Applying the modified Delphi technique to develop the role of HIV case managers and essential nursing competencies in HIV care

Nai-Ying Ko, Chia Yin Hsieh, Yen Chin Chen, Chen Hsi Tsai, Hsiao Ying Liu, Li Fang Liu

Research output: Contribution to journalArticle

Abstract

Background: Since 2005, the Taiwan Centers for Disease Control (Taiwan CDC) initiated an HIV case management program in AIDS-designated hospitals to provide integrative services and risk-reduction counseling for HIV-infected individuals. In light of the increasingly complex and highly specialized nature of clinical care, expanding and improving competency-based professional education is important to enhance the quality of HIV/AIDS care. Purpose: The aim of this study was to develop the essential competency framework for HIV care for HIV case managers in Taiwan. Methods: We reviewed essential competencies of HIV care from Canada, the United Kingdom, and several African countries and devised descriptions of the roles of case managers and of the associated core competencies for HIV care in Taiwan. The modified Delphi technique was used to evaluate the draft framework of these roles and core competencies. A total of 15 HIV care experts were invited to join the expert panel to review and rank the draft framework. Results: The final framework consisted of 7 roles and 27 competencies for HIV case managers. In Round 1, only 3 items did not receive consensus approval from the experts. After modification based on opinions of the experts, 7 roles and 27 competencies received 97.06% consensus approval in Round 2 and were organized into the final framework for HIV case managers. These roles and associated core competencies were: HIV Care Expert (9 competencies), Communicator (1 competency), Collaborator (4 competencies), Navigator (2 competencies), Manager (4 competencies), Advocate (2 competencies), and Professional (5 competencies). Conclusion/Implications for Practice: The authors developed an essential competency framework for HIV care using the consensus of a multidisciplinary expert panel. Curriculum developers and advanced nurses and practitioners may use this framework to support developments and to ensure a high quality of HIV care.

Original languageEnglish
Pages (from-to)63-72
Number of pages10
JournalJournal of Nursing
Volume62
Issue number4
DOIs
Publication statusPublished - 2015 Aug 1

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Delphi Technique
Nursing
HIV
Taiwan
Consensus
Case Managers
Competency-Based Education
Acquired Immunodeficiency Syndrome
Professional Education
Nurse Practitioners
Quality of Health Care
Expert Testimony
Case Management
Risk Reduction Behavior
Centers for Disease Control and Prevention (U.S.)
Curriculum

All Science Journal Classification (ASJC) codes

  • Nursing(all)

Cite this

Ko, Nai-Ying ; Hsieh, Chia Yin ; Chen, Yen Chin ; Tsai, Chen Hsi ; Liu, Hsiao Ying ; Liu, Li Fang. / Applying the modified Delphi technique to develop the role of HIV case managers and essential nursing competencies in HIV care. In: Journal of Nursing. 2015 ; Vol. 62, No. 4. pp. 63-72.
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abstract = "Background: Since 2005, the Taiwan Centers for Disease Control (Taiwan CDC) initiated an HIV case management program in AIDS-designated hospitals to provide integrative services and risk-reduction counseling for HIV-infected individuals. In light of the increasingly complex and highly specialized nature of clinical care, expanding and improving competency-based professional education is important to enhance the quality of HIV/AIDS care. Purpose: The aim of this study was to develop the essential competency framework for HIV care for HIV case managers in Taiwan. Methods: We reviewed essential competencies of HIV care from Canada, the United Kingdom, and several African countries and devised descriptions of the roles of case managers and of the associated core competencies for HIV care in Taiwan. The modified Delphi technique was used to evaluate the draft framework of these roles and core competencies. A total of 15 HIV care experts were invited to join the expert panel to review and rank the draft framework. Results: The final framework consisted of 7 roles and 27 competencies for HIV case managers. In Round 1, only 3 items did not receive consensus approval from the experts. After modification based on opinions of the experts, 7 roles and 27 competencies received 97.06{\%} consensus approval in Round 2 and were organized into the final framework for HIV case managers. These roles and associated core competencies were: HIV Care Expert (9 competencies), Communicator (1 competency), Collaborator (4 competencies), Navigator (2 competencies), Manager (4 competencies), Advocate (2 competencies), and Professional (5 competencies). Conclusion/Implications for Practice: The authors developed an essential competency framework for HIV care using the consensus of a multidisciplinary expert panel. Curriculum developers and advanced nurses and practitioners may use this framework to support developments and to ensure a high quality of HIV care.",
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Applying the modified Delphi technique to develop the role of HIV case managers and essential nursing competencies in HIV care. / Ko, Nai-Ying; Hsieh, Chia Yin; Chen, Yen Chin; Tsai, Chen Hsi; Liu, Hsiao Ying; Liu, Li Fang.

In: Journal of Nursing, Vol. 62, No. 4, 01.08.2015, p. 63-72.

Research output: Contribution to journalArticle

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