title: Development of a performance scale for nurses in community-based long-term care facilities in Taiwan.
abstract: BACKGROUND
  There is a lack of reliable and valid performance assessments for nurses in long-term care facilities in Taiwan.
  
  
  OBJECTIVE
  This study develops a performance assessment instrument for nurses working in long-term care facilities.
  
  
  METHODS
  A participatory action research approach was used to validate the performance assessment instrument. After 19 experts evaluated the results from the focus groups, field testing of the instrument was carried out among 190 nurses working in long-term care facilities. Factor analysis was employed to establish the construct validity of the scale.
  
  
  RESULTS
  The final scale consisted of 11 categories with 69 items. The overall scale reliability had a Cronbach's alpha of .98, and the values of the Cronbach's alphas for the various categories ranged from .84 to .97.
  
  
  CONCLUSIONS
  The performance scale evaluated in this article has acceptable reliability, content validity, and construct validity. This scale can be used as an objective tool for measuring the performance of nurses working in long-term care settings.
authors: 1PhD, RN, Professor, Institute of Clinical and Community Health Nursing, National Yang-Ming University 2DNSc, RN, Associate Professor, Department of Nursing, Mackay Medical College 3PhD, RN, Assistant Professor, Cardinal Tien Junior College of Healthcare and Management 4MSN, RN, Taipei School for the Visually Impaired and Doctoral Student, Department and Institute of Nursing, National Yang-Ming University.
authors: I-Chuan
authors: IC
authors: Li
authors: Hui-Chi
authors: HC
authors: Huang
authors: Huai-Ting
authors: HT
authors: Kuo
authors: Chaw-Mew
authors: CM
authors: Hung
mesh_terms: D000328:Adult; D002983:Clinical Competence / Q000592:standards; D003153:Community Health Services / Q000458:organization & administration*; D004650:Employee Performance Appraisal / Q000379:methods*; D005163:Factor Analysis, Statistical; D005260:Female; D017144:Focus Groups; D005851:Geriatric Nursing / Q000458:organization & administration*; D006801:Humans; D008134:Long-Term Care / Q000458:organization & administration*; D008297:Male; D008875:Middle Aged; D011594:Psychometrics / Q000295:instrumentation; D015203:Reproducibility of Results; D013624:Taiwan