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Psychometric Testing of the Veterans Health Administration Resident Competency Assessment Scale for New Graduate
Blake Barrett1, Peter Toyinbo, Mary Pat Couig
1Author Affiliations: VA Nursing Innovations Center for Evaluation (NICE) (Mr Barrett, Drs Toyinbo, Melillo, Powell-Cope, Mrs Chavez, and Mrs Hall), VA Collaborative Evaluation Center (VACE), Rocky Mountain Regional Veterans Affairs Medical Center, VA Eastern Colorado Health Care System, Aurora, Colorado (Mr Barrett, Dr Melillo, and Mrs Hall); Research and Development Service, James A. Haley Veterans' Hospital and Clinics, Tampa, Florida (Mr Barrett, Drs Toyinbo, Melillo, Powell-Cope, Couig, Mrs Chavez, and Mrs Hall); College of Nursing, University of New Mexico, Albuquerque, New Mexico (Dr Couig); Center for Clinical Management Research, Health Systems Research, LTC Charles S. Kettles VA Medical Center, VA Ann Arbor Healthcare System, Ann Arbor, Michigan (Mrs Chavez); Workforce and Leadership Development (Dr DeMasi), Office of Nursing Services, Veterans Health Administration, Washington, District of Columbia (Drs DeMasi and Sullivan); and The Betty Irene Moore School of Nursing, University of California Davis, Sacramento, California (Dr Powell-Cope).
Background:
The Veterans Health Administration Resident Competency Assessment (VHA RCA) item pool (N = 100) was developed to evaluate new graduate registered nurse (NGRN) competency to support nurse residencies and facilitate dynamic competency-based education.
Purpose:
The purpose of this work was to develop a parsimonious item bank for the VHA RCA through psychometric testing.
Methods:
Classical Test Theory and Item Response Theory methods were used to analyze VHA RCA survey data from nurse residents (N = 542) at VHA medical centers (n = 81).
Results:
Psychometric evidence demonstrated a unidimensional construct, good model fit, negligible differential item functioning, and acceptable construct validity. Seventy items were retained. Reliability coefficient estimates were > 0.9 (Cronbach's α = .987; Lambda-2 = .987; latent class reliability coefficient = .986).
Conclusions:
Obtained psychometric evidence supports validity and reliability of the calibrated VHA RCA. The VHA RCA is available for public use to assess NGRN competency and may be used to inform and improve the quality of nursing education, research, and practice.
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