Identifying nurse practitioners' required case management competencies in health promotion practice in municipal public primary health care. A two‐stage modified Delphi study

Abstract

NPs need a variety of case management skills and abilities to realise health promotion in municipal primary health care and they need to be supported by primary health care leaders to develop health promotion activities.

Health education and competency scale: Development and testing

“…The use of items related to motivational discourse was supported by a report by Maijala et al. () that primary healthcare nurse practitioners who discuss unhealthy lifestyle issues with patients should have competency in health promotion practices. Notably, showing empathy is considered essential for effective motivational interviewing.…”

“…The three major steps of developing the HECS (item generation, content validity testing and item analysis) were performed as described by DeVellis (): Item generation: the authors first reviewed the literature on patient empowerment, motivational interviewing, essential elements of patient education as perceived by family members, the expert consensus on health‐promoting interventions, health education constructs and health literacy educational competencies (Castro et al., ; Coleman et al., ; Kelo et al., ; Levensky et al., ; Maijala et al., ; Whitehead et al., ). Content validity testing: a panel of five experts, namely two professors in nursing education (each with more than 20 years of teaching experience), one nursing administrator (more than 20 years of clinical nursing experience) and two certificated diabetes educators (each with more than 15 years of teaching experience), were invited to judge the original 33‐item questionnaires. The content validity was investigated during May and September of 2015.…”

“…Given the importance of health education competency for assessing nursing competency, a new multidimensional measure is needed to enable precise assessment in the clinical nursing context. For effective delivery of health education to their clients, nurses require a broad range of multidisciplinary knowledge in the nursing, medical, educational, environmental and psychological sciences (Bergh et al., ; Maijala, Tossavainen, & Turunen, ).…”

“…From the perspective of the families of patients, surveys show that families perceive that the three most important competencies required for effective delivery of health education to patients are nursing, didactic and interpersonal competencies (Kelo, Eriksson, & Eriksson, ). Both researchers and practising nurses agree that, to prevent disease and promote health during clinical and community practice, nurses require not only practical nursing skills, but also research and education skills (Kemppainen, Tossavainen, & Turunen, ; Maijala et al., ). Some scales for measuring competency, such as the 68‐item nursing scale developed by Xu, Lin, Yang, and Lai (), include items related to teaching competency.…”

Community-Based Advanced Case Management for Patients with Complex Multimorbidity and High Medical Dependence: A Longitudinal Study

“…By providing patients and their families with information, including their future outlook, we believe that it will be possible to approach the best process of end-of-life care for the patients themselves. Discussing end-of-life care and the related concerns of patients and their families also reduced their regrets and potential conflicts [25,26]. Therefore, it is very important to support patients' decision-making and to consider best practices.…”