Journal of nursing measurement最新文献

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.

Background and Purpose: Measuring abuse can be a critical step in reducing intimate partner violence (IPV)-related trauma. We developed a reliable and validated cross-cultural Arabic version of the Emotional Abuse Questionnaire (EAQ) in the Arab region. Methods: We recruited 200 women via phone and from health care centers. Kaiser-Meyer-Olkin test, Bartlett's sphericity test, and the principal axis factoring with varimax rotation were used to assess EAQ's validity, and Cronbach's alpha was used to determine the reliability. Results: The Arabic version of EAQ demonstrated high validity and reliability, indicating its suitability for measuring emotional abuse in the Arab region. Conclusions: The EAQ will provide nurses in the Arab region with a tool to identify emotional abuse during a nursing assessment or as part of an IPV screening protocol.

Background and Purpose: HIV/AIDS is a major public health issue in sub-Saharan Africa, posing high occupational risks for nurses. There are limited validated instruments that assess the knowledge, attitude, and practice (KAP) in African nursing education contexts. This study adapted and validated a relevant HIV/AIDS KAP instrument for nursing students in northern Ghana. Methods: We conducted a cross-sectional survey among 373 nursing students in northern Ghana. Construct validity was evaluated using exploratory factor analysis, and internal consistency was measured using coefficient of alpha. Results: All the subscales of KAP demonstrated acceptable to good internal consistency (α = .712-.815). Item-level analysis confirmed the instrument's coherence and reliability. Conclusions: The scale demonstrated strong psychometric properties and is suitable for assessing HIV/AIDS-related competencies among nursing students in Ghana. Future studies should confirm the factor structure of the scale.

Background and Purpose: In Vietnam, the absence of a standardized, objective tool to evaluate patient assessment competency in nursing students hinders efforts to ensure clinical readiness. The study aims to develop and validate a new instrument, the Patient Assessment Competency Scale (PACS), intended to objectively evaluate the assessment competencies of undergraduate nursing students in Vietnam, specifically within a simulation-based learning environment. Methods: A two-phase study was conducted: Phase 1 involved generating items from literature and using a three-round Delphi method with five experts to establish content validity. In Phase 2, a cross-sectional study with 270 third-year nursing students assessed the scale's psychometric properties, including construct validity via confirmatory factor analysis (CFA), and reliability through internal consistency (coefficient alpha) and interrater reliability (Cohen's Kappa). Results: The final 48-item, 13-dimension PACS was developed. The scale demonstrated excellent content validity (scale level content validity index = 1.0). The CFA confirmed the 13-factor structure with an excellent model fit (χ²/df = 1.181, comparative fit index = .964, root-mean-square error of approximation = .026). The scale showed high internal consistency (coefficient alpha = .91) and strong to perfect interrater reliability (Cohen's Kappa = .80-1.00). Conclusions: The PACS is a valid and reliable observation-based instrument for objectively measuring patient assessment competency among undergraduate nursing students. As the first tool of its kind validated in Vietnam, it offers a valuable resource for nursing education, practice, and research to enhance clinical competency and bridge the education-practice gap.

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.