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

 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

 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

 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

 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