Development and Psychometric Testing of a Comprehensive Cancer Nurse Self-Assessment Tool (CaN-SAT) for Identifying Cancer Nursing Skills.

IF 3.5 3区医学 Q1 NURSING

Journal of Clinical Nursing Pub Date : 2025-08-30 DOI:10.1111/jocn.70093

Thi Thuy Ha Dinh, Fiona Crawford-Williams, Gillian Kruss, Carla Thamm, Gemma Mcerlean, Julia Morphet, Gabrielle Brand, Craig Lawn, Lorraine Breust, Victoria Turner, Jane Mahony, Olivia Cook

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引用次数: 0

Abstract

Aim: To develop and psychometrically test a comprehensive Cancer Nurse Self-Assessment Tool (CaN-SAT).

Design: Modified Delphi to assess content validity and cross-sectional survey to assess reliability and validity.

Methods: Phase 1: An expert group developed the tool structure and item content. Phase 2: Through a modified Delphi, cancer nursing experts rated the importance of each element of practice and assessed the relevance and clarity of each item. Content Validation Indexes (CVI) were calculated, and a CVI of ≥ 0.78 was required for items to be included. Phase 3: Cancer nurses participated in a survey to test internal consistency (using Cronbach's alpha coefficients) and known-group validity (through Mann-Whitney U tests). This study was reported using the Guidelines for Reporting Reliability and Agreement Studies (GRRAS) checklist.

Results: The CaN-SAT underwent two rounds of Delphi with 24 then 15 cancer nursing experts. All elements of practice were rated as important. Only three items achieved a CVI < 0.78 after round one; however, based on open-ended comments, 26 items were revised and one new item added. After round two, all items received a CVI above 0.78. The final tool consisted of 93 items across 15 elements of practice. Cronbach's alpha coefficients were between 0.92 and 0.98 indicating good reliability. Mann-Whitney U tests demonstrated significant differences between clinical nurses and advanced practice nurses across 13 out of 15 elements of practice.

Conclusion: The CaN-SAT is a comprehensive, valid and reliable tool that can be used for cancer nurses to self-assess current skill levels, identify their learning needs and inform decisions about educational opportunities to optimise cancer care provision.

Patient or public contribution: The research team included three patient advocates from Cancer Voices NSW, who were actively involved in all aspects of the study and are listed as authors.

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癌症护理技能综合自我评估工具（CaN-SAT）的开发和心理测量学测试

目的：开发一套综合性癌症护士自我评估工具（CaN-SAT），并对其进行心理计量学测试。设计：采用修正德尔菲法评估内容效度，采用横断面调查法评估信效度。方法：第一阶段：专家组制定工具结构和项目内容。第二阶段：通过改进的德尔菲法，癌症护理专家对每个实践要素的重要性进行评级，并评估每个项目的相关性和清晰度。计算内容验证指数（CVI），要求CVI≥0.78的项目被纳入。第三阶段：癌症护士参与了一项调查，以测试内部一致性（使用Cronbach's alpha系数）和已知组效度（通过Mann-Whitney U测试）。本研究采用报告可靠性和一致性研究指南（GRRAS）清单进行报告。结果：癌症护理专家分别为24名和15名，对CaN-SAT进行了两轮Delphi评估。练习的所有要素都被认为是重要的。结论：can - sat是一个全面、有效和可靠的工具，可用于癌症护士自我评估当前的技能水平，确定他们的学习需求，并告知有关教育机会的决策，以优化癌症护理服务。患者或公众贡献：研究团队包括三位来自新南威尔士州癌症之声的患者倡导者，他们积极参与了研究的各个方面，并被列为作者。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Nursing 医学-护理

CiteScore

6.40

自引率

2.40%

发文量

审稿时长

2 months

期刊介绍： The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice. JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice. We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.