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Assessing Nurse Competency in the Veterans Health Administration Registered Nurse Transition-to-Practice Residency

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Developing a reliable tool to measure new graduate registered nurse (RN) competencies is crucial. Subject matter experts (SMEs) improved the content validity of an item pool for nurse residency programs.

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Area of Science:

  • Nursing Education
  • Healthcare Workforce Development
  • Competency Assessment

Background:

  • New graduate registered nurse (RN) competencies are complex and challenging to evaluate.
  • There is a need for psychometrically sound tools to assess competencies in nurses undergoing residency programs.

Purpose of the Study:

  • To develop an item pool for a tool measuring new graduate RN competencies within the Veterans Health Administration RN Transition-to-Practice Residency Program.
  • To validate the content of the item pool and enhance its validity using consensus methods.

Main Methods:

  • A sequential, mixed-methods research design was employed.
  • Item pool creation, content validation, and revisions involved a collaborative approach with an evaluation team, operational stakeholders, and subject matter experts (SMEs).

Main Results:

  • The involvement of SMEs in item development significantly enhanced the content validity of the item pool for assessing nurse competencies.
  • Feedback from stakeholders ensured that programmatic logistical and evaluation requirements were addressed.

Conclusions:

  • Engaging SMEs in the conceptualization and item development process, alongside aligning with existing standards, improved the content validity of the item pool.
  • This enhanced item pool is designed to effectively measure nurse competencies for new graduate RNs.