Traditional protocol for the determination of an adequate sample size is power analysis. Such a protocol is not useful when the primary hypothesis focuses on psychometric measurement properties. Traditional psychometrics advises that there should be 10 respondents per item. Both hypothetical and real research examples illustrate the usefulness of subsample analysis in determining that a sample size of at least 50 and not more than 100 subjects is adequate to represent and evaluate the psychometric properties of measures of social constructs. The "10 respondents per item" advice builds a sample size disincentive into the research design; it also represents "sample size overkill." Sample-size overkill occurs when the research design specifies a number of cases needed, which is in excess of the number actually needed for a desired inference.

It is traditionally assumed that licensure of healthcare professionals means that they are minimally competent. Many nursing specialty organizations offer examinations and other processes for certification, suggesting that certification is associated with continued competency. Can standardized examination for certification and continuing education for recertification ensure continued competency? Continuing education and testing provide a limited picture of an individual's knowledge and/or skill acquisition in a limited area at one point in time. However, portfolios promote critical thinking, self-assessment, and individual accountability. A portfolio is a portable mechanism for evaluating competencies that may otherwise be difficult to assess. This article summarizes some of the literature addressing portfolios, including aspects of portfolio development process, the value of portfolios versus continuing education for competency assessment, evidence associated with portfolio usage, and suggestions for organizing nursing portfolios.