College of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan 611137, China.
Nurse Educ Pract. 2024 Aug;79:104070. doi: 10.1016/j.nepr.2024.104070. Epub 2024 Jul 13.
This systematic review aimed to assess the psychometric properties of existing nursing informatics scales of competence and provide an evidence-based basis for selecting the most appropriate assessment instruments for specific populations.
Informatics competency is one of the fundamental competencies that nurses should have. Using an informatics competency assessment instrument is an effective way to identify competency gaps and develop a professional development plan to address them. However, no systematic reviews summarizing and assessing the psychometric properties of all nursing informatics competency assessment instruments exist.
This study systematically reviews measurement properties using the Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) methodology.
Eight electronic databases (PubMed, Embase, Web of Science, CINAHL Complete, MEDLINE, PsychInfo, China National Knowledge Infrastructure and WanFang Data) were systematically searched from inception until January 10, 2024. Methodological quality was assessed using the COSMIN Risk of Bias Checklist. We used the COSMIN criteria to summarize and rate the psychometric properties.
Twenty-seven studies reported twenty-five various versions of the instruments. Eighteen instruments assessed only one to three psychometric properties. No studies report cross-cultural effectiveness/measurement invariance and measurement error. The quality of evidence for structural validity or internal consistency for the three instruments failed to satisfy the COSMIN criteria. The SANICS-C has moderate to high-quality evidence of adequate content validity and internal consistency. In the end, the SANICS-C was an A recommendation, three instruments were C recommendations and the rest were B recommendations.
The Nursing Informatics Competencies Scale for Nursing Students, SANICS-C and ICAT can be used to assess the informatics competencies of undergraduate, graduate and doctoral nursing students, respectively. The C-NICAS-FR is recommended for the assessment of nurses' informatics competence. The Self-Assessment Questionnaire for Nursing Informatics Competencies of Nursing Manager can be recommended for assessing nurse leaders' informatics competencies. Future research needs to validate these instruments' cross-cultural applicability further and comprehensively assess their psychometric properties. Along with emerging technologies, researchers should continually revisit and revise existing assessment instruments and develop instruments to assess the informatics competencies of nursing teachers.
本系统评价旨在评估现有的护理信息学能力量表的心理测量学特性，并为特定人群选择最合适的评估工具提供循证依据。
信息学能力是护士应具备的基本能力之一。使用信息学能力评估工具是识别能力差距并制定专业发展计划以解决这些差距的有效方法。然而，目前尚无系统评价总结和评估所有护理信息学能力评估工具的心理测量学特性。
本研究使用共识基础的健康测量工具选择标准（COSMIN）方法系统地评价测量特性。
从建库至 2024 年 1 月 10 日，系统地检索了 8 个电子数据库（PubMed、Embase、Web of Science、CINAHL Complete、MEDLINE、PsychInfo、中国知网和万方数据）。使用 COSMIN 偏倚风险检查表评估方法学质量。我们使用 COSMIN 标准总结和评价心理测量学特性。
27 项研究报告了 25 种不同版本的工具。18 种工具仅评估了 1 至 3 种心理测量学特性。没有研究报告跨文化有效性/测量不变性和测量误差。三种工具结构有效性或内部一致性的证据质量未能满足 COSMIN 标准。SANICS-C 具有足够的内容有效性和内部一致性的中高质量证据。最终，SANICS-C 被推荐为 A 级，三种工具被推荐为 C 级，其余工具被推荐为 B 级。
护理学生信息学能力量表、SANICS-C 和 ICAT 可分别用于评估本科、研究生和博士生的信息学能力。C-NICAS-FR 推荐用于评估护士的信息学能力。护理管理者信息学能力自我评估问卷可推荐用于评估护理领导者的信息学能力。未来的研究需要进一步验证这些工具的跨文化适用性，并全面评估其心理测量学特性。随着新兴技术的出现，研究人员应不断重新审视和修改现有的评估工具，并开发评估护理教师信息学能力的工具。
