Development of a novel instrument to measure Japanese psychiatric nurses’ technological competency as caring in nursing

Background: To effectively advance person-centered care (PCC) practice, it is important to equip healthcare providers with person-centered values and beliefs while simultaneously transforming their work environment to align with PCC. Thus, instruments to measure caring practice status in nursing com...

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Main Authors: Yoshiyuki Takashima, Hirokazu Ito, Gil P. Soriano, Yuko Yasuhara, Kyoko Osaka, Savina Schoenhofer, Tetsuya Tanioka
Format: Article
Language:English
Published: Belitung Raya Foundation 2025-01-01
Series:Belitung Nursing Journal
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Online Access:https://www.belitungraya.org/BRP/index.php/bnj/article/view/3623
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author Yoshiyuki Takashima
Hirokazu Ito
Gil P. Soriano
Yuko Yasuhara
Kyoko Osaka
Savina Schoenhofer
Tetsuya Tanioka
author_facet Yoshiyuki Takashima
Hirokazu Ito
Gil P. Soriano
Yuko Yasuhara
Kyoko Osaka
Savina Schoenhofer
Tetsuya Tanioka
author_sort Yoshiyuki Takashima
collection DOAJ
description Background: To effectively advance person-centered care (PCC) practice, it is important to equip healthcare providers with person-centered values and beliefs while simultaneously transforming their work environment to align with PCC. Thus, instruments to measure caring practice status in nursing competency for psychiatric-specific behavioral limitations, ethico-moral behavior, technology use, and PCC need to be developed. Objective: This study developed the Technological Competency as Caring in Psychiatric Nursing Instrument (TCCNPNI) to measure practice status and test its content and construct validity. Methods: Five different phases were followed: 1) Literature Review; 2) Operational definition of the construct and development of items; 3) Two-round Delphi method; 4) Validity measure; and 5) Reliability measure. The online survey was conducted in 2024. Results: The developed instrument comprises 22 items with a 4-factor structure: competency to practice caring and person-centered care (Factor 1); competency to recognize and respond to ethical issues in psychiatry (Factor 2); competency to utilize technology in psychiatry (Factor 3); and competence to practice care for the preservation of human dignity and shared decision making (Factor 4). Cronbach’s alpha for the entire scale was 0.864, while that for factors 1-4 was 0.911, 0.814, 0.773, and 0.64, respectively. Cumulatively, these four factors contributed 49.6% and explained nearly 50% of the total data. Item-total correlation values were 0.6 or higher among factors 1-3. However, factor 4, for which items were Q30, Q33, Q34, and Q35 (r = 0.03, 0.04, 0.21, 0.11, respectively), were inverted items and had low I-T correlation values. These low correlations suggest that these items capture different concepts. The developed TCCNPNI allows for the measurement of the practice of nursing as caring in psychiatry, the state of ethico-moral behavior, and the practice status of technological competency as caring in psychiatric nursing. Conclusion: This study demonstrated satisfactorily and efficiently evaluated the practice status of technological competency in psychiatric nurses’ caring. Measuring technological competency as caring in psychiatric nursing can be an important adjunct for in-service education in psychiatric hospitals or formalized nursing education in nursing universities.
