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Updated: May 29, 2026

Using Learning Outcome Measures to assess Doctoral Nursing Education

Using Learning Outcome Measures to assess Doctoral Nursing Education

Published on: June 21, 2010

Development of the Holistic Nursing Competence Scale.

Miyuki Takase¹, Sachiko Teraoka

¹School of Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, Japan. mtakase@hiroshima-u.ac.jp

Nursing & Health Sciences

|September 3, 2011

Summary

This study created the Holistic Nursing Competence Scale for Japanese registered nurses. The validated scale reliably assesses nursing competence and identifies professional development needs.

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Last Updated: May 29, 2026

Using Learning Outcome Measures to assess Doctoral Nursing Education

Using Learning Outcome Measures to assess Doctoral Nursing Education

Published on: June 21, 2010

Area of Science:

Nursing
Healthcare Management
Psychometrics

Background:

Evaluating nursing competence is crucial for quality patient care and professional development.
Existing tools may not adequately capture the multifaceted nature of nursing competence in the Japanese context.
A validated instrument is needed to objectively assess registered nurses' abilities.

Purpose of the Study:

To develop and psychometrically test a scale measuring nursing competence among Japanese registered nurses.
To establish the reliability and validity of the new scale.
To provide a tool for evaluating nurses' general aptitude and specific competencies.

Main Methods:

Scale items were derived and pilot-tested.
A final scale was administered to 331 registered nurses.
Exploratory and confirmatory factor analyses were used to determine construct validity.
Internal consistency and criterion-related validity were assessed.

Main Results:

The Holistic Nursing Competence Scale, comprising 36 items across five factors, was developed.
The five factors represent general aptitude, staff education/management, ethical practice, nursing care provision, and professional development.
The scale demonstrated high internal consistency (Cronbach's alpha = 0.967).
A positive correlation was found between scale scores and clinical experience.

Conclusions:

The Holistic Nursing Competence Scale is a reliable and valid instrument for assessing Japanese registered nurses.
The scale can aid nurses and healthcare organizations in evaluating competence and identifying professional development needs.
This tool supports evidence-based practice and enhances the nursing profession.