Validation of the Rizal-Inspired Community Health Nursing Practice Framework: A Three-Round Delphi Study
DOI:
https://doi.org/10.54536/ajncc.v1i1.8892Keywords:
Community Health Nursing, Historical Qualitative Research, José Rizal, Primary Health Care, Public HealthAbstract
This study evaluated the content validity and expert consensus of the Rizal-Inspired Community Health Nursing Practice Framework through a three-round Delphi process. A purposive panel of 25 experts representing community and public health nursing, primary health care, nursing education and research, health policy and administration, and Philippine history and Rizal studies participated between January and March 2026. The questionnaire assessed 20 framework items across five domains: Community Diagnosis; Integrated Preventive and Curative Care; Health Education and Empowerment; Community Participation; and Ethical, Equity-Focused Care. Experts rated relevance, clarity, comprehensiveness, and applicability and provided narrative feedback. Item-level content validity indices (I-CVIs) were calculated using relevance ratings of 3 or 4. Twenty-three experts completed the final round. All 20 items met the predetermined I-CVI threshold of 0.78. Domain-level content validity indices ranged from 0.83 to 0.92, and the scale-level content validity index, calculated using the averaging method, was 0.884. Kendall’s coefficient of concordance indicated substantial agreement among final-round experts (W = 0.78, p < .01). Across the first two rounds, 26 revisions were made in response to expert feedback; no further revisions were recommended after Round 3. The findings support the framework’s content validity and expert acceptability. Further field testing is needed to assess its usability and effects in contemporary community health nursing practice.
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Copyright (c) 2026 Jeffrey A. Lucero (Author)
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