Quality Of Nursing Care Research Articles

The relationship between job satisfaction and motivation levels of nurses working in burn units

BackgroundFor nurses working in specialized units such as burn units, having adequate levels of job satisfaction and motivation is crucial for enhanced productivity in order to maintain quality nursing care. MethodsA cross-sectional, descriptive, correlational design was used in the study. The study aimed to investigate the job satisfaction and motivation levels of nurses working in burn units, the relationship between job satisfaction and motivation levels, and the influencing factors. The study sample consisted of 73 nurse managers/clinicians who worked in burn services or intensive care units in September and December 2023. The data were collected with “Demographic and work characteristics form,” “Job Satisfaction Scale for Nurses (JSSN)”, “Nurse Job Motivation Scale (NJMS)”. Data were analyzed using Independent Samples T-test, One-Way ANOVA, and Mann-Whitney U tests to compare the descriptive characteristics of nurses and the scale scores. Correlation and regression analyses were conducted to reveal the relationship between the descriptive characteristics and scale scores of the nurses. ResultsThe mean age of the nurses was 30.26 ± 7.99 years, and 60.3 % were bachelor's degree graduates. The nurses had an average of 8.64 ± 8.25 years of experience in the profession and an average of 4.77 ± 5.39 years in the burn unit. The total score average for the NJMS was found to be 66.49 ± 5.56, and the JSSN score average was 3.46 ± 0.58. A weak negative relationship was found between the JSSN subscale "Suitable Support from Seniors" and age (p < 0.05), "Perceived importance at the job" and the working years in the burn unit (p < 0.05). ConclusionsA positive correlation was observed between job satisfaction and job motivation of the nurses. If older nurses cannot get support from their supervisors, their satisfaction will be decreased. In addition, if more experienced nurses in the burn unit do not feel importance on the job, their satisfaction will be decreased.

Geographical variations in cancer nursing education and practice across Australia: A cross-sectional study

ProblemPatients and health systems rely on a skilled and available cancer nursing workforce to deliver quality nursing care to optimise cancer outcomes. Understanding the education, qualifications and roles of cancer nurses across Australia is an essential aspect of effective service planning. AimTo explore the associations between the geographical location of cancer nurses and their education, qualifications, roles, activities and scope of practice. MethodsA cross-sectional electronic survey was distributed through the Cancer Nurses Society Australia membership and social media platforms from October 2021- February 2022. The self-report survey, captured demographics, education, qualifications, roles, scope of practice, and salary. Descriptive statistics and bivariate analysis were used to summarise and report the findings. FindingsResponses were received from 930 nurses. Most identified as female (94%), lived in metropolitan areas (69%), worked in dedicated cancer centres (79%) and in the public sector (69%). While 80% had more than 10 years of nursing experience, and 70% possessed postgraduate qualifications, 58% indicated their intention to remain in the profession for 10 years or less. Roles, pay, education, and activities varied across regions, states and territories, with regional nurses more likely to be involved in multiple activities and roles compared with their metropolitan counterparts. ConclusionThis study highlights the importance of understanding geographic variations within the cancer nursing workforce to formulate strategies aimed at enhancing workforce sustainability and, consequently, patient outcomes. Addressing disparities in education and opportunities for career advancement is crucial to ensuring equitable access to quality cancer care nationwide.

The Influence of Quality of Work Life, Mental Workload, and Self-Efficacy on Job Performance Mediated by Job Satisfaction in Nurses at Panglima Besar Soedirman Hospital

Nurses have a very important role in patient care in hospitals, namely integrated and quality nursing care for each patient. One of the most important things in Human Resources management is the performance of nurses. This study aims to analyze the direct influence of quality of work life, mental workload and self-efficacy on nurse performance, as well as the indirect influence of quality of work life, mental workload on nurse performance which is mediated by nurse job satisfaction at the Panglima Besar Soedirman National Defense Central Hospital, Jakarta. This research design is quantitative. Data collection used a non-probability sampling technique with a purposive sampling method. The sample used was 160 active nurses. This research data was collected using a questionnaire via Googleform. The data obtained was processed using the PLS-SEM multivariate analysis method with SmartPLS software. The results showed that quality of work life, mental workload and self-efficacy had a positive effect on nurses' job satisfaction. The results show that there is a positive influence on the quality of work life on nurse performance, then job satisfaction has a positive influence on nurse performance, but mental workload has a negative influence on nurse performance. The research results also show that self-efficacy has no effect on nurse performance. Quality of work life, mental workload and self-efficacy have an indirect influence on nurse performance through nurse job satisfaction. It is hoped that future research can conduct comparative studies between the health sector and other sectors to compare how factors such as quality of work life, mental workload, and self-efficacy influence job satisfaction and job performance.

