title: [A Delphi Method Survey of the Core Competences of Post-Acute-Care Nurses in Caring for Acute Stroke Patients].
abstract: BACKGROUND
  Post-acute care (PAC) service is becoming increasingly important in Taiwan as a core focus of government policies that are designed to ensure continuity of care.
  
  
  OBJECTIVE
  In order to improve PAC nursing education and quality of care, the present study applies a modified Delphi method to identify the core competences of nurses who provide PAC services to acute stroke patients.
  
  
  METHODS
  We surveyed 18 experts in post-acute care and long-term care anonymously using a 29-question questionnaire in order to identify the essential professional skills that are required to perform PAC effectively. The results of this survey indicate that the core competences of PAC may be divided into two categories: Case Management and Care Management. Case Management includes Direct Care, Communication, Health Care Education, Nursing Consulting, and Family Assessment & Health Care. Care Management includes Interdisciplinary Teamwork, Patient Care Management, and Resource Integration. The importance and practicality of each item was evaluated using a 7-point Likert scale.
  
  
  RESULTS
  The experts required 2 rounds to reach a consensus about the importance and 3 rounds to determine the practicality of PAC core competences. This process highlighted the differing points of view that are held by professionals in the realms of nursing, medicine, and national health policy.
  
  
  CONCLUSIONS
  The PAC in-job training program in its current form inadequately cul-tivates core competence in Care Management. The results of the present study may be used to inform the development of PAC nurse orientation training programs and continuing education courses.
authors.affiliation: MSN, RN, Vice Superintendent, E-DA Hospital, Adjunct Assistant Professor, I-Shou University, and Executive Committee, Taiwan Union of Nurses Association, Taiwan, ROC.
authors.forename: Shu-Ching
authors.initials: SC
authors.lastname: Chi
authors.affiliation: PhD, RN, Adjunct Associate Professor, Department of Nursing, College of Medicine, National Cheng Kung University, and Consultant, Department of Nursing, E-DA Hospital, Taiwan, ROC. lilyyeh@mail.ncku.edu.tw.
authors.forename: Lily
authors.initials: L
authors.lastname: Yeh
authors.affiliation: MSN, RN, President, Taiwan Union of Nurses Association, Taiwan, ROC.
authors.forename: Meei-Shiow
authors.initials: MS
authors.lastname: Lu
authors.affiliation: MSN, RN, Department of Nursing, E-DA Hospital, Taiwan, ROC.
authors.forename: Pei-Yu
authors.initials: PY
authors.lastname: Lin
mesh_terms: D019090:Case Management; D002983:Clinical Competence; D003697:Delphi Technique; D006801:Humans; D010346:Patient Care Management; D020521:Stroke / Q000451:nursing*
keywords: core competences; modified Delphi method; nurses; post-acute care