Development and Validity Check of a Self-Assessment Scale of Practical Nursing Skills for Nurses Engaged in Small-Scale Multifunctional In-Home Nursing Care

• Published in: Journal of Japan Academy of Nursing Science Vol. 45; pp. 60 - 71
• Main Authors: Ono, Hiroshi, Watanabe, Rika, Nakanishi, Eiko, Kawano, Takanori, Awamura, Kenji, Haga, Kuniko, Muya, Makiko, Manabe, Masashi, Nii, Manabu, Sakashita, Reiko
• Format: Journal Article
• Language: English; Japanese
• Published: Japan Academy of Nursing Science 2025
• Subjects: Community-based Comprehensive Care System; Competency; Nurse; Small-scale multifunctional in-home nursing care
• ISSN: 0287-5330; 2185-8888
• DOI: 10.5630/jans.45.60

Purpose: Small-scale multifunctional in-home nursing care, called Kantaki, is a new service that combines day care, home-visit nursing, and short-stay services. This study developed a self-assessment scale for practical nursing skills required by nurses engaged in Kantaki and examined its validity.Methods: Using the developed assessment instrument, a questionnaire survey was conducted with registered nurses from 729 Kantaki facilities that were open by the end of June 2021. The scale’s factor structure was determined, and the internal consistency, content validity, construct validity, and criterion validity were evaluated.Results: From the 949 distributed questionnaires, 865 responses were received. Of these, 649 questionnaires with responses to all items were analyzed. Subsequently, a scale comprising 59 items and nine factors was developed. Cronbach’s alpha coefficient was greater than 0.9 for each factor. Content and construct validities were sufficient, and the factor points of each factor for participants with more than three years of clinical experience were significantly higher than for those with less than three years of clinical experience.Conclusion: The developed scale had adequate validity, and can be used to evaluate care provided by nurses in Kantaki.