School of Nursing, National Defense Medical Center, Taipei, Taiwan.
Department of Mathematics, Tamkang University, New Taipei City, Taiwan.
J Nurs Manag. 2021 Oct;29(7):2092-2101. doi: 10.1111/jonm.13344. Epub 2021 May 7.
To describe the development and psychometric testing of the competency inventory for nurse managers across all levels in Taiwan.
The competency-based approach to develop nursing leadership and management competencies for the health care context is still insufficiently explored in terms of professional development in nursing administration.
This study used mixed methods, including qualitative study for generating the preliminary inventory and a cross-sectional survey of 573 nurse managers for psychometric properties of the inventory.
Exploratory factor analysis revealed four domains with 23 items that explained 58.21% of the overall variance. The overall Cronbach's alpha coefficient was 0.93. Confirmatory factor analysis showed a well-fitting goodness-of-fit statistics. The construct validity was adequate, with an average variance extracted of 0.68 and composite reliability of 0.90.
Across different levels, nurse managers have 23 essential competencies. The competency inventory demonstrates adequate psychometric properties with good construct validity and internal consistency, thereby reliable and valid for guiding the competency development of nurse managers.
The essential competencies of the inventory serve as a criterion-referenced measurement for competence proficiency in professional development of nursing administration and contribute to performance improvement of nurse managers in practice.
描述台湾各级护士管理者能力量表的编制及心理测量学特性。
在护理管理的专业发展方面，基于能力的方法来开发护理领导力和管理能力在医疗保健环境中仍未得到充分探索。
本研究采用混合方法，包括生成初步量表的定性研究和对 573 名护士长进行横断面调查，以评估量表的心理测量学特性。
探索性因素分析显示，四个领域有 23 个项目，解释了总方差的 58.21%。总体 Cronbach's alpha 系数为 0.93。验证性因素分析显示拟合良好的拟合优度统计数据。结构效度适度，平均方差抽取为 0.68，综合可靠性为 0.90。
不同层次的护士长有 23 项基本能力。该能力量表具有良好的心理测量学特性，具有良好的结构效度和内部一致性，因此可用于指导护士长的能力发展，具有可靠性和有效性。
该量表的基本能力作为护理管理专业发展中能力熟练程度的标准参照测量，有助于提高护士长在实践中的绩效。
