{"title":"开发和心理测试一种评估医疗保健数字化能力共享管理的工具","authors":"Mira Hammarén, Tarja Pölkki, Outi Kanste","doi":"10.1155/jonm/9906301","DOIUrl":null,"url":null,"abstract":"<div>\n <p><b>Aim:</b> To develop and psychometrically test an instrument to evaluate the management of digital competence sharing (MDCS) in healthcare.</p>\n <p><b>Background:</b> The rise of digital systems requires healthcare professionals to be digitally competent. Managers are responsible for ensuring that professionals possess the requisite digital competence and support their ongoing development.</p>\n <p><b>Methods:</b> This methodological study followed COSMIN guidelines for instrument development and involved three phases: (1) conceptualisation and item generation based on a qualitative framework; (2) face and content validity testing; and (3) structural validity and internal consistency evaluation. Content validity was assessed by an expert panel (<i>n</i> = 8) using the content validity index (CVI), and face validity was examined via pretesting with healthcare professionals (<i>n</i> = 8). Exploratory factor analysis (EFA) was conducted with a cross-sectional sample of healthcare professionals (<i>n</i> = 227) to determine structural validity. Cronbach’s alpha was used to evaluate internal consistency.</p>\n <p><b>Results:</b> Seventy-five items were initially generated. The CVI exceeded the acceptable threshold of 0.90. Following the expert panel and pretesting, 40 items were retained for EFA. The final instrument, the MDCS, included 34 items across five factors: (1) creating a friendly and safe digital organisational atmosphere, (2) creating methods and practices of digital competence sharing, (3) identifying and utilising professionals’ digital competence, (4) providing resources and opportunities for digital competence sharing, and (5) promoting digital competence sharing through leadership. Cronbach’s alpha values for the factors ranged from 0.91 to 0.95.</p>\n <p><b>Conclusion:</b> The MDCS instrument demonstrates high construct validity and internal consistency, supporting its validity and reliability for assessing the MDCS in healthcare.</p>\n <p><b>Implications for Nursing Management:</b> This instrument can support nurse managers in identifying and enhancing digital competence sharing within their teams. Future studies should employ confirmatory factor analysis (CFA) to validate the MDCS structure across subgroups.</p>\n </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7000,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/9906301","citationCount":"0","resultStr":"{\"title\":\"Develop and Psychometric Testing an Instrument to Evaluate the Management of Digital Competence Sharing in Healthcare\",\"authors\":\"Mira Hammarén, Tarja Pölkki, Outi Kanste\",\"doi\":\"10.1155/jonm/9906301\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n <p><b>Aim:</b> To develop and psychometrically test an instrument to evaluate the management of digital competence sharing (MDCS) in healthcare.</p>\\n <p><b>Background:</b> The rise of digital systems requires healthcare professionals to be digitally competent. Managers are responsible for ensuring that professionals possess the requisite digital competence and support their ongoing development.</p>\\n <p><b>Methods:</b> This methodological study followed COSMIN guidelines for instrument development and involved three phases: (1) conceptualisation and item generation based on a qualitative framework; (2) face and content validity testing; and (3) structural validity and internal consistency evaluation. Content validity was assessed by an expert panel (<i>n</i> = 8) using the content validity index (CVI), and face validity was examined via pretesting with healthcare professionals (<i>n</i> = 8). Exploratory factor analysis (EFA) was conducted with a cross-sectional sample of healthcare professionals (<i>n</i> = 227) to determine structural validity. Cronbach’s alpha was used to evaluate internal consistency.</p>\\n <p><b>Results:</b> Seventy-five items were initially generated. The CVI exceeded the acceptable threshold of 0.90. Following the expert panel and pretesting, 40 items were retained for EFA. The final instrument, the MDCS, included 34 items across five factors: (1) creating a friendly and safe digital organisational atmosphere, (2) creating methods and practices of digital competence sharing, (3) identifying and utilising professionals’ digital competence, (4) providing resources and opportunities for digital competence sharing, and (5) promoting digital competence sharing through leadership. Cronbach’s alpha values for the factors ranged from 0.91 to 0.95.