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
Rok vydání: 2020
Předmět:
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