Questionnaire on Nursing Competencies in Nutritional Care for Chronic Kidney Patients: Development and Validation.
Background/Objectives: Nutritional management is central to the care of patients with end-stage renal disease (ESRD), yet malnutrition often remains under-recognized due to gaps in nursing knowledge and competencies. This study aimed to develop and validate the Nursing Education and Competencies in...
| Publicado en: | Nursing Reports Vol. 16; no. 3; pp. 78 - 98 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
MDPI
Mar2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=192635853&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 192635853 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 2039439X EGNT jtl: Nursing Reports issn: 2039439X maglogo: N pubinfo: dt: Mar2026 vid: 16 iid: 3 pid: 97109 pub: MDPI artinfo: ui: 192635853 192635853 192635853 10.3390/nursrep16030078 192635853 ppf: 78 ppct: 20 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Questionnaire on Nursing Competencies in Nutritional Care for Chronic Kidney Patients: Development and Validation. aug: au: Ferrara, Gaetano Bozzetti, Mattia Sguanci, Marco Bonetti, Loris Morales Palomares, Sara Sandri, Elena Cangelosi, Giovanni Napolitano, Daniele Mancin, Stefano Piredda, Michela affil: Department of Biomedicine and Prevention, University of Rome Tor Vergata, Viale Montpellier 1, 00128 Rome, Italy sug: subj: Questionnaires Instrument Construction Instrument Validation Nursing Skills Evaluation Competency Assessment Nutritional Support Nursing Kidney Failure, Chronic Therapy Kidney Failure, Chronic Nursing Nephrology Nursing Registered Nurses Nurse Attitudes Evaluation Nursing Practice Evaluation Human Validation Studies Methodological Research Cross Sectional Studies Male Female Pilot Studies Psychometrics Factor Analysis Italy Internal Consistency Intraclass Correlation Coefficient Summated Rating Scaling Confidence Intervals Reliability and Validity Quality Improvement Dialysis Nurses Nonprobability Sample Purposive Sample Snowball Sample Adult Middle Age Aged Content Validity Self Report Coefficient alpha Test-Retest Reliability Descriptive Statistics Data Analysis Software Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background/Objectives: Nutritional management is central to the care of patients with end-stage renal disease (ESRD), yet malnutrition often remains under-recognized due to gaps in nursing knowledge and competencies. This study aimed to develop and validate the Nursing Education and Competencies in Nutrition for Patients with CKD in ESRD (NECN-ESRD) questionnaire, designed to assess nephrology nurses' competencies, attitudes, and practices in nutritional care. Methods: A methodological and cross-sectional design was adopted, following the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) recommendations for instrument development. The process comprised five phases: construct definition and item generation, expert consultation and revision, quantitative content validity analysis, pilot testing, and psychometric testing. Data were collected between August and September 2025 from 405 nephrology nurses across Italy. Exploratory Factor Analyses (EFAs) and Confirmatory Factor Analyses (CFAs) were conducted on split samples (60/40), and key psychometric properties were evaluated. Results: EFA identified a four-factor structure—Recommendations, Attitudes, Practice, and Advanced Competencies—which was confirmed through CFA with good fit indices [Comparative Fit Index (CFI) = 0.995, Tucker–Lewis Index (TLI) = 0.994, Root Mean Square Error of Approximation (RMSEA) = 0.07]. A higher-order model further improved fit (CFI = 0.994, RMSEA = 0.029), explaining 68.2% of variance. Internal consistency was excellent (ω = 0.89–0.96), test–retest reliability showed perfect agreement [Intraclass Correlation Coefficient (ICC) = 1.00], and invariance testing supported equivalence across educational and experience levels. Conclusions: The NECN-ESRD demonstrated strong validity, reliability, and stability, providing a robust and context-specific tool to assess and enhance nurses' competencies in nutritional care for ESRD patients. Its application can support targeted educational interventions, improve clinical practice, and contribute to enhancing the quality of nutritional care for patients with ESRD within healthcare systems. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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