Over the past 20 years self-report measures of healthcare students' information and communication technology skills have been developed with limited validation. Furthermore, measures of student experience of e-learning emerged but were not repeatedly used with diverse populations. A psychometric approach with five phases was used to develop and test a new self-report measure of skills and experience with information and communication technology and attitudes to computers in education. Phase 1: Literature review and identification of key items. Phase 2: Development and refinement of items with expert panel (n = 16) and students (n = 3) to establish face and content validity. Phase 3: Pilot testing of draft instrument with graduate pre-registration nursing students (n = 60) to assess administration procedures and acceptability of the instrument. Phase 4: Test-retest with further sample of graduate pre-registration nursing students (n = 70) tested stability and internal consistency. Phase 5: Main study with pre-registration nursing students (n = 458), further testing of internal consistency. The instrument proved to have moderate test-retest stability and the sub-scales had acceptable internal consistency. When used with a larger, more diverse population the psychometric properties were more variable. Further work is needed to refine the instrument with specific reference to possible cultural and linguistic response patterns and technological advances. (C) 2010 Elsevier Ltd. All rights reserved.