Journal Of Nursing Practice
Vol. 10 No. 1 (2026): October

Developing the ForCAP Framework for Competency Assessment in Care Plan Formulation: A Delphi Study and Preliminary Psychometric Evaluation

Mohamad As’ad Efendy (Faculty of Nursing, Universitas Strada Indonesia, Kediri, Indonesia)
Michael I. Aggari (School of Nursing, Philippine Women’s University, Manila, Philippines)



Article Info

Publish Date
28 Oct 2026

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.

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Journal Info

Abbrev

jnp

Publisher

Subject

Nursing

Description

The Journal Of Nursing Practice focuses its article in the field of nursing, which is the branch of health sciences. The scope of this journal articles are: • Medical and Surgical Nursing • Emergency • Maternity And Pediatric Nursing • Psychiatric • Family and Community Nursing • ...