ADAPTATION AND VALIDATION OF A CLINICAL COMPETENCE QUESTIONNAIRE & RESULTS FROM AN EMPIRICAL STUDY
Keywords:
adaptation, validity, clinical competence, nurses, midwivesAbstract
In recent years, there has been a growing global interest in studying the competencies of nurses and midwives. As a result, various instruments and scales have been developed to measure the clinical competence of these professionals. However, in the Bulgarian context, such an instruments is lacking, which necessitates the need for adapting a similar tool for the needs of nursing and midwifery students in Bulgaria. In this study, our aim is to present the adaptation of one of these instruments, focused on measuring self- assessment of students regarding their clinical competence. The goal of the research is to adapt the Clinical Competence Questionnaire (CCQ) by Liou and Cheng (2014). The empirical study involves validating through factor analysis. The results confirm the acceptability of the factor model, demonstrating its compatibility and ability to explain variability in responses to the Clinical Competence Questionnaire. This supports the validity of the adapted instrument and its ability to measure the perceived clinical competence of nursing and midwifery students. The questionnaire is applicable and valid for measuring the clinical competence of nurses and midwives. The study supports the validity and reliability of the questionnaire.
References
Андонова, А. (2022). Здравните грижи. Законодателство, наука и практика. Стара Загора: Алфа Стар.
Дойновска, Р. (2016) Подбор, атестиране и адаптация на професионалистите по здравни грижи в многопрофилните болници на военномедицинска академия. Медицински Университет - София
Митева, К., З. Атанасова (2018). Възможности за оптимизация процеса на усвояване на базови акушерски компетенции. Управление и образование, 14(5), 52-57.
Михайлова, Ц. С. (2020). Благополучие в трудни житейски ситуации. Дисертация за придобиване на научната степен „доктор на науките“. Благоевград: ЮЗУ „Неофит Рилски“.
Benner, P. (1982). From novice to expert. American Journal of Nursing, 82(3), 402–407.
Bentler, P. M., & Bonett, D. G. (1980). Significance tests and goodness of fit in the analysis of covariance structures. Psychological Bulletin, 88(3), 588-606.
Bing-Jonsson, P. C., Foss, C., & Bjørk, I. T. (2016). The competence gap in community care: Imbalance between expected and actual nursing staff competence. Nordic Journal of Nursing Research, 36(1), 27–37. https://doi.org/10.1177/0107408315601814
Browne, MW, MacCallum, RC, Kim, C.-T., Andersen, BL, & Glaser, R. (2002). Когато индексите на годност и остатъците са несъвместими. Психологически методи, 7 (4), 403–421.
Cattell, R. B. (1966). The Scree test for the number of factors. Multivariate Behavioral Research, 1(2), 245-276. https://doi.org/10.1207/s15327906mbr0102_10
Costello, A. B., & Osborne, J. W. (2005). Best practices in Exploratory Factor Analysis: Four recommendations for getting the most from your analysis. Practical Assessment, Research & Evaluation, 10(7), 1-9.
Fukada M. (2018). Nursing competency: Definition, structure and development. Yonago Acta Medica, 61(1), 1–7.
Hooper, D., Coughlan, J., & Mullen, M. (2008). Structural Equation Modelling: Guidelines for determining model fit. Electronic Journal of Business Research Methods, 6(1), 53-60.
Hu, L.-t., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1-55. https://doi.org/10.1080/10705519909540118
Li, C.-H. (2016). Confirmatory factor analysis with ordinal data: Comparing robust maximum likelihood and diagonally weighted least squares. Behavior Research Methods, 48(3), 936-949. https://doi.org/10.3758/s13428-015-0619-7
Liou, S.-R., & Cheng, C.-Y. (2014). Developing and validating the Clinical Competence Questionnaire: A self-assessment instrument for upcoming baccalaureate nursing graduates. Journal of Nursing Education and Practice, 4(2), 56-66.
Meretoja, R., Isoaho, H., & Leino-Kilpi, H. (2004). Nurse competence scale: Development and psychometric testing. Journal of Advanced Nursing, 47(2), 124–133.
Norman, I. J., Watson, R., Murrells, T., Calman, L., & Redfern, S. (2002). The validity and reliability of methods to assess the competence to practise of pre-registration nursing and midwifery students. International Journal of Nursing Studies, 39(2), 133–145
Olsson, H. (1999). Quality of competence in the role of nursing – as result of education, professional practice and research. Vård I Norden, 19(1), 5-10
Schwirian, P. M. (1978). Evaluating the performance of nurses: A multidimensional approach. Nursing Research, 27(6), 347-351
Takase, M., & Teraoka, S. (2011). Development of the Holistic Nursing Competence Scale. Nursing & Health Sciences, 13(4), 396–403.
Vittersø, J., Røysamb, E., & Diener, E. (2002). The concept of life satisfaction across cultures: Exploring its diverse meaning and relation to economic wealth. In E. Gullone & R. A. Cummins (Eds.), The universality of subjective wellbeing indicators. A multi-disciplinary and multi-national perspective (Volume 16, pp. 81–103). The Netherlands, Dordrecht: Kluwer Academic Publishers.
Whelan, L. (2006). Competency assessment of nursing staff. Orthopaedic Nursing, 25(3), 198-202.
Yong, A. G., & Pearce, S. (2013). A beginner’s guide to factor analysis: Focusing on exploratory factor analysis. Tutorials in Quantitative Methods for Psychology, 9(2), 79-94.
