J Contin Educ Nurs. 2026 Jan;57(1):21-28. doi: 10.3928/00220124-20251029-01. Epub 2026 Jan 1.
ABSTRACT
BACKGROUND: Training programs for cardiovascular specialist nurses in China lack standardized evaluation frameworks. This study developed a structured evaluation model based on the Workplace-Based Assessment (WPBA) guided by Miller’s Pyramid of clinical competence.
METHOD: A Delphi method was employed, involving 15 cardiovascular nursing education experts who participated in two consultation rounds. Initial evaluation items were derived from literature reviews and expert group discussions. Consensus and content validity were assessed using descriptive statistics and Kendall’s coefficient of concordance.
RESULTS: Experts achieved strong consensus, validating a comprehensive evaluation model comprising four integrated assessment components: theoretical knowledge examination, Mini-Clinical Evaluation Exercise (Mini-CEX), Direct Observation of Procedural Skills (DOPS), and Case-Based Discussion (CBD). Each assessment aligns with one level of Miller’s Pyramid, ensuring a comprehensive evaluation from theoretical knowledge to clinical performance. Consensus analysis demonstrated high expert agreement and consistency across assessment criteria and clinical sites.
CONCLUSION: This structured assessment model addresses existing gaps in advanced nursing education, offering standardized and objective evaluations of trainee competencies. This evaluation framework contributes substantially to advancing nursing education and enhancing cardiovascular health care quality through better trained specialist nurses.
PMID:41460504 | DOI:10.3928/00220124-20251029-01
