To construct a competency index system for Community-Based Gerontological Nurse Specialists. Global population aging has created urgent demand for specialized geriatric nursing competencies, particularly in community settings. While international competency frameworks exist, a standardized competency index system for community-based gerontological nurse specialists (CGNS) that aligns with Chinese healthcare realities and policy priorities is lacking. A literature review and semi-structured interviews were conducted to develop an initial framework. A two-round Delphi survey was employed to build the index system for Community-Based Gerontological Nurse Specialists. The final validated competency index system included 4 first-level indicators (knowledge, skills, abilities, motivation/traits), 13 s-level indicators and 40 third-level indicators. The effective response rates of the two expert consultation rounds were 100%. The expert authority coefficients were 0.888. The coefficients of variation were 0.1192 and 0.0961, and the Kendall’s coefficient of concordance were 0.254 and 0.382, respectively (P < 0.05). The competency index system of community gerontological specialist nurses constructed through the competency onion model is scientific and practical, which can provide a reference for the training, assessment and evaluation of senior community geriatric nursing talents. This index system enables the development of standardized CGNS training curricula while facilitating competency-based performance evaluation, and also provides theoretical guidance for Master of Nursing Specialist(MNS) students of higher nursing colleges to enable them to undertake advanced community elderly care practices, thereby supporting the alignment with China’s ongoing primary care reforms.
Zhao et al. (Fri,) studied this question.