3 research outputs found
Questionnaire to Evaluate the Competency in Evidence‐Based Practice of Registered Nurses (EBP‐COQ Prof©): Development and Psychometric Validation
©2020. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
This document is the Accepted version of a Published Work that appeared in final form in Worldviews on Evidence-based Nursing.Background: The availability of valid and reliable instruments, based on current competency
frameworks, is essential to respond to the need for accurate measurement of the competency
of registered nurses in evidence-based practice (EBP).
Aims: To develop and validate a questionnaire capable of measuring EBP competencies in
registered nurses following the competency framework developed by Melynk et al. (2014).
Methods: The study was developed in two stages: (a) creation of the questionnaire based on
an operational definition of the construct, its face, and content validation by 10 experts, and
cognitive piloting; (b) psychometric evaluation of the questionnaire by a cross-sectional, and
multicenter study between February and November 2018. Analyses were conducted of the
questionnaire’s reliability and construct validity (exploratory [EFA] and confirmatory [CFA] fac tor analyses).
Results: First phase: The initial version of EBP-COQ© Prof contained 50 items grouped into
four dimensions (attitudes, knowledge, skills, and utilization). After two expert validation
rounds, a 35-item version was obtained with content validity index of 0.86. Second phase: The
questionnaire was completed by 579 nurses; EFA with PROMAX rotation revealed that the four factor model had the best fit (χ2 = 311.32; p = .001, root mean square error of approximation
[RMSEA] = 0.000, 90% confidence interval [CI] = 0.000 – 0.010; comparative fit index [CFI] = 1),
and it showed a good CFA fit index: CFI = 0.932, and RMSEA = 0.093 (90% CI = 0.097 − 0.108).
Cronbach’s α for each factor ranged from 0.817 (factor III) to 0.948 (factor II).
Linking Evidence to Action: EBP-COQ Prof© is a valid, reliable, and easily administered ques tionnaire that measures the self-perceived competency of registered nurses in EBP based on
an updated and specific competency framework. It permits the independent evaluation of at titudes, knowledge, and skills related to EBP and of its utilization in hospital and primary care
settings, allowing the monitoring of compliance with EB