen, Dorina Pusztai, Francesco Talarico, Styliani Tziaferi, Carolien Sino
Published in Nurse Education Today
Publication date 2021
Research groups Proactive care for older people living at home
Type Article

Summary

Background: Nurses play an important role in pharmaceutical care. They are involved in: detecting clinical change; communicating/discussing pharmacotherapy with patients, their advocates, and other healthcare professionals; proposing and implementing medication-related interventions; and ensuring follow-up of patients and medication regimens. To date, a framework of nurses' competences on knowledge, skills, and attitudes as to interprofessional pharmaceutical care tasks is missing. Objectives: To reach agreement with experts about nurses' competences for tasks in interprofessional pharmaceutical care. Methods: A two-phase study starting with a scoping review followed by five Delphi rounds was performed. Competences extracted from the literature were assessed by an expert panel on relevance by using the RAND/UCLA method. The experts (n = 22) involved were healthcare professionals, nurse researchers, and educators from 14 European countries with a specific interest in nurses' roles in interprofessional pharmaceutical care. Descriptive statistics supported the data analysis. Results: The expert panel reached consensus on the relevance of 60 competences for 22 nursing tasks. Forty-one competences were related to 15 generic nursing tasks and 33 competences were related to seven specific nursing tasks. Conclusions: This study resulted in a competence framework for competency-based nurse education. Future research should focus on imbedding these competences in nurse education. A structured instrument should be developed to assess students' readiness to achieve competence in interprofessional pharmaceutical care in clinical practice.

On this publication contributed

  • Nienke Dijkstra
    Nienke Dijkstra
    • Lecturer-researcher
    • Research group: Innovation in Healthcare Processes in Pharmacology

Language English
Published in Nurse Education Today
Key words attitudes, competences, Delphi study, education, interprofessional pharmaceutical care, knowledge, medicines management, nursing, pharmaceutical care, skills
Digital Object Identifier 10.1016/j.nedt.2021.104926

Nienke Dijkstra

Nienke Dijkstra

Nienke Dijkstra

  • Lecturer-researcher
  • Research group: Innovation in Healthcare Processes in Pharmacology