Ran Qihong, Li Changqiang, Ren Jing, Lin Xi
Department of Pediatrics, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan 646000, P. R. China.
Department of Dermatology, The Fourth Affiliated Hospital of Southwest Medical University, Meishan, Sichuan, 620564, P. R. China.
Med Teach. 2025 Sep;47(9):1523-1534. doi: 10.1080/0142159X.2024.2442629. Epub 2024 Dec 21.
Clinical practicums are a crucial part of nursing education wherein nursing internship supervisors (NIS) play a vital role in facilitating hands-on experience. However, many NIS start their teaching roles without adequate educational training, despite the importance of this task. Therefore, the aim of this study was to develop and validate a reliable and credible core competency scale for NIS.
We used the framework from the Academy of Medical Educators for the training of NIS in healthcare. We combined a literature review, theory-based inquiry, qualitative interviews, and expert consultation to create the initial scale. The final scale underwent comprehensive evaluation by 653 NIS and 653 nursing internship students from three leading hospitals in Luzhou, Sichuan Province, resulting in a total of 1306 participants.
The study produced the Core Competency Scale for NIS, a refined instrument covering six dimensions (professional socialized mentoring capacity, clinical teaching competencies, student counseling communication and coordination skills, nursing process competencies, curriculum design capacity, clinical problem-solving skills) and 39 items. The scale showed a content validity index of 0.98 and strong criterion-related validity, with a correlation coefficient of = 0.73 ( < 0.01) against the Clinical Teaching Effectiveness Instrument scale. Cronbach's alpha ranged from 0.973 to 0.990, indicating high reliability and validity.
The Core Competency Scale for NIS demonstrates robust reliability and validity, serving as a valuable tool for assessing the core competencies of nursing instructors. It provides a strong foundation for the development and application of training programs tailored to enhance the skills of nursing faculty in the clinical setting.
临床实习是护理教育的关键部分，护理实习督导员（NIS）在促进实践经验方面发挥着至关重要的作用。然而，尽管这项任务很重要，但许多NIS在没有接受充分教育培训的情况下就开始了他们的教学工作。因此，本研究的目的是开发并验证一个可靠且可信的NIS核心能力量表。
我们采用了医学教育者学会的框架来培训医疗保健领域的NIS。我们结合了文献综述、基于理论的探究、定性访谈和专家咨询来创建初始量表。最终量表由来自四川省泸州市三家顶尖医院的653名NIS和653名护理实习生进行了全面评估，共有1306名参与者。
该研究产生了NIS核心能力量表，这是一个经过完善的工具，涵盖六个维度（专业社会化指导能力、临床教学能力、学生辅导沟通与协调技能、护理程序能力、课程设计能力、临床解决问题技能）和39个项目。该量表的内容效度指数为0.98，具有很强的效标关联效度，与临床教学效果工具量表的相关系数为=0.73（<0.01）。克朗巴哈系数在0.973至0.990之间，表明具有高信度和效度。
NIS核心能力量表具有很强的信度和效度，是评估护理教师核心能力的宝贵工具。它为开发和应用旨在提高临床环境中护理教师技能的培训项目提供了坚实的基础。
