Development and psychometric testing of the preceptors’ orientation competence instrument (POCI)
Pohjamies, Netta; Mikkonen, Kristina; Kääriäinen, Maria; Haapa, Toni (2022-09-08)
Pohjamies, N., Mikkonen, K., Kääriäinen, M., & Haapa, T. (2022). Development and psychometric testing of the preceptors’ orientation competence instrument (Poci). Nurse Education in Practice, 64, 103445. https://doi.org/10.1016/j.nepr.2022.103445
© 2022 The Authors. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/bync-nd/4.0/).
https://creativecommons.org/licenses/by-nc-nd/4.0/
https://urn.fi/URN:NBN:fi-fe2022112967542
Tiivistelmä
Abstract
Aim: To develop and psychometrically test a Preceptors’ Orientation Competence Instrument measuring orientation competence of nurses working as new employee preceptors.
Background: Competence of nurse preceptor is essential for a successful preceptorship and thus nursing staff’s commitment to the organization.
Design: Instrument development according to the COSMIN guidelines.
Methods and participants: Four phases were implemented: 1) establishment of the theoretical framework, modification of the validated Mentor Competence Instrument and generation of new items; 2) content validity testing; 3) structural validity testing; and 4) internal consistency testing. Content validity was evaluated by 14 experts using content validity index methods. Structural validity was evaluated using exploratory factor analysis with a convenience sample of 844 Finnish nurses. Internal consistency was evaluated by measuring Cronbach’s alpha.
Results: The content validity index of subdimensions of the instrument ranged from 0.80 to 0.94 for relevance and 0.80–0.94 for clarity. Exploratory factor analysis resulted in a seven-factor model with 53 items (61.62% of total variance): preceptor characteristics, goal-oriented orientation, guidance in reflective discussion, knowledge of work unit orientation practices, creation of a supportive learning atmosphere, preceptor motivation and giving of developmental feedback. Cronbach’s alpha values varied from 0.79 to 0.93.
Conclusion: Preceptors’ Orientation Competence Instrument demonstrated adequate psychometric properties based on content and construct validity as well as internal consistency. Therefore, it is useful for self-evaluation of orientation competence of nurses working as new employee preceptors.
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