• Chie Takiguchi, Yumiko Yatomi, and Tomoko Inoue.
• Toho University, Miyama 2-2-1, Funabashi, Chiba 274-8510, Japan Mail. chie.takiguchi@hs.toho-u.ac.jp
• Intensive Crit Care Nurs. 2017 Dec 1; 43: 23-29.

ObjectivesTo develop a draft scale measuring nurses' care coordination competency for care of mechanically ventilated patients in critical care settings.MethodThe scale items and concepts were derived from semi-structured interviews with 28 professionals (14 nurses, eight physicians, three physical therapists, three clinical engineers) who are managing mechanically ventilated critical care patients. A grounded theory approach was used. After content validation by experts, two pilot tests were used to identify and correct non-discriminating items and vague items. After expert approval, the final draft scale was completed.SettingIntensive care units of acute care hospitals in Japan.FindingsA scale was drafted with the following six concepts including 51 items of nurses' care coordination competency: (1) understanding care coordination needs (2) devising and clearly articulating the care vision (3) aggregating and disseminating information (4) employing resources (5) promoting team cohesion (6) engaging in situation-based negotiating. The interviewed participants argued that these competencies clearly reflect the inter-professional activities required for well-coordinated and individualised care and improved patient outcomes.ConclusionsThese findings could be utilised to educate and train nursesand establish the awareness that coordinating care is the nurses' responsibility. Future research focusing on its validity and reliability are needed.Copyright © 2017 Elsevier Ltd. All rights reserved.

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