The purpose of this study was to develop a standardized rubric for systems thinking across transitions of care for clinical nurse specialists.
The design was a mixed-methods study using the Systems Awareness Model as a framework for bridging theory to practice.
Content validity was determined using a content validity index. Reliability was established using statistical analysis with Cronbach’s α and intraclass correlation coefficient. Usability of the rubric was established using content analysis from focus group discussions about their experiences in using the rubric.
Content validity was established with a content validity ratio of 1.0. Statistical analysis showed a high interrater reliability (α = 0.99), and sections of the rubric showed a strong degree of reliability with α’s ranging from 0.88 to 1.00. Content analysis revealed several overall themes for usability of the rubric: clarity, objectivity, and detail. The area for improvement included adding more detail in the scholarly writing section.
The research team recommends using the rubric to reflect application of systems thinking across transitions of care.
Author Affiliations: Clinical Associate Professor (Dr Phillips), Indiana University School of Nursing, Indianapolis; Associate Professor (Dr Stalter), Wright State University, Dayton, Ohio; Associate Professor (Dr Ruggiero), New Jersey City University; Director (Dr Bonnett), RN-BSN Program, The University of Akron, Ohio; Full-Time Faculty and Assistant Professor of Nursing (Dr Brodhead) and Assistant Professor (Dr Merriam), Daemen College, Amherst, New York; Professor and Graduate Program Coordinator (Dr Scardaville), Department of Nursing, New Jersey City University; Associate Professor and RN-BSN Track Administrator (Dr Wiggs), The University of Texas Medical Branch, Galveston; and Director of Nursing and Associate Professor (Dr Winegardner), Bluffton University, Ohio.
The authors report no conflicts of interest.
Correspondence: Janet M. Phillips, PhD, RN, ANEF, 4002 Tolbert Place, Carmel, IN 46074 (firstname.lastname@example.org; email@example.com).