title: [Delphi study to identify the management skills of nursing executives].
abstract: OBJECTIVE
  To determine and update the skills map for the position of Nurse Administrator in hospitals and Primary Care.
  
  
  METHODS
  An observational, descriptive, cross-sectional study based on a Delphi technique was conducted in hospital and Primary Care settings. Two nominal groups with 15 nurses each were used to define the contents of the questionnaire 0 in the Delphi technique. All nurses registered in the professional associations of Alicante, Castellón and Valencia were invited to participate. The results of the Delphi study was submitted to factor analysis to identify the set of skills and, subsequently, compare them with the offer of post-graduate course in colleges and universities during the 2014-15 academic year.
  
  
  RESULTS
  Forty-five competences were extracted during the Nominal groups. In total, 705 nurses replied to the first wave in the Delphi Technique, and 394 in the second (response rate of 56%). Factorial analysis grouped the skills chosen into 10 factors: managing people, conflict management, independent learning, ethics, emotional balance, commitment, self-discipline, continuous improvement, critical-thinking, and innovation. Four skills groups identified in this study (emotional balancing, commitment, self-discipline and courage) were not usually included in the post-graduate courses
  
  
  CONCLUSIONS
  The nurse administrator skills should be related to relational and ethical behaviour. The training offer of the post-graduate courses must be reoriented.
authors.affiliation: Atención Primaria, Departamento Salud de Elda, Elda, Alicante, España; Asociación Nacional de Directivos de Enfermería (ANDE) en la Comunidad Valenciana, Valencia, España. Electronic address: mremeym@hotmail.com.
authors.forename: M R
authors.initials: MR
authors.lastname: Yañez
authors.affiliation: Atención Primaria, Departamento de Salud Elche - Hospital General de Elche, Elche, Alicante, España.
authors.forename: J A
authors.initials: JA
authors.lastname: Avila
authors.affiliation: Hospital San Vicente, Sant Vicente del Raspeig, Alicante, España; Departamento Análisis Económico Asociado, Universidad de Alicante, Alicante, España.
authors.forename: M I
authors.initials: MI
authors.lastname: Bermudez
authors.affiliation: Escuela de Enfermería La Fe, Valencia, España.
authors.forename: I
authors.initials: I
authors.lastname: De Miguel
authors.affiliation: Universidad de Valencia, Valencia, España.
authors.forename: V
authors.initials: V
authors.lastname: Bellver
authors.affiliation: Universidad Miguel Hernández, Elche, Alicante, España.
authors.forename: M
authors.initials: M
authors.lastname: Guilabert
authors.affiliation: Universidad Miguel Hernández, Elche, Alicante, España; Atención Primaria, Departamento de Salud Alicante-Sant Joan, Sant Joan d'Alacant, Alicante, España.
authors.forename: J J
authors.initials: JJ
authors.lastname: Mira
mesh_terms: D003430:Cross-Sectional Studies; D003697:Delphi Technique; D006801:Humans; D009718:Nurse Administrators; D011795:Surveys and Questionnaires
keywords: Atención primaria; Competencias profesionales; Delphi Studies; Directivo enfermero; Estudio Delphi; Estudios cualitativos; Gestión de enfermería; Hospital; Nurse administrators; Nursing care management; Primary care; Professional skill; Qualitative research