Impact of Workplace Bullying on Nursing Care Quality: A Comprehensive Review.

Workplace bullying, commonly known as mobbing, persists as a significant problem across various industries, including the healthcare sector. To establish effective interventions and protocols for enhancing the well-being of healthcare workers and patients, it is vital to fully grasp the link between workplace bullying and the quality of nursing care. The analysis highlights the complex link between workplace bullying and nursing care quality, stressing the urgency of addressing this issue due to its wide-reaching impact on individuals and healthcare organizations, ultimately affecting patient safety. Emphasizing the significance of addressing workplace bullying across different professional settings is crucial for protecting the mental health and well-being of employees. The research identifies various forms of aggression and emphasizes the need to understand how these behaviors affect patient outcomes. Further investigation is needed to clarify nurses' responses to workplace violence, particularly in specialized settings like mental health facilities. The studies underscore the numerous challenges nurses encounter when trying to report incidents of workplace bullying. This insight is vital for developing effective reporting mechanisms and targeted interventions to combat bullying behaviors in medical environments. Ultimately, establishing a safer working environment for nurses is paramount. This article aims to review the associations between workplace bullying and the quality of nursing care.

LEADERSHIP TRAITS OF NURSE MANAGERS AND NURSE STAFF COMMITMENT IN THE PHILIPPINES HOSPITALS

Background: Effective nurse leadership significantly influences healthcare service quality. Nurse managers' leadership impacts staff nurse commitment, patient outcomes, and organizational success. Aims: To examine nurse manager leadership traits and their relationship with staff nurse commitment in a government hospital. Methods: Descriptive-inferential correlation research with stratified and randomized nurse managers (n = 21) and staff nurses (n = 117) as participants from five selected hospitals at Lanao del Norte. Adopted questionnaires on leadership traits and commitment were used and data were analyzed using frequency, percentage, mean, and standard deviation in SPSS v.25. Results: The result shows that nurse manager leadership qualities are usually valid for a leader who encourages others to do what is right, gives subordinates continuing education, and is an ethical and self-confident leader. Their staff nurses believed positive components of the leadership traits of nurse managers were sometimes true. Staff nurses were generally still deciding whether they were committed to their work effectively, continuously, or normatively. Nurse managers' leadership traits are significantly related to the staff nurses' affective, continuance, and normative commitment. Conclusion: Fostering positive leadership through education and supportive environments enhances staff nurse commitment and job satisfaction, reducing nurse turnover and improving nursing care quality. Keywords: commitment, leadership traits, leadership qualities, nurse manager, nurse staff

Application and Satisfaction Analysis of Humanized Quality Nursing Intervention in the Care of Patients with Critical Respiratory Failure

Objective: To implement humanized quality care in critical respiratory failure nursing, observe the effect, and analyze the satisfaction. Methods: 80 patients with severe respiratory failure were divided into 40 cases per group (admitted from February 2022 to December 2023) by double-blind method, the control group performed routine care, and the observation group was given humanized quality care. Results: After the nursing care, two respiratory function indexes of the observation group were lower than those of the control group, and two pulmonary function indexes were higher than those of the control group (P &lt; 0.05); regarding the complication situation, the incidence rate of the observation group was lower (P &lt; 0.05); regarding the nursing care satisfaction situation, the observation group had a higher level of total satisfaction (P &lt; 0.05). Conclusion: The application of a humanized quality nursing intervention model in the care of critical respiratory failure can actively improve patients’ respiratory status and lung function, reduce complications, and satisfy patients.

