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Related Experiment Videos

Nurse competence scale: development and psychometric testing.

Riitta Meretoja1, Hannu Isoaho, Helena Leino-Kilpi

  • 1Department of Nursing Science, University of Turku and Corporate Headquarters, Hospital District of Helsinki and Uusimaa, Helsinki, Finland. riitta.meretoja@hus.fi

Journal of Advanced Nursing
|June 16, 2004
PubMed
Summary

The Nurse Competence Scale effectively measures nursing skills, showing high self-assessed competence and good reliability. This tool supports professional development and quality care improvement for nurses.

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Area of Science:

  • Nursing Professional Development
  • Healthcare Quality Measurement
  • Competency Assessment Tools

Background:

  • Self-assessment is crucial for nurses to identify strengths and areas for development, enhancing practice.
  • Professional competence profiles promote active engagement in continuing education for nurses.
  • Limited validated tools exist for measuring nurse competence, hindering quality care initiatives.

Purpose of the Study:

  • To develop and validate the Nurse Competence Scale (NCS) for assessing nurse competence.
  • To evaluate the NCS across diverse hospital work environments.
  • To provide a reliable instrument for measuring nursing professional competence.

Main Methods:

  • The Nurse Competence Scale categories were based on Benner's Novice to Expert framework.

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  • A seven-step approach, including expert groups and literature review, identified and validated competence indicators.
  • Psychometric testing (validity, internal consistency) was conducted on 498 nurses using the 73-item scale.

    • Main Results:

    • Nurses reported high self-assessed competence levels across all categories.
    • Higher frequency of competency use correlated positively with self-assessed competence.
    • The Nurse Competence Scale demonstrated good internal consistency and reliability.

    Conclusions:

    • The Nurse Competence Scale is a reliable and valid instrument for assessing nurse competence.
    • Findings support the use of the NCS to evaluate and enhance nursing practice.
    • The scale can contribute to quality improvement in healthcare settings.