Content Validation of the AI-TPACK-E

There is a critical need to assess nurse educators' competencies in artificial intelligence (AI), yet no validated assessment tool currently exists to measure their level of AI literacy. Developing such a tool is critical to guide targeted educational strategies and inform curriculum design that prepares nursing graduates for technology-enhanced health care. This paper presents the results of content validity testing for an adapted 28-item Artificial Intelligence Technology Pedagogical Content Knowledge and Ethics (AI-TPACK-E) scale, designed to assess AI literacy among nurse educators from technological, pedagogical, content, and ethical knowledge perspectives. Twelve content experts with relevant experience in AI and nursing education evaluated the relevance of each item and provided feedback for refinement. Item-level content validity (I-CVI) scores were calculated, with ≥0.78 as the threshold for retaining items. The scale-level CVI (S-CVI) using universal agreement (UA) was also computed. Results showed an S-CVI/UA of 0.79, with 27 of 28 items achieving an I-CVI greater than 0.70 and S-CVI-Average of 0.89. Experts emphasized the importance of the scale and provided suggestions on item wording and the sequencing. These findings support the preliminary content validity for the AI-TPACK-E scale for assessing nurse educators' AI literacy. Planned future research includes pilot testing with a larger sample of nurse educators to establish additional validity and reliability evidence and examine their current AI integration practices in nursing education.