Interdisciplinary Journal of Nursing and Health (eISSN 3103-537X) continues Infermieristica Journal (eISSN 2785-7018).
Nurse Competence Scale: A Multicenter Observational Study on Nursing Competencies in Northern Italy
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Keywords

Leadership
Nursing Competence
Professional Development
Quality of Care
Self-Assessment

How to Cite

Nurse Competence Scale: A Multicenter Observational Study on Nursing Competencies in Northern Italy. (2025). Interdisciplinary Journal of Nursing and Health, 4(4), 311-320. https://doi.org/10.82051/ijnh-2025-228

Abstract

Introduction. Nursing competence—encompassing knowledge, skills, and experience—is key to delivering safe, high-quality care. Self-assessment supports professional growth, enhances satisfaction, and may lower turnover. This study aimed to assess nurses’ self-declared competencies across four domains (management, nursing care, leadership, and ethics) using the validated Italian Nurse Professional Competence Scale–Short Form (I-NPCS-SF).

Methods. A multicenter cross-sectional study was conducted on 161 nurses from two hospitals in Northern Italy (Oct–Dec 2024). Data were analyzed with ANOVA using Jamovi.

Results. Higher scores were found in all areas. Postgraduate education and 6–10 years’ experience correlated with better scores.

Discussion. Assessing nursing competencies is essential to maintain care quality and guide professional development. Promoting regular self-assessment helps identify areas for growth, supports career progression, and contributes to nurse retention.

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References

Allah Bakhshian, M., Alimohammadi, N., Taleghani, F., Nik, A. Y., Abbasi, S., & Gholizadeh, L. (2017). Barriers to intensive care unit nurses’ autonomy in Iran: A qualitative study. Nursing Outlook, 65(4), 392–399. https://doi.org/10.1016/j.outlook.2016.12.004

Audenaert, M., Vanderstraeten, A., Buyens, D., & Desmidt, S. (2014). Does alignment elicit competency-based HRM? A systematic review. Management Revue, 25(1), 5–26. https://doi.org/10.5771/0935-9915-2014-1-5

Benner, P. (1982). From novice to expert. The American Journal of Nursing, 82(3), 402–407. https://pubmed.ncbi.nlm.nih.gov/6917683/

Benner, P. (2003). L’eccellenza nella pratica clinica dell’infermiere: L’apprendimento basato sull’esperienza. McGraw-Hill.

Bing-Jonsson, P. C., Hofoss, D., Kirkevold, M., Bjørk, I. T., & Foss, C. (2016). Sufficient competence in community elderly care? Results from a competence measurement of nursing staff. BMC Nursing, 15, Article 5. https://doi.org/10.1186/s12912-016-0124-z

Cai, D. Y. (2016). A concept analysis of cultural competence. International Journal of Nursing Sciences, 3(3), 268–273. https://doi.org/10.1016/j.ijnss.2016.08.002

Chae, D., & Park, Y. (2018). Development and cross-validation of the short form of the cultural competence scale for nurses. Asian Nursing Research, 12(1), 69–76. https://doi.org/10.1016/j.anr.2018.02.004

Dellai, M., Mortari, L., & Meretoja, R. (2009). Self-assessment of nursing competencies—Validation of the Finnish NCS instrument with Italian nurses. Scandinavian Journal of Caring Sciences, 23(4), 783–791. https://doi.org/10.1111/j.1471-6712.2008.00665.x

Emanuela, P., Alessandro, S., Florian, S., Gennaro, R., Ina, D., Rosario, C., & Ippolito, N. (2023). Psychometric validation of the Nursing Professional Competence Scale among Italian nurses and Albanian nursing students. Journal of Nursing Measurement, 31(4), 595–605. https://doi.org/10.1891/JNM-2021-0060

Fukada, M. (2018). Nursing competency: Definition, structure and development. Yonago Acta Medica, 61(1), 1–7. https://doi.org/10.33160/yam.2018.03.001

Gardulf, A., Nilsson, J., Florin, J., Leksell, J., Lepp, M., Lindholm, C., Nordström, G., Theander, K., Wilde-Larsson, B., Carlsson, M., & Johansson, E. (2016). The Nurse Professional Competence (NPC) scale: Self-reported competence among nursing students at graduation. Nurse Education Today, 36, 165–171. https://doi.org/10.1016/j.nedt.2015.09.013

Garside, J. R., & Nhemachena, J. Z. Z. (2013). A concept analysis of competence and its transition in nursing. Nurse Education Today, 33(5), 541–545. https://doi.org/10.1016/j.nedt.2011.12.007

Gunawan, J., & Aungsuroch, Y. (2017). Managerial competence of first-line nurse managers: A concept analysis. International Journal of Nursing Practice, 23(1), e12502. https://doi.org/10.1111/ijn.12502

Halcomb, E., Stephens, M., Bryce, J., Foley, E., & Ashley, C. (2016). Nursing competency standards in primary health care: An integrative review. Journal of Clinical Nursing, 25(9–10), 1193–1205. https://doi.org/10.1111/jocn.13224

Helminen, K., Coco, K., Johnson, M., Turunen, H., & Tossavainen, K. (2016). Summative assessment of clinical practice of student nurses: A review of the literature. International Journal of Nursing Studies, 53, 308–319. https://doi.org/10.1016/j.ijnurstu.2015.09.014

