Adaptation and Validation of the Nursing Attitude Questionnaire in a Spanish Population.

IF 2.4 Q1 NURSING Nursing Reports Pub Date : 2024-10-03 DOI:10.3390/nursrep14040204

Silvia Solera-Gómez, David Sancho-Cantus, Jesús Privado, Cristina Cunha-Pérez, Amparo Benedito-Monleón, Lucía Inmaculada Llinares-Insa

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Abstract

Background: Nursing, as an essential component of contemporary healthcare systems, has undergone significant changes in recent decades, resulting in an increase in research across various fields, such as mental health, well-being, and the development of the discipline itself. Currently, gender stereotypes persist, impacting the social image of the profession and influencing the professional identity of nurses and consequently, their work performance and the quality of care provided. Both public and internal perceptions of the profession are critical factors in these dynamics.

Objective: to adapt and validate the Nursing Attitude Questionnaire in a Spanish sample, as it has only been validated in two languages to date.

Methods: This study presents descriptive and validity analyses of several measures utilized, such as Nursing Image (NIS), Medical Empathy (JSE-HP), Professional Values (NPVS) and Communication Skills (HP-CSS).

Results: Confirmatory factor model analyses indicated that a 21-item hierarchical model provided a superior fit (χ²(df = 1.65, NFI = 0.954, SRMR = 0.065), suggesting the presence of a general factor accounting for five first-order factors. Internal consistency was deemed adequate for the total measures (α = 0.789), though variable for the subscales. Correlations among measures provided evidence of convergent and discriminant validity, highlighting consistent correlation patterns between Attitude toward Nursing and other variables. In addition, significant differences were observed in the Professionalism subscale according to sex, albeit with a medium-low effect size. Scales are presented to facilitate future interpretation of the results in similar samples.

Conclusions: The scale validated in this study exhibited overall good psychometric performance, although certain limitations were identified within the subscales. The established scales represent a novel contribution, providing a valuable tool for the comparison of similar samples.

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在西班牙人群中改编和验证护理态度问卷。

背景：护理作为当代医疗保健系统的重要组成部分，近几十年来发生了重大变化，导致心理健康、福祉和学科自身发展等各个领域的研究不断增加。目前，性别陈规定型观念依然存在，影响着护士职业的社会形象，影响着护士的职业身份，进而影响其工作表现和护理质量。公众和内部对这一职业的看法是这些动态变化的关键因素。目的：在西班牙样本中调整和验证护理态度问卷，因为迄今为止该问卷只用两种语言进行过验证：本研究对所使用的几个测量指标，如护理形象（NIS）、医疗移情（JSE-HP）、职业价值观（NPVS）和沟通技能（HP-CSS）进行了描述性和有效性分析：确认性因子模型分析表明，21 个项目的分层模型具有较好的拟合效果（χ2(df = 1.65, NFI = 0.954, SRMR = 0.065），表明存在一个包含五个一阶因子的总体因子。总测量的内部一致性被认为是充分的（α = 0.789），但各分量表的内部一致性不尽相同。各量表之间的相关性证明了测量的收敛性和鉴别性，突出了护理态度与其他变量之间一致的相关模式。此外，还观察到专业精神分量表在性别上存在明显差异，尽管影响程度中等偏低。为了便于今后在类似样本中对结果进行解释，对量表进行了介绍：本研究验证的量表总体上表现出良好的心理测量性能，尽管在各分量表中发现了一些局限性。已建立的量表是一项新贡献，为类似样本的比较提供了有价值的工具。

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来源期刊

Nursing Reports NURSING-

CiteScore

2.50

自引率

4.20%

发文量

期刊介绍： Nursing Reports is an open access, peer-reviewed, online-only journal that aims to influence the art and science of nursing by making rigorously conducted research accessible and understood to the full spectrum of practicing nurses, academics, educators and interested members of the public. The journal represents an exhilarating opportunity to make a unique and significant contribution to nursing and the wider community by addressing topics, theories and issues that concern the whole field of Nursing Science, including research, practice, policy and education. The primary intent of the journal is to present scientifically sound and influential empirical and theoretical studies, critical reviews and open debates to the global community of nurses. Short reports, opinions and insight into the plight of nurses the world-over will provide a voice for those of all cultures, governments and perspectives. The emphasis of Nursing Reports will be on ensuring that the highest quality of evidence and contribution is made available to the greatest number of nurses. Nursing Reports aims to make original, evidence-based, peer-reviewed research available to the global community of nurses and to interested members of the public. In addition, reviews of the literature, open debates on professional issues and short reports from around the world are invited to contribute to our vibrant and dynamic journal. All published work will adhere to the most stringent ethical standards and journalistic principles of fairness, worth and credibility. Our journal publishes Editorials, Original Articles, Review articles, Critical Debates, Short Reports from Around the Globe and Letters to the Editor.