Table 2 Fundamental statistics of the 22 competencies and degree of difficulty composition from level A to C

Four core competencies and 22 competencies

Min

Max

Mean

SD

Mean + SD

Mean-SD

Item-total correlation

α when the item was eliminated

Item factor loading

Level

Mean

SD

p

1. Expressing values about good care in individual cases

1

5

3.01

.69

3.70

2.32

.529^**

.930

.599

A

3.14

.57

< .001

2. Having a bird’s-eye view of the pros and cons of caring based on laws, rules and social trends

1

5

3.27

.66

3.93

2.61

.580^**

.929

.723

3. Exploring diverse values and awareness without sticking to own values

1

5

3.31

.71

4.02

2.60

.543^**

.930

.676

B

3.36

.59

4. Feeling conflicted and uncomfortable about situations where good care is not being provided

1

5

3.41

.76

4.17

2.65

.557^**

.930

.432

1. Evaluation of care is based on reactions such as the words and behavior of the patient and (or) their family

1

5

3.30

.73

4.03

2.57

.521^**

.930

.402

A

3.30

.73

< .001 in all pairs

2. Practice good care patiently without giving up

1

5

3.30

.71

4.01

2.59

.636^**

.928

.412

B

3.40

.58

3. Introduce evidence into practice with appropriate procedures

1

5

3.35

.71

4.06

2.64

.634^**

.928

.413

4. Support the patient and (or) their family to gain essential awareness

1

5

3.42

.77

4.19

2.65

.707^**

.927

.806

5. Support decision making in the way and at the pace the patient and (or) their family wants and create a care plan together

1

5

3.53

.80

4.33

2.73

.676^**

.927

.805

6. Perspective taking of the patient and (or) their family’s experience by observing behavior and integrating multifaceted information

1

5

3.53

.68

4.21

2.85

.616^**

.929

.437

C

3.60

.55

7. Estimate patient’s subjective distress from physical assessment

1

5

3.54

.69

4.23

2.85

.547^**

.930

.774

8. Create relationships so the patient and (or) their family can talk about important things

1

5

3.74

.75

4.49

2.99

.629^**

.928

.768

9. Accept the patient and (or) their family facing the rigors of reality

1

5

3.58

.75

4.33

2.83

.670^**

.928

.826

1. Flexibly create contextual care teams based on professionalism and expertise

1

5

3.04

.87

3.91

2.17

.715^**

.927

.957

A

3.14

.73

< .001 in all pairs

2. Create and modify systems for good care, such as conferences

1

5

3.18

.83

4.01

2.35

.688^**

.927

.934

3. Understand and discuss the conflicts of team members based on multidisciplinary collaboration

1

5

3.19

.83

4.02

2.36

.664^**

.928

.653

4. Disseminate and raise issues without ignoring the challenges of performing good care

1

5

3.33

.80

4.13

2.53

.736^**

.926

.662

B

3.33

.80

5. Understand and discuss conflicts between colleagues or department members

1

5

3.46

.76

4.22

2.70

.664^**

.928

.933

C

3.50

.69

6. Exchange opinions and participate in conferences in order to carry out good care

1

5

3.52

.78

4.30

2.74

.702^**

.927

.450

1. Discover and disseminate ethical research issues from practice

1

5

2.83

.88

3.71

1.95

.645^**

.928

.674

A

2.83

.88

< .001 in all pairs

2. Learn about good care from reflection and insights based on the experience case

1

5

3.29

.77

4.06

2.52

.700^**

.927

.577

B

3.29

.77

3. Gain awareness about good care practices at learning opportunities

1

5

3.35

.75

4.10

2.60

.681^**

.927

.559

C

3.35

.75