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Content Validation of Quality and Safety Education for Nurses Prelicensure Clinical Evaluation Instruments

Altmiller, Gerry, EdD, APRN, ACNS-BC, FAAN

doi: 10.1097/NNE.0000000000000656
Departments: QSEN & Nursing Education

Background Clinical evaluation is a high-stakes assessment that requires valid and reliable instruments that are understandable to faculty and students.

Purpose This article describes the development of Quality and Safety Education for Nurses (QSEN)–based clinical evaluation instruments to measure competency in prelicensure clinical courses. The goal was to establish content validation for the items included on each and appropriately level requisite behaviors to demonstrate increasing progression in clinical performance expectation from fundamentals to senior nursing clinical courses.

Methods Based on their area of expertise, nurse educators were recruited into panels of 5 to 7 members each to review and rate items for relevance for each course-specific clinical evaluation instrument using the Content Validity Index.

Results Two rounds of rigorous review yielded 6 content-validated instruments.

Conclusions The QSEN-based clinical evaluation instruments provide standardized language framed in quality and safety that demonstrate evolving sophistication, complexity, and expectation in student clinical performance.

Author Affiliation: Professor of Nursing, Director, QSEN Institute Regional Center at The College of New Jersey, Ewing.

Funding: $2500 Seed Money Research Grant awarded by The College of New Jersey.

The author declares no conflicts of interest.

Correspondence: Dr Altmiller, The College of New Jersey, 2000 Pennington Rd, Ewing, NJ 08628 (

Accepted for publication: January 2, 2019

Published ahead of print: February 15, 2019

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s Web site (

Cite this article as: Altmiller G. Content validation of quality and safety education for nurses prelicensure clinical evaluation instruments. Nurse Educ. 2019;44(3):118-121. doi: 10.1097/NNE.0000000000000656

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