{"id":{"repo_id":"southwales","oai_identifier":"oai:pure.atira.dk:studenttheses/7e42940c-ef93-4605-8890-437badab4902"},"canonical_url":"https://search.dev.ndltd.org/etd/southwales/oai:pure.atira.dk:studenttheses/7e42940c-ef93-4605-8890-437badab4902","repository":{"repo_id":"southwales","name":"University of South Wales","base_url":"https://pure.southwales.ac.uk/ws/oai"},"display":{"title":"The design and validation of a framework for competencies in spiritual care for nurses and midwives: a modified Delphi study","abstract":"This study aimed to develop a competency framework in spiritual care for nurses/midwives to address the lack of guidelines in nursing/midwifery education and clinical practice.
The study adopted a mixed methods approach, using an eclectic framework through three main phases. In Phase 1, spiritual care competencies were categorised under seven domains which were developed from an in-depth literature review and five focus groups with stakeholders.
In Phase 2, the competency framework underwent two rounds of consensus by experts using a modified Delphi method with high response rates (Rl: 75.78%; n=241; R2: 85.06%; n=205). No significant differences were identified between the characteristics of Round 2 respondents and non-respondents which enhanced the reliability of the consensus reached on 54 competency items arranged in seven domains. Consensus was assumed if experts rated items within the highest region on a 7-point Likert form scale (5, 6, or 7) and a predetermined cut-off point of 75% threshold or greater. A six factor model was identified through the exploratory factor analysis which paralleled five of the original domains.
During consultation with international researchers in the field and modified Delphi educators (n=107) (Phase 3), 38 competency items were categorised as achievable at pre-registration level, the majority of which are consistent with existing pre registration regulatory education requirements. Fifteen items were categorised as being achievable at post-registration level and one item was common at both levels. Thus, two competency frameworks were produced namely, a 39 item pre registration framework and a 16 item post-registration framework. Thematic analysis identified enhancers/inhibitors to the implementation of the framework in education, research and/or clinical practice.
The development of a generic framework of competencies in spiritual care provides new knowledge on the delivery of spiritual care by nurses/midwives to guide education and clinical practice. Recommendations are given for education, clinical practice and policy. Further research is needed to test both the pre- and post registration frameworks of competencies which emerged from the consultation phase of the study.","abstract_html":"This study aimed to develop a competency framework in spiritual care for nurses/midwives to address the lack of guidelines in nursing/midwifery education and clinical practice.<br/><br/>The study adopted a mixed methods approach, using an eclectic framework through three main phases. In Phase 1, spiritual care competencies were categorised under seven domains which were developed from an in-depth literature review and five focus groups with stakeholders.<br/><br/>In Phase 2, the competency framework underwent two rounds of consensus by experts using a modified Delphi method with high response rates (Rl: 75.78%; n=241; R2: 85.06%; n=205). No significant differences were identified between the characteristics of Round 2 respondents and non-respondents which enhanced the reliability of the consensus reached on 54 competency items arranged in seven domains. Consensus was assumed if experts rated items within the highest region on a 7-point Likert form scale (5, 6, or 7) and a predetermined cut-off point of 75% threshold or greater. A six factor model was identified through the exploratory factor analysis which paralleled five of the original domains.<br/><br/>During consultation with international researchers in the field and modified Delphi educators (n=107) (Phase 3), 38 competency items were categorised as achievable at pre-registration level, the majority of which are consistent with existing pre registration regulatory education requirements. Fifteen items were categorised as being achievable at post-registration level and one item was common at both levels. Thus, two competency frameworks were produced namely, a 39 item pre registration framework and a 16 item post-registration framework. Thematic analysis identified enhancers/inhibitors to the implementation of the framework in education, research and/or clinical practice.<br/><br/>The development of a generic framework of competencies in spiritual care provides new knowledge on the delivery of spiritual care by nurses/midwives to guide education and clinical practice. Recommendations are given for education, clinical practice and policy. Further research is needed to test both the pre- and post registration frameworks of competencies which emerged from the consultation phase of the study.","abstract_has_math":false,"creators":["Attard, Josephine"],"institution":null,"degree_name":"Doctoral Thesis","degree_level":"Student thesis","degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":["Ross, Linda"],"committee_chairs":[],"committee_members":[],"year":2015,"date_issued":"2015-1","date_published":"2015-1","updated_at":"2026-07-24T04:39:25Z","subjects":["Nursing","Nurse and patient","spirituality","spiritual care","religious aspects","medical care"],"languages":["eng"],"rights":[],"rights_urls":[],"identifier_entries":[{"key":"dc:identifier","label":"Identifier","values":["oai:pure.atira.dk:studenttheses/7e42940c-ef93-4605-8890-437badab4902"],"render_values":[{"text":"oai:pure.atira.dk:studenttheses/7e42940c-ef93-4605-8890-437badab4902","href":null,"code":true}]}]},"links":{"outbound_url":"https://pure.southwales.ac.uk/en/studentTheses/7e42940c-ef93-4605-8890-437badab4902","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Ross, Linda"]},{"key":"dc:creator","label":"Author","values":["Attard, Josephine"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["2015-1"]},{"key":"dc:date.issued","label":"Date","values":["2015-1"]},{"key":"dc:relation.isreferencedby","label":"Dc Relation Isreferencedby","values":["https://pure.southwales.ac.uk/en/studentTheses/7e42940c-ef93-4605-8890-437badab4902"]},{"key":"dc:type","label":"Dc Type","values":["Thesis"]},{"key":"dc:type.qualificationlevel","label":"Dc Type Qualificationlevel","values":["Student thesis"]},{"key":"dc:type.qualificationname","label":"Dc Type Qualificationname","values":["Doctoral Thesis"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Nursing","Nurse and patient","spirituality","spiritual care","religious aspects","medical care"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["eng"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["oai:pure.atira.dk:studenttheses/7e42940c-ef93-4605-8890-437badab4902","https://pure.southwales.ac.uk/en/studentTheses/7e42940c-ef93-4605-8890-437badab4902"]},{"key":"dc:identifier.uri","label":"Identifier URI","values":["https://pure.southwales.ac.uk/files/3316725/J._Attard_2015_2064865_Vol.1.pdf","https://pure.southwales.ac.uk/files/3316726/J._Attard_2015_2064865_Vol.2.pdf"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["This study aimed to develop a competency framework in spiritual care for nurses/midwives to address the lack of guidelines in nursing/midwifery education and clinical practice.
