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Journal of Nursing ›› 2024, Vol. 31 ›› Issue (17): 73-78.doi: 10.16460/j.issn1008-9969.2024.17.073

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Competency model of suicide gatekeeper for oncology nurses based on behavioral event interview and expert consultation

YU Fenga, SUN Lib, HU De-yingb, HU Jiea, WANG Jia-qinga, LV Chu-fengb   

  1. a. Tumor Center; b. Dept. of Nursing Administration, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
  • Received:2024-05-06 Online:2024-09-10 Published:2024-10-08

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Abstract: Objective To construct a competency model of suicide gatekeeper for oncology nurses, and to provide reference for the training and management of suicide gatekeeper for cancer inpatients. Methods There were 24 suicides in tumor center of a tertiary grade-A general hospital in recent ten years. From July to December 2023, a typical sampling method was used to select 9 nursing staff on duty from excellent suicide gatekeeper group and 9 from ordinary suicide gatekeeper group for behavioral event interviews. Through expert consultation method, competency elements of suicide gatekeepers for oncology nurses were determined. Then, competency elements of suicide gatekeepers for excellent oncology nurses were extracted, and a competency model for suicide gatekeepers for oncology nurses was constructed. Results There was no significant difference in the length of interview texts between the two groups (P>0.05). Among the 25 competency elements, there were 1 element, 3 and 8 ones with significant correlation in terms of average grade score, total frequency, top grade score and interview length (P<0.05), respectively, and 7 competency elements with statistical significance in terms of average grade score of the two groups (P<0.05). Finally, the competency model for suicide gatekeepers for oncology nurses consisted of 7 discriminative competency characteristics and 18 benchmark competency characteristics from 6 dimensions of professional knowledge, professional skills, professional ability, professional quality, personal traits and values. The overall consistency of classification was 0.789, and the overall coding reliability coefficient 0.891. Conclusion The suicide gatekeeper model for oncology nurses based on behavioral event interview method and expert consultation is stable and scientific. Eighteen benchmark competency characteristics are beneficial for cultivating the awareness of suicide risk management in cancer patients for oncology nurse suicide gatekeepers, and seven discriminative competency characteristics for selecting excellent oncology nurse suicide gatekeepers for effective suicide crisis intervention for cancer patients. The model provides guidance for establishing a training model of suicide gatekeeper in oncology based on competency.

Key words: Department of Oncology, nurse, suicide gatekeeper, competency, behavioral event interview, expert consultation

CLC Number: 

  • R473.73
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