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A Delphi (consensus) process was used to obtain national agreement on competencies for registered nurses (RNs) in primary care. A draft of competencies was developed by key informants. Following this, nurses with primary care experience/expertise completed a Delphi survey to rate the importance of competency statements on a six-point Likert scale. Statements not reaching consensus (agreement ≥80%) were modified and included in a second (final) round. The first survey was completed by 63% (n = 86/137) of participants and 84% (n = 72/86) of these participants completed the second survey. Most statements (n = 45) achieved agreement after the first survey; one statement was dropped and two were combined following the second round. The final list of competencies consists of 47 statements across six domains (professionalism; clinical practice; communication; collaboration and partnership; quality assurance, evaluation, and research; leadership). National competencies will help strengthen the RN workforce within primary care, improve team functioning, and support role integration/optimization.


Julia Lukewich, Michelle Allard, Lisa Ashley, Kris Aubrey-Bassler, Denise Bryant-Lukosius, Treena Klassen, Tanya Magee, Ruth Martin-Misener, Maria Mathews, Marie-Eve Poitras, Josette Roussel, Dana Ryan, Ruth Schofield, Joan Tranmer, Ruta Valaitis, Sabrina T Wong. National Competencies for Registered Nurses in Primary Care: A Delphi Study. Western journal of nursing research. 2020 Jul 03;42(12):1078-1087

PMID: 32615873

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