Measuring nursing competencies in the operating theatre: instrument development and psychometric analysis using Item Response Theory

BACKGROUND: Concern about the process of identifying underlying competencies that contribute to effective nursing performance has been debated with a lack of consensus surrounding an approved measurement instrument for assessing clinical performance. Although a number of methodologies are noted in the development of competency-based assessment measures, these studies are not without criticism. RESEARCH AIM: The primary aim of the study was to develop and validate a Performance Based Scoring Rubric, which included both analytical and holistic scales. The aim included examining the validity and reliability of the rubric, which was designed to measure clinical competencies in the operating theatre. RESEARCH METHOD: The fieldwork observations of 32 nurse educators and preceptors assessing the performance of 95 instrument nurses in the operating theatre were used in the calibration of the rubric. The Rasch model, a particular model among Item Response Models, was used in the calibration of each item in the rubric in an attempt at improving the measurement properties of the scale. This is done by establishing the 'fit' of the data to the conditions demanded by the Rasch model. RESULTS: Acceptable reliability estimates, specifically a high Cronbach's alpha reliability coefficient (0.940), as well as empirical support for construct and criterion validity for the rubric were achieved. Calibration of the Performance Based Scoring Rubric using Rasch model revealed that the fit statistics for most items were acceptable. CONCLUSION: The use of the Rasch model offers a number of features in developing and refining healthcare competency-based assessments, improving confidence in measuring clinical performance. The Rasch model was shown to be useful in developing and validating a competency-based assessment for measuring the competence of the instrument nurse in the operating theatre with implications for use in other areas of nursing practice.

Is guanxi always good for employee self-development in China? Examining non-linear and moderated relationships

The nature of work and careers in China are constantly evolving as a result of market-oriented economic transition in the country. Increasingly, employees are required to be proactive and self-starting in skill and competency improvement for employability. Employee self-development (ESD) involves considerations embedded in a wide range of relationships including both work and non-work domains. This research draws from social exchange theory and information processing theory to investigate how guanxi, a relational phenomenon unique to traditional Chinese culture, influences ESD. Drawing from the experience of a sample (n = 404) of employees in China, an inverted U-shaped relationship between guanxi and ESD is found, suggesting that initial positive influences of guanxi on ESD diminish after reaching an inflexion point. We also found that these influences are stronger for gender congruent employee-supervisor dyads. The theoretical and managerial implications that too much guanxi is not necessarily good for ESD, particularly in the presence of gender congruence, are also discussed.

Development of hyaline spheres in late auriculariae of sandfish, Holothuria scabra : is it a reliable indicator of subsequent performance?

This study assessed the influence of diet composition on hyaline sphere (HS) development in auricularia larvae of the sandfish, Holothuria scabra, and the subsequent relationships between the presence and size of hyaline spheres and competency through settlement and early juvenile performance. Two-day old larvae were fed one of three commercially available micro-algae diets that varied in their nutrient compositions: (1) Isochrysis sp. (Haptophyceae); (2) Pavlova sp. (Haptophyceae); and (3) Thalassiosira weissflogii (Bacillariophyceae) or a ternary combination of the three. There were positive significant correlations between HS development in late auriculariae on days 10, 11, 12 and 13 post-fertilisation, and the proportion of competent doliolariae on day 15, post-settlement size (day 21) and post-settlement survival (day 25). The dietary components that most strongly influenced these relationships were carbohydrates and the n-3 polyunsaturated fatty acids arachidonic acid (ARA), eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA). Our result confirm the strong relationship between HS formation in late auriculariae of sandfish and subsequent larval competency through settlement. As such, the presence and size of HS is a reliable indicator of subsequent performance for sandfish. Given that HS development was influenced by the nutrients available to sandfish auriculariae, there is clear opportunity for development of more appropriate diets for hatchery culture of this species that will improve HS formation and larval performance supporting improved hatchery production. Statement of relevance Our results have confirmed that for sandfish larvae, the presence and size of HS at the end of the auricularia stage, is indeed a reliable indicator of subsequent performance. Our results have also confirmed that HS formation and size is significantly influenced by the nutrient composition of the auricularia diet, and that there are significant positive correlations between HS formation and dietary levels of carbohydrate, EPA:DHA and EPA:ARA ratios. This information provides a strong basis for development of more appropriate diets for sandfish larvae that will improve HS formation and larval performance during hatchery culture and in turn improve hatchery production of this species.

Building the Commercial Education Professional Competency Profile

This paper provides a complete description of the Commercial Education Professional Competency Profile that resulted from the curricular diagnosis of the Licenciatura en Educación Comercial , at the Universidad Nacional, Costa Rica.  The methodological strategy used relies on the principles of research on education. Upon expert validation, written questionnaires were applied to first-year students, students of the licenciatura, practicing professionals and employers. The objective was to describe a particular education situation. Data was analyzed according to two categories: intentions/principles and scope/development. The findings resulted in the characteristics of the Commercial Education professionals, i.e. characteristics related to the discipline, characteristics related to the administrative management of teaching, specific and general characteristics of education and pedagogy, and characteristics associated to human development. Based on those criteria, on the curricular requirements of the information sources and on the curricular perspectives of the Academic Unit, ideas were put into practice to build the competency profile. The ideas proposed comprise the curricular fundamentals of the educational project on which the profile is set out, which include the subject of the study program, the global competency or training goal, the generic competencies as cross-cutting approaches, as well as the –pedagogical and disciplinary− specific competencies. The specific competencies of the discipline are focused on four competency areas: document production, organizational support, technological resources and information management.(1) Translator’s Note: One-year post-Bachelor study program in Commercial Education.