IFNA approved Chinese Anaesthesia Nurse Education Program: A Delphi method

Hu, Jiale; Fallacaro, Michael D.; Jiang, Lili; Wu, Junyan; Jiang, Hong; Shi, Zhen; Ruan, Hong

doi:10.1016/j.nedt.2017.05.017

Cited by 13 publications

(21 citation statements)

References 10 publications

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“…Anesthesia care requires professional competence to meet the needs of patients before, during and after anesthesia. This type of patient-care could vary in different countries, depending on geographical features and legal and organizational constraints [15]. Response to needs of the community requires planning with clear goals, views of the people involved in the field, and effective decision making for identification of needs, deficiencies and capabilities.…”

Section: Discussionmentioning

confidence: 99%

“…Accurate identification of nursing competencies in this field could improve management structure in the future. Jiale Hu reported that nurse anesthetists in China are highly dependent on anesthesiologists in practicing their skills, while in the United States, nurse anesthetists have independence in decision making and sufficient participation in managerial activities [15]. Decision making for care planning and organizational management planning is essential for nurses.…”

Section: Discussionmentioning

confidence: 99%

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The Clinical Competencies of Nurse Anesthetists in Response to Community Needs: A Delphi Study

Halakou

Bakhsha

Jafari

et al. 2017

jcbr

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Introduction: Ensuring the clinical competencies of nurse anesthetists is an essential professional standard. The key and primary step in the assessment of nurse anesthesia educational programs is to understand the essential competencies from the perspective of anesthesia service providers in response to the community needs. This study aimed to determine the clinical competencies of nurse anesthetists for meeting the needs of the community. Materials and Methods: This descriptive survey was based on the classical Delphi method. The study was conducted in three stages. In the first stage, 25 questions were prepared by a non-systematic literature review. In the second and third stages, a list of clinical competencies for nurse anesthetists was determined. For assessing the content validity, two indices of content validity ratio and content validity index were calculated. Data were analyzed by SPSS software (version 16) using descriptive statistics and consensus validity. Results: After analyzing the data in the first stage, one item was removed from the 25 selected items, and 11 items were added to the initial checklist. The maximum and minimum coefficient of agreement was 100 and 0.54, respectively. The findings of the second stage showed that the percentage of agreement in 35 items was at least 70.7 and maximum 95.1. A competence from the education dimension was removed with a percentage of agreement of 0.59 and a total of 34 items were approved. Conclusions: This study determined the clinical competencies of nurse anesthetists. The development of clinical competencies for these nurses could be the starting point for understating, analyzing and planning in order to improve the quality of services provided.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Clinical Competencies of Nurse Anesthetists in Response to Community Needs: A Delphi Study

Halakou

Bakhsha

Jafari

et al. 2017

jcbr

View full text Add to dashboard Cite

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“…In the process of statistical analysis, Cr >0.7 is considered acceptable (Tan et al, 2007). The mean importance score of each item should be >4; otherwise, the item will be deleted (Hu et al, 2017). CV is the variation degree of experts' opinions about the items and is the standard deviation divided by the mean.…”

Section: Content Validitymentioning

confidence: 99%

“…CV is the variation degree of experts' opinions about the items and is the standard deviation divided by the mean. CV of each item should be less than 20%; otherwise, the item will be deleted (Hu et al, 2017).…”

Section: Content Validitymentioning

confidence: 99%

Development and psychometric evaluation of a Chinese version of auditory hallucination risk assessment scale in patients with a diagnosis of schizophrenia

Wang

Chan

et al. 2020

Journal of Clinical Nursing

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Aims and objectives To develop a Chinese version of Auditory Hallucination Risk Assessment Scale and evaluate its psychometric properties. Background Auditory hallucination, a common symptom in schizophrenia, has the potential to cause harm to patients and the people around them. However, there has been a paucity of suitable instrument developed in Asian region that can comprehensively and reliably assess its risk and inform interventions. Design This study involved 2 stages, the development of the Auditory Hallucination Risk Assessment Scale (AHRAS) and testing the psychometric properties of AHRAS. We followed STROBE guidelines in reporting the study. Methods Auditory Hallucination Risk Assessment Scale items were developed based on Symptom Management Theory, systematic literature review and findings of a qualitative study on the experience of auditory hallucinations. The items were evaluated by content validity. Auditory Hallucination Risk Assessment Scale was then tested for construct validity, concurrent validity, predictive validity, internal consistency and test–retest reliability in a convenience sample of 156 patients with a diagnosis of schizophrenia. Results The final version of AHRAS has nine items. Two factors were extracted from AHRAS, which explained 57.74% of the total variance. The score of AHRAS was strongly correlated with that of the Psychotic Symptom Rating Scales‐Auditory Hallucinations. The area under the curve was 0.90 for the overall AHRAS score. Sensitivity (86.5%) and specificity (80.0%) were maximal for a mean overall AHRAS score of 13.5, suggesting that this is an appropriate threshold for differentiation. Cronbach's alpha coefficient for internal consistency was 0.82, and intra‐class correlation coefficient for test–retest reliability was 0.84. Conclusions Auditory Hallucination Risk Assessment Scale has good reliability and validity. It can be used in clinical settings in China and beyond to assess the risk of auditory hallucinations. Relevance to clinical practice Auditory Hallucination Risk Assessment Scale can serve as a tool for nurses and other healthcare professionals to identify patients with high‐risk auditory hallucinations, monitor the changes of risk and inform nursing interventions.

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“…As early as 1989, the Chinese Ministry of Health prohibited the administration of anaesthesia by nurses, and few anaesthesiology departments utilised nurses to deliver anaesthesia. 17 However, the dramatic increase in anaesthesiologist workloads associated with the rapidly increasing number of surgical procedures increased the demand for anaesthesia nurses. Large numbers of nurses are now working in anaesthesiology departments in Chinese hospitals, but there is great variability in the educational and training backgrounds of these anaesthesia nurses.…”

Section: Demand For Anaesthesiologistsmentioning

confidence: 99%