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The Nature of Nursing Competency in Simulation of Adult Medical-Surgical Nursing: Exploratory Factor Analysis. | LitMetric

AI Article Synopsis

  • Educators and employers struggle to assess nursing competency, but understanding its measurement can help address these challenges.
  • Participants in the study completed high-fidelity simulations scored with a detailed 41-item instrument, analyzed for its underlying structure.
  • The analysis revealed five distinct factors accounting for 56% of the variance in competency, indicating a clear yet interconnected approach to defining dimensions of safe nursing practice.

Article Abstract

Background And Purpose: Educators, 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.

Methods: Participants ( = 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.

Results: A 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 < .30).

Conclusions: The factors, , and , represent integrated dimensions of competency that can be linked to specific tasks underlying safe practice.

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Source
http://dx.doi.org/10.1891/JNM-D-18-00078DOI Listing

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