Core nursing competency assessment tool for graduates of outcome-based nursing education in South Korea: A validation study
Core nursing competency assessment tool for graduates of outcome-based nursing education in South Korea: A validation study
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DOI：
10.1111/jjns.12223
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发表时间：
2019-04-01
影响因子：
1.7
通讯作者：
Yu, Soyoung
中科院分区：
文献类型：
--
作者：
Ko, YuKyung;Yu, Soyoung
目的根据国家标准编制护士胜任力评估工具，并对该工具的内容效度、结构效度和效标效度进行评估。方法在发展阶段，根据国家标准，对完成护理教育培训后1~3年临床工作经验的护士进行能力鉴定。进行了系统的文献回顾，以得出除12项国家标准能力外的其他能力。在评估阶段，验证了所开发工具的内容相关效度、结构相关效度和效标相关效度。为了验证每个阶段的内容效度，参与者是10名综合医院的护士经理和10名护士教授。对量表的结构效度进行了因子分析，并用Cronbach‘sα系数和项目总分相关检验了量表的信度。因素分析的对象为141名具有1-3年临床工作经验的护士，他们来自四家综合性医院。为了评估结构效度和标准相关效度，我们检验了护理绩效评定量表、自我领导工具和开发的量表之间的相关性。结果编制了护士胜任力评定量表，该量表由19个项目组成，由4个项目组成，适用于1~3年护士的胜任力测评。结论韩国护理教育认证委员会要求护理专业毕业生具备护理研究能力、政策意识和领导能力，但由于内容效度较差而被删除，提示护理专业人员需要弥合护理学院教育水平与临床设置之间的差距。
Aim To develop a competency assessment instrument for nurses who have completed an outcome-based educational program based on national standards and to assess the content-, construct-, and criterion-related validity of that instrument. Methods In the development stage, the competencies of nurses with 1-3 years' clinical experience after the completion of nursing education and training programs, based on national standards, were identified. A systematic literature review was conducted to derive the competencies in addition to the 12 national standard competencies. In the evaluation stage, the content-, construct-, and criterion-related validity of the developed tool were verified. For verification of the content validity at each stage, the participants were 10 nurse managers of general hospitals and 10 nurse professors. A factor analysis was conducted to assess the construct validity and the Cronbach's alpha coefficients and item-total correlation were used to assess the reliability of the developed scale. For the factor analysis, the participants were 141 nurses with 1-3 years' clinical experience who were recruited from four general hospitals. In order to evaluate the construct- and criterion-related validity, the correlations between a nursing performance measurement scale, a self-leadership tool, and the developed scale were examined. Results A competency assessment instrument, consisting of 19 items on a 4-point scale, was developed and validated for assessing the competencies among nurses with 1-3 years' experience. Conclusions Nursing research, policy awareness, and leadership competencies were required by the Korean Accreditation Board of Nursing Education for nursing college graduates, but were removed due to poor content validity, indicating a need for nursing professionals to bridge the gap between educational standards in nursing colleges and clinical settings.