<abstract xmlns="http://www.w3.org/1999/xhtml">

<sec>
<h3>Objective</h3>
<p>With the continuous advancement of aging in China, the number of older inpatients has increased sharply. Older patients have a high demand for planning their discharge services. Nurses serve as the leader of discharge planning for patients; there is a lack of reliable evaluation tool to evaluate the core competitiveness of nurses who implement discharge planning for older patients in China. The purpose of this study was to validate the index for the core competence of nurses who lead discharge planning for older patients developed by a project team through the Delphi method in the early stage.</p>
</sec>
<sec>
<h3>Methods</h3>
<p>A cross-sectional questionnaire survey with 3-stage stratified sampling was used to select 1075 nurses from 17 public general hospitals in Ningxia, China.</p>
</sec>
<sec>
<h3>Results</h3>
<p>The index consists of 4 first-level indicators, 13 second-level indicators, and 57 third-level indicators. The results show that 57 third-level indicators had good discrimination. With exploratory factor analysis (EFA), 4 common factors that explained 72.79% of the total variance were extracted. The Cronbach’s <italic>α</italic> was 0.98, and the retest reliability within a 14-d interval was 0.86. The confirmatory factor analysis (CFA) results show that the fit of the index structure was good. The criterion validity was 0.73.</p>
</sec>
<sec>
<h3>Conclusions</h3>
<p>The index presented excellent psychometric properties and can be used to measure the core competence of nurses in implementing discharge planning for older patients in China.</p>
</sec>
</abstract>

Objective
With the continuous advancement of aging in China, the number of older inpatients has increased sharply. Older patients have a high demand for planning their discharge services. Nurses serve as the leader of discharge planning for patients; there is a lack of reliable evaluation tool to evaluate the core competitiveness of nurses who implement discharge planning for older patients in China. The purpose of this study was to validate the index for the core competence of nurses who lead discharge planning for older patients developed by a project team through the Delphi method in the early stage.


Methods
A cross-sectional questionnaire survey with 3-stage stratified sampling was used to select 1075 nurses from 17 public general hospitals in Ningxia, China.


Results
The index consists of 4 first-level indicators, 13 second-level indicators, and 57 third-level indicators. The results show that 57 third-level indicators had good discrimination. With exploratory factor analysis (EFA), 4 common factors that explained 72.79% of the total variance were extracted. The Cronbach’s α was 0.98, and the retest reliability within a 14-d interval was 0.86. The confirmatory factor analysis (CFA) results show that the fit of the index structure was good. The criterion validity was 0.73.


Conclusions
The index presented excellent psychometric properties and can be used to measure the core competence of nurses in implementing discharge planning for older patients in China.

Validation of the index for the core competence of nurses leading discharge planning for older patients in China<sup><xref ref-type="fn" rid="j_fon-2023-0006_fn_001">†</xref></sup>

General Hospital of Ningxia Medical University

Frontiers of Nursing

This work is licensed under the Creative Commons Attribution 4.0 International License.

Validation of the index for the core competence of nurses leading discharge planning for older patients in China

Objective
With the continuous advancement of aging in China, the number of older inpatients has increased sharply. Older patients have a high demand for...

Validation of the index for the core competence of nurses leading discharge planning for older patients in China^†

Article Category: Original Article

Published Online: Mar 20, 2023

Page range: 51 - 64

Received: Jun 05, 2022

Accepted: Sep 26, 2022

DOI: https://doi.org/10.2478/fon-2023-0006

Keywords
core competence, discharge planning, instrument, nurse, older patient, reliability, validation, validity

© 2023 Lu Lu et al., published by Sciendo

This work is licensed under the Creative Commons Attribution 4.0 International License.

Validation of the index for the core competence of nurses leading discharge planning for older patients in China†

Article Category: Original Article

Published Online: Mar 20, 2023

Page range: 51 - 64

Received: Jun 05, 2022

Accepted: Sep 26, 2022

DOI: https://doi.org/10.2478/fon-2023-0006

Keywordscore competence, discharge planning, instrument, nurse, older patient, reliability, validation, validity

© 2023 Lu Lu et al., published by Sciendo

This work is licensed under the Creative Commons Attribution 4.0 International License.

Validation of the index for the core competence of nurses leading discharge planning for older patients in China^†

Keywords
core competence, discharge planning, instrument, nurse, older patient, reliability, validation, validity