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Leadership competences in undergraduate nurse education: Scale development and model testing
Tony Conner1, Jaden Allan1, Sarah Annesley1
1Northumbria University, Newcastle-upon-Tyne, United Kingdom.
Nurse Education in Practice
|July 5, 2025
Summary
A new scale, based on the Healthcare Leadership Model, effectively assesses leadership competencies in undergraduate nursing students. This tool aids in developing essential leadership skills for future registered nurses.
Area of Science:
- Nursing Education
- Healthcare Leadership
- Psychometric Validation
Background:
- Effective nursing leadership is crucial for high-quality, safe patient care and service improvement.
- Undergraduate nursing students often report feeling unprepared for leadership roles.
- Existing self-assessment tools lack a multi-level leadership focus.
Purpose of the Study:
- To develop and psychometrically validate a scale measuring leadership competencies.
- The scale is based on the Healthcare Leadership Model.
- The target population is undergraduate nursing students.
Main Methods:
- Cross-sectional design for scale development and validation.
- Exploratory Factor Analysis (EFA) with direct oblimin rotation.
- Confirmatory Factor Analysis (CFA) to compare empirical and theoretical models.
Main Results:
- 289 final-year nursing students participated.
- The developed scale demonstrated appropriateness for assessing leadership competencies.
- EFA revealed a 6-factor model, differing from the theoretical 9-dimension model.
Conclusions:
- The Healthcare Leadership Model is adaptable for nursing student leadership development.
- The validated scale can be used to enhance leadership skills in future nurses.
- This framework supports the global emphasis on multi-level nursing leadership.
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