Development of an easy-to-use questionnaire assessing critical care nursing competence in Japan: A cross-sectional study

Autoři: Masatoshi Okumura aff001;  Tomonori Ishigaki aff002;  Kazunao Mori aff003;  Yoshihiro Fujiwara aff001
Působiště autorů: Department of Anesthesiology, Aichi Medical University, Nagakute, Aichi, Japan aff001;  Department of Business Administration, Nanzan University, Nagoya, Aichi, Japan aff002;  Division of Nursing, Aichi Medical University Hospital, Nagakute, Aichi, Japan aff003
Vyšlo v časopise: PLoS ONE 14(11)
Kategorie: Research Article
doi: 10.1371/journal.pone.0225668



Critical care nurses need a high level of medical competence, especially with regard to patient safety. There are several tools to measure general and critical care nursing competence, but the usability of these tools is inadequate because they include large numbers of questions. To maintain quality and safety in intensive care units (ICUs), it is necessary to be able to easily measure and evaluate critical care nursing competence. The purpose of this study was to develop an easy-to-use questionnaire assessing critical care nursing competence related to patient safety.


A cross-sectional, descriptive, explorative study was designed to collect data from nurses working in six ICUs in tertiary hospitals in Japan. Data were collected from August 2017 to December 2018. The Critical Care Nursing Competence Questionnaire for Patient Safety (C3Q-safety) is a 22-item instrument designed to assess nursing competence related to patient safety in ICUs. Items were developed based on previous work related to critical care nursing competence and were adjusted based on a pilot study.


A total of 211 nurses working in ICUs participated in this study. Through descriptive statistics and factor analysis, the number of questions was reduced from 24 to 22. The C3Q-safety had four factors: decision making, collaboration, nursing intervention, and principles of nursing care. Cronbach’s alpha ranged from 0.73 to 0.83. The four factors showed positive correlations with each other (0.47 to 0.72). Nurses licensed as certified nurses in intensive care and those with longer ICU work experience showed significantly higher scores on all four factors.


We developed an easy-to-use questionnaire to assess critical care nursing competence related to patient safety. The C3Q-safety was able to detect four areas of competence. The C3Q-safety will make it possible to easily measure critical care nursing competence and can be utilized for efficient education.

Klíčová slova:

Decision making – Factor analysis – Intensive care units – Japan – Nurses – Nursing science – Patients – Questionnaires


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Článek vyšel v časopise


2019 Číslo 11