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Published on: June 21, 2010
Instruments for measuring evidence-based practice ability of nursing students: a COSMIN-based systematic review
Hang Li1, Yunqiong Wang2, Xuemei Xie2
1Sichuan Provincial Center for Mental Health, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China. 975677963@qq.com.
This review highlights the need for better psychometric properties in evidence-based practice (EBP) assessment tools for nursing students. Current instruments show limitations, particularly in content and structural validity, requiring further development.
Area of Science:
- Nursing Education Research
- Health Professions Education
- Psychometrics
Background:
- Existing systematic reviews on evidence-based practice (EBP) assessment instruments primarily focus on registered nurses and healthcare professionals.
- There is a significant gap in comprehensive reviews specifically evaluating instruments for nursing students' EBP abilities.
Purpose of the Study:
- To systematically evaluate the psychometric properties of instruments used to assess evidence-based practice (EBP) ability in nursing students.
Main Methods:
- Conducted a systematic review following Consensus-based Standards for the selection of health Measurement Instruments (COSMIN) and Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines.
- Searched five major databases for relevant studies published up to April 1, 2025.
- Assessed methodological quality and psychometric properties using COSMIN standards.
Main Results:
- Content validity of reviewed instruments is questionable; structural validity and internal consistency were generally good.
- Reliability, criterion validity, measurement error, and hypothesis testing were addressed in a few studies, but with methodological concerns.
- Crucial psychometric properties like cross-cultural validity and responsiveness were not evaluated.
Conclusions:
- The psychometric quality of instruments assessing nursing students' EBP ability requires improvement.
- The S-EBPQ and EBP-COQ show promise but have limitations in content and structural validity.
- Nursing educators should develop and validate EBP assessment instruments for students according to COSMIN guidelines and student-specific contexts.
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