Journal of nursing measurement最新文献

Background and Purpose: This study adapted the Nurse Practitioner Primary Care Organizational Climate Questionnaire to measure the organizational climate of nurse practitioners in acute care settings and validated the Nurse Practitioner Acute Care Organizational Climate Questionnaire (NP-ACOCQ). Methods: We used a three-phase instrument adaptation design. In phase 1, experts assessed face and content validity. In phase 2, pilot testing enabled item analysis and preliminary reliability testing. In phase 3, field testing supported exploratory factor analysis. Results: The NP-ACOCQ had a three-factor structure representing subscales. The subscales had coefficient alphas of .87, .90, and .94. The subscales, Institutional Visibility, Interprofessional Relationships, and Organizational Autonomy each had between 5 and 13 items. Conclusions: The NP-ACOCQ is a valid and reliable measure to assess organizational factors determining the acute care nurse practitioner work environment.

Background and Purpose: Nursing undergraduate students may encounter unkind behaviors during their clinical education. This study aimed to test the psychometric properties of the Turkish version of the "Uncivil Behavior in Clinical Nursing Education (UBCNE) Questionnaire," which measures nursing students' perceived levels of uncivil behavior in the clinical learning environment. Methods: The study was conducted in four steps: translation, face and content validity, confirmatory factor analysis, and reliability assessment. Data were collected from 216 nursing students from Turkey. Results: In the exploratory factor analysis (EFA), a unidimensional factor structure with an eigenvalue above 1 was detected, and therefore, the scale was analyzed as a single dimension. In the EFA with 13 items, the Kaiser-Meyer-Olkin value was 0.943, and the Bartlett test result was 1,862.965 (p <05). The fit indices for the class were calculated as χ²/df = 2.218, root mean square error of approximation = .075, and comparative fit index = 0.961. Coefficient alpha for Turkish culture was .942. Conclusion: The study showed that the Turkish version of the UBCNE scale is a valid and reliable measurement tool for assessing perceived incivil behaviors in nursing students' clinical education.

Background and Purpose: This methodological study aimed to assess the psychometric properties of the Persian version of the scale for evaluating self-care behaviors with arteriovenous fistula. Methods: This cross-sectional study with a methodological design was planned and conducted in 2022. The Scale of the Assessment of Self-Care Behaviors with Arteriovenous Fistula was translated into Persian. Subsequently, the validity (content and construct) and reliability of this scale were assessed. Results: The exploratory factor analysis revealed a two-factor structure for the scale, accounting for 60.71% of the total variance. Confirmatory factor analysis results indicated that all goodness-of-fit indices supported the model fit (χ²/df = 1.925, goodness-of-fit index = .903, normed fit index = .933, incremental fit index = .950, comparative fit index = .950, and root mean square error of approximation = .047). Furthermore, this study found that both factors demonstrated satisfactory levels of convergent and divergent validity (construct reliability = .934 and .885 for factors 1 and 2, respectively). After careful evaluation, all coefficients of internal consistency were deemed acceptable (α = .872 and McDonald's omega = .879). Conclusions: These significant findings provide compelling evidence that this scale can effectively assess patients' self-care behaviors and facilitate the provision of necessary training in this domain.

Background and Purpose: Factors that impact hospital-acquired pressure injuries are complex; a validated instrument for identifying supportive elements of hospital environments was needed. The purpose was to conduct exploratory factor analysis of the Pressure Injury Care Environment Support (PrICES) tool. Methods: The research team utilized a cross-sectional design with survey methodology. The PrICES tool was emailed to registered nurses to determine tool validity. Exploratory factor analysis was performed. The number of factors was based on the Kaiser Criterion. Results: A total of 262 out of 1,450 surveys were received, and 212 were analyzed. Four factors were identified. Exploratory factor analysis explained 60% of variability. Internal consistency was high (.91). Conclusions: PrICES exhibited high internal consistency with a four-factor structure. Further psychometric testing of this tool is needed.

