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The competencies of registered nurses working in care homes: a modified Delphi study

Stanyon, Miriam; Goldberg, Sarah E.; Astle, Anita; Griffiths, Amanda; Gordon, Adam L.

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Miriam Stanyon

Professor of Older Peoples' Care

Anita Astle

Amanda Griffiths

Professor of The Care of Older People


BACKGROUND: Registered Nurses (RNs) working in UK care homes receive most of their training in acute hospitals. At present the role of care home nursing is underdeveloped and it is seen as a low status career. We describe here research to define core competencies for RNs working in UK care homes.

METHODS: A two-stage process was adopted. A systematic literature review and focus groups with stakeholders provided an initial list of competencies. The competency list was modified over three rounds of a Delphi process with a multi-disciplinary expert panel of 28 members.

RESULTS: Twenty-two competencies entered the consensus process, all competencies were amended and six split. Thirty-one competencies were scored in round two, eight were agreed as essential, one competency was split into two. Twenty-four competencies were submitted for scoring in round three. In total, 22 competencies were agreed as essential for RNs working in care homes. A further ten competencies did not reach consensus.

CONCLUSION: The output of this study is an expert-consensus list of competencies for RNs working in care homes. This would be a firm basis on which to build a curriculum for this staff group.


Stanyon, M., Goldberg, S. E., Astle, A., Griffiths, A., & Gordon, A. L. (2017). The competencies of registered nurses working in care homes: a modified Delphi study. Age and Ageing, 46(4), 582–588.

Journal Article Type Article
Acceptance Date Dec 7, 2016
Online Publication Date Jan 7, 2017
Publication Date Jul 1, 2017
Deposit Date Jan 5, 2017
Publicly Available Date Jan 7, 2017
Journal Age and Ageing
Print ISSN 0002-0729
Electronic ISSN 1468-2834
Publisher Oxford University Press
Peer Reviewed Peer Reviewed
Volume 46
Issue 4
Pages 582–588
Keywords Care homes, nursing, competencies
Public URL
Publisher URL
Additional Information This is a pre-copyedited, author-produced version of an article accepted for publication in Age and Ageing following peer review. The version of record Miriam Ruth Stanyon, Sarah Elizabeth Goldberg, Anita Astle, Amanda Griffiths, Adam Lee Gordon; The competencies of Registered Nurses working in care homes: a modified Delphi study, Age and Ageing, Volume 46, Issue 4, 1 July 2017, Pages 582–588, is available online at: