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Table 5 The importance score and comments of 32 HPC competences in the 1st round Delphi survey

From: Building bridges of excellence: a comprehensive competence framework for nurses in hospice and palliative care—a mixed method study

Numbers

Competences

Mean

SD

CV

Comments summary

Revised competences

1

Spirit of teamwork

5.00

0.00

0.00

The nurse may not be the actual leader of the HPC team, but the nurse still needs to have a holistic view when they are working as a team member. Therefore, the competency expression may consider revised to “holistic view of teamwork”, and the meaning of “having a holistic view and giving full play to the advantages of the team” may add to the interpretation

Holistic view of teamwork (1)

2

Critical thinking

4.80

0.41

0.09

The competency “critical thinking” covers “evaluation and analysis ability”, and may consider merging these two competences and their definitions

Critical thinking (2)

3

Evaluation and analysis ability

4.87

0.35

0.07

4

Communication ability

4.87

0.35

0.07

These two competences have overlapped parts, may consider merging them and their definitions

Interpersonal communication (2)

5

Interpersonal relationship

4.73

0.46

0.10

6

Innovative spirit

4.20

0.77

0.18

No revision was suggested

Innovative spirit (4)

7

Evidence-based practice ability

4.60

0.63

0.14

The expression is verbose, may consider removing “ability”

Evidence-based practice (3)

8

Study ability

4.67

0.49

0.10

This competency should strengthen self-motivation, may consider adding this aspect in expression

Self-motivated learning (1)

9

Objectivity and fairness

4.27

0.88

0.21

These two competences “Objectivity and fairness” and “respect for others” are overlapped, and they are not compulsory for HPC. Therefore, may consider merging these two competences and revising to “dignity protection” and revise the definition accordingly

Dignity protection (2)

10

Respect for others

4.93

0.26

0.05

11

Proactiveness

4.73

0.59

0.13

“Proactiveness” does not match the given definition, may consider revising it to “responsibility”

Responsibility (3)

12

Empathy

4.87

0.35

0.07

The definition of “empathy” covers “sensitivity”, may consider merging them and their definitions

Empathy (2)

13

Sensitivity

4.73

0.59

0.13

14

Facilitate decision-making ability

4.67

0.49

0.10

The “supportive ability” included information support for decision making which can merge with the “Facilitate decision-making ability”, and mental/psychological support which can merge with “spiritual care ability”. After merging the competences, may delete “ability” to avoid verbosely

Facilitate decision-making (2)

15

Supportive ability

4.60

0.63

0.14

16

Spiritual care ability

4.60

0.63

0.14

Mental and spiritual care (2)

17

Life education ability

4.73

0.46

0.10

The item “Life-and-death value” is not competency, may consider merging with the competency “life education ability” and deleting “ability” to avoid verbosely

Life education (2)

18

Life-and-death value

4.60

0.63

0.14

19

Promote others’ development

4.33

0.72

0.17

“Promote others’ development” is one aspect of leadership, may consider expanding this competency concept into leadership and revise the definition accordingly

Leadership (1)

20

Self-awareness

4.47

0.74

0.17

No revision was suggested

Self-awareness (4)

21

Organization and coordination ability

4.67

0.49

0.10

The expression is verbose, may consider removing “ability”

Organization and coordination (3)

22

Achievement motivation

4.53

0.64

0.14

No revision was suggested

Achievement motivation (4)

23

Spirit of contribution

4.73

0.46

0.10

“Spirit of contribution” does not match the given definition, may consider revise to “spirit of service”

Spirit of service (3)

24

Psychological regulation

4.87

0.35

0.07

No revision was suggested

Psychological regulation (4)

25

Stress coping ability

4.87

0.35

0.07

The expression may consider revised to “stress management”

Stress management (3)

26

Symptom management ability

5.00

0.00

0.00

The definition of “pain management ability” covers “symptom management”, and may consider merging them and their definitions

Symptom management (2)

27

Pain management ability

4.93

0.26

0.05

28

Plan execution ability

4.47

0.52

0.12

Belongs to the basic nurse ability, Deleted

/

29

Bereavement care ability

4.47

0.74

0.17

The expression is verbose, may consider removing “ability”

Bereavement care (3)

30

Basic caring ability

4.73

0.59

0.13

The “basic caring ability” does not show the HPC specialty may consider revising to “comfort care”

Comfort care (3)

31

Kindness

4.73

0.46

0.10

The competency may consider adding “friendly” and corresponding content in the definition

Kindness and friendly (3)

32

Ethics and legal awareness

4.73

0.59

0.13

No revision was suggested

Ethics and legal awareness (4)

  1. (1) to (4) refer to the comments of strengthening the expected characteristics in competency expression and definition, merging the competences that have overlapping definitions and revising the expression, revising the competency domain expression for better readability or better definition matching, and no suggestions or comments, respectively