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Competency in community-oriented health care. Instrument development.

S P Chen1, N E Ervin, Y Kim

  • 1Department of Public Health, Mental Health and Administrative Nursing, College of Nursing, University of Illinois at Chicago, 60612-7350, USA.Schen@uic.edu

Evaluation & the Health Professions
|November 11, 1999
PubMed
Summary

A new scale effectively measures health professionals' knowledge, attitudes, and practice intentions for community-oriented health care (COHC). This tool aids in assessing future healthcare provider readiness for system changes.

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Area of Science:

  • Health Professions Education
  • Public Health
  • Healthcare System Transformation

Background:

  • Healthcare systems require professionals with adaptive abilities and attitudes.
  • Community-Oriented Health Care (COHC) education is a strategy to meet these evolving demands.
  • Assessing competency in COHC is crucial for preparing future health professionals.

Purpose of the Study:

  • To develop and test the Community-Oriented Health Care Competency Scale.
  • To measure health professionals' knowledge, attitudes, and intention to practice COHC.
  • To establish the reliability and content validity of the new assessment instrument.

Main Methods:

  • Instrument development involved literature review, focus groups, and expert opinion.
  • The Community-Oriented Health Care Competency Scale was administered to assess knowledge, attitudes, and practice intention.

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  • Reliability was evaluated using Cronbach's alpha coefficients for each subscale.

    • Main Results:

    • The scale demonstrated adequate reliability: Knowledge subscale (α = .95), Attitude subscale (α = .68), and Intention to Practice subscale (α = .93).
    • Content validity was established through comprehensive literature review, focus group discussions, and expert consensus.
    • The developed instrument shows promise for evaluating COHC competencies.

    Conclusions:

    • The Community-Oriented Health Care Competency Scale is a reliable instrument for assessing health professions students' COHC competencies.
    • The scale can inform educational strategies aimed at preparing health professionals for community-oriented practice.
    • Further testing is recommended to solidify the instrument's utility and validity in diverse healthcare settings.