Research Unit of Nursing Science and Health Management, University of Oulu, Oulu, Finland.
Lapland UAS, Kemi, Finland.
J Adv Nurs. 2021 Feb;77(2):1070-1084. doi: 10.1111/jan.14609. Epub 2020 Oct 28.
To develop and psychometrically test an instrument - GeroNursingCom - that measures gerontological nursing competence of nursing students.
An instrument development guided by COSMIN guidelines.
The development and testing of the GeroNursingCom instrument proceeded according to four distinct phases: (a) establishing a theoretical background; (b) testing face and content validity; (c) examining structural validity; and (d) testing internal consistency. The items of instrument were based on a theoretical framework developed from a comprehensive literature review and focus group interviews with experts (N = 27) in spring 2018. Content validity was assessed by nine experts in gerontological nursing, while face validity was tested in a pilot study including 36 nursing students. Structural validity was examined with exploratory factor analysis with 267 nursing students from nine universities of applied sciences. The internal consistency was established with Cronbach's alpha. The data were collected in spring and autumn 2019. The data analysis was conducted with multivariate statistical methods.
The GeroNursingCom development and testing process yielded an instrument that includes 53 items across 11 factors: (a) appreciative encounters and interactions with older people; (b) medication for older people; (c) nutrition for older people; (d) safe living environment for older people; (e) supporting the functioning of older people; (f) end-of-life care; (g) developing one's competencies; (h) supporting an older person's mental well-being; (i) supporting an older person's sexuality; (j) guiding self-care among older people; and (k) responding to challenging situations. The instrument was able to explain 66.15% of the total observed variance, while Cronbach's alpha values for individual items varied from 0.75-0.89.
TheGeroNursingCom instrument can be used to measure gerontological nursing competence among nursing students to improve gerontological nursing education and/or geriatric care.
Graduating nursing students must develop versatile competencies to face the multiple needs of older patients and curriculums need to be further developed to ensure students are prepared for gerontological nursing.
开发并心理测量学检验一种工具——GeroNursingCom，用于测量护理学生的老年护理能力。
受 COSMIN 指南指导的工具开发。
根据四个不同阶段进行 GeroNursingCom 工具的开发和测试：(a)建立理论背景；(b)测试表面和内容有效性；(c)检验结构有效性；(d)测试内部一致性。仪器的项目基于 2018 年春季全面文献回顾和与专家（N=27）焦点小组访谈的理论框架。九位老年护理专家评估内容有效性，而 36 名护理学生则参与了试点研究来测试表面有效性。来自九所应用科学大学的 267 名护理学生进行了探索性因素分析来检验结构有效性。Cronbach's alpha 用于建立内部一致性。数据于 2019 年春季和秋季收集。数据分析采用多变量统计方法进行。
GeroNursingCom 的开发和测试过程产生了一种包含 11 个因素 53 个项目的工具：(a)与老年人的欣赏性相遇和互动；(b)老年人的药物治疗；(c)老年人的营养；(d)老年人安全的生活环境；(e)支持老年人的功能；(f)临终关怀；(g)发展自己的能力；(h)支持老年人的心理健康；(i)支持老年人的性行为；(j)指导老年人的自我护理；(k)应对挑战情况。该工具能够解释总观察方差的 66.15%，而个别项目的 Cronbach's alpha 值从 0.75 到 0.89 不等。
GeroNursingCom 工具可用于测量护理学生的老年护理能力，以改善老年护理教育和/或老年护理。
护理专业的应届毕业生必须发展全面的能力，以满足老年患者的多种需求，课程需要进一步开发，以确保学生为老年护理做好准备。