The psychiatric nursing care quality questionnaire (PNCQQ)

Introduction: In response to the growing recognition of the importance of the quality care in psychiatric nursing, this study introduces the Psychiatric Nursing Care Quality Questionnaire (PNCQQ) designed to evaluate the quality of care provided to psychiatric patients from diverse cultural backgrounds. Aim: The aim of this research was to develop and validate a comprehensive tool that addresses the unique needs and perceptions of patients across various cultural contexts. Materials and Methods: The development of the PNCQQ involved a rigorous methodology encompassing item generation, expert review, and pilot testing to ensure its relevance and cultural appropriateness. Subsequently, a validation study was conducted with a diverse sample of psychiatric patients to assess the reliability, validity, and cultural sensitivity of the questionnaire. Results: A total of 932 psychiatric patients completed the Psychiatric Nursing Care Quality Questionnaire (PNCQQ) as part of the study. The sample consisted of 57.3% female and 42.7% male participants. The age of participants ranged from 18 to 75 years, with a mean age of 37.8 years. Results indicate robust psychometric properties, including high internal consistency and test-retest reliability, supporting the utility of the PNCQQ in assessing nursing care quality across diverse cultural populations. Conclusions: The implications of this research underscore the importance of culturally competent care in psychiatric nursing practice and highlight the value of utilizing validated instruments to enhance care delivery.

Linking Patient Safety Culture, Job Satisfaction, And Nursing Care Quality: Evidence From Private Hospitals

Linking Patient Safety Culture, Job Satisfaction, And Nursing Care Quality: Evidence From Private Hospitals

Compassion fatigue in palliative care: Exploring Its comprehensive impact on geriatric nursing well-being and care quality in end-of-life

BackgroundThis study examines the experiences of geriatric nurses in palliative care. It aims to understand how these experiences influence their well-being and the quality of care. MethodsConducted in the Alahsa region of Saudi Arabia, the study employs qualitative methods, utilizing in-depth interviews with 12 geriatric nurses. The analysis employs a thematic approach, enriched by iterative reflections within a multidisciplinary research team. ResultsThe analysis reveals main themes: 1) the deep emotional connections between nurses and their patients; 2) the challenges faced, including compassion fatigue, high patient mortality, and communication hurdles; 3) the impact of these challenges on the quality of care, highlighting issues like diminished empathy; 4) the coping strategies used by nurses, such as self-care practices and continuous education. ConclusionsThe study concludes that coping strategies, including self-care and ongoing professional development, are vital for sustaining the nurses' well-being and ensuring the continued provision of high-quality care to Older Adults patients.

Safeguarding Vascular Health: Unleashing the Potential of Smartphone Early Warning Systems to Elevate Phlebitis Prevention in IV Infusion Therapy

Intravenous (IV) infusion is a pervasive medical intervention, administered to approximately 90% of hospitalized patients. Phlebitis, characterized by inflammation of the veins resulting from infusion, stands as a prevalent complication, ranking fourth among hospitalacquired infections globally. This research investigates the efficacy of a Smartphone Early Warning System (EWS) display in mitigating the incidence of phlebitis within the Safa treatment room at Aisyiyah Hospital. Employing a pre-experimental research design with a Static-group Comparison approach, 16 respondents were allocated to treatment and control groups. The Mann-Whitney Test, a statistical analysis, unveiled a significant difference (P Value = 0.001 &lt; 0.05) in phlebitis incidence between the treatment group, utilizing the Smartphone EWS display, and the control group, which relied on conventional monitoring methods. Notably, the average rank of phlebitis incidence in the control group (21.12) exceeded that in the treatment group (9.78). This study sheds light on the potential of the Smartphone EWS display to curtail phlebitis during infusion, emphasizing its role in advancing nursing care quality through real-time monitoring and early prevention strategies.

Emotional labour in nursing research: A bibliometric analysis.

This study aims to conduct a comprehensive bibliometric analysis to explore the trajectory and thematic developments of emotional labour research in nursing. Utilizing descriptive and bibliometric analysis techniques. The data analysis and graphical presentation were conducted using the Bibliometrix Package in R software. The Web of Science Core Collection (WoSCC) database was searched on October 20, 2023. From 1992 to 2023, 842 authors published relevant articles, yielding 779 author keywords. There has been a general upward trend in the number of articles published over the past 30 years, with an annual growth rate of 11.71%. Keyword co-occurrence cluster analysis revealed the main focus areas of research on emotional labour antecedents and consequences, regulatory modalities, training and education, as well as research methods and application scenarios. Emotional labour significantly influences nursing staff's well-being and patient care outcomes. Effective management and education regarding emotional labour are crucial for enhancing nursing staff performance and patient care quality. Future research should focus on long-term effects, training efficacy, regulatory strategies across clinical settings, and innovative approaches to address current challenges. This study provides valuable insights into the unique trajectory and thematic developments of emotional labour research in nursing. The findings underscore the importance of addressing emotional labour in nursing practice and education to improve patient care outcomes and nursing staff well-being. Adherence to recognized bibliometric reporting methods, following relevant EQUATOR guidelines. This study is based solely on existing literature and did not involve patients or the public in its design, conduct, analysis, interpretation, or preparation.

