J Korean Acad Nurs Adm.  2023 Dec;29(5):588-602. 10.11111/jkana.2023.29.5.588.

Development and Validation of the Job Competency Scale for Insurance Review Nurses Working in Hospital

• Nam SH
• Kim EA

• KMID: 2549576
• DOI: http://doi.org/10.11111/jkana.2023.29.5.588

Abstract

Purpose
The purpose of this study was to develop and validate the Job Competency Scale (JCS) for insurance review nurses working in hospitals.
Methods
The initial items were generated through a literature review and interviews with 10 experts. The content validity of the items was evaluated through content validity and face validity tests. Data from 301 insurance review nurses working in hospitals were analyzed using item analysis, exploratory and confirmatory factor analysis, and convergent validity; reliability was tested using Cronbach’s ⍺.
Results
The final JCS consisted of 25 items and five factors (knowledge integration, professional ethics, communication and interpersonal relationship, information literacy and problem solving, self-development) that explained 72.4% of the variance. Confirmatory factor analysis indicated that the theoretical model comprising 25 items satisfied all goodness-of-fit parameters. Convergent validity was confirmed by the Task Performance Scale for insurance review nurses (r=.53, p<.001). The total Cronbach’s ⍺ score for scale was .94.
Conclusion
The JCS was found to be a reliable and valid instrument that can be used to measure the job competency of insurance review nurses working in hospitals.

Keyword

Nurses; Professional competence; Insurance, Health; Hospitals; Factor analysis, Statistical