Nursing Principles Practice Basic Competencies Scale – Turkish Adaptation Study
Year 2024,
, 768 - 774, 30.09.2024
Nurcan Uysal
,
Emine Türkmen
,
Nuray Şahin Orak
,
Hatice Demirdağ
Abstract
Objective: The main objectives of clinical education in nursing education are to develop the student’s competences in cognitive, affective and psychomotor areas. Reliable measurement tools are needed for the evaluation of these competences that begin to be gained with the first clinical practice. This methodological study investigated the cultural and Turkish validity of the Core Competence in Basic Nursing Practice Scale (CCFNPS) for undergraduate nursing students.
Methods: A methodological research has been carried out on the cultural validation and adaptation of the scale. The construct’s validity was examined using both exploratory and confirmatory factor analysis in a sample of 466 students. The scale’s internal consistency reliability was evaluated using Cronbach’s alpha. Test-retest reliability was assessed using a dependent sample t-test and intraclass correlation with a sample of 30 students.
Results: The scale’s content validity index was 0.98. The results of exploratory factor analysis revealed a five-factor structure similar to the original scale, the variance explained was 69.62%, but four items were removed from the scale due to low factor loading. Confirmatory factor analysis results (fit indices values) applied to the twenty – one items and five sub-dimensional structure were found to be acceptable. Scale Cronbach’s alpha values were above 0.70.
Conclusion: The 21-item Turkish version of CCFNPS was found to be a valid and reliable scale for measuring the competencies acquired by students after their first clinical training.
Ethical Statement
This study was approved by Ethics Committee of İstinye Üniversitesi İnsan Araştırmaları Etik Kurulu. (Date: July 21,2022 Number: 22-101)
Supporting Institution
Yok
Thanks
We wish to thank the nurses who participated in this study.
References
- International Council of Nurses. ICN regulation series icn framework of competencies for the nurse specialist. Published [2009]. Accessed [2023 July 31]. p. 1–49. https://siga-fsia.ch/files/user_upload/08_ICN_Framework_for_the_nurse_specialist.pdf
- Eng CJ, Pai HC. Determinants of nursing competence of nursing students in Taiwan: The role of self-reflection and insight. Nurse Educ Today 2015;35(3):450–455. DOI: 10.1016/j.nedt.2014.11.021
- Rafiee G, Moattari M, Nikbakht N A, Kojuri J, Mousavinasab M. Problems and challenges of nursing students’ clinical
evaluation: A qualitative study. Iran J Nurs Midwifery Res. 2014;19(1):41-49.
- Immonen K, Oikarainen A, Tomietto M, Kääriäinen M, Tuomikoski AM, Kaučič BM, Filej B, Riklikiene O, Vizcaya-
Moreno MF, Perez-Cañaveras RM, De Raeve P, Mikkonen K.Assessment of nursing students’ competence in clinical
practice: A systematic review of reviews. Int J Nurs Stud. 2019;100:103414. DOI: 10.1016/J.IJNURSTU.2019.103414
- Jao JY, Chen SL, Sun JL. A predictive model of student nursing competency in clinical practicum: A structural equation modelling approach. Nurse Educ Today 2020;95:104579. DOI:10.1016/J.NEDT.2020.104579
- Zafrir H, Nissim S. Evaluation in clinical practice using an innovative model for clinical teachers. Journal
of Nursing Education 2011;50(3):167–171. DOI:10.3928/01484.834.20101130-04
- Helminen K, Johnson M, Isoaho H, Turunen H, Tossavainen K. Final assessment of nursing students in clinical practice:Perspectives of nursing teachers, students and mentors. J Clin Nurs. 2017;(23-24):4795-4803. DOI:10.1111/jocn.13835.
- Gurková E, Žiaková K, Zanovitová M, Cibríková S, Hudáková A. Assessment of nursing student performance in clinical settings-usefulness of rating scales for summative evaluation. Cent Eur J Nurs Midw. 2018;9(1):791–798. DOI: 10.15452/CEJNM.2018.09.0006
- Helminen K, Coco K, Johnson M, Turunen H, Tossavainen K. Summative assessment of clinical practice of student nurses: A review of the literature. Int J Nurs Stud. 2016;53:308-319. DOI:10.1016/j.ijnurstu.2015.09.014.
