Testing the reliability and validity of the nurse practitioner student competency assessment.

IF 1.6 4区 医学
Christine Pintz, Qiuping Pearl Zhou, Marcy Ainslie, Mary Beth Bigley, Mindi Anderson, Desiree A Díaz, Susan Kelly-Weeder, Shani Marks-Donkor, Carla Nye, Christine Repsha, Carolina D Tennyson
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Abstract

Background: The American Association of Colleges of Nursing (AACN) Essentials (2021) and the National Organization of Nurse Practitioner Faculties (NONPF) Role Competencies (2022) outline professional nursing competencies, resulting in a shift toward Nurse Practitioner (NP) competency-based education.

Purpose: To evaluate the reliability and validity of the Nurse Practitioner Student Competency Assessment (NPSCA), a revised instrument measuring person-centered competencies established by AACN and NONPF.

Methodology: Fifty-three students from four NP programs in their first clinical experience participated in the study. Each student performed one simulation, which was video-recorded. Two faculty members reviewed and scored each student's video recording using the NPSCA and the Virginia Commonwealth University (VCU) Scale, an instrument similar to those used by NP programs. The faculty ratings were collected using an online survey program.

Results: The final version of the NPSCA has 17 items. Eight faculty members rated the items on a scale from 1 (not very relevant) to 4 (very relevant), with 100% agreement that the items were relevant or very relevant, indicating sufficient content validity. Internal consistency: α = 0.884-0.895. Correlations between the NPSCA and the VCU scale were r = 0.288, p = .036 and r = 0.589, p < .001, respectively.

Conclusions: The evidence supports the reliability and validity of the NPSCA. Its internal consistency is excellent, and the content validity and criterion-related validity were sufficiently supported.

Implications: With a shortage of reliable and valid tools to assess NP graduates, the NPSCA may play a role in evaluating and ensuring the readiness of NP graduates for practice.

检验执业护士学生胜任力评估的信度和效度。
背景:美国护理学院协会(AACN)要点(2021年)和全国护士执业学院组织(NONPF)角色能力(2022年)概述了专业护理能力,导致向护士执业(NP)能力为基础的教育转变。目的:评估由AACN和NONPF编制的以人为本的能力测评工具——护士执业学生能力测评(NPSCA)的信度和效度。方法:来自四个NP项目的53名首次临床经验的学生参与了这项研究。每个学生都进行了一次模拟,并录了下来。两名教师使用NPSCA和弗吉尼亚联邦大学(VCU)量表(一种类似于NP项目使用的工具)对每个学生的录像进行了审查和评分。教师评分是通过在线调查程序收集的。结果:终版NPSCA共有17个条目。8位教师对这些项目进行了从1(不太相关)到4(非常相关)的评分,100%的同意这些项目是相关的或非常相关的,表明足够的内容效度。内部一致性:α = 0.884-0.895。NPSCA与VCU量表的相关性分别为r = 0.288、p = 0.036和r = 0.589, p < 0.001。结论:证据支持NPSCA的信度和效度。其内部一致性好,内容效度和标度相关效度得到充分支持。含义:由于缺乏可靠和有效的工具来评估NP毕业生,NPSCA可能在评估和确保NP毕业生为实践做好准备方面发挥作用。
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来源期刊
自引率
16.70%
发文量
172
期刊介绍: The Journal of the American Association of Nurse Practitioners (JAANP) is a monthly peer-reviewed professional journal that serves as the official publication of the American Association of Nurse Practitioners. Published since 1989, the JAANP provides a strong clinical focus with articles related to primary, secondary, and tertiary care, nurse practitioner education, health policy, ethics and ethical issues, and health care delivery. The journal publishes original research, integrative/comprehensive reviews, case studies, a variety of topics in clinical practice, and theory-based articles related to patient and professional education. Although the majority of nurse practitioners function in primary care, there is an increasing focus on the provision of care across all types of systems from acute to long-term care settings.
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