Purpose/objectives: To conduct a role delineation study of basic oncology nursing practice as a basis for revision of the blueprint for the Oncology Certified Nurse (OCN) examination.
Design: Three-phase study of oncology nurses' practice.
Sample: 735 oncology nurses randomly chosen from all nurses who are OCN certified.
Methods: A pilot survey was mailed to a small group to allow refinement of the survey instrument. The revised survey then was e-mailed to a total sample of 3,000 OCNs. The results and input from experts on the subject matter were used to revise the test blueprint.
Main Research Variables: Frequency and importance of 223 oncology nursing activities previously identified by the group of experts in oncology nursing.
Findings: The highest ranked items for the combined frequency and importance scales pertained to the subscales Professional Performance, Patient/Family Education, Comfort, Protective Mechanisms, and Coping. The lowest ranked activities pertained to subscales Research, Detection, Sexuality, and Prevention.
Conclusions: The blueprint for the OCN examination reflects entry-level oncology nursing practice and includes eight domains of practice: Quality of Life (36%), Protective Mechanisms (13%), Gastrointestinal and Urinary Function (10%), Cardiopulmonary Function (8%), Oncologic Emergencies (7%), Scientific Basis for Practice (12%), Health Promotion (3%), and Professional Performance (11%).
Implications For Nursing: Because oncology nursing is changing, reconfirming and updating the blueprint for the certification examination is necessary. Certification examinations beginning in April 2003 will be based on the revised blueprint.
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