Table 3.
Indicators and weights of the competency framework for dental sedation nurses.
| Items of competency framework | Mean ± SD | Coefficient of variation | Weighting targets | Combination weights |
|---|---|---|---|---|
| 1. Professional knowledge | 4.67 ± 0.34 | 0.10 | 0.315 | - |
| 1.1 Relevant knowledge of stomatology | 4.63 ± 0.43 | 0.15 | 0.114 | 0.013 |
| 1.1.1 Anatomic, physiological and pathological knowledge of oral cavity | 4.55 ± 0.21 | 0.13 | 0.121 | 0.012 |
| 1.1.2 Treatment guideline of common oral diseases | 4.63 ± 0.31 | 0.09 | 0.134 | 0.028 |
| 1.2 Relevant knowledge of oral care | 4.43 ± 0.14 | 0.13 | 0.063 | 0.005 |
| 1.2.1 Framework of involvement in oral health promotion | 4.21 ± 0.24 | 0.11 | 0.080 | 0.017 |
| 1.2.2 Knowledge of oral self-care | 4.36 ± 0.13 | 0.17 | 0.091 | 0.011 |
| 1.3 Relevant knowledge of sedation and anesthesia | 4.65 ± 0.49 | 0.13 | 0.244 | 0.018 |
| 1.3.1 Airway, respiratory, cardiovascular physiology and pathophysiology | 4.67 ± 0.12 | 0.18 | 0.134 | 0.013 |
| 1.3.2 Function and evaluation of intermittent monitoring of cardiac rhythm, oxygenation and ventilation | 4.51 ± 0.34 | 0.12 | 0.173 | 0.017 |
| 1.3.3 Pharmacological knowledge of sedation and anesthesia | 4.49 ± 0.18 | 0.14 | 0.166 | 0.009 |
| 1.3.4 Principles of pre sedation or pre anesthesia evaluation and risk assessment | 4.56 ± 0.21 | 0.11 | 0.094 | 0.003 |
| 1.3.5 Principles of report and track adverse effects of sedation and anesthesia | 4.61 ± 0.24 | 0.12 | 0.093 | 0.008 |
| 1.3.6 Framework of pain management. | 4.36 ± 0.25 | 0.13 | 0.168 | 0.024 |
| 1.3.7 Criteria of post-sedation or post anesthesia discharge | 4.42 ± 0.18 | 0.11 | 0.126 | 0.007 |
| 1.4 Related knowledge of professional practice | 4.42 ± 0.91 | 0.15 | 0.043 | 0.004 |
| 1.4.1 Principles of behavioral management and psychological intervention | 4.26 ± 0.16 | 0.17 | 0.064 | 0.003 |
| 1.4.2 Principles of ongoing quality improvement audit in accordance with laws and ethics | 4.12 ± 0.32 | 0.15 | 0.089 | 0.008 |
| 2. Professional skills | 4.87 ± 0.36 | 0.12 | 0.361 | - |
| 2.1 Risk warning management | 4.96 ± 0.21 | 0.04 | 0.289 | 0.109 |
| 2.1.1 Fall risk awareness and fall prevention during sedation and anesthesia | 4.91 ± 0.23 | 0.07 | 0.285 | 0.015 |
| 2.1.2 Predict the risk of sedation and anesthesia | 4.51 ± 0.16 | 0.14 | 0.162 | 0.009 |
| 2.1.3 Recognize and manage patient condition of over sedated or inadequately sedated | 4.89 ± 0.29 | 0.04 | 0.131 | 0.051 |
| 2.2 Emergency response | 4.92 ± 0.26 | 0.06 | 0.177 | 0.019 |
| 2.2.1 Proficient in basic first aid skills | 4.73 ± 0.34 | 0.08 | 0.124 | 0.035 |
| 2.2.2 Evaluate and response of complication of sedation and anesthesia | 4.96 ± 0.03 | 0.04 | 0.153 | 0.037 |
| 2.3 Nursing skills of sedation and anesthesia | 4.83 ± 0.31 | 0.08 | 0.112 | 0.012 |
| 2.3.1 Proficient in the practice of four-handed dentistry | 4.48 ± 0.46 | 0.15 | 0.118 | 0.033 |
| 2.3.2 Perform pre assessment of airway, jaw and fasting status | 4.67 ± 0.24 | 0.13 | 0.166 | 0.041 |
| 2.3.3 Monitor airway and cardiovascular stability, recognize and feedback abnormal patterns | 4.52 ± 0.21 | 0.15 | 0.172 | 0.053 |
| 2.3.4 Master the principles and safe application of anesthesia monitoring instruments and equipment | 4.67 ± 0.36 | 0.13 | 0.210 | 0.011 |
| 2.3.5 Recognize, assess and manage pain and anxiety | 4.63 ± 0.54 | 0.11 | 0.075 | 0.008 |
| 2.3.6 Document outcomes of sedation and anesthesia | 4.39 ± 0.45 | 0.13 | 0.026 | 0.003 |
| 2.3.7 Determine safe discharge from monitored recovery | 4.75 ± 0.43 | 0.09 | 0.113 | 0.011 |
| 3. Professional accomplishment | 4.62 ± 0.43 | 0.13 | 0.151 | - |
| 3.1 Professional collaboration | 4.74 ± 0.52 | 0.11 | 0.246 | 0.051 |
| 3.1.1 Lead practice closely related in cooperation with other professions | 4.81 ± 0.49 | 0.11 | 0.190 | 0.023 |
| 3.1.2 Patient safety and nursing care | 4.41 ± 0.54 | 0.13 | 0.091 | 0.018 |
| 3.1.3 Critical thinking skills | 4.96 ± 0.21 | 0.03 | 0.087 | 0.017 |
| 3.1.4 Humanistic care | 4.83 ± 0.29 | 0.07 | 0.113 | 0.012 |
| 3.1.5 Effective communication | 4.51 ± 0.46 | 0.11 | 0.186 | 0.021 |
| 3.1.6 Self-efficacy | 4.39 ± 0.25 | 0.16 | 0.191 | 0.039 |
| 3.2 Research and teaching ability | 4.46 ± 0.17 | 0.13 | 0.068 | 0.003 |
| 3.2.1 Capacity to evidence-based approach in practice | 4.91 ± 0.23 | 0.07 | 0.142 | 0.014 |
| 3.2.2 Academic teaching ability | 4.83 ± 0.29 | 0.07 | 0.061 | 0.003 |
| 3.2.3 Scientific innovation ability | 4.61 ± 0.36 | 0.11 | 0.098 | 0.005 |
| 4. Personal trait | 4.42 ± 0.46 | 0.12 | 0.179 | - |
| 4.1 Personal characteristics | 4.49 ± 0.21 | 0.12 | 0.098 | 0.005 |
| 4.1.1 Situational awareness | 4.91 ± 0.36 | 0.12 | 0.142 | 0.034 |
| 4.1.2 Cautiousness | 4.53 ± 0.43 | 0.08 | 0.136 | 0.007 |
| 4.1.3 Resilience | 4.33 ± 0.39 | 0.13 | 0.128 | 0.015 |
| 4.1.4 Stress management | 4.52 ± 0.68 | 0.15 | 0.039 | 0.004 |
| 4.2 Career development | 4.36 ± 0.76 | 0.13 | 0.247 | 0.011 |
| 4.2.1 Professional ethics | 4.31 ± 0.35 | 0.11 | 0.126 | 0.008 |
| 4.2.2 Organizational commitment | 4.31 ± 0.49 | 0.14 | 0.160 | 0.021 |