Tools To Evaluate Nursing Competency: A Literature Review
Main Article Content
Abstract
The proficiency of nurses plays a crucial role in assuring the healthcare delivery high quality and safe for patients. A standardized measurement tool should be developed based on considering all aspects of nursing competency and practice situations to accurately identify and evaluate nursing competencies. However, deciding what to evaluate when assessing practice competency can be a challenging task. This study reviewed nursing competency assessment tools used over the past decade. There were 35 articles found and 31 nursing competency assessment tools; twenty-eight tools were self-reporting, and three were observational tools. Based on this review, it is necessary to develop nursing competency assessment tools based on the requirements for each working position and greatly depending on environmental factors. The length of tools and the number of options in each item should be considered precisely to get higher validity and reliability.
Downloads
Article Details
References
Fukada Mika. Nursing competency: Definition, structure and development. Yonago acta medica. 2018;61(1):001-7. [D0I: 10.33160/yam.2018.03.001]
ICN. Guidelines On Advanced Practice Nursing. 2020 [Available from: https://www.icn.ch/sites/default/files/2023-04/ICN_APN%20Report_EN.pdf]
Smith Sarah A. Nurse Competence: A Concept Analysis. International Journal of Nursing Knowledge. 2012;23(3):172-82. [D0I: 10.1111/j.2047-3095.2012.01225.x]
Flinkman Mervi, Leino-Kilpi Helena, Numminen Olivia, Jeon Yunsuk, Kuokkanen Liisa, Meretoja Riitta. Nurse Competence Scale: a systematic and psychometric review. Journal of Advanced Nursing. 2017;73(5):1035-50. [D0I: 10.1111/jan.13183]
Blažun Helena, Kokol Peter, Vošner Janez. Research literature production on nursing competences from 1981 till 2012: A bibliometric snapshot. Nurse Education Today. 2015;35(5):673-9. [D0I: 10.1016/j.nedt.2015.01.002]
Ličen S., Plazar N. Identification of nursing competency assessment tools as possibility of their use in nursing education in Slovenia---a systematic literature review. Nurse Educ Today. 2015;35(4):602-8. [D0I:10.1016/j.nedt.2014.12.023]
Kavanagh Joan M., Szweda Christine. A Crisis in Competency: The Strategic and Ethical Imperative to Assessing New Graduate Nurses’ Clinical Reasoning. Nursing Education Perspectives. 2017;38(2). [D0I: 10.1097/01.NEP.0000000000000112]
Watson Roger, Stimpson Anne, Topping Annie, Porock Davina. Clinical competence assessment in nursing: a systematic review of the literature. Journal of Advanced Nursing. 2002;39(5):421-31. [D0I: 10.1046/j.1365-2648.2002.02307.x]
Meretoja Riitta, Leino-Kilpi Helena, Kaira Anna-Maija. Comparison of nurse competence in different hospital work environments. Journal of Nursing Management. 2004;12(5):329-36. [D0I: 10.1111/j.1365-2834.2004.00422.x]
Wilkinson Crystal A. Competency Assessment Tools for Registered Nurses: An Integrative Review. The Journal of Continuing Education in Nursing. 2013;44(1):31-7. [D0I: 10.3928/00220124-20121101-53]
Meretoja Riitta, Isoaho Hannu, Leino-Kilpi Helena. Nurse Competence Scale: development and psychometric testing. Journal of Advanced Nursing. 2004;47(2):124-33. [D0I: 10.1111/j.1365-2648.2004.03071.x]
Peters M. D. J., Marnie C., Tricco A. C., Pollock D., Munn Z., Alexander L., et al. Updated methodological guidance for the conduct of scoping reviews. JBI Evid Synth. 2020;18(10):2119-26. [D0I: 10.46658/JBIMES-20-12]
