Towards improved training for nurses in care coordination: the development of a reference framework for this competency.
Notice bibliographique
Résumé
Background: Millions of people globally live with complex health and social care needs that go beyond the services typically provided by a healthcare system. Consequently, developed countries, including Canada, have invested in health and social care coordination to address these needs and improve individuals' experiences within these systems. Despite nurses being increasingly relied upon for care coordination, their knowledge of coordination principles remains limited, as these principles are not fully integrated into nursing curricula or continuing education. Nurses rely on experiential knowledge, often improvised or transmitted by mentors, yet gaps in coordination persist in their daily practice. Recent studies indicate suboptimal deployment of coordination and communication activities in nursing practice. There is a need to develop the competency of « coordinating care and services for patients with complex needs » through initial or continuing education. The first step towards this aim is to identify the dimensions and indicators of this competency. Objective: to develop a comprehensive reference framework for the competency of « care and services coordination for patients with complex needs », addressing the current gaps in nursing education and practice. Study Design: Based on the principles of Organizational Participatory Research (OPR), an innovative approach aligning organizational stakeholders and academics, this study employs a sequential exploratory mixed-methods design. The first qualitative phase involves engaging in-depth focus group discussions with five experts to meticulously identify relevant dimensions and indicators. These experts, possessing substantial clinical or research experience in care coordination, are complemented by the inclusion of experiential knowledge from a patient partner. The subsequent quantitative phase incorporates a Delphi survey involving 30 nurses occupying coordination positions, contributing to the validation of the identified dimensions and indicators. A non-decisional advisory committee, comprising representatives from the national nursing care direction, the Order of Nurses of Quebec, and the Nursing Care Direction of involved clinical settings, actively guides the study, ensuring its relevance and applicability. Results: Four dimensions of the competency framework have been successfully validated by the expert committee. These dimensions underscore the importance of intervention with patients and their relatives throughout the care journey, seamless collaboration with intra and interdisciplinary teams, the establishment of continuity of care, the embodiment of collaborative leadership, and the mastery of effective communication skills. Indicators, meticulously formulated and rigorously validated, enable the measurement of achievement in each identified dimension. Additionally, a contextualization effort for the reference framework was undertaken, ensuring its adaptability and alignment with the nuanced realities of nursing practice in Quebec. Learnings: This presentation serves as an invaluable guide for international academic researchers and healthcare professionals, showcasing the adaptive potential of the OPR approach in refining and contextualizing a reference framework. Next Steps: The imminent finalization of the Delphi survey analysis and the implementation of knowledge transfer activities are pivotal steps in optimizing the provincial-level adoption of this newly developed competency framework, heralding a transformative era in nursing education and practice.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,057 | 0,054 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,004 | 0,003 |
| Études des sciences et des technologies | 0,006 | 0,013 |
| Communication savante | 0,009 | 0,009 |
| Science ouverte | 0,005 | 0,014 |
| Intégrité de la recherche | 0,005 | 0,007 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».