Understanding Clinical Learning Quality Aspects in Mental Health Nursing Practice Course among Students: A Comprehensive Examination.

There is a growing demand for comprehensive evaluations of the clinical learning quality of nursing education and the necessity to establish robust predictors and mediators for enhancing its outcomes within the context of mental health practice. This study is threefold: 1. Evaluating nursing students' clinical learning quality before and after mental health nursing practice; 2. Establish if the grade of a theoretical course in mental health nursing and the student's perception of their theoretical knowledge level predicts the grade of mental health nursing practice; 3. Explore how model learning opportunities, self-directed learning, safety, and nursing care quality mediate learning environment quality and tutorial strategies quality following mental health nursing practice. Using a before and after the study, 107 undergraduate nursing students at an Israeli university completed a questionnaire and the Clinical Learning Quality Evaluation Index tool to assess their perceptions of clinical learning quality before and after mental health nursing practice. The results showed a decline in students' perceptions of tutorial strategy quality following mental health practical learning in clinical settings, with the theoretical course grade predicting the practical experience grade and underscoring the mediating role of learning opportunities between the learning environment and tutorial strategies. The study's findings emphasize the importance of an adaptive learning environment and a solid theoretical foundation in fostering effective tutorial strategies and enhancing the overall learning outcomes for nursing students in mental health education.

Analysis of the Adequacy of Nurse Staffing Level through the Estimation of Nursing Activity Hours and Implementation of Focus Group Interviews in a Tertiary Hospital: Using a Mixed-Method Design

This study aimed to examine the adequacy of current nurse staffing levels by identifying nursing activities and workload. The study used a mixed-method design. A nursing activity survey was conducted using the work sampling method over 2 working days with 119 general ward nurses. A focus group interview was conducted with 12 nurses. Quantitative and qualitative data were analyzed using SPSS 20.0 and content analysis, respectively. The most amount of time was spent on medication (in direct nursing) and electronic medical record documentation (in indirect nursing). The appropriate nurse-to-patient ratio is 1:7.7 for the day shift, 1:9.0 for the evening shift, and 1:11.9 for the night shift. However, the current nurse-to-patient ratio is 1:9.4, 1:11.0, and 1:13.8 for the day, evening, and night shifts, respectively. Therefore, the current nurse staffing level is insufficient for the workload. In the focus group interview, the main reasons cited for being unable to complete tasks within working hours were communication and coordination, and the nursing electronic medical record. The essential nursing activities of basic nursing and emotional support were overlooked owing to a heavy workload. Therefore, an adequate nurse staffing level should be higher than the measured quantitative workload. These results suggest the general wards of tertiary hospitals should evaluate the adequacy of their current nurse staffing and allocate sufficient nurses to improve patient safety and nursing care quality.

Nursing Ethics as a Foundation in Nursing Practice: A Literature Review

Introduction: Complexity in the healthcare environment causes problems in nursing practice. The nursing code of ethics has been designed as an appropriate guideline for behavior and helps decision-making. Nursing ethics requires nurses to comply with ethical principles to produce quality nursing care. Therefore, this study aims to illustrate the importance of nursing ethics as a foundation for nursing practice.Methods: In the case of the current research, the articles were selected according to PRISMA guidelines. A literature review used three journal databases: ScienceDirect, PubMed, and Google Scholar. The keywords in this literature review are adjusted to the Medical Subject Heading (MeSH), which consists of "nursing ethics," "code of ethics," AND "professional nurse." Several inclusion criteria were set to obtain eligible articles published between 2014 and 2023 and written in English and Bahasa. Fifteen eligible articles were finally included in the analysis.Results: These findings highlight the critical role of understanding ethics, integrity, and moral responsibility and the importance of nursing codes of ethics in implementing nursing practice to improve the quality of nursing care and improve the quality of care Conclusion: Nursing ethics is ethos. Integrity and moral responsibility are at the heart of ethics. Nurses must have an understanding of ethics for self-development and nursing services. As a relevant source, the code of ethics refers to the system of rules. Applying the code of ethics in nursing practice improves the quality of nursing care and service to guarantee patient safety.

