Development of a high-risk neonatal infection control competency scale

Abstract

The purpose of this study was to develop a scale to measure high-risk neonatal infection control competency among nurses in neonatal intensive care units (NICUs). The study participants included 251 nurses working in NICUs at seven hospitals in South Korea. The scale was designed to measure high-risk neonatal infection control competency in terms of performance (HirNICCS_P) and knowledge (HirNICCS_K), which were addressed by 42 and 54 items, respectively, and was initially subjected to content validity testing by a panel of experts in neonatal nursing. The items were divided into five factors: (1) basic care, (2) skin care, (3) feeding management, (4) medication and invasive procedures, and (5) environment management. After participant completion of the scale, construct validity was examined using exploratory and confirmatory factor analyses, and internal reliability tests were also performed. The total variance of validity was 53.7% for HirNICCS_P, and the Cronbach’s alpha values for reliability were .95 for HirNICCS_P and .67 for HirNICCS_K based on a Kuder–Richardson-20 test. We concluded that this scale can be used to assess the performance and knowledge with regard to infection control competency among neonatal nurses and that its application can support strengthening of infection control education for nurses who score low on performance and knowledge competency.

Effectiveness and Utility of Virtual Reality Infection Control Simulation for Children With COVID-19: Quasi-Experimental Study

“…The sample size for the study was calculated using G*Power version 3.1.9.7 [ 22 ]. Considering that the effect size was 0.40-0.72 in previous studies, which is similar to that in this study [ 23 - 25 ], a moderate effect size (f) of 0.50, a significance level (α) of .05, and a statistical power (1 – β) of .90 were used, with a suitable sample size (2-tailed test) of 44. Considering a dropout rate of 10%, a total of 50 participants were recruited for the final study population, with 25 (50%) participants each in the experimental and control groups.…”

Effects of Virtual Reality Simulation Program Regarding High-risk Neonatal Infection Control on Nursing Students

“…The total possible score was 28 points, including 10 points for basic care, 8 points for feeding management and 10 points for skin care and environmental management; the higher the total score, the higher the knowledge level. The reliability for the overall scale was KR-20 ¼ .67 in a previous study [30] and .61 in this study.…”

“…Student knowledge regarding HirNIC was assessed using the High-Risk Neonatal Infection Control Competency Scale Knowledge (HirNICCS_K) developed by Yu et al [30]. The HirNICCS_K consists of five subdomains: basic care, skin care, feeding management, medication and invasive procedure management, and environmental management.…”

“…In the education context, self-efficacy refers to "perceived capabilities for learning or performing behaviors in designated levels" [31]. HirNIC performance self-efficacy was assessed using a modified version of a self-efficacy measure employed in a previous nursing student simulation study [32]; the instrument was modified based on the High-Risk Neonatal Infection Control Competency Scale_Performance by Yu et al (2020) [30]. The original instrument consisted of 17 items addressing self-confidence in caring for patients with gastrointestinal bleeding or acute myocardial infarction.…”

Factors associated with patient safety in neonatal intensive care units: A multicenter study using ordinal logistic regression

“…To evaluate nurses' neonatal infection control performance, the High‐Risk Neonatal Infection Control Competency Scale_Performance (HirNICCS_P) developed by Yu et al (2020) was used. The HirNICCS_P comprises five sub‐factors with 42 items: basic care, skincare, feeding management, medication and invasive procedure management, and environmental management.…”