{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T10:41:24Z","timestamp":1792320084506,"version":"4.4.0"},"reference-count":37,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"JSPS KAKENHI","award":["JP23K10316"],"award-info":[{"award-number":["JP23K10316"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Prim Care Community Health"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The study aimed to evaluate the reliability and validity of a Competency Scale for Nurses Supporting the Lives of Older Adults in Japanese Community-Based Integrated Care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross-sectional study used a preliminary 36-item scale administered to 296 nurses working in community-based integrated care. Construct validity was examined using exploratory and confirmatory factor analyses. Criterion-related validity was assessed by examining correlations with existing scales. Reliability was evaluated using Cronbach\u2019s \u03b1 and test\u2013retest reliability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 285 valid responses were obtained. Item analysis excluded 15 items, leaving 21 items. Exploratory factor analysis identified three factors comprising 12 items. Confirmatory factor analysis demonstrated acceptable model fit (goodness-of-fit index [GFI] = 0.931, adjusted GFI = 0.886, comparative fit index = 0.969, root mean square error of approximation = 0.054). Correlations with external scales ranged from r = 0.252 to 0.750. The overall Cronbach\u2019s \u03b1 was 0.852, and test\u2013retest reliability was confirmed (r = 0.814, p &lt; 0.01).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The findings support the developed scale\u2019s reliability and validity. This scale may be useful for assessing nurses\u2019 competencies in community-based integrated care and identifying areas for professional development.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21501319261496247","type":"journal-article","created":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T10:43:18Z","timestamp":1792060998000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Development of a Competency Scale for Nurses Supporting the Lives of Older Adults in Japanese Community-Based Integrated Care"],"prefix":"10.1177","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-7079-782X","authenticated-orcid":false,"given":"Misuzu","family":"Hoshi","sequence":"first","affiliation":[{"name":"Yokohama City University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maya","family":"Minamizaki","sequence":"additional","affiliation":[{"name":"Yokohama City University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mana","family":"Doi","sequence":"additional","affiliation":[{"name":"Tokyo Healthcare University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuka","family":"Kanoya","sequence":"additional","affiliation":[{"name":"Yokohama City University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,15]]},"reference":[{"key":"e_1_3_9_2_2","volume-title":"World Population Ageing 2019","author":"World Health Organization","year":"2019","unstructured":"World Health Organization. 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