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Background <p>Evolving healthcare paradigms and shifting population health needs necessitate the advancement of nurses’ core competencies. Under China’s new-era health development strategy, there is an urgent demand to establish a culturally adapted, contemporary competency assessment framework.</p> Methods <p>This three-phase study involved: (1) Constructing a preliminary competency framework through systematic literature review and semi-structured interviews; (2) Refining dimensions via two-round Delphi consultations; (3) Validating the Chinese Nursing Core Competence Scale (CNCCS) with data from 1,415 nurses across seven geographical regions (Nov 2022-May 2023), assessing validity through content/structure/criterion-related validation and reliability via internal consistency/test-retest analysis.</p> Results <p>The Delphi process yielded an 8-dimension, 96-item framework. Exploratory factor analysis retained 62 items across 8 factors explaining 76.106% variance. Confirmatory analysis demonstrated good model fit (χ²/df = 3.376, TLI = 0.924, CFI = 0.929, RMSEA = 0.054, SRMR = 0.078). The scale exhibited acceptable reliability (Cronbach’s α = 0.885, ICC = 0.958), meeting psychometric standards.</p> Conclusion <p>The CNCCS comprises 8 dimensions with 62 items, demonstrating robust reliability and validity. Grounded in China’s unique healthcare context while addressing global nursing challenges, this instrument provides a scientific foundation for competency evaluation and tiered training programs, offering insights for worldwide nursing competence system development.</p> Clinical trial number <p>Not applicable.</p>

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Developing and validating the Chinese nursing core competence scale for tertiary hospital nurses based on evolving health care needs in China

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年7月1日

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  • Meihan Chen,
  • Xiaonan Li,
  • Aiping Wang,
  • Baosen Zhou

摘要

Background

Evolving healthcare paradigms and shifting population health needs necessitate the advancement of nurses’ core competencies. Under China’s new-era health development strategy, there is an urgent demand to establish a culturally adapted, contemporary competency assessment framework.

Methods

This three-phase study involved: (1) Constructing a preliminary competency framework through systematic literature review and semi-structured interviews; (2) Refining dimensions via two-round Delphi consultations; (3) Validating the Chinese Nursing Core Competence Scale (CNCCS) with data from 1,415 nurses across seven geographical regions (Nov 2022-May 2023), assessing validity through content/structure/criterion-related validation and reliability via internal consistency/test-retest analysis.

Results

The Delphi process yielded an 8-dimension, 96-item framework. Exploratory factor analysis retained 62 items across 8 factors explaining 76.106% variance. Confirmatory analysis demonstrated good model fit (χ²/df = 3.376, TLI = 0.924, CFI = 0.929, RMSEA = 0.054, SRMR = 0.078). The scale exhibited acceptable reliability (Cronbach’s α = 0.885, ICC = 0.958), meeting psychometric standards.

Conclusion

The CNCCS comprises 8 dimensions with 62 items, demonstrating robust reliability and validity. Grounded in China’s unique healthcare context while addressing global nursing challenges, this instrument provides a scientific foundation for competency evaluation and tiered training programs, offering insights for worldwide nursing competence system development.

Clinical trial number

Not applicable.