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Nursing Research and Practice
Volume 2014 (2014), Article ID 615498, 8 pages
Research Article

Validation of a New Instrument for Self-Assessment of Nurses’ Core Competencies in Palliative Care

1Lovisenberg Diaconal University College, Oslo, Norway
2National Centre for ICT in Education, Oslo, Norway
3Faculty of Health Sciences, Buskerud and Vestfold University College, Papirbredden, Grønland 58, 3045 Drammen, Norway
4Åbo Akademi University, Vaasa, Finland

Received 6 February 2014; Revised 4 April 2014; Accepted 25 May 2014; Published 16 July 2014

Academic Editor: Patsy Yates

Copyright © 2014 Kari Slåtten et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Competence can be seen as a prerequisite for high quality nursing in clinical settings. Few research studies have focused on nurses’ core competencies in clinical palliative care and few measurement tools have been developed to explore these core competencies. The purpose of this study was to test and validate the nurses’ core competence in palliative care (NCPC) instrument. A total of 122 clinical nurse specialists who had completed a postbachelor program in palliative care at two university colleges in Norway answered the questionnaire. The initial analysis, with structural equation modelling, was run in Mplus 7. A modified confirmatory factor analysis revealed the following five domains: knowledge in symptom management, systematic use of the Edmonton symptom assessment system, teamwork skills, interpersonal skills, and life closure skills. The actual instrument needs to be tested in a practice setting with a larger sample to confirm its usefulness. The instrument has the potential to be used to refine clinical competence in palliative care and be used for the training and evaluation of palliative care nurses.