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Psychometric Evaluation of the Creighton Competency Evaluation Instrument in a Population of Working Nurses
Marian Wilson1, Nathaniel S Elki-Brown2, Lois James2
1Washington State University, Spokane, Washington marian.wilson@wsu.edu.
Background And Purpose:
This study explored the psychometric properties of the Creighton Competency Evaluation Instrument (C-CEI), previously validated for use with nursing students, to assess simulation performance among registered nurses working 12-hour shifts. Valid and reliable measurements are needed to test clinical and simulation competencies and characterize the effects of fatigue on nursing performance.
Methods:
Trained raters scored nurses' patient care performance in simulation scenarios using the C-CEI. We analyzed the instrument's principal components, internal reliability, and construct validity.
Results:
Internal reliability of the C-CEI aggregate score and the Clinical Decision-making component were high (>.70). The latter robustly correlated with predicted cognitive effectiveness, a measure of fatigue.
Conclusions:
The C-CEI is a reliable measure for use among registered nurses and its further development will be important for testing performance of working nurses and fatigue-mitigation innovations.
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