TY - JOUR
T1 - Nursing competencies for family-centred care in the hospital setting
T2 - a multinational Q-methodology study
AU - Hengeveld, Bram
AU - Maaskant, Jolanda M.
AU - Lindeboom, Robert
AU - Marshall, Andrea P.
AU - Vermeulen, Hester
AU - Eskes, Anne M.
N1 - Funding Information: The authors thank all the participants in our study. The authors also thank Mr. Jorrit Everts for adapting the HTMLQ code to our study and Mr. Peter Hoegen RN MSc, who made valuable suggestions in adapting the Q-sort to best serve this study. Professor Shawn Banasick provided us with insights in the statistics of Q-methodology. Publisher Copyright: © 2020 The Authors. Journal of AdvancedNursing published by John Wiley & Sons Ltd
PY - 2020/12/13
Y1 - 2020/12/13
N2 - Aim: to identify: (1) nursing competencies for FCC in a hospital setting; and (2) to explore perspectives on these competencies among Dutch and Australian professionals including lecturers, researchers, Registered Nurses and policy makers. Design: A multinational cross-sectional study using Q-methodology. Methods: First, an integrative review was carried out to identify known competencies regarding FCC and to develop the Q-set (search up to July 2018). Second, purposive sampling was used to ensure stakeholder involvement. Third, participants sorted the Q-set using a web-based system between May and August 2019. Lastly, the data were analysed using a by-person factor analysis. The commentaries on the five highest and lowest ranked competencies were thematically analysed. Results: The integrative review identified 43 articles from which 72 competencies were identified. In total 69 participants completed the Q-sorting. We extracted two factors with an explained variance of 24%. The low explained variance hampered labelling. Based on a post-hoc qualitative analysis, four themes emerged from the competencies that were considered most important, namely: (a) believed preconditions for FCC; (b) promote a partnership between nurses, patients and families; (c) be a basic element of nursing; and (d) represent a necessary positive attitude and strong beliefs of the added value of FCC. Three themes appeared from the competencies that were considered least important because they: (a) were not considered a specific nursing competency; (b) demand a multidisciplinary approach; or (c) require that patients and families take own responsibility. Conclusions: Among healthcare professionals, there is substantial disagreement on which nursing competencies are deemed most important for FCC. Impact: Our set of competencies can be used to guide education and evaluate practicing nurses in hospitals. These findings are valuable to consider different views on FCC before implementation of new FCC interventions into nursing practice.
AB - Aim: to identify: (1) nursing competencies for FCC in a hospital setting; and (2) to explore perspectives on these competencies among Dutch and Australian professionals including lecturers, researchers, Registered Nurses and policy makers. Design: A multinational cross-sectional study using Q-methodology. Methods: First, an integrative review was carried out to identify known competencies regarding FCC and to develop the Q-set (search up to July 2018). Second, purposive sampling was used to ensure stakeholder involvement. Third, participants sorted the Q-set using a web-based system between May and August 2019. Lastly, the data were analysed using a by-person factor analysis. The commentaries on the five highest and lowest ranked competencies were thematically analysed. Results: The integrative review identified 43 articles from which 72 competencies were identified. In total 69 participants completed the Q-sorting. We extracted two factors with an explained variance of 24%. The low explained variance hampered labelling. Based on a post-hoc qualitative analysis, four themes emerged from the competencies that were considered most important, namely: (a) believed preconditions for FCC; (b) promote a partnership between nurses, patients and families; (c) be a basic element of nursing; and (d) represent a necessary positive attitude and strong beliefs of the added value of FCC. Three themes appeared from the competencies that were considered least important because they: (a) were not considered a specific nursing competency; (b) demand a multidisciplinary approach; or (c) require that patients and families take own responsibility. Conclusions: Among healthcare professionals, there is substantial disagreement on which nursing competencies are deemed most important for FCC. Impact: Our set of competencies can be used to guide education and evaluate practicing nurses in hospitals. These findings are valuable to consider different views on FCC before implementation of new FCC interventions into nursing practice.
KW - clinical competence
KW - education
KW - factor analysis
KW - family nursing
KW - nurses
KW - nursing
KW - qualitative research
KW - stakeholder participation
KW - statistical
UR - http://www.scopus.com/inward/record.url?scp=85097507351&partnerID=8YFLogxK
U2 - https://doi.org/10.1111/jan.14719
DO - https://doi.org/10.1111/jan.14719
M3 - Article
C2 - 33314342
SN - 0309-2402
VL - 77
SP - 1783
EP - 1799
JO - Journal of advanced nursing
JF - Journal of advanced nursing
IS - 4
ER -