The study adopted a mixed methods approach, using an eclectic framework through three main phases. In Phase 1, spiritual care competencies were categorised under seven domains which were developed from an in-depth literature review and five focus groups with stakeholders.
In Phase 2, the competency framework underwent two rounds of consensus by experts using a modified Delphi method with high response rates (Rl: 75.78%; n=241; R2: 85.06%; n=205). No significant differences were identified between the characteristics of Round 2 respondents and non-respondents which enhanced the reliability of the consensus reached on 54 competency items arranged in seven domains. Consensus was assumed if experts rated items within the highest region on a 7-point Likert form scale (5, 6, or 7) and a predetermined cut-off point of 75% threshold or greater. A six factor model was identified through the exploratory factor analysis which paralleled five of the original domains.
During consultation with international researchers in the field and modified Delphi educators (n=107) (Phase 3), 38 competency items were categorised as achievable at pre-registration level, the majority of which are consistent with existing pre registration regulatory education requirements. Fifteen items were categorised as being achievable at post-registration level and one item was common at both levels. Thus, two competency frameworks were produced namely, a 39 item pre registration framework and a 16 item post-registration framework. Thematic analysis identified enhancers/inhibitors to the implementation of the framework in education, research and/or clinical practice.
The development of a generic framework of competencies in spiritual care provides new knowledge on the delivery of spiritual care by nurses/midwives to guide education and clinical practice. Recommendations are given for education, clinical practice and policy. Further research is needed to test both the pre- and post registration frameworks of competencies which emerged from the consultation phase of the study."]},{"key":"dc:title","label":"Title","values":["The design and validation of a framework for competencies in spiritual care for nurses and midwives: a modified Delphi study"]}]}],"canonical_facts":{"dc:contributor.advisor":["Ross, Linda"],"dc:creator":["Attard, Josephine"],"dc:date":["2015-1"],"dc:date.issued":["2015-1"],"dc:description.abstract":["This study aimed to develop a competency framework in spiritual care for nurses/midwives to address the lack of guidelines in nursing/midwifery education and clinical practice.
The study adopted a mixed methods approach, using an eclectic framework through three main phases. In Phase 1, spiritual care competencies were categorised under seven domains which were developed from an in-depth literature review and five focus groups with stakeholders.
In Phase 2, the competency framework underwent two rounds of consensus by experts using a modified Delphi method with high response rates (Rl: 75.78%; n=241; R2: 85.06%; n=205). No significant differences were identified between the characteristics of Round 2 respondents and non-respondents which enhanced the reliability of the consensus reached on 54 competency items arranged in seven domains. Consensus was assumed if experts rated items within the highest region on a 7-point Likert form scale (5, 6, or 7) and a predetermined cut-off point of 75% threshold or greater. A six factor model was identified through the exploratory factor analysis which paralleled five of the original domains.
During consultation with international researchers in the field and modified Delphi educators (n=107) (Phase 3), 38 competency items were categorised as achievable at pre-registration level, the majority of which are consistent with existing pre registration regulatory education requirements. Fifteen items were categorised as being achievable at post-registration level and one item was common at both levels. Thus, two competency frameworks were produced namely, a 39 item pre registration framework and a 16 item post-registration framework. Thematic analysis identified enhancers/inhibitors to the implementation of the framework in education, research and/or clinical practice.
The development of a generic framework of competencies in spiritual care provides new knowledge on the delivery of spiritual care by nurses/midwives to guide education and clinical practice. Recommendations are given for education, clinical practice and policy. Further research is needed to test both the pre- and post registration frameworks of competencies which emerged from the consultation phase of the study."],"dc:identifier":["oai:pure.atira.dk:studenttheses/7e42940c-ef93-4605-8890-437badab4902","https://pure.southwales.ac.uk/en/studentTheses/7e42940c-ef93-4605-8890-437badab4902"],"dc:identifier.uri":["https://pure.southwales.ac.uk/files/3316725/J._Attard_2015_2064865_Vol.1.pdf","https://pure.southwales.ac.uk/files/3316726/J._Attard_2015_2064865_Vol.2.pdf"],"dc:language":["eng"],"dc:relation.isreferencedby":["https://pure.southwales.ac.uk/en/studentTheses/7e42940c-ef93-4605-8890-437badab4902"],"dc:subject":["Nursing","Nurse and patient","spirituality","spiritual care","religious aspects","medical care"],"dc:title":["The design and validation of a framework for competencies in spiritual care for nurses and midwives: a modified Delphi study"],"dc:type":["Thesis"],"dc:type.qualificationlevel":["Student thesis"],"dc:type.qualificationname":["Doctoral Thesis"]},"updated_at":"2026-07-24T04:39:25Z"}