Table 2

Confirmatory factor analysis (CFA) loading matrix model of 8 factors

ItemsF1F2F3F4F5F6F7F8
1.1 Acts either as a primary researcher or as a collaborator with other health practitioners on the team or in a community context; identifies, leads or supports research that promotes or benefits healthcare.0.65
1.2 Assesses current clinical practice, on an individual and systemic level based on the latest research findings.0.69
1.3 Identifies research priorities in his/her area of professional practice.0.70
1.4 Directs the development of evidence-based plans to achieve the needs of individuals, families, the community and the population.0.80
1.5 Uses effective strategies to change professional conduct and team work, thereby promoting the adoption of evidence-based practices and innovations in the performance of healthcare.0.80
1.6 Implements evidence-based algorithms, clinical guides, protocols and paths of action for the population.0.71
1.7 Develops and implements mechanisms for regular supervision and assessment of policies that influence healthcare services and transforms them into health plans, structures and programmes.0.79
1.8 Leads the promotion of interdisciplinary collaborations in order to implement result-oriented patient care programmes that can meet the clinical needs of patients, families, populations and communities.0.79
2.1 Assumes complex, advanced leadership positions with the purpose of initiating and channelling the evolution of work.0.80
2.2 Contributes to the advancement of nursing practice through the development and implementation of innovations.0.87
2.3 Provides consultancy services on the basis of clinical data, theoretical frameworks and evidence-based practice.0.78
2.4 Makes recommendations based on the consultancy process.0.78
3.1 Prescribes, orders and/or implements pharmacological and non-pharmacological interventions, treatments and procedures as defined in the healthcare plans within the appropriate legislative context.0.63
3.2 Diagnoses complex, unstable health problems by collaborating and consulting with the multidisciplinary healthcare team, as indicated by the context, the specialty and individual knowledge and experience.0.66
3.3 Provides users with the necessary information regarding the effects and potential adverse effects of the therapies prescribed. Also offers information concerning the costs, as well as alternative treatments and procedures, where necessary.0.65
3.4 Obtains data regarding the context and aetiology (including factors that are related and unrelated to the disease) that are necessary in order to formulate differential diagnoses and care plans, and to identify and assess the results.0.76
3.5 Selects, prescribes and supervises pharmacological and non-pharmacological therapeutic interventions, diagnostic measures, equipments, procedures and treatments aimed at satisfying the needs of patients, families and groups, in accordance with the professional preparation, institutional privileges, local and state laws and professional regulations.0.78
3.6 Diagnoses and manages acute and chronic diseases while addressing the patients' responses to their disease process0.65
3.7 Requests, carries out and interprets the results of customary screening and diagnostic tests.0.70
3.8 Plans and develops follow-up visits in an appropriate way in order to monitor patients and assess the health/disease process.0.76
4.1 Finds time to address the professional concerns and requests of his/her colleagues.0.55
4.2 Encourages individuals to share any issue or problem that may affect their personal development and any idea or suggestion related to this, helping them solve their problems in an objective or constructive way.0.68
4.3 Collaborates with healthcare team members in order to provide interprofessional healthcare focused on patients, relatives and/or communities she/he works with, at an individual, organisational and systemic level.0.74
4.4 Supervises his/her own professional practice while participating in the supervision and review of clinical practice at inter disciplinary and intradisciplinary levels.0.79
4.5 Acts as a link (mediating function) between the different professionals involved in the field of health care0.73
4.6 Tutors health workers, university students and others in acquiring new knowledge and skills to help them in their professional practice.0.50
5.1 Anticipates the variability of clinical practice and acts proactively in the implementation of interventions that ensure quality.0.79
5.2 Designs innovations to bring about changes in clinical practice and improvements in the results of healthcare.0.81
5.3 Uses the results of quality improvement to initiate changes in nursing practice and the healthcare system.0.83
5.4 Assesses other nurses, himself/herself and the system through quality control and management as part of a programme of continuous quality improvement.0.71
6.1 Organises the components of the care plan and coordinates healthcare.0.74
6.2 Keeps up-to-date knowledge of the organisation she/he works for as well as the financing of healthcare systems and the way in which these affect healthcare activity.0.71
6.3 Facilitates continued care and evaluates the status of users when adjusting to their health problems in their own life context.0.72
6.4 Supervises the results of healthcare programmes and advises on clinical management and appropriate interventions.0.84
6.5 Contributes to the development of the global healthcare system and adopts nursing models used in the system to obtain optimal results.0.77
6.6 Promotes the ability of the patients, relatives and/or communities she/he works with to participate in decisions related to the care process and managing their health needs, in accordance with the assessment of preferences of the patients, relatives and/or communities she/he works with and the resources available.0.76
7.1 Assumes responsibility for lifelong learning for his/her own professional development and maintenance of his/her professional competencies.0.53
7.2 Promotes and advocates programmes that support the interdisciplinary education of healthcare.0.70
7.3 Promotes and foments an environment that favours effective learning.0.81
7.4 Uses the information obtained in training activities to improve professional performance.0.61
8.1 Participates in the development and implementation of health promotion programmes.0.67
8.2 Provides secondary and tertiary prevention to teenagers and adults with multiple or chronic health problems.0.81
8.3 Promotes self-care in teenagers and adults within the family and/or support systems and facilitates their participation in healthcare whenever appropriate.0.80
8.4 Acts to empower individuals, groups and communities as regards the adoption of healthy lifestyles and self-care.0.75