Construct validity of clinical nurse specialist core competency scale: An exploratory factor analysis

Jokiniemi, Krista; Pietilä, Anna‐Maija

doi:10.1111/jocn.15587

Cited by 26 publications

(52 citation statements)

References 39 publications

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“…It is essential to understand CNS competency outside of these jurisdictions because CNSs require different competencies to respond and adapt to the educational and care needs of patients and professionals across specialties (Ladd et al, 2020). Competency development in Nordic countries has emerged in recent years (Jokiniemi et al, 2018(Jokiniemi et al, , 2020; however, there is little research-driven knowledge reporting attempts to compare and validate CNS competencies across different countries. As countries are undergoing healthcare reform with system changes that include introducing APN roles (Schober et al, 2020), the aim of many organisations is to develop nurses' competency and roles (see e.g.…”

Section: What Does This Paper Contribute To the Wider Global Clinical Community?mentioning

confidence: 99%

“…Competencies are an essential foundation for effective practice, education and evaluation of the CNS role, therefore, benchmarking CNS core competency within and across countries will benefit role development, integration and standardisation and thus strengthen the CNS role in various contexts. In this article, we will describe the results of a study examining the use of CNS core competency by utilising the recently validated CNS core competency scale (Jokiniemi et al, 2020).…”

Section: What Does This Paper Contribute To the Wider Global Clinical Community?mentioning

confidence: 99%

“…CNS is usually, at minimum, a master's prepared nurse whose role includes advanced responsibilities, specialisation and expanded practice (Schober et al, 2020). CNSs utilise advanced competency while working in distinctive yet interrelated spheres of patient care, nursing, organisation (Fulton et al, 2019;Jokiniemi et al, 2018;Mohr & Coke, 2018) and scholarship (Jokiniemi et al, 2018), thus supporting the development of nursing care, quality assurance, evidence-based practice and organisational decisionmaking (Fulton et al, 2016;Jokiniemi et al, 2020Jokiniemi et al, , 2021. CNSs add significant value to health care by improving population health and access to care, providing better quality of care and lowering healthcare costs (Schober et al, 2020;World Health Organization, 2015, 2019.…”

Section: Introductionmentioning

confidence: 99%

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Core competencies of clinical nurse specialists: A comparison across three Nordic countries

Jokiniemi

Hølge‐Hazelton

Kristófersson

et al. 2021

Journal of Clinical Nursing

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Aim: To describe and compare the clinical nurse specialist core competency use in Finland, Denmark and Iceland. Background: Clinical nurse specialist roles were first developed more than 60 years ago in the United States. Within the Nordic countries, the clinical nurse specialist role emerged around 2000. There is scarcity of clinical nurse specialist competency descriptions outside of North America, and research has been limited to examine or validate established competencies across different countries. Design: A descriptive correlational study. Methods: An online survey was conducted from May to September 2019. A population sample of clinical nurse specialists in Finland, Denmark and Iceland was recruited. A validated self-report questionnaire of clinical nurse specialist competencies was used. The data were analysed using descriptive and inferential statistics, and the STROBE checklist was used as the reporting guideline.Results: A total sample of 184 clinical nurse specialists, 52 from Finland, 95 from Denmark and 37 from Iceland, participated in the study (response rate = 72%, 35% and 48%, respectively). Overall, clinical nurse specialists utilised the organisational competency most frequently followed by the patient, clinical nursing leadership and scholarship competency. Univariate analysis of variance test between-country effects showed statistically significant difference in patient competency (p = .000) and in organisational competency (p < .05). There were no statistically significant differences between counties in the utilisation of clinical nursing leadership and scholarship competency. Conclusion:A small variability was found in the comparison of the clinical nurse specialist use of core competency in the spheres of patient, nursing, organisation and scholarship within three Nordic countries.

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Section: What Does This Paper Contribute To the Wider Global Clinical Community?mentioning

confidence: 99%

Section: What Does This Paper Contribute To the Wider Global Clinical Community?mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Core competencies of clinical nurse specialists: A comparison across three Nordic countries

Jokiniemi

Hølge‐Hazelton

Kristófersson

et al. 2021

Journal of Clinical Nursing

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“…Theories or models of CNS roles and role implementation are justified starting points in the designing of the CNS role, offering a validated structure for the process. A CNS‐CIEf (Jokiniemi, 2014) and the CNS Core Competency Scale (CNS‐CoCoS) (Jokiniemi et al, 2020) were used to structure the role design and provide a foundation for this work. A baseline culture assessment at the beginning of the process was extremely important to the researcher and the entire PAR team, to focus the rest of the process and decisions made.…”

Section: Cns Role Implementation Phases' Structures Processes and Outcomesmentioning

confidence: 99%

Clinical nurse specialist role implementation structures, processes and outcomes: Participatory action research