Background and Purpose: Critical thinking (CT) skills are necessary tools for enhancing patient care. The Critical Thinking Self-Assessment Scale (CTSAS) was based on Facione et al.'s (1990) schema of 6 CT skills and 16 subskills. Although early results indicated a strong instrument, it was lengthy at 115 items. The purpose of the study was to statistically reduce the number of items in the instrument. Methods: Using a sample of 712 undergraduate nursing students, item analysis and confirmatory factor analysis were used to determine items to retain and delete. The scale was validated by comparing to the Need for Cognition Scale. Results: Items were reduced to 46 and spread over the 16 subskills. Conclusions: The revised CTSAS is a valid, reliable tool that has been greatly reduced in length without compromising its psychometric properties. Faculty could use the measure as a reflection of students' levels on these skills and design learning activities to target problem areas.

Background and Purpose: Limited care interaction measurements capture important interaction characteristics that occur during staff-resident care interactions. The purpose of this study was to test the reliability and validity of the Modified Quality of Interaction Scale (MQuIS). Methods: Data from an observational study in four assisted living facilities were used. Results: A total of 152 staff-resident care interactions were observed. There was some evidence of reliability based on the Rasch analysis (item reliability of .98). There was some support for validity based on the item fit and hypothesis testing as active resident engagement was significantly associated with positive social and positive care interactions. Conclusions: This study provides some support for the use of the MQuIS to evaluate the quality of care interactions in assisted living settings.

Background and Purpose: During pregnancy, the foot is more in contact with the ground; the need for an increase in foot size, increased metacarpophalangeal laxity, and physical changes are among the most common foot problems. The study validated the Turkish Foot Health Assessment Instrument (FHAI) version. Methods: This observational study comprised 261 pregnant women receiving follow-ups at the outpatient clinic. Coefficient alpha and item analysis were used to assess the reliability. Confirmatory and explanatory factor analysis were applied to test the scale's construct validity. Results: Exploratory and confirmatory factor analysis was used to evaluate the factor structure (Kaiser-Meyer-Olkin = .766, χ² = 1563.838; p < .001; α = .812). Conclusions: The FHAI is a valid and reliable tool for assessing the foot health of pregnant women living in Turkey.

Background and Purpose: The aim of the study was to examine the psychometric properties of the Sickle Cell Self-Efficacy Scale (SCSES) in an anonymous, online cohort of adults with sickle cell disease (SCD). Methods: The SCSES was completed by 60 adults with SCD. An exploratory factor analysis was conducted. Convergent validity and discriminant validity were assessed using bivariate correlations between the SCSES and other study variables, and internal consistency reliability was evaluated through examining an alpha coefficient. Results: A unidimensional factor structure explained 49.6% of the variance in self-efficacy. The SCSES demonstrated convergent validity and discriminant validity with the select battery of measured concepts and sufficient internal consistency reliability (coefficient alpha = .87). Conclusions: The SCSES remains a valid and reliable measure of SCD self-efficacy among adults when used in anonymous, online research.

Background and Purpose: Thirst-related distress in individuals with heart failure (HF) is associated with exacerbated symptoms. This study aimed to culturally adapt the Thirst Distress Scale for Patients with Heart Failure (TDS-HF) for Brazil and assess the content validity of the adapted version. Methods: The TDS-HF was translated, back-translated, and evaluated for linguistic equivalence, clarity, relevance, and pertinence by seven professional experts. The adapted TDS-HF was administered to 40 patients with HF, who provided feedback on its understandability. Results: The adaptation achieved satisfactory evidence of linguistic equivalence and content validity, with a total content validity coefficient of .95. The patients understood the translated version effectively. Conclusion: The Brazilian TDS-HF maintains linguistic equivalence to the original version and demonstrates satisfactory evidence of content validity. Further psychometric testing is deemed necessary for implementation.