ArticleJournal of nursing management2026
Development and Validation of the Nurse Unit Manager Competency Scale (NUM-CS): A Multicenter Study.
Article in Journal of nursing management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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- Development and Validation of the Nurse Unit Manager Competency Scale (NUM-CS): A Multicenter Study.Journal of nursing management · 2026Article
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8 authors.
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Abstract
aimTo develop and validate the Nurse Unit Manager Competency Scale (NUM-CS) and to examine the stability of its factor structure across hospital settings in China.
backgroundNurse Unit Managers (NUMs) play a central role in clinical governance and care delivery. In China, NUM appointments are commonly based on seniority rather than formal competency assessment. Existing international frameworks provide useful reference points but do not fully reflect the demands of specialized and high-risk hospital contexts. A context-sensitive and psychometrically robust instrument is, therefore, needed to support competency-based nursing management.
methodsA multiphase methodological study was conducted between May and December 2025. Items were generated from a prior qualitative study and refined through two rounds of Delphi consultation. Psychometric testing was performed using two independent samples: a specialized hospital sample (n = 151) for exploratory factor analysis (EFA) and a cross-setting sample (n = 212) for confirmatory factor (CFA) analysis. Reliability, construct validity, and criterion-related validity were examined.
resultsThe final NUM-CS consisted of 33 self-report items across six competency domains. EFA showed excellent sampling adequacy (KMO = 0.953; Bartlett's χ
conclusionThe NUM-CS is a preliminarily validated, practice-oriented tool for identifying and developing NUM reserve candidates across diverse hospital settings in China. IMPLICATIONS FOR NURSING MANAGEMENT: The NUM-CS offers a structured tool to support competency-based identification, development, and formative assessment of NUM reserve candidates, particularly in specialized and high-risk clinical environments.
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