title: Devising and establishing the face and content validity of explicit criteria of consultation competence for UK secondary care nurses.
abstract: OBJECTIVE
  The aims of this study were (a) to devise a set of prioritised criteria of consultation competence for UK secondary care nurses, and (b) to determine their face and content validity.
  
  
  METHODS
  The criteria of consultation competence as contained in the Consultation Assessment and Improvement Instrument (CAIIN) for primary care nurses were adapted as a result of focus group discussions and observation of videotaped consultations with nurses working in secondary care. The amended criteria were sent to a sample of nurse consultants, specialist nurses and nurse practitioners (n = 394) to determine their face and content validity.
  
  
  RESULTS
  Support for the seven categories of consultation competence varied from 96% to 99% and for the 37 component competences from 94% to 99%. There was no consensus for alternative or additional categories or components. 87% of respondents strongly agreed or agreed that the categories of consultation competence should be prioritised and 63% strongly agreed or agreed with the suggested weightings.
  
  
  CONCLUSIONS
  We have devised prioritised criteria of consultation competence of UK secondary care nurses and established their face and content validity. This can now facilitate the assessment and improvement of the consultation competence of secondary care nurses for both formative and regulatory purposes.
authors.affiliation: Division of General Practice and Primary Health Care, Department of Health Sciences, University of Leicester, Gwendolen Road, Leicester LE5 4PW, UK. sr59@le.ac.uk
authors.forename: Sarah A
authors.initials: SA
authors.lastname: Redsell
authors.forename: Marianne
authors.initials: M
authors.lastname: Lennon
authors.forename: Adrian M
authors.initials: AM
authors.lastname: Hastings
authors.forename: Robin C
authors.initials: RC
authors.lastname: Fraser
mesh_terms: D002983:Clinical Competence; D004650:Employee Performance Appraisal / Q000592:standards*; D017144:Focus Groups; D006801:Humans; D009720:Nurse Clinicians / Q000592:standards*; D009722:Nurse Practitioners / Q000592:standards*; D012017:Referral and Consultation; D015203:Reproducibility of Results; D006113:United Kingdom