Content Validation of a Questionnaire to Measure Digital Competence of Nurses in Clinical Practice

Golz, Christoph; Hahn, Sabine; Zwakhalen, Sandra M.G. (2023). Content Validation of a Questionnaire to Measure Digital Competence of Nurses in Clinical Practice CIN: Computers, Informatics, Nursing, 41(12), pp. 949-956. Lippincott, Williams & Wilkins 10.1097/CIN.0000000000001037

Content_Validation_of_a_Questionnaire_to_Measure.108.pdf - Published Version
Available under License Creative Commons: Attribution-Noncommercial-No Derivative Works (CC-BY-NC-ND).

Download (822kB) | Preview

Clinical practice nurses need adequate digital competence to use technologies appropriately at work. Questionnaires measuring clinical practice nurses' digital competence lack content validity because attitude is not included as a measure of digital competence. The aim of the current study was to identify items for an item pool of a questionnaire to measure clinical practice nurses' digital competence and to evaluate the content validity. A normative Delphi study was conducted, and the content validity index on item and scale levels was calculated. In each round, 21 to 24 panelists (medical informatics specialists, nurse informatics specialists, digital managers, and researchers) were asked to rate the items on a 4-point Likert scale ranging from “not relevant” to “very relevant.” Within three rounds, the panelists reached high consensus and rated 26 items of the initial 37 items as relevant. The average content validity index of 0.95 (SD, 0.07) demonstrates that the item pool showed high content validity. The final item pool included items to measure knowledge, skills, and attitude. The items included represent the international recommendations of core competences for clinical nursing. Future research should conduct psychometric testing for construct validity and internal consistency of the generated item pool.

Item Type:

Journal Article (Original Article)


School of Health Professions
School of Health Professions > Nursing
School of Health Professions > Nursing > Innovation in the Field of Health Care and Human Resources Development


Golz, Christoph0000-0003-1711-5106;
Hahn, Sabine0000-0002-2697-2014 and
Zwakhalen, Sandra M.G.




Lippincott, Williams & Wilkins




Christoph Golz

Date Deposited:

14 Jun 2023 10:31

Last Modified:

10 Dec 2023 01:37

Publisher DOI:


Uncontrolled Keywords:

Clinical practice nurse Delphi study Digital competence




Actions (login required)

View Item View Item
Provide Feedback