유방암 환자를 돌보는 일반간호사의 유방암 환자 간호역량: 델파이 연구 = Breast Cancer Nursing Competencies for General Nurses Caring For Breast Cancer Patients: A Delphi Study

다국어 초록 (Multilingual Abstract)

Purpose: This paper used the Delphi technique to establish an expert consensus on the nursing competencies required for general nurses caring for patients with breast cancer and to evaluate their appropriateness. Methods: This descriptive study employed the Delphi technique. Breast cancer nursing clinical competency items were derived through three Delphi rounds with 21 experts, followed by an appropriateness evaluation in the fourth round with 100 general nurses. Results: A total of 133 items were derived from the Delphi survey and classified into three categories across eight subject areas and 20 sub themes: knowledge (42 items), skills (39 items), and attitudes (52 items). The evaluation in the fourth round showed high knowledge scores for general breast cancer characteristics, early detection, and imaging, whereas scores for pregnancy and fertility preservation were low. In the skills category, high scores were observed for privacy and information protection, as well as the six rights of chemotherapy administration, whereas scores for pregnancy and fertility preservation were low. All attitude items showed high mean scores (≥3.30), and significant differences between skills and attitudes were identified in 34 of the 39 items (p<.05). Conclusion: The 133 items derived from this research provide a basis for developing a tool to objec tively assess the clinical competence of nurses caring for patients with breast cancer.