Development of Heart Failure Nurses Specialist Competency Framework Maharaj Nakorn Chiang Mai Hospital
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Abstract: This developmental research study aimed to develop a competency framework for nurse specialists in providing care for persons with heart failure at Maharaj Nakorn Chiang Mai Hospital. It consisted of 2 procedures; 1) developing the competency framework for nurse specialists in providing care for persons with heart failure applying Marrelli et al.’s competency frameworks development, and 2) examining the content validity of nurse - competency in caring for patients with heart failure by 5 experts. The instruments consisted of an expert interview form and the tentative competency framework for nurse specialist competency in providing care for persons with heart failure, which the researcher developed from the expert interview and literature review. The results showed that a competency framework consisted of the following 12 competencies with 138 minor aspects, namely competencies in patient history taking to assess problems; in assessing vital signs, patient’s signs and symptoms; in assessing a patient’s cardiovascular and respiratory system, care and management of problems according to the patient’s symptoms; in assessing psychological, emotional, social and spiritual problems; in managing the patients for the standardized diagnosis; in knowledge of heart failure; in advanced cardiac life support skills; in maintaining appropriate treatment and medication adjustments; in providing health education for patients with heart failure; in caring for patients with cardiac implantable electronic devices; and in caring for patients with heart transplantation and patients with mechanical circulatory support; and in palliative and endof-life care in patients with heart failure. The findings can be used to assess nurses’ competency in providing care for persons with heart failure for further planning of professional development.
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