Development of Critical Reflection Competency Scale for Clinical Nurses

Abstract

Critical reflection develops nurses’ critical thinking and clinical reasoning competency. It is necessary to develop a validated scale to measure critical reflection competency considering the clinical situation and nursing context. Therefore, this study analyzed the concept of critical reflection, developed a scale to measure critical reflection competency, and verified its validity and reliability. The concept of critical reflection and components of the scale were confirmed through literature review and results of previous studies on content analysis. A total of 64 preliminary items were derived on a 5-point Likert scale. The adequacy of vocabulary and expression was checked, and a content validity test was conducted. An I-CVI value of 0.88–1.00 was computed. Construct validity was conducted through an exploratory factor analysis, and data collected from 296 clinical nurses were analyzed. Five factors and nineteen items were derived, and the explanatory power was found to be 53.02%. Cronbach’s α of the scale was 0.853. Future studies need to develop a critical reflection education program and utilize this concept as an educational strategy. We propose a study to verify the effect of applying an educational program using the critical reflection competency scale developed in this study.

New graduate nurses' delivery of patient care: A focused ethnography

“…This has also been reported elsewhere (Voldbjerg et al, 2017). A study by Shin et al (2022) reported that developing critical reflection competency promoted nurses' professionalism and individual growth, whilst Kuennen (2015) argued that it is an effective tool to develop and understand clinical practice. Furthermore, nurses' ability to critically reflect has a positive effect on patient care outcomes (Pangh et al, 2019).…”

Competency in nursing practice: a concept analysis

“…It bridges the gap between theory and practice and enhances professional growth and nursing practice by allowing nurses to analyse and adapt their nursing practice critically. Nurses reflect on their experiences and ask the ‘why’ question regarding the nursing issue via self-reflection, broadening their thinking and comprehending the context of the situation in detail 39…”

Development of the Nursing Assessment Tool for the Patient With Inflammatory Bowel Disease

“…To calculate the percentage of agreement, the formula used was number of participants who answered agree and totally agree divided by the total number of participants multiplied by 100. To calculate the CVI, the agree and totally agree answers of each item were added together and divided by the total number of responses (Shin et al, 2022).…”

“…Only 13 nurses answered the email and agreed to participate in this study. Each nursing assessment tool item was evaluated in terms of content using the Likert scale (Shin et al, 2022) with five response intervals (totally disagree, disagree, indifferent–neutral, agree, and totally agree). To calculate the percentage of agreement, the formula used was number of participants who answered agree and totally agree divided by the total number of participants multiplied by 100.…”