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The Professional Nurse Self-Assessment Scale: Psychometric testing in Norwegian long term and home care contexts

Overview of attention for article published in BMC Nursing, November 2015
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Title
The Professional Nurse Self-Assessment Scale: Psychometric testing in Norwegian long term and home care contexts
Published in
BMC Nursing, November 2015
DOI 10.1186/s12912-015-0109-3
Pubmed ID
Authors

Elisabeth Finnbakk, Sigrid Wangensteen, Kirsti Skovdahl, Lisbeth Fagerström

Abstract

Nurses' clinical competence is vital to ensure safe and high quality care, and the continuous assessment of nurses' clinical competence is of major concern. A validated instrument for the self-assessment of nurses' clinical competence at different educational levels across specialties and countries is lacking. The aim of this study was to test the reliability and construct validity of the new Professional Nurse Self-Assessment Scale (ProffNurse SAS) questionnaire in long term and home care contexts in Norway. The questionnaire is based on the Nordic Advanced Practice Nursing model, in which the nurse-patient relationship is central. The study has a cross-sectional survey design. A purposive sample of 357 registered nurses who worked in long term and home care contexts in two geographical regions encompassing eight municipalities and three counties was included. The respondents completed the 74-item ProffNurse SAS questionnaire and demographic background data was collected. Data collection was conducted in two phases: first region autumn 2011 and second region spring 2012. Exploratory factor analyses (EFA) were used to test the psychometric properties of the questionnaire and included the following steps: assessment of the factorality of the data, factor extraction by Principal Component Analysis (PCA), oblimin (oblique) factor rotation, and interpretation. Cronbach's alpha was used to estimate the internal consistency. The PCA revealed a six-component structure, reducing the number of items in the questionnaire from 74 to 51. Based on the content of the highest-loading items, the six components were named: Direct Clinical Practice, Professional Development, Ethical Decision-Making, Clinical Leadership, Cooperation and Consultation, and Critical Thinking. The Cronbach's alpha values ranged from 0.940 (highest; Direct Clinical Practice) to 0.737 (lowest; Critical Thinking), leading to the estimation that the ProffNurse SAS is reliable. The six components support the study's theoretical framework. The ProffNurse SAS showed acceptable reliability and construct validity and may therefore be a promising instrument for the assessment of practicing nurses' clinical competence. However, we recommend further psychometric testing in other countries and contexts and the inclusion of larger samples of nurses at various levels of education, particularly master's level APNs.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 124 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 124 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 25 20%
Student > Bachelor 17 14%
Lecturer 10 8%
Student > Ph. D. Student 10 8%
Researcher 6 5%
Other 25 20%
Unknown 31 25%
Readers by discipline Count As %
Nursing and Health Professions 48 39%
Social Sciences 11 9%
Medicine and Dentistry 11 9%
Psychology 6 5%
Engineering 4 3%
Other 11 9%
Unknown 33 27%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. 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 24 November 2015.
All research outputs
#20,296,405
of 22,833,393 outputs
Outputs from BMC Nursing
#649
of 748 outputs
Outputs of similar age
#211,206
of 252,470 outputs
Outputs of similar age from BMC Nursing
#16
of 21 outputs
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