The Nature of Nursing Competency in Simulation of Adult Medical–Surgical Nursing: Exploratory Factor Analysis
Autor: | Ruth Brooks, Mary Z. Mays, Kathy Miller, Debra Hagler, Pamela Randolph, Beatrice Kastenbaum, Janine E. Hinton, Nick DeFalco |
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Rok vydání: | 2020 |
Předmět: |
Medical-surgical nursing
030504 nursing General Medicine Variance (accounting) Exploratory factor analysis Test (assessment) 03 medical and health sciences 0302 clinical medicine Action (philosophy) Nursing Procedural skill 030212 general & internal medicine Latent structure 0305 other medical science Psychology General Nursing Simulation testing |
Zdroj: | Journal of Nursing Measurement. 28:E76-E97 |
ISSN: | 1945-7049 1061-3749 |
DOI: | 10.1891/jnm-d-18-00078 |
Popis: | Background and PurposeEducators, employers, and regulatory agencies face substantive challenges in evaluating nursing competency. Evidence on what competency is and how to measure it can mitigate the challenges.MethodsParticipants (N = 67) completed three high-fidelity simulation tests. Each video-recorded test was scored by three raters using a 41-item instrument. Exploratory factor analysis was used to define the latent structure of the instrument.ResultsA five-factor solution accounted for 56% of the variance, minimized negative loadings, and minimized the number of cross-loadings. The factors were minimally correlated (each r < .30).ConclusionsThe factors, Vigilant Action, Role Nuances, Precision, Procedural Skills, and Risk Reduction, represent integrated dimensions of competency that can be linked to specific tasks underlying safe practice. |
Databáze: | OpenAIRE |
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