Frequent exposure to patient deaths prompts nurses to experience grief. Unresolved grief leads to harmful consequences of nurses’ mental health and quality of nursing care. A cross-sectional study using an online survey was conducted to determine the psychometric properties of the Grief traits and State Scale for Nurses. Exploratory factor analysis revealed two factors measuring the level of nurses’ grief traits (Cronbach’s alpha: 0.84) and two factors in grief state (Cronbach’s alpha: 0.86). Nurses’ feelings of unable to provide good care were associated with a higher risk of grief (odds ratio (OR): 4.30, 95% confidence interval (CI): 1.45–12.75), uncomfortable feeling toward deaths (OR: 11.29, 95%CI: 1.48–85.91), and emotional exhaustion (OR: 7.12, 95%CI: 1.63–30.99). Results indicated that the scale was reliable in determining the levels of their grief. Nurse managers can use the scale to identify their nurses’ levels of grief, creating opportunities to influence the resolution of the grief experiences.

Background/Objectives: Despite the increasing recognition of person-centered care (PCC), existing evaluation tools often have profession-specific limitations, lacking broad applicability across interdisciplinary contexts. This study aimed to develop and validate the Person-Centered Care Instrument (PCCI), designed to assess the competence of healthcare providers from diverse professions. Methods: Using a two-round modified Delphi technique, ten experts validated an initial pool of 63 items. The process assessed both face validity (overall appropriateness) and content validity using a 9-point Likert scale and the Item-level Content Validity Index (I-CVI). Items with a median rating of 6 or higher and an I-CVI of ≥0.70 were retained. Results: The final PCCI consists of 37 items, with a scale-level content validity index of 0.65. Three items achieved universal agreement among the experts (I-CVI = 1.0). For the final 37-item PCCI, the Scale-level Content Validity Index (S-CVI) was 0.65, and the index based on universal agreement was 0.22. Conclusions: The developed PCCI demonstrated good face and content validity, making it a valid and broadly applicable tool for assessing competence in delivering PCC. This instrument can support quality improvement initiatives and help promote a culture of empathy and respect in healthcare.

Contemporary and future nursing practices are increasingly being designed with nursing theories as to its foundation. The aim of this article is to describe an in-service education program for nursing administrators centered on the theory of Technological Competency as Caring in Nursing (TCCN). This theory is framed chiefly within the concepts of technology, caring, nursing, and technological competency. Influencing the significance of in-service education is theory-based practice with advancing technologies in human caring. The in-service education program was organized as a five-month, one-hour a month lecture and discussion series. In each session, educational contents are focused on the nursing process as caring based on the theory of TCCN. This education is a plan that will gradually educate the nurse manager group, the mid-level nursing staff group, and finally to the staff nurse group. This hierarchically organized in-service educational plan aims to systematically improve their knowledge and practice situation for three years. During each session, theory content included “knowing persons as caring” as the nursing process based on the theory of TCCN. Participating in these lectures are envisioned to increase knowledge about TCCN for the purpose of improving the overall quality of nursing care outcomes. An organized educational plan will improve the quality of nursing care as influenced by the use of the theory of TCCN in the practice of nursing.

In spite of emphasis on patient-centered care and promotion of their quality, shortcomings have been seen in psychiatric care due to lack of compassion. To improve the quality of psychiatric caring in nursing, it is important to develop and implement in-service education based on Locsin’s Technological Competency as Caring in Nursing (TCCN) theory. Objectives to determine psychiatric nurse managers' perception and practice status as a preliminary survey to serve as a resource for in-service psychiatric nursing education. This survey was conducted in August 2022 using the Technological Competency as Caring in Nursing Instrument-Revised for Practice (TCCNI-Repract) scale at "A" psychiatric hospital. Descriptive statistics and Wilcoxon's signed-rank tests were used. Eleven head nurses and assistant head nurses participated in this study. Mean values for the perception dimension of each item of the TCCNI-RePract were high, whereas mean values for practice dimension were low. The results indicated that perception dimension was significantly higher than practice dimension in 21 of 26 items of the TCCNI-RePract. Nurse managers demonstrated a high level of perception of the TCCN theory; however, many practical items scored low. Nurse managers suggested developing a current educational program to inform practice based on the TCCN theory.

Background/Objectives: This study aimed to develop the Technological Competency as Caring in Healthcare Providers Instrument (TCCHI) for multidisciplinary use, based on Locsin’s theory of Technological Competency as Caring in Nursing. Methods: A content validation design employing a modified Delphi technique was conducted with a multidisciplinary panel of 10 healthcare experts (recruited by purposive sampling based on expertise in technology/caring). The preliminary 67-item pool was derived from a literature review and theoretical alignment. Two Delphi rounds were implemented to establish face and content validity. Qualitative feedback from Round 1 guided item refinement for Round 2. The Wilcoxon matched-pairs signed-rank test was used to confirm the response stability between rounds. Results: Among the 67 initial items, 38 were retained after two Delphi rounds, achieving an I-CVI of 0.80–0.90. Response stability was established (p > 0.05). The resulting 38 items were categorized into six refined concepts reflecting the integration of technology and caring. Inter-rater consistency, assessed by the Intraclass Correlation Coefficient (ICC), was moderate (Round 1 ICC = 0.49; Round 2 ICC = 0.50), suggesting initial variability among the multidisciplinary panel. Conclusions: The TCCHI is a comprehensive and theoretically grounded instrument applicable across diverse healthcare disciplines. However, the moderate inter-rater consistency suggests that further empirical validation is required. Further psychometric evaluation, including confirmatory factor analysis and internal consistency reliability testing, is required to establish construct validity and strengthen the instrument’s applicability in diverse healthcare settings.

Despite increasing recognition of person-centered care (PCC) as a foundational principle in healthcare, existing evaluation tools often demonstrate profession-specific limitations and lack broad applicability across interdisciplinary professional contexts. This study aimed to develop and establish the content validity of the person-centered care instrument (PCCI), designed to assess the competence of healthcare providers in delivering PCC across diverse professions. A two-round modified Delphi technique was employed for face and content validation. Ten experts were consulted to assess an initial pool of 63 proposed items. Face validity explored the overall appropriateness and relevance of items, while content validity examined relevance ratings using a 9-point Likert scale and the item-level content validity index (I-CVI). Items with a median rating between 6 and 9 and an I-CVI of ≥ 0.70 were retained. Three items achieved universal agreement among the experts (I-CVI = 1.0). For the final 37-item PCCI, the overall scale-level content validity index and that based on universal agreement were 0.65 and 0.22, respectively. The developed PCCI provides a valid evaluation tool for assessing competence in delivering PCC within healthcare practice. This instrument can support quality improvement initiatives and promote a culture of empathy and respect in healthcare delivery.