Sviluppo e validazione di un modello nazionale di competenze avanzate per l’infermiere in onco-ematologia pediatrica nel contesto italiano

Matteo Amicucci; Elena Rostagno; Immacolata Dall'oglio; Andrea Zibaldo; Manuela Mampieri; Teresa Lupo; Moreno Crotti Partel; Emanuela Sinacori; Simone Macchi; Martina Piazzalunga; Anna Bergadano; Francesca Resente; Debora Botta; Alberto Castagna; Domenico Grasso; Gruppo di lavoro sulle competenze AIEOP

doi:10.54103/dn/31254

Authors

Matteo Amicucci Ospedale Pediatrico Bambino Gesù, IRCCS, Roma, Italia https://orcid.org/0000-0003-2025-9741
Elena Rostagno IRCCS Azienda Ospedaliero-Universitaria di Bologna https://orcid.org/0000-0002-6282-9784
Immacolata Dall'oglio Ospedale Pediatrico Bambino Gesù, IRCCS, Roma, Italia https://orcid.org/0000-0002-2398-2014
Andrea Zibaldo AORN Santobono - Pausilipon di Napoli https://orcid.org/0000-0001-9489-8787
Manuela Mampieri Ospedale Pediatrico Bambino Gesù, IRCCS, Roma, Italia https://orcid.org/0009-0007-4570-8503
Teresa Lupo Ospedale Pediatrico Bambino Gesù, IRCCS, Roma, Italia https://orcid.org/0009-0006-1363-3060
Moreno Crotti Partel ASST Spedali Civili di Brescia https://orcid.org/0000-0001-5865-3985
Emanuela Sinacori Università di Roma “Tor Vergata”, Roma, Italia https://orcid.org/0009-0002-9125-2846
Simone Macchi Fondazione IRCCS Istituto Tumori di Milano
Martina Piazzalunga Fondazione IRCCS San Gerardo dei Tintori, Monza https://orcid.org/0009-0001-1746-8342
Anna Bergadano Ospedale Infantile Regina Margherita, Torino https://orcid.org/0000-0001-8004-7447
Francesca Resente Ospedale Infantile Regina Margherita, Torino https://orcid.org/0000-0003-3047-9326
Debora Botta Centro Spoke di II Livello Rete Oncoematologica Piemontese https://orcid.org/0009-0005-2074-7392
Alberto Castagna Azienda Ospedaliera Universitaria Integrata Verona (AOUI) https://orcid.org/0009-0005-2873-0931
Domenico Grasso Azienda Ospedaliera Universitaria Meyer https://orcid.org/0009-0002-8892-6336
Gruppo di lavoro sulle competenze AIEOP

DOI:

https://doi.org/10.54103/dn/31254

Keywords:

oncology, hematology, children, nursing, competencies

Abstract

BACKGROUND: Pediatric hemato-oncology is a highly complex clinical field characterized by advanced clinical, relational, and ethical care needs. In Italy, there is currently no formal recognition or national Core Curriculum for the Pediatric Hemato-Oncology Nurse (PHON), resulting in educational and organizational variability.

AIMS: To define, through a structured consensus process, a set of advanced competencies aimed at developing a national Core Curriculum and Job Description for PHONs within the Italian healthcare context.

METHODS: This methodological study was conducted in two phases: an initial review of national and international literature to identify preliminary competencies, followed by a two-round electronic Delphi process involving nurse representatives from AIEOP centers. Competencies were evaluated for clarity and relevance using a 5-point Likert scale (0–4). Consensus regarding the level of expertise required for professional autonomy (novice, intermediate, expert) was defined as ≥75% agreement.

RESULTS: Nineteen nurses participated (mean age 45 years; mean 18 years of experience in pediatric hemato-oncology). Following the first round, textual and structural revisions were implemented. After the second round, a Core Curriculum comprising 126 competencies organized into nine macro-areas was established. Professional autonomy was expected within the first year for 58 competencies, after 1–3 years for 46, and after more than three years for 22 competencies.

CONCLUSIONS: The Delphi process enabled the development of a shared national competency framework, providing a methodologically robust foundation for the recognition and advancement of the Pediatric Hemato-Oncology Nurse role in Italy.

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Author Biographies

Matteo Amicucci, Ospedale Pediatrico Bambino Gesù, IRCCS, Roma, Italia

Matteo Amicucci, PedRN, RN, MSN, Phd Student is a Research Nurse on the haematology-oncology and cell and gene therapy service at Bambino Gesù Children's Hospital in Rome

Gruppo di lavoro sulle competenze AIEOP

Gruppo di lavoro sulle competenze AIEOP:

Balboni Elisa, Ciaralli Italo, Chialvo Pierpaolo, Nicolini Nadia, Piccioni Federico, Pugliese Alessandro, Scrima Gabriele

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