BACKGROUND: The current structured nursing clinical skill assessment checklist is steps driven and the soft skills
component is fragmented and limited.
AIM: This study aimed to evaluate the face and content validity of a tool that had been developed to assess the
current structured clinical skill assessment for the Malaysian undergraduate nursing program.
METHODS: The face and content validity of the instrument were examined based on the opinions of experts. The
item content validity index and scale content validity index (S-CVI) were calculated by using the mean approach and
inter-rater agreement. The content validity of the instrument was assessed by S-CVI/UA and S-CVI/Ave. The scale
was revised based on comments from a panel of eight experts in the first review stage and thereafter, evaluated by
another group of three experts in the second review stage.
RESULTS: There were nine soft skills elements identified for the clinical skill analysis index (CSAI) tools in this study.
Those were communication skill, social skill and responsibility, critical thinking skill, problem-solving skill, teamwork,
leadership skill, professional and ethical decision-making skill, numeracy skill, and interpersonal skill. The findings at
the face validity stage yielded ten domains with eight nursing core procedures areas being retained, based on 95%
or more agreement from expert responses. The result of S-CVI/UA and S-CVI/Ave of the CSAI tools yielded scores
of 0.91 and 1 respectively.
CONCLUSION: Findings indicated that this instrument had an excellent face and content validity to assess the
current structured clinical skill assessment for the Malaysian undergraduate nursing program