</p>\\n <p><b>Conclusion:</b> The MDCS instrument demonstrates high construct validity and internal consistency, supporting its validity and reliability for assessing the MDCS in healthcare.</p>\\n <p><b>Implications for Nursing Management:</b> This instrument can support nurse managers in identifying and enhancing digital competence sharing within their teams. Future studies should employ confirmatory factor analysis (CFA) to validate the MDCS structure across subgroups.</p>\\n </div>\",\"PeriodicalId\":49297,\"journal\":{\"name\":\"Journal of Nursing Management\",\"volume\":\"2025 1\",\"pages\":\"\"},\"PeriodicalIF\":3.7000,\"publicationDate\":\"2025-07-03\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/9906301\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Nursing Management\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1155/jonm/9906301\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"MANAGEMENT\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Nursing Management","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1155/jonm/9906301","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MANAGEMENT","Score":null,"Total":0}
Develop and Psychometric Testing an Instrument to Evaluate the Management of Digital Competence Sharing in Healthcare
Aim: To develop and psychometrically test an instrument to evaluate the management of digital competence sharing (MDCS) in healthcare.
Background: The rise of digital systems requires healthcare professionals to be digitally competent. Managers are responsible for ensuring that professionals possess the requisite digital competence and support their ongoing development.
Methods: This methodological study followed COSMIN guidelines for instrument development and involved three phases: (1) conceptualisation and item generation based on a qualitative framework; (2) face and content validity testing; and (3) structural validity and internal consistency evaluation. Content validity was assessed by an expert panel (n = 8) using the content validity index (CVI), and face validity was examined via pretesting with healthcare professionals (n = 8). Exploratory factor analysis (EFA) was conducted with a cross-sectional sample of healthcare professionals (n = 227) to determine structural validity. Cronbach’s alpha was used to evaluate internal consistency.
Results: Seventy-five items were initially generated. The CVI exceeded the acceptable threshold of 0.90. Following the expert panel and pretesting, 40 items were retained for EFA. The final instrument, the MDCS, included 34 items across five factors: (1) creating a friendly and safe digital organisational atmosphere, (2) creating methods and practices of digital competence sharing, (3) identifying and utilising professionals’ digital competence, (4) providing resources and opportunities for digital competence sharing, and (5) promoting digital competence sharing through leadership. Cronbach’s alpha values for the factors ranged from 0.91 to 0.95.
Conclusion: The MDCS instrument demonstrates high construct validity and internal consistency, supporting its validity and reliability for assessing the MDCS in healthcare.
Implications for Nursing Management: This instrument can support nurse managers in identifying and enhancing digital competence sharing within their teams. Future studies should employ confirmatory factor analysis (CFA) to validate the MDCS structure across subgroups.
期刊介绍：
The Journal of Nursing Management is an international forum which informs and advances the discipline of nursing management and leadership. The Journal encourages scholarly debate and critical analysis resulting in a rich source of evidence which underpins and illuminates the practice of management, innovation and leadership in nursing and health care. It publishes current issues and developments in practice in the form of research papers, in-depth commentaries and analyses.
The complex and rapidly changing nature of global health care is constantly generating new challenges and questions. The Journal of Nursing Management welcomes papers from researchers, academics, practitioners, managers, and policy makers from a range of countries and backgrounds which examine these issues and contribute to the body of knowledge in international nursing management and leadership worldwide.
The Journal of Nursing Management aims to:
-Inform practitioners and researchers in nursing management and leadership
-Explore and debate current issues in nursing management and leadership
-Assess the evidence for current practice
-Develop best practice in nursing management and leadership
-Examine the impact of policy developments
-Address issues in governance, quality and safety
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