Dataset Information

Development and validation of professional competency scale for military nurses: an instrument design study.

ABSTRACT:

Background

Military nurses are expected to be competent in providing quality nursing care in their assigned departments and meeting the medical needs of the military during deployment. Competency assessment is a key step in the development of a robust and competent nursing team. This study was aimed to develop the Professional Competency Scale for Military Nurses (PCSMN) and test its psychometric properties.

Methods

An instrument development and validation study were conducted. Military nurses in military hospitals in eastern, southern, western, and northern China were recruited in this study. The study procedure comprised three main steps: item development (extensive literature review, the Delphi survey, and a pilot test), scale development (item analysis and exploratory factor analysis), and scale validation (confirmatory factor analysis and reliability test).

Results

The 65-item PCSMN comprised four dimensions: clinical nursing knowledge and skills, military nursing knowledge and skills, professional ability, and comprehensive quality. The reliability and validity of the PCSMN were satisfactory, with the above four factors accounting for 66.9% of the total variance.

Conclusion

The PCSMN is a good instrument for evaluating the competencies of military nurses in military hospitals. This may provide guidance for competency-based training.

SUBMITTER: Ma H

PROVIDER: S-EPMC9014578 | biostudies-literature | 2022 Apr

REPOSITORIES: biostudies-literature

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Publications

Development and validation of professional competency scale for military nurses: an instrument design study.

Ma Huijuan H Zhu Xiaoli X Zhang Suofei S Huang Jinyu J Lu Ya Y Luo Yu Y

BMC nursing 20220418 1

<h4>Background</h4>Military nurses are expected to be competent in providing quality nursing care in their assigned departments and meeting the medical needs of the military during deployment. Competency assessment is a key step in the development of a robust and competent nursing team. This study was aimed to develop the Professional Competency Scale for Military Nurses (PCSMN) and test its psychometric properties.<h4>Methods</h4>An instrument development and validation study were conducted. Mi ...[more]

PMID: 35436884

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Project description:BackgroundNurses' competency in pain management is essential for effectively alleviating patients' acute pain, controlling chronic pain, and promoting patient recovery. However, reliable tools for evaluating these competencies across different clinical specialties and healthcare settings are lacking. This study aimed to develop and validate a Pain Management Competency Scale for Nurses (PMCSN) and to assess the pain management competencies of nurses in China through a nationwide survey.MethodsAn item pool and a draft scale were developed through literature reviews, semi-structured interviews, and expert panel discussions. This was followed by refinement of the scale via Delphi expert consultations and a pilot test. To validate the scale, 342 nurses were conveniently sampled from six hospitals in Eastern and Central China. The validation process included item analysis, internal consistency reliability assessment, test-retest reliability (with 40 nurses retaking the questionnaire after a 14-day interval), content validity (evaluated by six experts using a 4-point Likert scale), and structural validity (assessed through exploratory and confirmatory factor analyses). The validated scale was then applied in a survey of 1,500 nurses from 15 hospitals across Eastern, Central, and Western China. Statistical analyses included descriptive statistics, analysis of variance (ANOVA), and t-tests.ResultsThe PMCSN comprised six primary dimensions-Pain Assessment and Monitoring, Pharmacological Pain Management, Non-Pharmacological Pain Management, Management of Analgesic Adverse Effects, Patient/Family Education, and Professional Development-and includes 52 tertiary items. The PMCSN scores ranged from 6 to 120, calculated by summing the standardized scores across the six dimensions, with higher scores indicating greater competency in pain management. The scale's Cronbach's α was 0.974 (dimension-specific values ranging from 0.863 to 0.935) and a test-retest reliability of 0.871. The content validity index (CVI) of the scale was 0.965. Exploratory factor analysis (EFA) showed that the six-factor model explained 67.50% of the variance. Confirmatory factor analysis (CFA) indicated good model fit, with average variance extracted (AVE) values ranging from 0.659 to 0.811 and composite reliability (CR) between 0.909 and 0.973, confirming good convergent validity. The square roots of the AVE values exceeded the inter-factor correlations, indicating good discriminant validity. In the nationwide survey, the average PMCSN score among 1,500 nurses was 101.27 ± 20.97. Nurses with higher education levels scored higher (F = 14.173, p < 0.01), as did those working in Eastern regions (F = 24.632, p < 0.01) and tertiary hospitals (T = -5.476, p < 0.01).ConclusionsThe PMCSN is a valid and reliable tool for assessing nurses' pain management competencies. It provides a standardized approach for evaluation and guides targeted interventions to improve competency. Regional and hospital-level disparities highlight the need for enhanced training in underdeveloped areas and collaboration between hospitals to promote balanced healthcare resources.

Project description:BackgroundNursing competency frameworks describe the competencies; knowledge, skills and attitudes nurses should possess. Countries have their own framework. Knowledge of the content of professional competency frameworks in different countries can enhance the development of these frameworks and international collaborations.ObjectiveThis study examines how competencies and task divisions are described in the current professional competency frameworks for registered nurses (RNs with a Bachelor's degree) in the Netherlands, Belgium, the United Kingdom (UK), Canada and the United States (US).MethodsQualitative document analysis was conducted using the most recently published professional competency frameworks for registered nurses in the above-mentioned five countries.ResultsAll the competency frameworks distinguished categories of competencies. Three of the five frameworks explicitly mentioned the basis for the categorization: an adaptation of the CanMEDS model (Netherlands), European directives on the recognition of professional qualifications (Belgium) and an adapted inter-professional framework (US). Although there was variation in how competencies were grouped, we inductively identified ten generic competency domains: (1) Professional Attitude, (2) Clinical Care in Practice, (3) Communication and Collaboration, (4) Health Promotion and Prevention, (5) Organization and Planning of Care, (6) Leadership, (7) Quality and Safety of Care, (8) Training and (continuing) Education, (9) Technology and e-Health, (10) Support of Self-Management and Patient Empowerment. Country differences were found in some more specific competency descriptions. All frameworks described aspects related to the division of tasks between nurses on the one hand and physicians and other healthcare professionals on the other hand. However, these descriptions were rather limited and often imprecise.ConclusionsAlthough ten generic domains could be identified when analysing and comparing the competency frameworks, there are country differences in the categorizations and the details of the competencies described in the frameworks. These differences and the limited attention paid to the division of tasks might lead to cross-country differences in nursing practice and barriers to the international labour mobility of Bachelor-educated RNs.

Dataset Information

Development and validation of professional competency scale for military nurses: an instrument design study.

Background

Methods

Results

Conclusion

Publications

Development and validation of professional competency scale for military nurses: an instrument design study.

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