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Nursing Informatics Competency Assessment for the Nurse Leader: Instrument Refinement, Validation, and Psychometric Analysis

Yen, Po-Yin PhD, RN; Phillips, Andrew PhD, RN; Kennedy, Mary K. MS, RN-BC; Collins, Sarah PhD, RN

Journal of Nursing Administration: May 2017 - Volume 47 - Issue 5 - p 271–277
doi: 10.1097/NNA.0000000000000478

OBJECTIVE The aim of this article is to refine and validate a new instrument, Nursing Informatics Competency Assessment for the Nurse Leader (NL).

BACKGROUND Because health information technology rapidly advances, the NL requires greater levels of informatics knowledge.

METHODS Item reduction and psychometric analysis methodology

RESULTS A total of 357 national NLs completed the survey. Exploratory factor analysis resulted in a final 6-factor solution that contained 26 items: (1) strategic implementation management, (2) advanced information management and education, (3) executive planning, (4) ethical and legal concepts, (5) information systems concepts, and (6) requirements and system selection. Cronbach’s α were .96, .91, .90, .83, .92, .81, respectively.

CONCLUSION We established a valid and reliable nursing informatics competency assessment instrument with sufficient specificity to guide NLs to recognize the competencies required in their role, create solutions to address potential gaps, and enhance delivery of patient care.

Author Affiliations: Clinical Assistant Professor (Dr Yen), Department of Biomedical Informatics, The Ohio State University, Columbus; Assistant Professor (Dr Phillips), MGH Institute of Health Professions, School of Nursing, Massachusetts General Hospital, Partners Healthcare System, Boston; Informatics Specialist and Consultant (Ms Kennedy), AEGIS Informatics LLC, Barrington, Rhode Island; and Senior Clinical, Nurse Informatician, and Instructor in Medicine (Dr Collins), Brigham and Women’s Hospital, Harvard Medical School, Partners Healthcare System, Boston, Massachusetts.

The authors declare no conflicts of interest.

Correspondence: Dr Collins, Partners Healthcare System, 2 Avenue de Lafayette, Boston, MA 02111 (

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