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      Construction and validation of competency frameworks for the training of nurses in emergencies*

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          ABSTRACT

          Objective:

          to build and validate competency frameworks to be developed in the training of nurses for the care of adult patients in situations of emergency with a focus on airway, breathing and circulation approach.

          Method:

          this is a descriptive and methodological study that took place in three phases: the first phase consisted in a literature review and a workshop involving seven experts for the creation of the competency frameworks; in the second phase, 15 experts selected through the Snowball Technique and Delphi Technique participated in the face and content validation, with analysis of the content of the suggestions and calculation of the Content Validation Index to assess the agreement on the representativeness of each item; in the third phase, 13 experts participated in the final agreement of the presented material.

          Results:

          the majority of the experts were nurses, with graduation and professional experience in the theme of the study. Competency frameworks were developed and validated for the training of nurses in the airway, breathing and circulation approach.

          Conclusion:

          the study made it possible to build and validate competency frameworks. We highlight its originality and potentialities to guide teachers and researchers in an efficient and objective way in the practical development of skills involved in the subject approached.

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          Most cited references49

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          Entrepreneurial Self-Efficacy: Refining the Measure

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            Curriculum development for the workplace using Entrustable Professional Activities (EPAs): AMEE Guide No. 99.

            This Guide was written to support educators interested in building a competency-based workplace curriculum. It aims to provide an up-to-date overview of the literature on Entrustable Professional Activities (EPAs), supplemented with suggestions for practical application to curriculum construction, assessment and educational technology. The Guide first introduces concepts and definitions related to EPAs and then guidance for their identification, elaboration and validation, while clarifying common misunderstandings about EPAs. A matrix-mapping approach of combining EPAs with competencies is discussed, and related to existing concepts such as competency milestones. A specific section is devoted to entrustment decision-making as an inextricable part of working with EPAs. In using EPAs, assessment in the workplace is translated to entrustment decision-making for designated levels of permitted autonomy, ranging from acting under full supervision to providing supervision to a junior learner. A final section is devoted to the use of technology, including mobile devices and electronic portfolios to support feedback to trainees about their progress and to support entrustment decision-making by programme directors or clinical teams.
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              Methods to validate nursing diagnoses.

              R Fehring (1987)
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                Author and article information

                Journal
                Rev Lat Am Enfermagem
                Rev Lat Am Enfermagem
                rlae
                Revista Latino-Americana de Enfermagem
                Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo
                0104-1169
                1518-8345
                25 October 2018
                2018
                : 26
                : e3061
                Affiliations
                [1 ]Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil.
                [2 ]Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Ribeirão Preto, SP, Brazil.
                Author notes
                [Corresponding Author: ] Fernanda Berchelli Girão Miranda E-mail: fernanda.berchelli@ 123456usp.br
                Author information
                http://orcid.org/0000-0001-7229-0519
                Article
                00368
                10.1590/1518-8345.2631-3061
                6206820
                5628ab6d-7e72-40c7-aabe-61ddc4903880
                © 2018 Revista Latino-Americana de Enfermagem

                This is an open-access article distributed under the terms of the Creative Commons Attribution License

                History
                : 20 February 2018
                : 02 August 2018
                Page count
                Figures: 9, Tables: 3, Equations: 0, References: 49, Pages: 1
                Categories
                Original Articles

                nurses,clinical competence,education,education, nursing,nursing assessment,emergencies

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