Dang Vuong Nguyen. Assessment methods and tools to evaluate nursing competency: A literature review. 2024. [D0I: 10.17605/OSF.IO/Y4NJZ]
Pollock D., Peters M. D. J., Khalil H., McInerney P., Alexander L., Tricco A. C., et al. Recommendations for the extraction, analysis, and presentation of results in scoping reviews. JBI Evid Synth. 2023;21(3):520-32. [D0I: 10.11124/jbies-22-00123]
Page Matthew J, Moher David, Bossuyt Patrick M, Boutron Isabelle, Hoffmann Tammy C, Mulrow Cynthia D, et al. PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews. BMJ. 2021;372:n160. [D0I: 10.1136/bmj.n160]
Arksey Hilary, O'Malley Lisa. Scoping studies: towards a methodological framework. International Journal of Social Research Methodology. 2005;8(1):19-32. [D0I: 10.1080/1364557032000119616]
Gardulf Ann, Florin Jan, Carlsson Marianne, Leksell Janeth, Lepp Margret, Lindholm Christina, et al. The Nurse Professional Competence (NPC) Scale: A tool that can be used in national and international assessments of nursing education programmes. Nordic Journal of Nursing Research. 2019;39(3):137-42. [D0I: 10.1177/2057158518824530]
Nilsson J., Johansson E., Egmar A. C., Florin J., Leksell J., Lepp M., et al. Development and validation of a new tool measuring nurses self-reported professional competence--the nurse professional competence (NPC) Scale. Nurse Educ Today. 2014;34(4):574-80. [D0I:10.1016/j.nedt.2013.07.016]
Nilsson J., Engström M., Florin J., Gardulf A., Carlsson M. A short version of the nurse professional competence scale for measuring nurses' self-reported competence. Nurse Educ Today. 2018;71:233-9. [D0I:10.1016/j.nedt.2018.09.028]
Nilsson J., Johansson E., Egmar A. C., Florin J., Leksell J., Lepp M., et al. Development and validation of a new tool measuring nurses self-reported professional competence--the nurse professional competence (NPC) Scale. Nurse Educ Today. 2014;34(4):574-80. [D0I: 10.1016/j.nedt.2013.07.016]
Sastre-Fullana Pedro, Morales-Asencio Jose Miguel, Sesé-Abad Albert, Bennasar-Veny Miquel, Fernández-Domínguez Juan Carlos, De Pedro-Gómez Joan. Advanced Practice Nursing Competency Assessment Instrument (APNCAI): clinimetric validation. BMJ Open. 2017;7(2):e013659. [D0I:10.1136/bmjopen-2016-013659]
Aboshaiqah Ahmad E., Tumala Regie B., Patalagsa Joel G., Al-Khaibary Ahmed A., Fozan Haya Al, Ben John Paul. Perceptions of confidence among Saudi nursing interns during internship program: a cross-sectional study. Annals of Saudi medicine. 2018;38(4):288-98. [D0I: 10.5144/0256-4947.2018.288]
2014 National Teaching Institute Evidence-Based Solutions and Chapter Best Practices Abstracts. Critical Care Nurse. 2014;34(2):e1-e46. https://aacnjournals.org/ccnonline/article/34/2/e1/20530/2014-National-Teaching-Institute-Evidence-Based
Aarons G. A., Wells R. S., Zagursky K., Fettes D. L., Palinkas L. A. Implementing evidence-based practice in community mental health agencies: a multiple stakeholder analysis. American Journal of Public Health. 2009;99(11):2087-95. [D0I: 10.2105/AJPH.2009.161711]
Moghaddam N. M., Jame S. Z. B., Rafiei S., Sarem A. A., Ghamchili A., Shafii M. Managerial competencies of head nurses: a model and assessment tool. Br J Nurs. 2019;28(1):30-7. [D0I:10.12968/bjon.2019.28.1.30]
Piedade Tamada Rosane Cristina, Kowal Olm Cunha Isabel Cristina, Pazetto Balsanelli Alexandre. VALIDATION OF COMPETENCIES ASSESSMENT SCALE IN A UNIVERSITY HOSPITAL NURSING TEAM. Texto & Contexto Enfermagem. 2022;31:1-16. [D0I:10.1590/1980-265X-TCE-2021-0219]
