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Cited by 4Delphi Technique in ResearchInnovations in Medical EducationHealthcare Education and Workforce Issues

Construction of a core competence index system for undergraduate anesthesia nursing graduates: a Delphi and Analytic Hierarchy Process

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Yin, Xin, Wang, Luo, Han, Jiachen, Li, Qiu, Tu, Shumin, Mao, Ying, Wang, Shuo, Hu, Huihui +1 more·2026·BMC Nursing
DOI 10.1186/s12912-025-04284-2PMC PMC12882161
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Abstract

BACKGROUND: Undergraduate anesthesia nursing students are a vital segment of China’s anesthesia nursing workforce, and their core competency levels are directly linked to patient safety and the quality of medical services. However, the core competence index system for undergraduate anesthesia nursing graduates has not been established in China. OBJECTIVE: To establish a core competence index system for undergraduate anesthesia nursing graduates. METHODS: Through literature review and semi-structured interviews (n = 8), a preliminary index system was established under the guidance of Hauenstein’s taxonomy of educational objectives. The Delphi technique (n = 16) was employed to finalize the index system, with weights assigned to each index using the Analytic Hierarchy Process. Expert consensus criteria were set as follows: mean importance score (Mj) ≥ 3.5, coefficient of variation (CV) ≤ 0.25, full-score rate ≥ 20%. RESULTS: The effective recovery rates of the two rounds of questionnaires were both 100%, and the expert authority coefficients were 0.940 and 0.947 respectively. Kendall’s coefficients of coordination of the indexes at all levels in the 2 rounds of consultation were 0.289–0.375 and 0.323–0.387, respectively (P < 0.001). The final core competence index system for undergraduate anesthesia nursing graduates contains 4 first-level indexes (cognitive domain, emotional domain, skill domain, and behavioral domain), 17 second-level indexes, and 125 third-level indexes. CONCLUSIONS: The constructed index system of the core competencies for core competences in undergraduate anesthesia nursing is both scientific and comprehensive, potentially serving as a reference for the training and assessment of undergraduate anesthesia nursing graduates. CLINICAL TRIAL NUMBER: Not applicable.

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  • Indicators with a mean importance score ≤ 3.5 were excluded.

    “(3) indicators with a mean importance score ≤ 3.5 were excluded.”

    From Construction of nursing-sensitive quality indicators for hemodialysis vascular access: a Delphi study (2026) · cites this paper as [23]

    The Methods section (Phase 2: Delphi consultation and feedback cycle; page unavailable) sets the consensus criterion at a mean importance score ≥ 3.5, so an indicator scoring exactly 3.5 meets that criterion rather than being excluded by it. The paper also says revisions considered other consensus criteria and expert opinions; it does not state that all indicators scoring ≤ 3.5 were excluded. (LLM, conf=0.86)

    Checked by a reasoning model — may be wrong.

    Experimental — accuracy not yet measured

  • Indicators with a mean importance score >3.5, a coefficient of variation <0.25, and a full-score rate >20% were retained.

    “(1) indicators with a mean importance score >3.5, a coefficient of variation (CV) < 0.25, and a full-score rate >20% were retained;”

    From Construction of nursing-sensitive quality indicators for hemodialysis vascular access: a Delphi study (2026) · cites this paper as [23]

    The Methods section (Delphi consultation and feedback cycle) identifies the same three consensus criteria and numerical cutoffs, but uses inclusive thresholds: importance score ≥3.5, CV ≤0.25, and full-score rate ≥20%. The claim’s strict inequalities exclude indicators at those boundary values, which the source does not exclude. (LLM, conf=0.88)

    Experimental — accuracy not yet measured

  • Indicators with a mean importance score >3.5 and a CV ≥0.25 that were deemed important on the basis of clinical experience were modified and advanced to the next round of inquiry.

    “(2) indicators with a mean importance score >3.5 and a CV ≥0.25 that were deemed important on the basis of clinical experience were modified and advanced to the next round of inquiry;”

    From Construction of nursing-sensitive quality indicators for hemodialysis vascular access: a Delphi study (2026) · cites this paper as [23]

    The Methods section (Phase 2, Delphi consultation and feedback cycle; page not specified) says the team revised indicators after the first round using expert opinions and sent the revisions into the next round. It does not state that indicators with CV ≥0.25 were advanced because clinical experience deemed them important; its stated consensus criterion was CV ≤0.25, alongside a mean importance score ≥3.5 and a full-score rate ≥20%. (LLM, conf=0.83)

    Experimental — accuracy not yet measured

  • Prior to expert consultation, the research team established indicator screening criteria.

    “Prior to expert consultation, the research team established the following criteria for indicator screening (23, 24):”

    From Construction of nursing-sensitive quality indicators for hemodialysis vascular access: a Delphi study (2026) · cites this paper as [23]

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Research works printed but not linked: 36

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Authors
Yin, X., Wang, L., Han, J., Li, Q., Tu, S., Mao, Y., Wang, S., Hu, H., & Zhou, F.
Affiliations
Xuzhou Medical College (CN)
Corresponding author
  • Wang, Shuo
  • Hu, Huihui
  • Zhou, Fang
ORCID
Venue
BMC Nursing
Publisher
Springer Science and Business Media LLC
Published
2026-01-10
Volume
25
Issue
1
Pages
134-134
ISSN
1472-6955 (ISSN-L)
DOI
10.1186/s12912-025-04284-2
PMC
PMC12882161
OpenAlex
W7119576095
Cited by
4
References
0
Citations by year
2026: 4
FWCI
45.85
Type
journal article
Language
en
Open access
Licence
Locations
  • BMC Nursing (publishedVersion, cc-by-nc-nd)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
Postgraduate Research and Practice Innovation Program of Jiangsu Province (KYCX24_3095)
Topics
  • Social Sciences › Sociology and Political Science › Delphi Technique in Research
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
  • Health Sciences › Nursing › Leadership and Management › Healthcare Education and Workforce Issues
Keywords
anaesthetic nursing, core competencies, undergraduate nursing education, nursing graduates, competency assessment, nursing education standards

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