Journal of nursing measurement最新文献

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. Cronbach's coefficient α (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: Moulage plays an important part in enhancing simulation-based learning experience fidelity; however, limited tools exist to measure the fidelity of moulage. The original Moulage Authenticity Rating Scale (MARS) is a possible tool to determine moulage's physical and conceptual fidelity in simulation. Although the MARS was proven reliable and valid in the original context, the authors sought to validate it in South Africa. Methods: Eighty-five third-year undergraduate nursing students at a higher education institution in South Africa completed the MARS after a burn simulation. The Cronbach's coefficient α (alpha) coefficient and exploratory factor analysis (EFA) were calculated. Results: The Cronbach's coefficient α (alpha = .87) suggests the MARS is reliable. However, the EFA did not confirm the construct validity of the MARS. Conclusion: The MARS needs to be adapted to measure all types of fidelity, which can in turn be used to determine whether moulage is authentic enough to improve students' learning experience; however, further research is required to determine the validity of the suggested MARS included in this article.

Background and Purpose: Ensuring safety in psychiatry is crucial, but practices vary widely. This study aimed to validate the Italian version of the Ward Safety and Security Rules Survey (WSSRS-I). Methods: The validation process included cultural-linguistic adaptation, followed by content and face validation. Fifteen experts assessed content validity using the content validity ratio (CVR) and content validity index (item level [I-CVI] and scale level [S-CVI]), adjusted for chance agreement (k*). Five psychiatric nurses evaluated face validity. Results: The WSSRS-I achieved substantial agreement on cultural-linguistic adaptation (Fleiss's kappa = .85) and item relevance (CVRs = .60-1; I-CVIs = .73-1; k* = .72-1; S-CVI = 0.90). Psychiatric nurses confirmed WSSRS-I appropriateness. Conclusions: The WSSRS-I demonstrated adequate content and face validity. It provides a tool to assess safety measures in Italian psychiatric settings, enhancing psychiatric nursing practices and research.

Background and Purpose: Maintaining a healthy work environment in nursing practice depends not only on the leader's skill but also on the nursing staff's followership. The study purpose is to develop a followership instrument for nurses. Methods: We developed a followership evaluation instrument using data from two surveys conducted in 2013 and 2014 and assessed its validity using a questionnaire with nurses in Japan. We tested the instrument's internal consistency reliability using exploratory factor analysis with Promax rotation and confirmatory factor analysis. Results: Cronbach's coefficient α (alpha) for the 13 instrument items was .911. The item-remainder correlation was .487-.734. Conclusions: The validity and reliability of the new followership instrument were established by confirming its internal consistency, test-retest reliability, and content, face, and construct validity.

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 Barlett test result was 1862.965 (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. Cronbach's coefficient α (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 behaviours 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 = 0.933, Incremental Fit Index = 0.950, Comparative of 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 = 0.879). 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: It has been shown that nurse confidence predicts peripheral intravenous catheter (PIVC) insertion success. However, intravenous cannulation is a challenging skill for entry to practice students. To date, there is no well-validated measure of nursing student self-confidence in learning and performing PIVC insertion. To address this measurement gap, we created and validated the Nursing Student PIVC Insertion Self-Confidence Scale. Methods: This study employed a descriptive, cross-sectional design. Three cohorts of undergraduate entry-to-practice students at a Canadian university were recruited and assessed during their studies. Two hundred eighty-one students completed the scale at the first data collection point and 146 at the second point. The structure of the tool was analyzed by exploratory factor analysis to extract factors and confirmatory factor analysis (CFA) was employed for validation. Results: CFA revealed a three-factor scale (PIVC Cannulation Confidence, PIVC Preparation and Securement Confidence, and PIVC Learning Confidence). It has 15 items with satisfactory goodness of fit indices. Conclusions: The Nursing Student PIVC Insertion Self-Confidence Scale is a valid and reliable scale to measure nursing students' confidence in learning about and performing PIVC insertions.

Background and Purpose: Nursing student retention is essential to meet workforce demands. Jeffreys' Nursing Student Retention Student Perception Appraisal-Revised (SPA-R1) has been used extensively to understand factors that impact retention. Psychometric testing of the SPA-R1 contributes to greater confidence in the instrument's reliability and validity. Methods: Item response theory and specifically, the single parameter polytomous Rasch model was used as a framework for fit statistic testing and rating scale diagnostics of the SPA-R1. This was a secondary analysis of a convenience sample of undergraduate prelicensure nursing students. The setting for the previous study was virtual, and the study period was 2022. Results: The model item characteristic curves for the 27 items of the SPA-R1 have similar shapes and are clustered in proximity. Overall, there are three clusters of items evident in the Rasch standardized residual contrast. The Rasch scale diagnostics indicated that the scale appropriately monotonically increases. However, there is a greater than 5 logit distance between does not apply and severely restricts, between severely restricts and moderately restricts, and between does not restrict or support and moderately supports. These large threshold distances indicate that additional steps in the scale may be warranted. The items cover the mid-range of the amount of retention perceptions; however, there are no items that represent the highest magnitude of the perceived amount of influence on retention. Conclusions: This study contributes further evidence to support the validity and reliability of the SPA-R1. We recommend adding steps to the scale, removing the does not apply response option, and considering scoring by three domains or clusters.

Background and purpose: Conventional measures of withdrawal in newborns with prenatal opioid exposure (POE) rely on nursing assessments, including the subjective judgment of infant irritability. This study investigated limb movement actigraphy as a tool for providing an objective, quantifiable measure of underlying distress. Methods: Correlational analyses compared continuous physiological-detected movement actigraphy and clinical intervallic-scored symptomology (modified Finnegan system) obtained from a control cohort of 37 term neonates with POE studied in their crib in the newborn unit (1-8 days). Results: Infants spent 15% crib time in high movement activity (>100 movements/minute; index irritability) and 38% crib time in low activity (0-5 movements/minute; index calm). There was a significant positive association between actigraphy and Finnegan composite score (r = .28, p = .001) and between actigraphy and subcomponent scores (i.e., central nervous system, gastrointestinal, and metabolic-vasomotor-respiratory). Conclusion: Movement activity via actigraphy captures underlying distress and calm not measured by conventional assessments. Such objective, quantifiable measures can serve to promote equitable assessment and treatment of hospitalized newborns with POE.