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Development and psychometric testing of Holistic Clinical Assessment Tool (HCAT) for undergraduate nursing students

Overview of attention for article published in BMC Medical Education, September 2016
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Title
Development and psychometric testing of Holistic Clinical Assessment Tool (HCAT) for undergraduate nursing students
Published in
BMC Medical Education, September 2016
DOI 10.1186/s12909-016-0768-0
Pubmed ID
Authors

Xi Vivien Wu, Karin Enskär, Lay Hoon Pua, Doreen Gek Noi Heng, Wenru Wang

Abstract

A major focus in nursing education is on the judgement of clinical performance, and it is a complex process due to the diverse nature of nursing practice. A holistic approach in assessment of competency is advocated. Difficulties in the development of valid and reliable assessment measures in nursing competency have resulted in the development of assessment instruments with an increase in face and content validity, but few studies have tested these instruments psychometrically. It is essential to develop a holistic assessment tool to meet the needs of the clinical education. The study aims to develop a Holistic Clinical Assessment Tool (HCAT) and test its psychometric properties. The HCAT was developed based on the systematic literature review and the findings of qualitative studies. An expert panel was invited to evaluate the content validity of the tool. A total of 130 final-year nursing undergraduate students were recruited to evaluate the psychometric properties (i.e. factor structure, internal consistency and test-retest reliability) of the tool. The HCAT has good content validity with content validity index of .979. The exploratory factor analysis reveals a four-factor structure of the tool. The internal consistency and test-retest reliability of the HCAT are satisfactory with Cronbach alpha ranging from .789 to .965 and Intraclass Correlation Coefficient ranging from .881 to .979 for the four subscales and total scale. HCAT has the potential to be used as a valid measure to evaluate clinical competence in nursing students, and provide specific and ongoing feedback to enhance the holistic clinical learning experience. In addition, HCAT functions as a tool for self-reflection, peer-assessment and guides preceptors in clinical teaching and assessment.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 111 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 111 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 14 13%
Lecturer 12 11%
Student > Ph. D. Student 12 11%
Student > Bachelor 10 9%
Researcher 8 7%
Other 27 24%
Unknown 28 25%
Readers by discipline Count As %
Nursing and Health Professions 29 26%
Medicine and Dentistry 19 17%
Social Sciences 12 11%
Psychology 5 5%
Mathematics 4 4%
Other 9 8%
Unknown 33 30%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 09 October 2016.
All research outputs
#15,334,964
of 22,893,031 outputs
Outputs from BMC Medical Education
#2,262
of 3,338 outputs
Outputs of similar age
#202,148
of 321,008 outputs
Outputs of similar age from BMC Medical Education
#44
of 70 outputs
Altmetric has tracked 22,893,031 research outputs across all sources so far. This one is in the 32nd percentile – i.e., 32% of other outputs scored the same or lower than it.
So far Altmetric has tracked 3,338 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.3. This one is in the 32nd percentile – i.e., 32% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 321,008 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 36th percentile – i.e., 36% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 70 others from the same source and published within six weeks on either side of this one. This one is in the 37th percentile – i.e., 37% of its contemporaries scored the same or lower than it.