- Helminen K, Tossavainen K, Turunen H. Assessing clinical practice of student nurses: Views of teachers, mentors and students. Nurse Educ Today 2014;34(8):1161–1166. DOI:10.1016/J.NEDT.2014.04.007
- Wu XV, Enskär K, Lee CCS, Wang W. A systematic review of clinical assessment for undergraduate nursing students. Nurse Educ Today 2015;35(2):347–359. DOI: 10.1016/J.NEDT.2014.11.016
- Hsieh SI, Hsu LL. An outcome-based evaluation of nursing competency of baccalaureate senior nursing students in Taiwan. Nurse Educ Today 2013;33(12):1536–1545. DOI:10.1016/j.nedt.2013.01.012
- Chang YH, Huang SH, Shun SC, Lin PC. Core Competence in Fundamental Nursing Practicum Scale: A validity and reliability analysis. Nurse Educ Pract. 2022;62(78):103352. DOI:10.1016/j.nepr.2022.103352
- Hernández A, Hidalgo MD, Hambleton RK, Gómez-Benito J. International test commission guidelines for test adaptation: A criterion checklist. Psicothema. 2020;32(3):390–398. DOI:10.7334/PSICOTHEMA2019.306
- Sousa VD, Rojjanasrirat W. Translation, adaptation and validation of instruments or scales for use in cross-cultural
health care research: A clear and user-friendly guideline. J Eval Clin Pract. 2011;17(2):268–274. DOI: 10.1111/j.13652753.2010.01434.x
- Grant JS, Davis LL. Selection and use of content experts for instrument development. Res Nurs Health 1997;20(3):269–274. DOI: 10.1002/(sici)1098-240x(199706)20:3<269::aidnur9>3.0.co;2-g
- Tavşancıl E. Tutumların ölçülmesi ve SPSS ile veri analizi. 6. Basım. Ankara: Nobel Akademik Yayıncılık; 2019 (Turkish).
- Alpar R. Uygulamalı çok değişkenli istatistiksel uygulamalar. 6. Basım. Ankara: Detay Yayıncılık; 2020 (Turkish).
- Polit DF, Beck CT. Essentials of nursing research: Appraising evidence for nursing practice. 8th ed. Philadelphia: Lippincott Williams & Wilkins; 2014.
- Watkins MW. Exploratory factor analysis: A guide to best practice. Journal of Black Psychology. 2018;44(3):219–246. DOI: 10.1177/009.579.8418771807
- Arafat S, Chowdhury H, Qusar M, Hafez M. Cross cultural adaptation and psychometric validation of research
instruments: A methodological review. J Behav Health 2016;5(3):129-136. DOI: 10.5455/jbh.201.606.15121755
- Alavi M, Visentin DC, Thapa DK, Hunt GE, Watson R, Cleary M. Chi-square for model fit in confirmatory factor analysis. J Adv Nurs. 2020;76(9):2209–2211. DOI: 10.1111/JAN.14399
- Gaskin J, Lim J. Model fit measures. AMOS plugin. Published [2016]. Accessed [2023 Feb 6]. https://statwiki.gaskination.com/index.php?title=Plugins
- Çapık C, Gözüm S, Aksayan S. Intercultural scale adaptation stages, language and culture adaptation: Updated guideline. Florence Nightingale J Nurs. 2018;26:199–210. DOI: 10.26650/FNJN397481
- World Health Organization (WHO). Guidelines on Translation and Adaptation of Instruments. Published [2021]. Accessed:[2023 Feb 6] http://www.who.int/substance_abuse/research_tools/ translation/en/.
- Büyüköztürk Ş. Sosyal bilimler için veri analizi el kitabı istatistik, araştırma deseni SPSS uygulamaları ve yorum. 29. Basım. Ankara: Pegem Akademi; 2021 (Turkish).
- Güngör D. Psikolojide ölçme araçlarının geliştirilmesi ve uyarlanması kılavuzu. Türk Psikoloji Yazıları 2016;19(38):104–112 (Turkish).
