Purpose This study aimed to develop an instrument to assess the perceived importance of core competencies for clinical nurse educators (CNEs) in Korea, defined here as hospital-based nurse educators under the Korean Nursing Act, and to provide initial evidence of its content validity, internal structure, and reliability.
Methods A preliminary 44-item pool, developed from international nurse educator frameworks and the literature, was refined by 8 experts through a 2-round modified Delphi process. A nationwide sample of 263 CNEs then rated the perceived importance of each item. Dimensionality was examined using parallel analysis and exploratory factor analysis based on polychoric correlations; the refined model was tested using confirmatory factor analysis (CFA) with the weighted least squares mean- and variance-adjusted estimator, composite reliability (CR), average variance extracted (AVE), Fornell-Larcker and heterotrait-monotrait discriminant validity, and alternative models.
Results Content validity was high (scale-level content validity index=0.986). Parallel analysis supported a 5-factor structure; 9 weak or redundant items were removed, consolidating the 8 domains into 5 factors comprising 35 items. The CFA model showed good fit (comparative fit index=0.977, Tucker-Lewis index=0.975, root mean square error of approximation=0.048, standardized root mean square residual=0.053; standardized loadings, 0.669–0.934). Internal consistency was high (Cronbach’s α=0.873–0.913; categorical McDonald’s ω=0.871–0.916), and convergent validity was supported (CR=0.91–0.95; AVE>0.50). Three factors were highly correlated; a second-order model fit well, and the general factor explained most of the reliable variance (ω_h=0.83).
Conclusion The 35-item instrument provided initial evidence of content validity, internal structure, and reliability for assessing the perceived importance of CNE competencies. These findings represent initial, rather than definitive, validity evidence and require cross-validation in an independent sample.
Purpose This study aimsed to gather opinions from medical educators on the possibility of introducing an interview to the Korean Medical Licensing Examination (KMLE) to assess professional attributes. Specifically following topics were dealt with: the appropriate timing and tool to assess unprofessional conduct; ; the possiblity of prevention of unprofessional conduct by introducing an interview to the KMLE; and the possibility of implementation of an interview to the KMLE.
Methods A cross-sectional study approach based on a survey questionnaire was adopted. We analyzed 104 pieces of news about doctors’ unprofessional conduct to determine the deficient professional attributes. We derived 24 items of unprofessional conduct and developed the questionnaire and surveyed 250 members of the Korean Society of Medical Education 2 times. Descriptive statistics, cross-tabulation analysis, and Fisher’s exact test were applied to the responses. The answers to the open-ended questions were analyzed using conventional content analysis.
Results In the survey, 49 members (19.6%) responded. Out of 49, 24 (49.5%) responded in the 2nd survey. To assess unprofessional conduct, there was no dominant timing among basic medical education (BME), KMLE, and continuing professional development (CPD). There was no overwhelming assessment tool among written examination, objective structured clinical examination, practice observation, and interview. Response rates of “impossible” (49.0%) and “possible” (42.9%) suggested an interview of the KMLE prevented unprofessional conduct. In terms of implementation, “impossible” (50.0%) was selected more often than “possible” (33.3%).
Conclusion Professional attributes should be assessed by various tools over the period from BME to CPD. Hence, it may be impossible to introduce an interview to assess professional attributes to the KMLE, and a system is needed such as self-regulation by the professional body rather than licensing examination.