Impact of clinical pathway implementation satisfaction, work engagement, and hospital-patientrelationship on quality of care in Chinese nurses.

This study aimed to investigate how clinical pathway implementation satisfaction, work engagement, and hospital-patient relationship impact the quality of care that is provided by nurses in public hospitals. Clinical pathways are recommended as a form of quality improvement by broader healthcare systems and are widely used in the world. Nurses are the most involved group of healthcare professionals in the implementation of clinical pathways in public hospitals. So, it is important to investigate how their satisfaction with the process affects the quality of care they provide and influencing factors. This descriptive cross-sectional study surveyed nurses practicing across seven tertiary public hospitals in Sichuan Province, China, online. The survey consisted of a questionnaire for the general characteristics of the participants and four Chinese maturity scales validated by previous studies: clinical pathway implementation satisfaction scale, work engagement scale, hospital-patientrelationship perception scale, and quality of care scale. The bootstrap method was used to test a moderated mediation model using Hayes' PROCESS macro models 4 and 8. We followed STROBE guidelines to prepare the study report. A total of 880 nurses filled out the questionnaires, 821 of which were regarded as valid. Clinical pathway implementation satisfaction had a positive effect on quality of care (B=0.873, P<0.001). Work engagement played a mediation role between nurses' clinical pathway implementation satisfaction and the quality of care (effect=0.080, Boot 95% CI=[0.023, 0.142]). This mediation model was moderated by the hospital-patientrelationship (P < 0.01). Clinical pathway implementation satisfaction may enhance the quality of care by work engagement of nurses. Moreover, a good hospital-patientrelationship can enhance the positive impact of nurses' satisfaction on work engagement and health service quality. Public hospital managers need to pay attention to nurses' evaluation of and perceptions toward clinical pathway implementation and then take corresponding measures to improve their satisfaction to enhance the quality of care. At the same time, the government, society, and hospitals also need to foster good hospital-patient relationships to ensure that nurses have a high level of work engagement that aids in providing high-quality care services.

The quality of nursing care from the perspective of hospitalized school-age children

PurposeHospitalized children’s satisfaction with the care they receive is the main indicator for evaluating the way nurses should provide services and the quality of these services. The current study aimed to examine school-aged children's perceptions of nursing care quality. MethodsIn this cross-sectional study, 144 children aged 7–11 years were selected through a convenience sampling method. The data collection tool included The Child Care Quality at Hospital Questionnaire, and the personal- and family-related and disease-related factors questionnaire. Independent t-test, one-way analysis of variance, Pearson's correlation coefficient and multiple linear regression test were used for data analysis. ResultsBased on the findings, the highest score of nursing care quality was related to characteristics domain (13 ± 1.7). In addition, the children's age, father's education and history of hospitalization were related to nurses' characteristics domain; mother's education and length of hospital stay were related to nursing activities domain; and mother's education, father's occupation and length of hospital stay were related to nursing environment domain. ConclusionThe results of the present study showed that children's nurses can provide better quality care to children by paying attention to nurses' characteristics and then the scope of activities and care environment. Practice implicationsConsidering the factors affecting the nursing care quality, a conscious step should also be taken for strategic planning of care.

The Construction and Application of an Internet-based Hospital-community-family Home Management Model

Objective: Based on the software, this study aims to develop a hospital-community-home management model and evaluate the impact of nursing interventions provided by home visiting nurses, aligning with national healthcare policies in China. Methods: In the Dongying area, hospitals collaborate closely with local communities and families to facilitate the smooth implementation of Internet + Nursing Services. Patients schedule appointments for a range of medical care services through mobile phone software, with staff accessing orders through the platform to provide professional treatment and nursing care to patients. Results: Currently, there are 214 registrants from 50 departments on the platform. From September 2021 to June 2023, a total of 3529 cases were handled the platform. The top 10 order items included heel blood collection (944 cases), graphic consultation (526 cases), neonatal jaundice measurement (463 cases), neonatal hearing screening (418 cases), gastrostomy tube care (368 cases), catheterization care (192 cases), venous blood sampling (155 cases), postpartum mammary gland unblocking (103 cases), surgical wound care (92 cases), PICC catheterization care (57 cases), and pressure tube placement care (57 cases). Conclusion: The hospital has successfully established a hospital-community-family home nursing model with specialist nurses playing a central role. Through the implementation ofInternet + Nursing Service, medical staff are able to provide quality medical and nursing care to patients who are unable to leave their homes, significantly improving patient convenience and conserving medical resources.

