Revising the blueprint for the AOCN Examination using a role delineation study for advanced practice oncology nursing.
PURPOSE/OBJECTIVES: To conduct a role delineation study of advanced oncology nursing practice as a basis for the blueprint for the Advanced Oncology Certified Nurse (AOCN) Examination. DESIGN: Descriptive and comparative. SAMPLE: A group of 802 Oncology Nursing Society members comprised of 258 oncology nurse practitioners (NPs), 235 oncology clinical nurse specialists (CNSs), and 309 baccalaureate-prepared oncology nurses. METHODS: A pilot survey was mailed to a small group to allow refinement of the survey instrument. The survey then was mailed to a total sample of 2,400. MAIN RESEARCH VARIABLES: Frequency and importance to practice of 121 survey items as well as whether each item reflected an entry-level skill. Survey items were divided into five major domains: (a) Direct Caregiver, (b) Consultant, (c) Administrator/Coordinator, (d) Researcher and (e) Educator. FINDINGS: Direct Caregiver domain was weighted most heavily (63%), followed by Educator (18%), Consultant (10%), Administrator/Coordinator (5%), and Researcher (4%). Most of the items were identified as entry-level skills, and fewer than 10% of the items differentiated between CNS and NP respondents. CONCLUSION: The blueprint for the AOCN Examination reflects entry-level advanced practice oncology nursing and is appropriate for both CNSs and NPs in oncology. IMPLICATIONS FOR NURSING PRACTICE: Examinees, consumers, and employers can have confidence that the AOCN Examination will be based on a blueprint that was revised to reflect current oncology nursing practice and, therefore, is valid for its purpose.