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

BMC Nurs

Department of Clinical Epidemiology and Evidence-Based Medicine, the First Hospital of China Medical University, No.155, Nanjing North Street, Heping District, Shenyang, Liaoning Province, China.

Published: July 2025


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Article Abstract

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.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12211946PMC
http://dx.doi.org/10.1186/s12912-025-03384-3DOI Listing

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