Development and validation of the community development competency scale (ComDe-scale) for public health nurses in Japanese community general support centers: A Nationwide study

IF 1.8 4区医学 Q2 NURSING

Japan Journal of Nursing Science Pub Date : 2026-06-08 DOI:10.1111/jjns.70060

Yuko Tanaka, Ayuka Yokoyama, Jun Kameno, Etsuko Tadaka

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引用次数: 0

Abstract

Objective

This study aimed to develop and validate the Community Development Competency Scale (ComDe-Scale) for public health nurses (PHNs) working in Community General Support Centers (CGSCs) in Japan.

Method

A nationwide cross-sectional survey was conducted with all 5495 CGSCs, yielding 1562 valid responses (28.4%). Item analysis, exploratory factor analysis (EFA), and confirmatory factor analysis (CFA) were performed to examine the factor structure, internal consistency, and construct validity. Hypothesis testing included correlations with the Network Establishment Practices Scale (NEPS) and subgroup comparisons by CGSC experience and managerial status. Convergent and discriminant validity were assessed using average variance extracted (AVE), composite reliability (CR), and the Fornell–Larcker criterion. Measurement invariance across management types (direct vs. outsourced) was evaluated through multigroup CFA.

Results

The ComDe-Scale demonstrated a three-factor, 20-item structure: (1) Strategic Management for Driving Community Health, (2) Empowerment for Interprofessional and Organizational Collaboration, and (3) Community-Rooted Outreach for Building Networks. Model fit indices indicated a good fit (CFI = 0.955, RMSEA = 0.060). Internal consistency was high (Cronbach's α = 0.845–0.946). All hypotheses for construct validity were supported (p < .001). Convergent validity (AVE = 0.569–0.589, CR = 0.842–0.941) and discriminant validity (√AVE > inter-factor correlations) were confirmed. Partial measurement invariance was observed across management types.

Conclusions

The ComDe-Scale demonstrated satisfactory reliability and validity and can serve as a practical tool for evaluating and strengthening the competencies of PHNs engaged in community development at CGSCs.

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日本社区综合支援中心公共卫生护士社区发展能力量表（ComDe-scale）的编制与验证：一项全国性研究。

目的：为日本社区综合支援中心（CGSCs）公共卫生护士编制社区发展能力量表（ComDe-Scale），并对其进行验证。方法：在全国范围内对5495名CGSCs进行横断面调查，得到1562份有效回复（28.4%）。采用项目分析、探索性因子分析（EFA）和验证性因子分析（CFA）检验因子结构、内部一致性和结构效度。假设检验包括与网络建立实践量表（NEPS）的相关性，以及CGSC经验和管理地位的亚组比较。采用平均方差提取（AVE）、复合信度（CR）和Fornell-Larcker标准评估收敛效度和判别效度。通过多组CFA评估跨管理类型（直接与外包）的测量不变性。结果：comde量表显示了一个三因素，20个项目的结构：(1)推动社区健康的战略管理，(2)跨专业和组织协作的授权，以及(3)建立网络的社区基础外展。模型拟合指标显示拟合良好（CFI = 0.955, RMSEA = 0.060）。内部一致性高（Cronbach’s α = 0.845 ~ 0.946）。构念效度的所有假设均得到支持（p因子间相关）。在管理类型之间观察到部分度量不变性。结论：comde量表具有良好的信度和效度，可作为评价和加强社区服务中心phn社区发展能力的实用工具。

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

Japan Journal of Nursing Science 医学-护理

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： The Japan Journal of Nursing Science is the official English language journal of the Japan Academy of Nursing Science. The purpose of the Journal is to provide a mechanism to share knowledge related to improving health care and promoting the development of nursing. The Journal seeks original manuscripts reporting scholarly work on the art and science of nursing. Original articles may be empirical and qualitative studies, review articles, methodological articles, brief reports, case studies and letters to the Editor. Please see Instructions for Authors for detailed authorship qualification requirement.