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Park and Kim: Development of a Nursing Competence Measurement Scale according to Nurse's Clinical Ladder in General Wards
Original Article

Journal of Korean Academy of Nursing Administration 2014; 20(3): 257-271.

Published online: 30 June 2014

DOI: https://doi.org/10.11111/jkana.2014.20.3.257

Development of a Nursing Competence Measurement Scale according to Nurse's Clinical Ladder in General Wards

Mee Ran Park1, Nam Cho Kim2

1Nursing Department of Kangbuk Samsung Hospital, Korea.

2College of Nursing, The Catholic University of Korea, Korea.

Corresponding author: Kim, Nam Cho. College of Nursing, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul 137-701, Korea. Tel: +82-2-2258-7405, Fax: +82-2-2258-7772, kncpjo@catholic.ac.kr

Received 19 February 2014       Revised 17 April 2014       Accepted 3 June 2014

Copyright © 2014 Korean Academy of Nursing Administration

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

This methodological study was done to develop a Nursing Competency Measurement Scale based on the clinical ladders of nurses working in wards.

Methods

Thirty clinical experts and 501 ward nurses evaluated the content validity of the scale. A survey using the Nursing Competency Measurement Scale was conducted with 114 nurses to evaluate reliability and applicability of the instrument. Data were analyzed using SPSS/WIN 21.0.

Results

A review of the literature identified 13 components of nursing competencies and 30 core nursing competencies based on each of the 4 grade clinical ladders. Cronbach's α coefficient for the total was .92. Cronbach's α reliabilities of each clinical ladder grade were .83 for Grade I, .84 for Grade II, .81 for Grade III, and .84 for Grade IV. The Content Validity Index (CVI) of the scale with 120 individual items was 0.976~1.000 for Grade I scale, 0.986~1.000 for Grade II scale, 0.984~1.000 for Grade III scale, and 0.992~1.000 for Grade IV scale. The expert group nurses' average degree of nursing competence measured using the scale was 3.38~3.75 out of 4.0.

Conclusion

Through this process, 120 final questions were confirmed to represent items of the Nursing Competency Measurement Scale based on clinical grade.

Keywords: Nurse, Career, Competency, Clinical ladder

Figures and Tables

Table 1
Grade I (Beginner) Nursing Competency Performance Criteria
jkana-20-257-i001

*Criterions are corrected.

Table 2
Grade II (Intermediate) Nursing Competency Performance
jkana-20-257-i002

*Criterions are corrected.

Table 3
Grade III (Advanced) Nursing Competency Performance Criteria
jkana-20-257-i003

*Criterions are corrected.

Table 4
Grade IV (Expert) Nursing Competency Performance Criteria
jkana-20-257-i004

*Criterions are corrected.

Table 5
Nursing Performance among Expert (Grade IV) Group (N=114)
jkana-20-257-i005

Notes

This manuscript is condensed form of the first author's doctoral thesis from The Catholic University of Korea.

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