- Seçer İ. Psikolojik test geliştirme ve uyarlama süreci. 2. Basım. Ankara: Anı Yayıncılık; 2018 (Turkish).
- Goretzko D, Pham TTH, Bühner M. Exploratory factor analysis: Current use, methodological developments and
recommendations for good practice. Current Psychology 2021;40(7):3510–3521. DOI: 10.1007/S12144.019.00300-2
- Özdamar K. Ölçek ve test geliştirme yapısal eşitlik modellemesi. 1. Basım. Eskişehir: Nisan Kitapevi; 2016 (Turkish).
- Taber KS. The use of cronbach’s alpha when developing and reporting research instruments in science education.
Res Sci Educ. 2018;48(6):1273–1296. DOI: 10.1007/S11165.016.9602-2/TABLES/1
Year 2024,
, 768 - 774, 30.09.2024
Nurcan Uysal
,
Emine Türkmen
,
Nuray Şahin Orak
,
Hatice Demirdağ
References
- International Council of Nurses. ICN regulation series icn framework of competencies for the nurse specialist. Published [2009]. Accessed [2023 July 31]. p. 1–49. https://siga-fsia.ch/files/user_upload/08_ICN_Framework_for_the_nurse_specialist.pdf
- Eng CJ, Pai HC. Determinants of nursing competence of nursing students in Taiwan: The role of self-reflection and insight. Nurse Educ Today 2015;35(3):450–455. DOI: 10.1016/j.nedt.2014.11.021
- Rafiee G, Moattari M, Nikbakht N A, Kojuri J, Mousavinasab M. Problems and challenges of nursing students’ clinical
evaluation: A qualitative study. Iran J Nurs Midwifery Res. 2014;19(1):41-49.
- Immonen K, Oikarainen A, Tomietto M, Kääriäinen M, Tuomikoski AM, Kaučič BM, Filej B, Riklikiene O, Vizcaya-
Moreno MF, Perez-Cañaveras RM, De Raeve P, Mikkonen K.Assessment of nursing students’ competence in clinical
practice: A systematic review of reviews. Int J Nurs Stud. 2019;100:103414. DOI: 10.1016/J.IJNURSTU.2019.103414
- Jao JY, Chen SL, Sun JL. A predictive model of student nursing competency in clinical practicum: A structural equation modelling approach. Nurse Educ Today 2020;95:104579. DOI:10.1016/J.NEDT.2020.104579
- Zafrir H, Nissim S. Evaluation in clinical practice using an innovative model for clinical teachers. Journal
of Nursing Education 2011;50(3):167–171. DOI:10.3928/01484.834.20101130-04
- Helminen K, Johnson M, Isoaho H, Turunen H, Tossavainen K. Final assessment of nursing students in clinical practice:Perspectives of nursing teachers, students and mentors. J Clin Nurs. 2017;(23-24):4795-4803. DOI:10.1111/jocn.13835.
- Gurková E, Žiaková K, Zanovitová M, Cibríková S, Hudáková A. Assessment of nursing student performance in clinical settings-usefulness of rating scales for summative evaluation. Cent Eur J Nurs Midw. 2018;9(1):791–798. DOI: 10.15452/CEJNM.2018.09.0006
- Helminen K, Coco K, Johnson M, Turunen H, Tossavainen K. Summative assessment of clinical practice of student nurses: A review of the literature. Int J Nurs Stud. 2016;53:308-319. DOI:10.1016/j.ijnurstu.2015.09.014.