Ko YuKyung, Yu Soyoung. Core nursing competency assessment tool for graduates of outcome-based nursing education in South Korea: A validation study. Japan journal of nursing science : JJNS. 2019;16(2):155-71. [D0I:10.1111/jjns.12223]
Oetker-Black Sharon L., Kreye Judy, Davis Tammie, Underwood Sherrie, Naug Samantha. The Psychometric Evaluation of the Revised Clinical Skills Self-Efficacy Scale. J Nurs Meas. 2016(1):166-75. [D0I: 10.1891/1061-3749.24.1.166]
Kennedy Evelyn, Murphy Gail Tomblin, Misener Ruth Martin, Alder Robert. Development and Psychometric Assessment of the Nursing Competence Self-Efficacy Scale. The Journal of nursing education. 2015;54(10):550-8. [D0I:10.3928/01484834-20150916-02]
Lin Chun-Chih, Wu Chiung-Jung Jo, Hsiao Ya-Chu, Han Chin-Yen, Hung Chang-Chiao. An exploratory factor analysis for developing and validating a scale of Nursing Students Competence Instrument. Nurse education today. 2017;50:87-91. [D0I: 10.1016/j.nedt.2016.12.007]
Ebadi Abbas, Tabanejad Zeinab, Pazokian Marzieh, Yasser Saeid. Designing and psychometric evaluation of the competency inventory for postgraduate students of intensive care nursing. Nurs Midwifery Stud. 2016;5(4):e32677. [D0I: 10.17795/NMSJOURNAL32677]
Lau S. T., Lopez V., Liaw S. Y., Lau Y. Development and psychometric evaluation of the community care competency scale in multi-ethnic undergraduate nursing students. Health Soc Care Community. 2019;27(5):e802-e13. [D0I:10.1111/hsc.12809]
Beauvais Audrey Marie, Phillips Kathryn E. Incorporating Future of Nursing Competencies Into a Clinical and Simulation Assessment Tool: Validating the Clinical Simulation Competency Assessment Tool. Nursing education perspectives. 2020;41(5):280-4. [D0I: 10.1097/01.NEP.0000000000000709]
Takase Miyuki, Teraoka Sachiko. Development of the Holistic Nursing Competence Scale. Nursing & health sciences. 2011;13(4):396-403. [D0I: 10.1111/j.1442-2018.2011.00631.x]
Lee Nam-Ju, An Ji-Young, Song Tae-Min, Jang Haena, Park Su-Yeon. Psychometric evaluation of a patient safety competency self-evaluation tool for nursing students. The Journal of nursing education. 2014;53(10):550-62. [D0I:10.3928/01484834-20140922-01]
Lakanmaa Riitta-Liisa, Suominen Tarja, Perttilä Juha, Ritmala-Castrén Marita, Vahlberg Tero, Leino-Kilpi Helena. Basic competence in intensive and critical care nursing: development and psychometric testing of a competence scale. Journal of clinical nursing. 2014;23(5-6):799-810. [D0I: 10.1111/jocn.12057]
Kao Chia-Chan, Chao Hsiu-Ling, Liu Yi-Hui, Pan I. Ju, Yang Li-Hui, Chen Wan- I. Psychometric Testing of the Newly Developed Competence Scale for Clinical Nurses. The journal of nursing research : JNR. 2022;30(2):e198. [D0I: 10.1097/jnr.0000000000000472]
Okumura Masatoshi, Ishigaki Tomonori, Mori Kazunao, Fujiwara Yoshihiro. Development of an easy-to-use questionnaire assessing critical care nursing competence in Japan: A cross-sectional study. PLoS One. 2019;14(11):e0225668. [D0I:10.1371/journal.pone.0225668]
Bektaş İlknur, Bektaş Murat, Ayar Dijle. Developing and Evaluating the Psychometric Properties of the Pediatric Nursing Competency Scale for Nursing Students. Florence Nightingale Journal of Nursing. 2020;28(2):133-42. [D0I:10.5152/FNJN.2020.19065]
