Background And Purpose: The Japanese Nurse Association (JNA) has established the JNA ladder to assess competency in various clinical nursing settings in Japan. This study developed and tested a specific Japanese community hospital's Nurse Competency Scale (the Unnan ladder).

Methods: Using the Delphi method, the contents of the Unnan ladder were identified and validated in a four-step approach. A 28-nurse panel approved 66 items; 112 community nurses assessed the content, construct concurrent validity, and internal consistency of the Unnan ladder competency scale.

Results: The Unnan ladder data were normally distributed. Higher scores on it correlated with higher scores on the Nurse Competency Scale. The Unnan ladder categories showed good internal consistency.

Conclusions: This ladder's application may lead to improved nursing skills and better patient care.

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http://dx.doi.org/10.1891/JNM-D-19-00010DOI Listing

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