Open Access, Peer-reviewed
pISSN 1225-9330
eISSN 2288-4955
    J Korean Acad Nurs Adm. 2014 Jun;20(3):257-271. Korean.
    Published online Jun 30, 2014.
    https://doi.org/10.11111/jkana.2014.20.3.257
    Copyright © 2014 Korean Academy of Nursing Administration
    Original Article

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

    Mee Ran Park,1 and 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, Email: kncpjo@catholic.ac.kr
    Received February 19, 2014; Revised April 17, 2014; Accepted June 03, 2014.

    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

    Tables

    Table 1
    Grade I (Beginner) Nursing Competency Performance Criteria

    Table 2
    Grade II (Intermediate) Nursing Competency Performance

    Table 3
    Grade III (Advanced) Nursing Competency Performance Criteria

    Table 4
    Grade IV (Expert) Nursing Competency Performance Criteria

    Table 5
    Nursing Performance among Expert (Grade IV) Group (N=114)

    Notes

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

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    MeSH Terms
    Career Mobility*
    Mental Competency*
    Methods
    Nursing*
    Patients' Rooms*
    Metrics
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