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spelling doaj-art-912fe92bdb8648faafec74005305f5882025-01-26T04:40:37ZengBelitung Raya FoundationBelitung Nursing Journal2477-40732025-01-0111110.33546/bnj.3623Development of a novel instrument to measure Japanese psychiatric nurses’ technological competency as caring in nursingYoshiyuki Takashima0Hirokazu Ito1Gil P. Soriano2 Yuko Yasuhara3Kyoko Osaka4Savina Schoenhofer5Tetsuya Tanioka6Department of Nursing, BAIKA Women’s University, Osaka, Japan | Graduate School of Health Sciences, Tokushima University, Tokushima, JapanInstitute of Biomedical Sciences, Tokushima University, Tokushima, Japan | Rozzano Locsin Institute, JapanDepartment of Nursing, College of Allied Health, National University, Manila, Philippines | Rozzano Locsin Institute, JapanInstitute of Biomedical Sciences, Tokushima University, Tokushima, Japan | Rozzano Locsin Institute, JapanDepartment of Nursing, Kochi Medical School, Kochi University, Kochi, Japan | Rozzano Locsin Institute, JapanRozzano Locsin Institute, JapanInstitute of Biomedical Sciences, Tokushima University, Tokushima, Japan | Rozzano Locsin Institute, JapanBackground: To effectively advance person-centered care (PCC) practice, it is important to equip healthcare providers with person-centered values and beliefs while simultaneously transforming their work environment to align with PCC. Thus, instruments to measure caring practice status in nursing competency for psychiatric-specific behavioral limitations, ethico-moral behavior, technology use, and PCC need to be developed. Objective: This study developed the Technological Competency as Caring in Psychiatric Nursing Instrument (TCCNPNI) to measure practice status and test its content and construct validity. Methods: Five different phases were followed: 1) Literature Review; 2) Operational definition of the construct and development of items; 3) Two-round Delphi method; 4) Validity measure; and 5) Reliability measure. The online survey was conducted in 2024. Results: The developed instrument comprises 22 items with a 4-factor structure: competency to practice caring and person-centered care (Factor 1); competency to recognize and respond to ethical issues in psychiatry (Factor 2); competency to utilize technology in psychiatry (Factor 3); and competence to practice care for the preservation of human dignity and shared decision making (Factor 4). Cronbach’s alpha for the entire scale was 0.864, while that for factors 1-4 was 0.911, 0.814, 0.773, and 0.64, respectively. Cumulatively, these four factors contributed 49.6% and explained nearly 50% of the total data. Item-total correlation values were 0.6 or higher among factors 1-3. However, factor 4, for which items were Q30, Q33, Q34, and Q35 (r = 0.03, 0.04, 0.21, 0.11, respectively), were inverted items and had low I-T correlation values. These low correlations suggest that these items capture different concepts. The developed TCCNPNI allows for the measurement of the practice of nursing as caring in psychiatry, the state of ethico-moral behavior, and the practice status of technological competency as caring in psychiatric nursing. Conclusion: This study demonstrated satisfactorily and efficiently evaluated the practice status of technological competency in psychiatric nurses’ caring. Measuring technological competency as caring in psychiatric nursing can be an important adjunct for in-service education in psychiatric hospitals or formalized nursing education in nursing universities. https://www.belitungraya.org/BRP/index.php/bnj/article/view/3623Delphi methodpsychiatric nursingshared decision makingperson-centered careethicsreliability
spellingShingle Yoshiyuki Takashima
Hirokazu Ito
Gil P. Soriano
Yuko Yasuhara
Kyoko Osaka
Savina Schoenhofer
Tetsuya Tanioka
Development of a novel instrument to measure Japanese psychiatric nurses’ technological competency as caring in nursing
Belitung Nursing Journal
Delphi method
psychiatric nursing
shared decision making
person-centered care
ethics
reliability
title Development of a novel instrument to measure Japanese psychiatric nurses’ technological competency as caring in nursing
title_full Development of a novel instrument to measure Japanese psychiatric nurses’ technological competency as caring in nursing
title_fullStr Development of a novel instrument to measure Japanese psychiatric nurses’ technological competency as caring in nursing
title_full_unstemmed Development of a novel instrument to measure Japanese psychiatric nurses’ technological competency as caring in nursing
title_short Development of a novel instrument to measure Japanese psychiatric nurses’ technological competency as caring in nursing
title_sort development of a novel instrument to measure japanese psychiatric nurses technological competency as caring in nursing
topic Delphi method
psychiatric nursing
shared decision making
person-centered care
ethics
reliability
url https://www.belitungraya.org/BRP/index.php/bnj/article/view/3623
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