- Helminen K, Tossavainen K, Turunen H. Assessing clinical practice of student nurses: Views of teachers, mentors and students. Nurse Educ Today 2014;34(8):1161–1166. DOI:10.1016/J.NEDT.2014.04.007
- Wu XV, Enskär K, Lee CCS, Wang W. A systematic review of clinical assessment for undergraduate nursing students. Nurse Educ Today 2015;35(2):347–359. DOI: 10.1016/J.NEDT.2014.11.016
- Hsieh SI, Hsu LL. An outcome-based evaluation of nursing competency of baccalaureate senior nursing students in Taiwan. Nurse Educ Today 2013;33(12):1536–1545. DOI:10.1016/j.nedt.2013.01.012
- Chang YH, Huang SH, Shun SC, Lin PC. Core Competence in Fundamental Nursing Practicum Scale: A validity and reliability analysis. Nurse Educ Pract. 2022;62(78):103352. DOI:10.1016/j.nepr.2022.103352
- Hernández A, Hidalgo MD, Hambleton RK, Gómez-Benito J. International test commission guidelines for test adaptation: A criterion checklist. Psicothema. 2020;32(3):390–398. DOI:10.7334/PSICOTHEMA2019.306
- Sousa VD, Rojjanasrirat W. Translation, adaptation and validation of instruments or scales for use in cross-cultural
health care research: A clear and user-friendly guideline. J Eval Clin Pract. 2011;17(2):268–274. DOI: 10.1111/j.13652753.2010.01434.x
- Grant JS, Davis LL. Selection and use of content experts for instrument development. Res Nurs Health 1997;20(3):269–274. DOI: 10.1002/(sici)1098-240x(199706)20:3<269::aidnur9>3.0.co;2-g
- Tavşancıl E. Tutumların ölçülmesi ve SPSS ile veri analizi. 6. Basım. Ankara: Nobel Akademik Yayıncılık; 2019 (Turkish).
- Alpar R. Uygulamalı çok değişkenli istatistiksel uygulamalar. 6. Basım. Ankara: Detay Yayıncılık; 2020 (Turkish).
- Polit DF, Beck CT. Essentials of nursing research: Appraising evidence for nursing practice. 8th ed. Philadelphia: Lippincott Williams & Wilkins; 2014.
- Watkins MW. Exploratory factor analysis: A guide to best practice. Journal of Black Psychology. 2018;44(3):219–246. DOI: 10.1177/009.579.8418771807
- Arafat S, Chowdhury H, Qusar M, Hafez M. Cross cultural adaptation and psychometric validation of research
instruments: A methodological review. J Behav Health 2016;5(3):129-136. DOI: 10.5455/jbh.201.606.15121755
- Alavi M, Visentin DC, Thapa DK, Hunt GE, Watson R, Cleary M. Chi-square for model fit in confirmatory factor analysis. J Adv Nurs. 2020;76(9):2209–2211. DOI: 10.1111/JAN.14399
- Gaskin J, Lim J. Model fit measures. AMOS plugin. Published [2016]. Accessed [2023 Feb 6]. https://statwiki.gaskination.com/index.php?title=Plugins
- Çapık C, Gözüm S, Aksayan S. Intercultural scale adaptation stages, language and culture adaptation: Updated guideline. Florence Nightingale J Nurs. 2018;26:199–210. DOI: 10.26650/FNJN397481
- World Health Organization (WHO). Guidelines on Translation and Adaptation of Instruments. Published [2021]. Accessed:[2023 Feb 6] http://www.who.int/substance_abuse/research_tools/ translation/en/.
- Büyüköztürk Ş. Sosyal bilimler için veri analizi el kitabı istatistik, araştırma deseni SPSS uygulamaları ve yorum. 29. Basım. Ankara: Pegem Akademi; 2021 (Turkish).
- Güngör D. Psikolojide ölçme araçlarının geliştirilmesi ve uyarlanması kılavuzu. Türk Psikoloji Yazıları 2016;19(38):104–112 (Turkish).
- Seçer İ. Psikolojik test geliştirme ve uyarlama süreci. 2. Basım. Ankara: Anı Yayıncılık; 2018 (Turkish).
- Goretzko D, Pham TTH, Bühner M. Exploratory factor analysis: Current use, methodological developments and
recommendations for good practice. Current Psychology 2021;40(7):3510–3521. DOI: 10.1007/S12144.019.00300-2
- Özdamar K. Ölçek ve test geliştirme yapısal eşitlik modellemesi. 1. Basım. Eskişehir: Nisan Kitapevi; 2016 (Turkish).
- Taber KS. The use of cronbach’s alpha when developing and reporting research instruments in science education.
Res Sci Educ. 2018;48(6):1273–1296. DOI: 10.1007/S11165.016.9602-2/TABLES/1