Nurses’ experiences of the attributes of the organizational citizenship behavior: a qualitative content analysis

Background and aimOrganizational citizenship behavior (OCB) among nurses, as the key human resources in healthcare systems, is of paramount importance to nursing care quality and patient outcomes. The present study was to reflect on Iranian nurses’ experiences of OCB.MethodsThis qualitative study was completed in Iran from December 2022 to October 2023. In total, 20 nurses involved in hospitals, meeting the inclusion criteria, were recruited by purposive sampling with maximum variation. The data were then collected using 20 semi-structured interviews, each one lasting 30–60 min, and finally analyzed through qualitative content analysis.ResultsThe data analysis revealed the nurses’ experiences of OCB under nine subcategories and three main categories, including (i) “helping behavior”, comprised of four subcategories of helping colleagues at work, helping colleagues outside of work, boosting morale, and creating a culture of support and appreciation, (ii) “extra-role behavior” with two subcategories of cooperation in advancing tasks, and creativity and efforts to promote services, and (iii) “contribution to professional growth and development”, consisting of two subcategories of individual professional development and support for colleagues’ professional development.ConclusionNursing managers and instructors can use the study results to enhance nurses’ OCB by evaluating and employing nurses, and incorporating OCB into nursing curricula and continuous training programs.

Croatian Translation and Validation of the Patient Satisfaction with Nursing Care Quality Questionnaire (PSNCQQ).

Patient satisfaction is a crucial measure of the quality of healthcare, especially with regard to nursing services in hospital settings. Understanding and increasing patient satisfaction with nursing care is critical to improving overall healthcare and ensuring positive patient experiences during their hospital stay. The aim of this research was to evaluate the psychometric properties of the Croatian version of the Satisfaction with Nursing Care Quality Questionnaire (PSNCQQ), test the reliability and validity of the tool after translation, and investigate differences in patient satisfaction based on demographic variables, as well as their contribution to satisfaction with the quality of nursing care. After translation and adaptation, the Croatian version of the PSNCQQ was applied to 350 hospitalized patients (average age 51.19 years (range: 18-87)), of whom 194 (55.4%) were men and 156 (44.6%) were women. The results showed high internal consistency (Cronbach's α = 0.977) and confirmed the one-factor structure of the questionnaire, explaining 70.64% of the total variance. Confirmatory factor analysis supported the unidimensional model, showing strong fit indices (χ2 = 583.047, df = 149, p < 0.001, GFI = 0.861, AGFI = 0.818, NFI = 0.936, TLI = 0.946, CFI = 0.955, RMSEA = 0.080, PCLOSE < 0.001). In conclusion, the validation of the PSNCQQ in the Croatian language increases resources for evaluating and improving the quality of nursing care. This research lays the foundation for future studies and practical applications aimed at improving patient satisfaction and nursing care outcomes in Croatia, but there are also limitations to this study, including its one-institution scope, the possible influence of factors outside the current treatment on satisfaction, and the lack of comparison with objective clinical indicators.

Development of nursing handoff competency scale: a methodological study

BackgroundNursing handoff competency is the ability of the nurse performing the handoff to select and interpret the necessary information for patient care and to convey it efficiently to the nurse accepting the handoff. Nursing handoff is an important nursing task that ensures nursing care continuity, quality and patient safety. This study aimed to develop a scale to measure nursing handoff competency and verify its validity and reliability.MethodsThis study adopted a methodological design. A research process included three phases: (1) scale development (literature review and interviews); (2) scale validation (validity and reliability); (3) standard setting. Data were collected from 496 clinical nurses currently working in hospital wards, intensive care units, and emergency rooms, and who independently perform a handoff in South Korea.ResultsThe final scale comprises a self-reported 4-points Ilert scale with 25 items based on four factors: knowledge on handoff methods, identification of patient information, judgment and transfer of nursing situation, and “formation of supportive relationships. Construct validity, criterion-related validity, and discrimination validities were verified and the fitness of the scale revealed good results in confirmatory factor analysis. The Cronbach’s α of the whole tool was.912 and the cut-off score for satisfied/unsatisfied was.72.ConclusionsThe developed scale can evaluate the nurse’s handoff competencies and determine whether training is necessary. The measurement results of the scale can be used to select training subjects and compose the contents of the education program.