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Construct validity of advanced practice nurse core competence scale: an exploratory factor analysis.

Sek Ying Chair1,2, Frances Kam Yuet Wong2,3, Denise Bryant-Lukosius4

  • 1The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, N.T. Shatin, Hong Kong SAR, China.

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Summary

This study validated the advanced practice nurse core competence scale in Hong Kong, identifying three key factors: client-related, leadership, and professional development competencies. The validated scale offers a framework for advancing nursing roles and research.

Keywords:
Advanced practice nurseAdvanced practice nursingCompetenceExploratory factor analysisNurse consultantNursing education

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Area of Science:

  • Nursing Science
  • Healthcare Management

Background:

  • Establishing core competencies for advanced practice nurses (APNs) is crucial for optimizing their roles.
  • Existing APN core competencies for Hong Kong require validation.
  • This study addresses the need to assess the construct validity of the APN core competence scale in Hong Kong.

Purpose of the Study:

  • To assess the construct validity of the advanced practice nurse core competence scale within the Hong Kong context.
  • To refine and validate a scale measuring the essential competencies of APNs.

Main Methods:

  • A cross-sectional study utilizing an online self-report survey.
  • Exploratory factor analysis (EFA) with principal axis factoring and direct oblique oblimin rotation was employed.
  • Parallel analysis determined the number of factors, and Cronbach's alpha assessed internal consistency.

Main Results:

  • A 51-item scale with a robust three-factor structure emerged from EFA, explaining 69.27% of the variance.
  • Item factor loadings ranged from 0.412 to 0.917.
  • Excellent internal consistency was demonstrated, with Cronbach's alpha values ranging from 0.945 to 0.980.

Conclusions:

  • The validated scale comprises three core competency domains: client-related, advanced leadership, and professional development/system-related.
  • This validated instrument can serve as a foundational framework for APN role development, education, and practice.
  • Further validation in diverse settings is recommended to support national and international competency research.