ArticleBMC nursing2023
Construct validity of advanced practice nurse core competence scale: an exploratory factor analysis.
Article in BMC nursing, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Nurse core competency cultivation using the checklist-based Kirkpatrick model under the "cross-departmental bed-sharing" mode.BMC nursing · 2026Article
- Chinese medicine syndrome differentiation-kidney deficiency syndrome (KDS) for women during pregnancy: Delphi expert consensus on a self-reported KDS symptoms scale followed by psychometric properties evaluation.Journal of traditional Chinese medicine = Chung i tsa chih ying wen pan · 2026Article
- Translation, Cultural Adaptation and Validation of a Korean Version of the Digital Professionalism Self-Assessment Instrument for Nurses.Journal of nursing management · 2026Article
- Development and application of a core competency evaluation index system for pediatric asthma specialist nurses in China: a mixed-method study.BMC nursing · 2025Article
- Advanced Practice Nursing: A Bibliometric and Visualization Analysis (1992-2023).Journal of multidisciplinary healthcare · 2025Article
- Professional experiences of spanish advanced practice nurses: qualitative research.BMC nursing · 2024Article
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5 authors.
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Abstract
backgroundDetermining the core competence of advanced practice nurses is foundational for promoting optimal design and implementation of advanced practice nursing roles. Core competencies specific to the contexts of the advanced practice nurse in Hong Kong have been developed, but not yet validated. Thus, this study aims to assess the construct validity of advanced practice nurse core competence scale in Hong Kong.
methodsWe performed a cross-sectional study using an online self-report survey. Exploratory factor analysis was used to examine the factor structure of a 54-item advanced practice nurse core competence scale through principal axis factoring with direct oblique oblimin rotation. A parallel analysis was conducted to determine the number of factors to be extracted. The Cronbach's α was computed to evaluate the internal consistency of the confirmed scale. The STROBE checklist was used as reporting guideline.
resultsA total of 192 advanced practice nurse responses were obtained. Exploratory factor analysis led to the final 51-item scale with a three-factor structure, which accounted for 69.27% of the total variance. The factor loadings of all items ranged from 0.412 to 0.917. The Cronbach's alpha of the total scale and three factors ranged from 0.945 to 0.980, indicating robust internal consistency.
conclusionThis study identified a three-factor structure of the advanced practice nurse core competency scale: client-related competencies, advanced leadership competencies, and professional development and system-related competencies. Future studies are recommended to validate the core competence content and construct in different contexts. Moreover, the validated scale could provide a cornerstone framework for advanced practice nursing roles development, education, and practice, and inform future competency research nationally and internationally.
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