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Michael I. Aggari
School of Nursing, Philippine Women’s University, Manila, Philippines
Nursing

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Developing the ForCAP Framework for Competency Assessment in Care Plan Formulation: A Delphi Study and Preliminary Psychometric Evaluation Mohamad As’ad Efendy; Michael I. Aggari
Journal Of Nursing Practice Vol. 10 No. 1 (2026): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v10i1.1289

Abstract

Background: Care plan formulation is a core nursing competency, but instruments that target it are limited, particularly in Indonesia.Purpose: To develop the Framework for Competency Assessment in Care Plan Formulation (ForCAP), to examine expert consensus on its structure, and to obtain preliminary content-validity, reliability, and dimensionality evidence for an aligned student self-assessment questionnaire.Methods: This sequential multiphase instrument-development study reviewed 16 competency frameworks (2010–2023), conducted a two-round modified Delphi with 15 purposively selected experts (acceptance: at least 70% rating 3 or 4), and had the same experts rate the content validity of a 32-item questionnaire, which was then piloted with 224 nursing students.Results: The initial 57 elements were refined to 5 domains, 10 competencies, and 32 sub-competencies; all 42 final elements were accepted (Fleiss’ kappa 0.93). Item-level content validity ranged from 0.80 to 0.93 (scale-level 0.82–0.86). Total-score Cronbach’s alpha was 0.87 (95% CI 0.85–0.89); domain alphas were 0.46–0.68.Conclusion: Experts endorsed the ForCAP structure, and the questionnaire total score has preliminary support. The faculty-rated rubric, proficiency anchors, and progression indicators remain provisional and need further validation.
Co-Authors Mohamad As’ad Efendy