Journal of nursing measurement最新文献

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.

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 coefficient alpha and exploratory factor analysis (EFA) were calculated. Results: The coefficient alpha (α = .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: Psychiatric nurses and members of the psychiatric care team use coercive practices but are conflicted about their forcefulness and need to protect patient safety. Coercive practices, with numerous negative connotations, are also used in other health care settings. This study describes the psychometric properties of the Perception of Coercive Actions by Nurses Scale (PCANS). Methods: Initial content validity was established. Items matched trauma-informed, informal coercion, formal coercion, and coercive threat types. Psychiatric nurses completed the 23-item PCANS in a pilot study. A convenience sample of psychiatric registered nurses (N = 213) completed a revised PCANS. Results: Exploratory factor analysis produced subscales for PCANS's final version: trauma-informed, formal coercive, and coercive threat. Conclusions: Trauma-informed, caring practices, and additional testing of the PCANS are needed.

Background and Purpose: The "Hospital's Culture of Nursing Research Scale" (HCNRS) is a critical assessment tool in health care research. It was created in response to the rising acknowledgment of nursing research's critical role in improving patient care outcomes. This study aimed to develop the HCNRS to assess the nurses' perceptions of the hospital's culture of nursing research. Methods: This study utilized the instrument development design in developing the HCNRS. The study was conducted in Astana, Kazakhstan, from May to September 2023. The study followed three major stages of scale development: "item development," "scale development," and "scale evaluation." "Principal component analysis" (PCA; n = 387) and "confirmatory factor analysis" (CFA; n = 362) were performed in this study. Coefficient alpha was computed for reliability. Results: The PCA on the 32-item HCNRS revealed five factors with an eigenvalue of above 1, contributing 66.0% of the model's total variance. The CFA revealed the following findings supporting the five subscales of the HCNRS-R: χ ² /df = 2.65, root mean square error of approximation = .068 (90% CI [0.063, 0.072]), comparative fit index = .92, Tucker-Lewis index = .91, and standardized root mean square residual = .04. Based on the items that loaded in each factor, the subscales were labeled "Research Ethics, Integrity, and Supportive Culture," "Nursing Research Institutionalization," "Hospital's Financial Support and Incentives for Research Initiatives," "Nursing Research Engagement and Innovation," and "Nursing Research Integration and Career Support." The computed coefficient alpha of the entire scale was .963. For its subscales, the coefficient alpha ranged from .833 to .953. Conclusions: The study developed a five-factor HCNRS to evaluate the multifaceted aspects of nursing research culture in hospital settings. Health care institutions can utilize this scale to identify areas for improvement in research culture and implement strategies to foster research ethics, integrity, and innovation. This tool can also be used by hospital leaders, policymakers, and nurse researchers seeking to evaluate the research culture within their health care organizations.

Background and Purpose: Evaluation of professionalism in nursing has proven challenging as no objective measurement tool exists. The purpose of this study was to develop and test the Professionalism in Nursing Scale (PNS) for reliability and validity, which will facilitate evaluation of the constructs of professionalism in nursing. Participants were senior nursing students and registered nurses with at least a baccalaureate degree and a minimum of 3 years of experience working either in academia at an accredited university or in a practice setting in a Magnet hospital. Methods: Methodological research was used to design an instrument that measures professionalism in nursing. Phase 1 included item development, scaling, and evaluation of the content validity index, using 10 content experts. Phase 2 included pilot and field testing using participants meeting the inclusion criteria. Questionnaires were sent electronically to evaluate the relevance of each attribute of professionalism using a Likert scale. Phase 3 was scale evaluation, including reliability and validity of the PNS. Results: Final results of exploratory factor analysis supported a 33-item five-factor model. The factors were named Ethics and Interprofessional Collaboration, Excellence, Professional Engagement, Caring, and Self-Awareness. The overall reliability rate of the PNS was 0.97. Findings demonstrated the reliability and validity of the PNS for measuring professionalism in academic and clinician nurses and nursing students. Conclusions: Measuring professionalism in nursing can assist in driving improvement of patient care, accountability, and team collaboration. A discussion of the PNS within the context of academia and clinical practice, along with implications for research, practice, education, and policy, will be presented.

Background and Purpose: Personal mastery is essential in the nursing profession, as it directly impacts the quality of care and the well-being of the nurses themselves. However, there is a lack of psychometrically reliable tools to measure it among nurses. This study evaluates the applicability of the Personal Mastery Scale (PMS) among Italian nurses. Methods: A cross-sectional study surveyed Italian nurses using self-administered questionnaires, including the PMS. A total of 209 health care workers, primarily nurses, from various operational units participated in the study. The majority of respondents (84.2%) were nurses. The gender distribution was predominantly female (83.3%). Results: Statistical analyses, including factor analyses, assessed the scale's reliability and validity. The scale demonstrated adequate internal consistency (coefficient alpha = .670) and construct validity. Conclusions: The Italian version of the PMS is a reliable and valid tool for assessing personal mastery among nurses. Understanding personal mastery is crucial for promoting resilience and delivering quality care. Further research should explore its relationship with outcomes and intervention effectiveness.

Background and Purpose: According to patient safety literature, workarounds are used when processes are not clear and may not match the intended workflows. There is no available quantitative instrument to measure the type and frequency of workarounds when nurses administer medications. The purpose of this study was to assess the psychometric properties of a newly developed instrument that measured the type and frequency of workarounds when nurses administer medications to patients. Methods: Items for the newly developed instrument were derived based on the concept analysis of workarounds, and the psychometric evaluation included content validity, face validity, item analysis, dimensionality, reliability, and construct validity testing. The instrument was administered to registered nurses in an acute care hospital in Northern Virginia. Results: Psychometric evaluation of the newly developed instrument demonstrated adequate content and face validity. Based on exploratory factor analysis using principal axis factoring of the 18 items, 12 items were retained comprising three subscales: (a) defining characteristics, (b) type of workarounds, and (c) frequency of workarounds. Coefficient alpha ranged from .83 to .92 for the three subscales. As hypothesized, convergent validity was supported by Spearman Rho correlations ranging from .27 to .47 among the Halbesleben, Rathert, and Bennett total and two subscales. Divergent validity was supported with Spearman Rho correlations ranging from -.09 to .15 with two other Halbesleben, Rathert, and Bennett subscales. Conclusions: The findings provided beginning evidence for the reliability and validity of the newly developed Savage Barcode-Assisted Medication Administration Workarounds Tool comprised of three subscales-defining characteristics, types of workarounds, and frequencies of workarounds.