Gill F. J., Leslie G. D., Grech C., Boldy D., Latour J. M. Developing and Testing the Standard of Practice and Evaluation of Critical-Care-Nursing Tool (SPECT) for Critical Care Nursing Practice. J Contin Educ Nurs. 2014;45(7):312-20. [D0I:10.3928/00220124-20140620-02]
Horii S., Nguyen C. T. M., Pham H. T. T., Amaike N., Ho H. T., Aiga H. Effectiveness of a standard clinical training program in new graduate nurses' competencies in Vietnam: A quasi-experimental longitudinal study with a difference-in-differences design. PLoS One. 2021;16(7):e0254238. [D0I:10.1371/journal.pone.0254238]
Nehrir B., Ebadi A., Vanaki Z., Nouri J. M., Khademolhosseini S. M. Psychometric properties of self-assessment clinical competency questionnaire in baccalaureate nursing students. Electron Physician. 2018;10(3):6494-9. [D0I:10.19082/6494]
Yang Fang Yu, Zhao Rong Rong, Liu Yi Si, Wu Ying, Jin Ning Ning, Li Rui Ying, et al. A core competency model for Chinese baccalaureate nursing graduates: a descriptive correlational study in Beijing. Nurse education today. 2013;33(12):1465-70. [D0I:10.1016/j.nedt.2013.05.020]
Dias Flávia Carvalho Pena, Baitelo Tamara Cristina, Toso Beatriz Rosana Gonçalves de Oliveira, Sastre-Fullana Pedro, Oliveira-Kumakura Ana Railka de Souza, Gasparino Renata Cristina. Adaptation and validation of the Advanced Practice Nursing Competency Assessment Instrument. Revista Brasileira de Enfermagem. 2022;75(5):e20210582. [D0I:10.1590/0034-7167-2021-0582]
Aydin A., Hiçdurmaz D. Holistic nursing competence scale: Turkish translation and psychometric testing. International nursing review. 2019;66(3):425-33. [D0I:10.1111/inr.12514]
Juntasopeepun Phanida, Turale Sue, Kawabata Haruka, Thientong Hunsa, Uesugi Yuko, Matsuo Hiroya. Psychometric evaluation of the Nurse Competence Scale: A cross-sectional study. Nursing & health sciences. 2019;21(4):487-93. [D0I: 10.1111/nhs.12627]
Bing-Jonsson Pia Cecilie, Bjørk Ida Torunn, Hofoss Dag, Kirkevold Marit, Foss Christina. Competence in advanced older people nursing: development of 'nursing older people--competence evaluation tool'. International journal of older people nursing. 2015;10(1):59-72. [D0I:10.1111/opn.12057]
Becker Heather, Meraviglia Marty, Seo Jin EunJin, Ndlovu Chipo, Kimmel Lois, Rowin Toni. The Appraisal of Nursing Practice: Instrument Development and Initial Testing. The Journal of nursing administration. 2018;48(1):44-9. [D0I: 10.1097/NNA.0000000000000569]
Nguyệt Trần Thị, Liên Dương Thị Hồng, Hằng Trần Thị, Đức Tôn Nữ Minh, Bính Hồ Duy. Tự đánh giá năng lực thực hành chăm sóc của điều dưỡng tại Bệnh viện Trường Đại học Y-Dược Huế. Tạp chí Nghiên cứu Y học. 2023;163(2):244-54. [DOI: 10.52852/tcncyh.v163i2.1173]
Beogo Idrissa, Rojas Bomar Mendez, Gagnon Marie-Pierre, Liu Chieh-Yu. Psychometric evaluation of the French version of the Clinical Nursing Competence Questionnaire (CNCQ-22): A cross-sectional study in nursing education in Burkina Faso. Nurse education today. 2016;45:173-8. [D0I:10.1016/j.nedt.2016.08.007]
Huang Sheng-Miauh, Fang Su-Chen, Hung Chia-Tai, Chen Yi-Heng. Psychometric evaluation of a nursing competence assessment tool among nursing students: a development and validation study. BMC Medical Education. 2022;22(1):372. [D0I:10.1186/s12909-022-03439-y]
Rashvand F., Ebadi A., Vaismoradi M., Salsali M., Yekaninejad M. S., Griffiths P., et al. The assessment of safe nursing care: development and psychometric evaluation. Journal of Nursing Management. 2017;25(1):22-36. [D0I: 10.1111/jonm.12424]
