Nurses’ knowledge, skills and personal attributes for competent health education practice: An instrument development and psychometric validation study

Abstract

Aim: To develop and psychometrically test the Nurse Health Education Competence Instrument for assessing nurses' knowledge, skills and personal attributes concerning competent health education practice. Design: A psychometric instrument development and validation study. Methods: A four-step approach was used: Step 1) operational definition based on an up-to-date concept analysis and experts' judgement; step 2) item generation and content validation by expert panel and target population; step 3) item analysis based on acceptability, internal consistency and face validity; and step 4) psychometric evaluation based on construct validity, criterion validity, internal consistency and stability, conducted from January-February 2019 with 458 hospital-care nurses. Results: The operational framework and expert groups showed good content validity, resulting in the first version. From the initial 88-item pool, 58 items were retained after item analysis. Exploratory factor analysis revealed three scales concerning the cognitive (three-factor solution with 23 items), psychomotor (two-factor solution with 26 items) and affective-attitudinal (one-factor solution with nine items) competency domains, which respectively accounted for 58%, 53% and 54% of the variance. Known-group study demonstrated significant differences by years working in the service and training received in health education, providing evidence for the measure's sensitivity. The three scales correlated positively with the criterion variable. Overall Cronbach alphas for the cognitive, psychomotor and affective-attitudinal scales were 0.95, 0.95 and 0.90, respectively. Intraclass correlation coefficients were >0.70. Conclusions: The newly developed Nurse Health Education Competence Instrument is an original and tested self-reporting psychometric tool, being the first to identify nurses' knowledge, skills and attributes necessary for planning and assessing health education practice competency.

Instruments for measuring empowering patient education competence of nurses: Systematic review

“…Performance was the most often measured attribute. The most varied competence attributes were measured in the Quality of Patient Education Scale (Kääriäinen & Kyngäs, 2010), NPEQ (Bergh et al, 2012, 2014, 2015; Jung & Roh, 2020, 2021), PECS‐RN (Lin & Wang, 2017), HECS (Hwang et al, 2018) and I‐CEpSE (Pueyo‐Garrigues et al, 2020).…”

“…MQ of measurement error was assessed to be adequate in all three studies as the only shortcoming was an unclear description of possible differences between the test and retest settings. (Hwang et al, 2018; Lin & Wang, 2017; Pueyo‐Garrigues et al, 2020. )…”

“…We chose COSMIN for this review as it is a validated and widely used tool which is systemically updated (Mokkink et al, 2018; Prinsen et al, 2018; Terwee et al, 2018) and has been used to assess instruments developed to evaluate the competence of nursing professionals (e.g Al Jabri et al, 2021). However, as only one of the instruments (Pueyo‐Garrigues et al, 2020) was developed and reported following the COSMIN criteria, the MQ scores for many of the instruments were affected by the lack of required information (Terwee et al, 2012).…”

Teaching the ideas of others: Is there a problem?

“…However, while a great deal of attention focuses on student evaluations of teaching (Padgett, 2021), educational skills development (see e.g. Cayir & Ulupinar, in press), and the complexity of health education (Pueyo‐Garrigues et al, 2021), epistemic competence of the sort discussed in this paper is inadequately addressed by nurse educators—and here I include myself. Hopefully, it goes without saying that the faults I find in others must (a deliberately harsh word) also infuse my own teaching.…”

Một Số Yếu Tố Liên Quan Đến Kiến Thức, Kỹ Năng Giáo Dục Sức Khỏe Của Điều Dưỡng Bệnh Viện Trung Ương Thái Nguyên Năm 2022

“…Nhận thức được tầm quan trọng của người điều dưỡng trong công tác chăm sóc sức khỏe người bệnh, cho đến nay đã có rất nhiều nghiên cứu được thực hiện liên quan đến vấn đề này. Hầu hết các nghiên cứu đều chỉ ra rằng: Điều dưỡng đã làm tốt việc chăm sóc hỗ trợ tinh thần cho người bệnh và thực hiện tốt y lệnh của bác sĩ, tuy nhiên việc giáo dục sức khỏe cho người bệnh còn thiếu và yếu [6]- [8]. Vì vậy, nâng cao kiến thức và kỹ năng giáo dục sức khỏe cho người bệnh là một vấn đề cấp thiết đối với người điều dưỡng, làm tốt điều này sẽ góp phần rất lớn vào kết quả điều trị người bệnh.…”