The development and testing of a competency-focused psychiatric nursing clinical evaluation instrument

This article presents the development of a competency-focused psychiatric clinical evaluation instrument for the junior year of a baccalaureate program. Initially, 80 competencies were identified and categorized into six subscales. Competency achievement was measured by the Bondy Criterion Matrix (1983). Pilot testing generated an overall alpha (α) of 0.89 with item reliabilities ranging from 0.16 to 0.95. Testing of the revised Psychiatric Nursing Performance Appraisal Instrument (PsychNPAI) with another group of students (N = 51) generated an overall α = 0.96. Subscale alphas ranged from 0.82 to 0.92. These clinical subscales correlated significantly with related aspects of the didactic content in the course. The National League for Nursing Psychiatric Achievement Test correlated significantly with the overall course grade but not with PsychNPAI. The faculty and students perceive that the PsychNPAI clarifies expected outcomes and increases confidence in performance appraisal.