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Testing Nursing Competence: Validity and Reliability of the Nursing Performance Profile
Journal of Nursing Measurement
|December 23, 2017
Summary
The Nursing Performance Profile (NPP) simulation test effectively assesses nursing competence, demonstrating reliability and validity. This method aids in identifying practice gaps and ensuring public safety.
Area of Science:
- Nursing Education
- Healthcare Simulation
- Competency Assessment
Background:
- Growing evidence supports simulation testing for evaluating nursing competence.
- The Nursing Performance Profile (NPP) is a validated method for this assessment.
Purpose of the Study:
- To compile evidence on the validity and reliability of the NPP method.
- To assess the suitability of simulation testing for nursing competence evaluation.
Main Methods:
- 67 participants completed 3 high-fidelity simulation tests.
- 31 raters scored videotaped simulations using a 41-item competency instrument.
Main Results:
- The NPP identified practice breakdowns and differentiated subgroups based on age, education, and experience.
- High interrater agreement (93%-100%) and acceptable test-retest reliability (r = .57–.69) were observed.
- Supervisor assessments showed positive correlation (r = .31), while self-assessments did not (r = .07).
Conclusions:
- The NPP is a reliable tool for assessing nursing competence.
- Results support using the NPP for competency decisions that enhance public safety.
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