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Table 5 Item distribution across fields of practice and situations before DIF analysis and after exclusion

From: Test sensitivity in assessing competencies in nursing education

Fields of practice (FP) and situations (Sit)

Number of items before exclusion

Number of items excluded

Number of items after exclusion

FP 1: Care and assistance for care recipients with dementia

(long-term care)

19

4

15

 Sit. 1.1: Teamwork in handovers, cooperation, care documentation and planning

6

2

4

 Sit. 1.2: Biography-oriented personal hygiene, decubitus prophylaxis, interacting and communicating with restricted awareness

6

0

6

 Sit. 1.3: Acting in an emergency situation (shortness of breath), dealing with conflicts

2

0

2

 Sit. 1.4: Biography-oriented activity with communication restrictions

1

1

0

 Sit. 1.5: Dealing with measures restricting freedom and with time pressure

4

1

3

FP 2: Care and assistance for care recipients with chronic illnesses (outpatient care)

19

3

16

 Sit. 2.1: Wound management, hygiene in the home environment, dealing with revulsion

4

0

4

 Sit. 2.2: Food intake in the event of swallowing disorders, action in an emergency situation (aspiration)

4

0

4

 Sit. 2.3: Participation in geriatric rehabilitation concepts (e.g., Bobath concept), guidance for relatives

4

0

4

 Sit. 2.4: Nutritional counseling, blood sugar control and insulin administration

7

3

4

FP 3: Care and assistance for care recipients at the end of life (institutionalized palliative care)

18

2

16

 Sit. 3.1: Admission interview, relationship building, pain management

12

2

10

 Sit. 3.2: Ethical decision making (refusal to eat)

2

0

2

 Sit. 3.3: Terminal care and grief counseling, working with relatives, caring for the deceased

4

0

4

Sum:

56

9

47