Journal of nursing measurement最新文献

Background and Purpose: Orthopedic surgery often results in temporary or permanent mobility limitations, affecting patients' ability to perform activities of daily living and shaping their perception of safety. Assessing patient-perceived safety is critical for improving clinical care and reducing preventable harm. This article aims to translate, culturally adapt, and evaluate the psychometric properties of the self-perceived safety of orthopedic postsurgery inpatients scale (SPSOPSIS) for use in the Turkish population. Methods: A total of 221 orthopedic postsurgery inpatients from a university hospital participated. The scale was translated and culturally adapted following established guidelines. Content validity was assessed through expert evaluation (content validity index = .89). Internal consistency, test-retest reliability, and construct validity were examined. Exploratory factor analysis (EFA) with varimax rotation was conducted to verify the factor structure. Data were collected via face-to-face interviews on the second postoperative day. Results: The Turkish version of the SPSOPSIS demonstrated excellent internal consistency (Cronbach's α = .94) and strong temporal stability (Kappa = .89). Item-total correlations ranged from .68 to .99. EFA confirmed a six-factor structure consistent with the original scale, explaining 79.96% of the total variance. All items were retained, confirming the instrument's suitability for use in the Turkish context. Conclusion: The Turkish SPSOPSIS is a valid and reliable instrument for assessing postoperative orthopedic patients' perceptions of safety. It can support nursing practice by identifying patient-centered safety risks, guiding clinical interventions, and strengthening nursing education on patient safety awareness. Future studies should evaluate its applicability across diverse health care settings and surgical populations to enhance generalizability.

Background and Purpose: The complexity of pediatric nursing specialization requires unique preparation to ensure that nurses caring for children are knowledgeable, competent, and compassionate. One important way to encourage nursing students to pursue this professional pathway is by developing positive attitudes toward pediatric nursing. Therefore, it is essential to create and validate a robust scale to accurately measure nursing students' attitudes toward this specialization. This study aimed to test the validity and reliability of the Nursing Students' Attitudes Toward Pediatric Nursing Scale. Methods: This study used a cross-sectional design and surveyed a convenience sample of 265 nursing students at King Abdulaziz University in Saudi Arabia. Data collection was conducted from August to December 2024. The newly developed tool consisted of a 26-item scale designed to assess nursing students' attitudes toward pediatric nursing. We established content, structural, and construct validity, as well as internal consistency reliability. Data analyses were performed using Statistical Package for Social Sciences version 24.0. Results: The item-level content validity indices for the final scale items ranged from .80 to 1.00, with a scale-level content validity index of .90. Exploratory factor analysis revealed a single-factor scale with 16 items, explaining 64.2% of the overall variance in students' attitudes toward pediatric nursing. The Cronbach's alpha for the 16-item scale was .962. Bivariate analyses indicated that students who were married, had children, had children in their families, and had higher knowledge of pediatric nursing tended to have more positive attitudes toward the field. Conclusions: The findings support the content, structural, and construct validity, as well as the internal consistency reliability of a single-factor scale that effectively measures nursing students' attitudes toward pediatric nursing. The establishment of this valid and reliable tool has significant implications for nursing education, practice, and research.

Background and Purpose: This article aimed to develop and psychometrically validate the Persian Student Nurse Stress Index (SNSI). The SNSI is a culturally tailored tool that assesses stress among Iranian nursing students. It captures unique sociocultural stressors that are rooted in Iran's collectivist and Islamic context. The SNSI is applicable in other global collectivist settings, such as India, Pakistan, and Indonesia, to inform evidence-based interventions for nursing education. Methods: The SNSI was translated into Persian using a forward-backward translation process. A cross-sectional study was conducted with 408 undergraduate and graduate nursing students from four Iranian universities who were randomly sampled from March 2020 to June 2022. The sample was divided (n = 208 for exploratory factor analysis [EFA], n = 200 for confirmatory factor analysis [CFA]) to ensure robust psychometric validation through separate exploratory and confirmatory analyses. Data were collected using both paper-based and online questionnaires to accommodate student preferences and ensure accessibility. The psychometric evaluation included content validity (scale-level content validity index [S-CVI]), EFA (n = 208), CFA (n = 200), Cronbach's alpha, and test-retest reliability (intraclass correlation coefficient [ICC]). Results: The Persian SNSI comprises 19 items across three factors: expectations, communication, and health (11 items, explaining 38.2% of the variance); academic topics (6 items, explaining 18.6% of the variance); and restrictions on free time (2 items, explaining 8.6% of the variance). These factors explain 65.4% of the total variance. The S-CVI was .88. EFA showed a Kaiser-Meyer-Olkin value of .90 (p < .001). CFA confirmed an acceptable fit (root-mean-square error of approximation = .11, comparative fit index = .93, and incremental fit index = .93). Cronbach's alpha was .86, and the ICC was .88. The mean stress score was 54.86 (SD = 16.78), with interpersonal stressors being the most prominent. Conclusions: The Persian SNSI is a valid and reliable tool for assessing stress in Iranian nursing students. It could inform evidence-based interventions, such as counseling and curriculum reforms, to enhance student mental health and academic success. The tool's scalability makes it a transformative model for nursing education in collectivist societies.

