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Development of Critical Reflection Competency Scale for Clinical Nurses.

Sujin Shin1, Eunmin Hong1, Jiyoung Do1

  • 1College of Nursing, Ewha Womans University, Seoul 03760, Korea.

International Journal of Environmental Research and Public Health
|March 25, 2022
PubMed
Summary

This study developed and validated a scale to measure critical reflection competency in nurses, crucial for enhancing critical thinking and clinical reasoning skills in nursing practice.

Keywords:
critical reasoningeducationnursesnursing education researchthinking

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Area of Science:

  • Nursing Education
  • Clinical Reasoning
  • Professional Development

Background:

  • Critical reflection is essential for developing nurses' critical thinking and clinical reasoning.
  • A validated tool is needed to measure critical reflection competency within nursing contexts.
  • Existing methods may not adequately capture the nuances of critical reflection in clinical settings.

Purpose of the Study:

  • To analyze the concept of critical reflection in nursing.
  • To develop and validate a scale for measuring critical reflection competency.
  • To establish the reliability and validity of the new scale for nursing practice.

Main Methods:

  • Literature review and content analysis to define critical reflection and scale components.
  • Development of 64 preliminary items on a 5-point Likert scale.
  • Content validity (I-CVI: 0.88-1.00) and construct validity (exploratory factor analysis) with 296 clinical nurses.

Main Results:

  • A 19-item scale across five factors was derived, explaining 53.02% of the variance.
  • The scale demonstrated good content validity and construct validity.
  • Cronbach's alpha for the scale was 0.853, indicating high reliability.

Conclusions:

  • The developed scale effectively measures critical reflection competency in clinical nurses.
  • This validated tool can be used in nursing education and practice.
  • Future research should focus on developing educational programs utilizing this scale.