Specifying the Objectives and Techniques of a Competency-based Training Program to Improve Post-anesthesia Care Unit Nurse Performance: A Delphi Study

Background: Clinical competence in detecting complications is crucial for anesthesia nurses working in the Post-Anesthesia Care Unit (PACU). This study utilized the Delphi method to identify essential core competency-based learning objectives for this specialized nursing role. The research also aimed to develop a practical and implementable training program, encompassing appropriate pedagogical approaches and defining the required duration of training. Materials and Methods: This qualitative study employed a two-round Delphi method, with invitations extended to 50 faculty members and clinical anesthesia instructors in Iran. During the first round, participants assessed the learning objectives using a 5-point Likert scale. Subsequent to the initial Delphi round and data analysis, all items reaching a median score of at least four, in conjunction with newly proposed objectives, were categorized and presented for re-evaluation. To ascertain suitable teaching methods and the necessary number of sessions, two multiple-choice questions were posed at the conclusion of each round. Descriptive statistics, including median, interquartile range, frequency, and percentages, were used for data analysis. Results: A total of 37 out of 50 panel members (74%) participated in both rounds of the Delphi study. Consensus was reached on 95 learning objectives. To achieve the learning objectives in each group, specific teaching methods were selected. The proposed number of sessions to achieve the objectives totaled 10 sessions, equivalent to 15 hours. Conclusions: A supplementary training program for PACU care was developed using the Delphi method to enhance the clinical competence of anesthesia nurses.