ArticleBMC nursing2024
A scale for measuring nursing digital application skills: a development and psychometric testing study.
Article in BMC nursing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- The relationship between digital literacy and clinical decision-making skills among student nurses: a cross sectional study.BMC nursing · 2026Article
- Article
- Clinical nurses as digital guardians: unlocking the key determinants of digital resilience in the AI era.Frontiers in public health · 2026Article
- Digital resilience of clinical nurses: a concept analysis.BMC nursing · 2025Article
- The Chinese Version of the DigiHealthCom (Digital Health Competence) Instrument for Assessing Digital Health Competence of Health Care Professionals: Translation, Adaptation, and Validation Study.JMIR human factors · 2025Article
- Measuring Managerial, Collegial, and Organizational Aspects Associated With Digital Health Competence in Healthcare Professionals: Validation of the Chinese Version of the DigiComInf Instrument.Journal of nursing management · 2025Article
- Factors influencing the public health emergency preparedness among Generation Z nursing interns in the post-pandemic era: a cross-sectional study.Frontiers in public health · 2025Article
- Translation and Validation of Digital Competence Indicators in Greek for Health Professionals: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2024Article
- Translation and psychometric evaluation of the Chinese version of the Digital Competence Questionnaire for clinical nurses.Digital healthArticle
- The Relationship Between Perceived Digital Skills and Team Effectiveness Among Nurses in Saudi Governmental Hospitals: A Cross-Sectional Study.SAGE open nursingArticle
- A novel digital competence assessment tool for parents: Development and validation study.Digital healthArticle
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe adoption of digitization has emerged as a new trend in the advancement of healthcare systems. To ensure high-quality care, nurses should possess sufficient skills to assist in the digital transformation of healthcare practices. Suitable tools have seldom been developed to assess nurses' skills in digital applications. This study aimed to develop the Nursing Digital Application Skill Scale (NDASS) and test its psychometric properties.
methodsThe Nursing Digital Application Skill Scale was developed in three phases. In Phase 1, an item pool was developed based on previous literature and the actual situation of nursing work. Phase 2 included 14 experts' assessment of content validity and a focus group interview with 30 nurses to pretest the scale. In phase 3, 429 registered nurses were selected from March to June 2023, and item analysis, exploratory factor analysis, and confirmatory factor analysis were used to refine the number of items and explore the factor structure of the scale. Additionally, reliability was determined by internal consistency and test-retest reliability.
resultsThe final version of the NDASS consisted of 12 items. The content validity index of NDASS reached 0.975 at an acceptable level. The convergent validity test showed that the average variance extracted value was 0.694 (> 0.5) and the composite reliability value was 0.964 (> 0.7), both of which met the requirements. The principal component analysis resulted in a single-factor structure explaining 74.794% of the total variance. All the fitting indices satisfied the standard based upon confirmatory factor analyses, indicating that the single-factor structure contributed to an ideal model fit. The internal consistency appeared high for the NDASS, reaching a Cronbach's alpha value of 0.968. The test-retest reliability was 0.740, and the split-half coefficient was 0.935.
conclusionThe final version of the NDASS, which possesses adequate psychometric properties, is a reliable and effective instrument for nurses to self-assess digital skills in nursing work and for nursing managers in designing nursing digital skill training.
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