Jokiniemi

Korhonen

Kärkkäinen

et al. 2021

Journal of Clinical Nursing

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Aim To develop, implement and evaluate the clinical nurse specialist's role within a specialist medical healthcare hospital. A secondary aim was to assess the feasibility of the ‘Clinical Nurse Specialist Conceptualisation, Implementation, and Evaluation framework’ in the role implementation. Background Implementation of advanced practice nursing roles is an increasing practice around the globe; however, the implementation of these roles is multidimensional, complex process. Clear implementation strategies are needed. Design Participatory action research was conducted in Finland between 2017–2018. Methods The researchers adopted an outsider approach to work with staff, considered as co‐researchers, within two participating units. A combination of several methods, such as focus group interviews, action‐learning groups and researcher reflective field journal, was used to gather data. The ‘Clinical Nurse Specialist Conceptualisation, Implementation, and Evaluation framework’ was used to structure the processes undertaken, and the Donabedian structure, process and outcome model was used to structure and analyse the results. The study was reported using the EQUATOR guideline for participatory action research. Results The results demonstrated the complexity of the role implementation process. Four implementation themes of need analysis, role design, role implementation and role evaluation were examined and described through their structures, processes and outcomes. The ‘Clinical Nurse Specialist Conceptualisation, Implementation and Evaluation framework’ was validated for its appropriateness guiding the role implementation process. Conclusions Role implementation is a complex process which structured, practical guidelines may facilitate. The examined framework may facilitate the role implementation process conducted within organisations. Relevance to clinical practice This research provides complimentary information for individuals and organisations aiming to develop a clinical nurse specialist or other advanced practice nursing roles. Furthermore, we describe a participatory action research process, which offers the means for self‐reflection and planning of purposeful actions to improve the conditions of clinical practice.

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“…In clinical nursing work, specialist nurses are the leading gures in specialist nursing team, and their core competence level concerns the quality of the nursing and the development of the nursing career (Jokiniemi, Pietilä, & Mikkonen, 2020;Rauch et al, 2018). Infectious disease specialist nurses are registered nurses who are are able to undertake and guide clinical infectious diseases nursing work since they have undergone systematic and standardized training with professional knowledge and specialist practical skills of infectious disease, communication and management capabilities and teaching and coaching skills.…”

Section: Introductionmentioning

confidence: 99%

Construction of An Index System of Core Competence Assessment For Infectious Disease Specialist Nurse: A Delphi Study

et al. 2021

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Aim and objective: To establish an index system for the evaluation of infectious disease specialist nurse core competence.Background: An index system for the evaluation of infectious disease specialist nurse core competence has not been established.Design: A two-round Delphi survey sought opinions from experts about the index system for the evaluation of infectious disease specialist nurse core competence.Methods: Based on the methods of literature retrieval, theoretical analysis and qualitative research, the draft of core competence evaluation index system of infectious disease specialist nurses was constructed. A Delphi survey was used for the study of 30 infectious disease experts from 8 provinces and cities around China. A modified recommendation for the Conducting and Reporting of Delphi studies (CREDES) was used to guide this study. A STROBE checklist was used.Results: The evaluation index system of core competence of diseases specialist nurses is composed of 6 primary indicators which includes Nursing Abilities for infectious diseases, Infection Prevention and Control Capabilities, Capabilities in Response to Infectious Disease, Professional Development Capabilities, Communication and Management Capabilities and Professionalism and Humanistic Accomplishment, 16 secondary indicators and 47 tertiary indicators. The authority coefficient, judgment coefficient and familiarity degree of Delphi experts were 0.923, 0.933 and 0.913 respectively.Conclusions: The evaluation index system of core competence of diseases specialist nurses is scientific and reliable. It can be reference for future training and assessment of infectious disease specialist nurses.Relevance to clinical practice: Infectious disease specialist nurses are the main force for infectious disease nursing. Their core competence is related to the quality of infectious disease nursing and treatment. The core competence of the nurses is important for identification of training strategies and can be regarded as reference for nurse assessment and promotion. The construction of the index system is based on the consensus of infectious disease experts, which is helpful to standardize the training strategies and selection standards of infectious disease specialist nurses in the future and meet the needs of clinical infectious disease nursing.

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Construct validity of clinical nurse specialist core competency scale: An exploratory factor analysis

Abstract: This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

Cited by 26 publications

References 39 publications

Core competencies of clinical nurse specialists: A comparison across three Nordic countries

Core competencies of clinical nurse specialists: A comparison across three Nordic countries

Clinical nurse specialist role implementation structures, processes and outcomes: Participatory action research

Construction of An Index System of Core Competence Assessment For Infectious Disease Specialist Nurse: A Delphi Study

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