Tseng Hui-Chen, Ko Hsun-Kuei, Wang Hsiu-Hung, Wang Ruey-Hsia, Wu Li-Min. Psychometric Evaluation of the Capstone Core Competency Scale on Nursing Students in Taiwan. The journal of nursing research : JNR. 2022;30(5):e232. [D0I:10.1097/jnr.0000000000000500]
Feng Danjun, Li Hongyao, Meng Lu, Zhong Gengkun. Development of a Questionnaire to Assess Nursing Competencies for the Care of People with Psychiatric Disabilities in a Hospital Environment. The Psychiatric quarterly. 2018;89(3):699-706. [D0I:10.1007/s11126-018-9567-6]
Translating Best Evidence into Best Care. Journal of Pediatrics. 2017;240:N.PAG-N.PAG. [D0I: 10.1016/j.jpeds.2017.08.050]
Cruchinho P., López-Franco M. D., Capelas M. L., Almeida S., Bennett P. M., Miranda da Silva M., et al. Translation, Cross-Cultural Adaptation, and Validation of Measurement Instruments: A Practical Guideline for Novice Researchers. J Multidiscip Healthc. 2024;17:2701-28. [D0I: 10.2147/JMDH.S419714]
Bowman Nicholas A. Examining systematic errors in predictors of college student self-reported gains. New Directions for Institutional Research. 2011;2011(150):7-19. [D0I: 10.1002/ir.386]
Porter Stephen R. Do college student surveys have any validity? The Review of Higher Education. 2011;35(1):45-76. [DOI: 10.1353/rhe.2011.0034]
Kruger Justin, Dunning David. Unskilled and unaware of it: how difficulties in recognizing one's own incompetence lead to inflated self-assessments. Journal of personality and social psychology. 1999;77(6):1121. [D0I: 10.1037//0022-3514.77.6.1121]
Davis Kirsten A., Grote Dustin, Mahmoudi Hesam, Perry Logan, Ghaffarzadegan Navid, Grohs Jacob, et al. Comparing Self-Report Assessments and Scenario-Based Assessments of Systems Thinking Competence. Journal of Science Education and Technology. 2023;32(6):793-813. [D0I:10.1007/s10956-023-10027-2]
Takase Miyuki, Teraoka Sachiko, Miyakoshi Yukiko, Kawada Ayako. A Concept Analysis of Nursing Competence: A Review of International Literature. Journal of Japan Society of Nursing Research. 2011;34(4):4_103-4_9. [D0I:10.15065/jjsnr.20110404011]
Medicine Institute of. The Future of Nursing: Leading Change, Advancing Health. Washington, DC: The National Academies Press; 2011. 700 p. [DOI: 10.17226/12956]
Cummings G. Investing relational energy: the hallmark of resonant leadership. Nurs Leadersh (Tor Ont). 2004;17(4):76-87. [D0I:10.12927/cjnl.2004.17019]
Massa, A.A., Eckhardt, C.I. (2017). Self-Report Psychopathy Scale (SRP). In: Zeigler-Hill, V., Shackelford, T. (eds) Encyclopedia of Personality and Individual Differences. Springer, Cham. [DOI: 10.1007/978-3-319-28099-8_83-1]
Translating Best Evidence into Best Care. The Journal of Pediatrics. 2017;190:287-90. [D0I:10.1016/j.jpeds.2017.08.050]
Melnyk Steven A., Page Thomas J., Wu Sarah Jinhui, Burns Laird A. Would you mind completing this survey: Assessing the state of survey research in supply chain management. Journal of Purchasing and Supply Management. 2012;18(1):35-45. [D0I: 10.1016/j.pursup.2011.12.002]
Cicchetti Domenic V., Shoinralter Donald, Tyrer Peter J. The Effect of Number of Rating Scale Categories on Levels of Interrater Reliability : A Monte Carlo Investigation. Applied Psychological Measurement. 1985;9(1):31-6. [D0I: 10.1177/014662168500900103]
O'Muircheartaigh Colm A, Krosnick Jon A, Helic Armin. Middle alternatives, acquiescence, and the quality of questionnaire data: Irving B. Harris Graduate School of Public Policy Studies, University of …; 2001.