Skip to main content

Table 1 Rotated Component Matrixa of four factors for HCAT (factor loadings >.40)

From: Development and psychometric testing of Holistic Clinical Assessment Tool (HCAT) for undergraduate nursing students

Domains and assessment items Component
1 2 3 4
1. Professional, legal and ethical nursing practice
 1) Complies with Singapore Nursing Board (SNB) Code of Ethics and Professional Conduct, Standards of Practice for nurses and midwives .614 .322 .195 .191
 2) Practises with reference to institutional/national legislation, policies and procedural guidelines .570 .338 .317 .201
 3) Demonstrates responsibility and accountability for care within scope of practice and level of competence .632 .246 .330 .250
 4) Complies with professional expectations .608 .242 .364 .307
 5) Works with Registered Nurse (RN) to apply SNB Code of Ethics and Professional Conduct for ethical decision making .568 .340 .171 .415
 6) Works with RN to discuss care provision with the client and family within a reasonable time frame .495 .359 .116 .315
 7) Seeks permission from the client in the delivery of care .617 .166 .175 .389
 8) Respects the values of individuals .722 .126 .285 .229
 9) Respects the cultural practices of individuals .819 .047 .122 .106
 10) Respects the individual’s religious beliefs and practices, as well as their spirituality needs .850 .101 .095 .079
 13) Shows caring attributes towards clients and families .519 .358 .133 .039
2. Management of care
 11) Communicates effectively and timely using appropriate verbal skills with clients and families .311 .418 .231 .122
 12) Communicates effectively using appropriate non-verbal skills with clients and families .388 .487 .305 .069
 14) Performs comprehensive and systematic assessment .192 .694 .312 .186
 15) Formulates plans of care with the healthcare team, client and families .358 .661 .199 .114
 16) Implements the holistic plan of care safely and timely .157 .716 .357 .177
 17) Evaluates and modifies plan of care with appropriate documentation .091 .636 .263 .397
 18) Applies critical thinking skills and makes appropriate clinical decisions .136 .671 .337 .145
 22) Conducts educational needs assessment .155 .754 .299 .180
 23) Empowers aspects of care to clients, families and carers .165 .674 .190 .183
 24) Provides information using available resources .299 .688 .285 .086
3. Leadership & nursing management
 25) Demonstrates collaborative practice with healthcare professionals .448 .287 .493 −.040
 26) Establishes rapport and interacts with team members in a supportive manner .394 .120 .586 .033
 27) Demonstrates effective delegation to team members .170 .312 .560 −.001
 28) Follows up on the work delegated .292 .278 .612 .197
 29) Utilises materials efficiently and minimises wastage .102 .265 .592 .300
 30) Works with RN to make efficient use of manpower resources .023 .346 .649 .328
 31) Manages time in an effective manner .047 .350 .739 .040
 21) Provides a safe care environment for clients .325 .192 .490 .368
 32) Demonstrates knowledge of occupational health and safety policies and procedures .217 .371 .566 .140
 33) Prioritises the tasks based on the urgency of the clinical situation .241 .355 .646 .055
 34) Manages workloads effectively by seeking help when necessary .252 .088 .666 .174
4. Professional development
 35) Reflects on own nursing practice .284 .371 −.029 .555
 36) Responds positively to constructive feedback .255 .189 .148 .769
 37) Takes steps to address areas of improvement in skills and knowledge .187 .111 .187 .780
 38) Demonstrates basic knowledge on evidence-based practice .278 .221 .390 .495
  1. Extraction Method: Principal Component Analysis. Rotation Method: Varimax with Kaiser Normalisationa
  2. a. Rotation converged in seven iterations