Kajander-Unkuri, S., Meretoja, R., Katajisto, J., Saarikoski, M., Salminen, L., Suhonen, R., & Leino-Kilpi, H. (2014). Self-assessed level of competence of graduating nursing students and related factors. Nurse Education Today, 34(5), 795–801. https://doi.org/10.1016/j.nedt.2013.08.009

Karami, A., Farokhzadian, J., & Foroughameri, G. (2017). Nurses’ professional competency and organizational commitment. PLOS ONE, 12(11), e0187863. https://doi.org/10.1371/journal.pone.0187863

Kim, M.-J., & Kim, Y.-J. (2015). Variables affecting nursing competency of clinical nurses. Indian Journal of Science and Technology, 8(26), 1–9. https://doi.org/10.17485/ijst/2015/v8i26/80758

Kim, S.-O., & Choi, Y.-J. (2019). Nursing competency and educational needs for clinical practice of Korean nurses. Nurse Education in Practice, 34, 43–47. https://doi.org/10.1016/j.nepr.2018.11.002

Lakanmaa, R.-L., Suominen, T., Perttilä, J., Ritmala-Castrèn, M., Vahlberg, T., & Leino-Kilpi, H. (2014). Graduating nursing students’ basic competence in intensive and critical care nursing. Journal of Clinical Nursing, 23(5–6), 645–653. https://doi.org/10.1111/jocn.12244

Lin, C. C., Wu, C. J., Hsiao, Y. C., Han, C. Y., & Hung, C. C. (2017). Developing and validating a nursing students’ competence instrument. Nurse Education Today, 50, 87–91. https://doi.org/10.1016/j.nedt.2016.12.007

Liu, Y., & Aungsuroch, Y. (2018). Current literature review of registered nurses’ competency. Journal of Nursing Scholarship, 50(2), 191–199. https://doi.org/10.1111/jnu.12361

Maheu, M. M., Drude, K. P., Hertlein, K. M., et al. (2020). An interprofessional framework for telebehavioral health competencies. Journal of Technology in Behavioral Science, 5, 79–111. https://doi.org/10.1007/s41347-019-00113-x

Meretoja, R., Isoaho, H., & Leino-Kilpi, H. (2004). Nurse competence scale: Development and psychometric testing. Journal of Advanced Nursing, 47(2), 124–133. https://doi.org/10.1111/j.1365-2648.2004.03071.x

Nilsson, J., Engström, M., Florin, J., Gardulf, A., & Carlsson, M. (2018). A short version of the Nurse Professional Competence Scale. Nurse Education Today, 71, 233–239. https://doi.org/10.1016/j.nedt.2018.09.028

Nilsson, J., Johansson, E., Egmar, A.-C., et al. (2014). Development and validation of the Nurse Professional Competence Scale. Nurse Education Today, 34(4), 574–580. https://doi.org/10.1016/j.nedt.2013.07.016

Notarnicola, I., Duka, B., Lommi, M., Prendi, E., Ivziku, D., Rocco, G., & Stievano, A. (2024). Correlation between clinical competencies and clinical reasoning. Healthcare, 12(13), 1357. https://doi.org/10.3390/healthcare12131357

Notarnicola, I., Stievano, A., De Jesus Barbarosa, M. R., et al. (2018). Nurse competence scale: Psychometric assessment in Italy. Annali di Igiene, 30(6), 458–469. https://doi.org/10.7416/ai.2018.2246

Osingada, C. P., Nalwadda, G., Ngabirano, T., Wakida, J., Sewankambo, N., & Nakanjako, D. (2015). Nurses’ knowledge in ethics. BMC Research Notes, 8, 319. https://doi.org/10.1186/s13104-015-1294-6

Prendi, E., Stievano, A., Caruso, R., et al. (2022). Measuring professional competencies of nurses. Acta Biomedica, 93(4), e2022282. https://doi.org/10.23750/abm.v93i4.13332

Scavone, R., Ausili, D., & Di Mauro, S. (2014). La valutazione delle competenze infermieristiche. L’Infermiere, 51(6), 69–79.

Streiner, D. L., Norman, G. R., & Cairney, J. (2015). Health measurement scales (5th ed.). Oxford University Press. https://doi.org/10.1093/med/9780199685219.001.0001

The jamovi project. (2024). jamovi (Version 2.6) [Computer software]. https://www.jamovi.org

Twigg, D. E., Kutzer, Y., Jacob, E., & Seaman, K. (2019). Nurse skill mix and patient outcomes. Journal of Advanced Nursing, 75(12), 3404–3423. https://doi.org/10.1111/jan.14194

Van de Mortel, T. F., Nilsson, J., & Lepp, M. (2021). Validating the NPC scale with Australian students. Collegian, 28(2), 244–251. https://doi.org/10.1016/j.colegn.2020.06.010

von Elm, E., Altman, D. G., Egger, M., et al. (2007). The STROBE statement. PLoS Medicine, 4(10), e296. https://doi.org/10.1371/journal.pmed.0040296

World Medical Association. (2024). Declaration of Helsinki. https://www.wma.net/policies-post/wma-declaration-of-helsinki/

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Interdisciplinary Journal of Nursing and Health (eISSN: 3103-537X) continues Infermieristica Journal (eISSN 2785-7018).