Development and validation of a nursing professionalism evaluation model in a career ladder system

초록

Background The clinical ladder system categorizes the degree of nursing professionalism and rewards and is an important human resource tool for managing nursing. Aim We developed a model to evaluate nursing professionalism, which determines the clinical ladder system levels, and verified its validity. Methods Data were collected using a clinical competence tool developed in this study, and existing methods such as the nursing professionalism evaluation tool, peer reviews, and face-to-face interviews to evaluate promotions and verify the presented content in a medical institution. Reliability and convergent and discriminant validity of the clinical competence evaluation tool were verified using SmartPLS software. The validity of the model for evaluating overall nursing professionalism was also analyzed. Results Clinical competence was determined by five dimensions of nursing practice: scientific, technical, ethical, aesthetic, and existential. The structural model explained 66% of the variance. Clinical competence scales, peer reviews, and face-to-face interviews directly determined nursing professionalism levels. Conclusions The evaluation system can be used for evaluating nurses' professionalism in actual medical institutions from a nursing practice perspective.

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