ArticleJapan journal of nursing science : JJNS2026
Development and validation of the community development competency scale (ComDe-scale) for public health nurses in Japanese community general support centers: A Nationwide study.
Article in Japan journal of nursing science : JJNS, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Correction to "Development and validation of the community development competency scale (ComDe-scale) for public health nurses in Japanese community general support centers: A Nationwide study".Japan journal of nursing science : JJNS · 2026Article
Corrections and comments
- Erratum issued
Authors and funding
4 authors.
Funding
Abstract
objectiveThis study aimed to develop and validate the Community Development Competency Scale (ComDe-Scale) for public health nurses (PHNs) working in Community General Support Centers (CGSCs) in Japan.
methodA nationwide cross-sectional survey was conducted with all 5495 CGSCs, yielding 1562 valid responses (28.4%). Item analysis, exploratory factor analysis (EFA), and confirmatory factor analysis (CFA) were performed to examine the factor structure, internal consistency, and construct validity. Hypothesis testing included correlations with the Network Establishment Practices Scale (NEPS) and subgroup comparisons by CGSC experience and managerial status. Convergent and discriminant validity were assessed using average variance extracted (AVE), composite reliability (CR), and the Fornell-Larcker criterion. Measurement invariance across management types (direct vs. outsourced) was evaluated through multigroup CFA.
resultsThe ComDe-Scale demonstrated a three-factor, 20-item structure: (1) Strategic Management for Driving Community Health, (2) Empowerment for Interprofessional and Organizational Collaboration, and (3) Community-Rooted Outreach for Building Networks. Model fit indices indicated a good fit (CFI = 0.955, RMSEA = 0.060). Internal consistency was high (Cronbach's α = 0.845-0.946). All hypotheses for construct validity were supported (p < .001). Convergent validity (AVE = 0.569-0.589, CR = 0.842-0.941) and discriminant validity (√AVE > inter-factor correlations) were confirmed. Partial measurement invariance was observed across management types.
conclusionsThe ComDe-Scale demonstrated satisfactory reliability and validity and can serve as a practical tool for evaluating and strengthening the competencies of PHNs engaged in community development at CGSCs.
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