Background and Purpose: Occupational health literacy is a key determinant of workplace safety and employee well-being, yet Turkish measurement tools are limited. This study aimed to adapt the Occupational Health Literacy Scale (OHLS) into Turkish and evaluate its psychometric properties. Methods: A methodological design was used with 187 jewelry sector employees. The process included forward-backward translation, expert review, and pilot testing. Validity was tested with exploratory and confirmatory factor analyses (CFA), and reliability with Cronbach's alpha, test-retest, and intraclass correlation coefficient (ICC). Results: CFA showed acceptable fit indices (χ²/df = 2.15, comparative fit index = .93, goodness-offitindex = .91, adjusted goodness-of-fit index = .90, root-mean-square error of approximation = .07). Cronbach's alpha was .822, and test-retest confirmed strong stability (ICC = .89). Conclusions: The Turkish OHLS is a valid and reliable tool for assessing occupational health literacy.

Background and Purpose: Congenital heart disease (CHD) increases parental caregiving burden and perceived child vulnerability. We aimed to translate the Child Vulnerability Scale (CVS) into Arabic and assess its validity and cultural relevance. Methods: Two hundred and thirty-six caregivers completed the CVS (118 CHD and 118 without CHD). Language validity, content validity index (CVI), confirmatory factor analysis, and Cronbach's alpha were used to assess psychometric properties. Results: The CVS showed strong content validity (item-CVIs ≥ .70 and scale-CVI = .95). A two-factor model showed good construct validity (loadings = .40-.78, p < .01) and excellent fit (χ²/degree of freedom = 1.86; Tucker-Lewis index = .94, comparative fit index = .96, goodness-of-fit index = .96, adjusted goodness-of-fit index = .92, root-mean-square error of approximation = .06, and standardized root-mean-square residual = .04). Reliability was acceptable (α = .80). Conclusions: The CVS-Arabic version showed strong content validity, reliability, and cultural suitability for assessing parental perceptions of child vulnerability in CHD.

Background: The nursing profession requires robust, valid, and reliable instruments to accurately assess the characteristics of advanced practice nursing (APN) and their competencies. A comprehensive understanding of these tools is essential for nursing researchers aiming to evaluate and advance APN roles effectively. Purpose: This article aims to identify, describe, and critically analyze instruments used to evaluate the roles and competencies associated with APN. Methods: A systematic literature search was conducted across multiple databases for articles published between 1980 and 2024. Eight studies met the inclusion criteria and were subjected to an in-depth review focusing on the psychometric properties and variables measured by each instrument. Results: The reviewed instruments demonstrated various psychometric strengths, including the measures of validity and reliability, to assess multiple dimensions of APN. These tools reflect a wide range of approaches tailored to different populations and nursing specialties. Conclusion: Numerous validated instruments are available to support research and practice in evaluating APN roles. However, the instruments vary in scope, applicability, target populations, and the rigor of their psychometric evaluation. Continued refinement and contextual adaptation of these tools are recommended to enhance their relevance and utility across diverse nursing settings.

Background and Purpose: The Pittsburgh Sleep Quality Index (PSQI) is a widely used tool for assessing sleep quality but shows structural limitations in cross-cultural applications. This study examines the factor structure and psychometric properties of the Arabic PSQI (A-PSQI) among Jordanian undergraduate students. Methods: A cross-sectional survey of 735 students employed exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) to assess the factor structure. Construct, criterion, and known-groups validity were evaluated, with sensitivity and regression analyses testing model robustness. Results: EFA identified a two-factor structure (perceived sleep disturbance and impact, sleep timing), validated by CFA. The model exhibited strong convergent, discriminant, and criterion validity, with gender-based differences supporting known-groups validity. Conclusion: The A-PSQI's two-factor structure offers enhanced theoretical and clinical utility for Arabic-speaking students, surpassing the original unidimensional model.

Background and Purpose: Human milk feeding inequities persist among women from underrepresented racial and ethnic populations in the United States. Knowledge, attitudes, beliefs, and self-efficacy influence human milk feeding practices. This review evaluates the measurement properties of instruments assessing these variables among underrepresented populations. Methods: A systematic review from CINAHL, MEDLINE, and PsycINFO databases evaluated instruments assessing breastfeeding variables among women from underrepresented racial and ethnic populations. Results: Fifteen instruments were assessed. The Iowa Infant Feeding Attitude Scale (IIFAS) and Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF) had moderate to strong psychometric scores (α = .67-.86; .79-.96). Conclusions: While several instruments assess human milk feeding variables in underrepresented populations, IIFAS and BSES-SF show the strongest evidence. More culturally appropriate instruments are needed.

Background/Purpose: Psychological resilience plays an important role in improving physical function among people living with fibromyalgia (FM). The Connor-Davidson Resilience 10-Item Scale (CD-RISC-10) was created to measure psychological resilience in clinical populations. The purpose of this article is to assess the reliability and validity of the CD-RISC-10 in adults with FM. Method: A descriptive online survey was conducted on 200 participants with FM registered in a national registry. Resilience was measured using the CD-RISC-10. The CD-RISC-10 was assessed for reliability and validity utilizing a Rasch analysis using the Winsteps statistical program. Results: There was evidence of item reliability for the CD-RISC-10, with an item separation of 5.09 and item reliability of .96. All items on the CD-RISC-10 fit with the concept of psychological resilience, evidenced by acceptable inlier-sensitive or information-weighted fit and outlier-sensitive fit statistics. When controlling for age, sex, and comorbidities, there was a significant relationship between resilience and physical function (R ² = .35, F = 22.43, p < 0.001) and resilience and pain intensity (R ² = .27, F = 16.83, p < 0.001). Conclusion: This study found the CD-RISC-10 to be a reliable and valid scale for assessing resilience in adults with FM.