Journal of nursing measurement最新文献

Background and Purpose: Nursing students and graduates experience grief when not achieving curricular benchmarks or passing the NCLEX-RN. This study developed the perceptions of academic grief (PAG) instrument for baccalaureate nursing program completers experiencing academic failure. Methods: Content analysis methods generated items and achieved face validity. Focus group interview and experts' judgment of item relevance established content validity. A purposeful sample of registered nurses (RNs) and nursing students (N = 70) completed the pilot test on the 40-item instrument. Results: The highest ranked items included being disappointed, trying again to prove they could become a nurse, life investment in nursing school, and fear of failing again. The coefficient α was .94. Conclusions: The instrument was developed to measure nursing students' and RNs' academic grief. The PAG showed beginning reliability and validity and needs additional testing.

Background and Purpose: Visualizing the thought processes of nurses is useful in forming evidence to prevent falls. This study aimed to quantify nursing judgment by comparing the choices made by nurses with different experiences regarding fall prevention. Methods: Questionnaires were administered to participants with <9 and ≥10 years of nursing experience to examine their importance ratings regarding fall prevention using an analytic hierarchy process (AHP). Results: Compared with the group with <9 years of experience, the group with ≥10 years of experience viewed habitual behavior in unstable activity as the most important fall risk. They also viewed early detection and alleviation of symptoms that lead to fall risk due to side effects of drugs and diseases as an important nursing practice. Conclusion: Since differences in nursing judgment between experienced and inexperienced nurses were revealed, it is possible that nursing judgment can be measured using AHP.

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 (Cronbach's 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: 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. Cronbach's coefficient α 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 = 0.92, Tucker-Lewis index = 0.91, 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 Cronbach's coefficient α of the entire scale was .963. For its subscales, the Cronbach's coefficient α 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: 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 study purpose 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 is 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: 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 healthcare 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 (Cronbach's 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: 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 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: A Farsi version of the Heartland Forgiveness Scale (HFS-F) for assessing forgiveness in Iranian cardiovascular patients was not available. This study aimed to determine the validity and reliability of the Farsi version of HFS in this population. Methods: In this methodological cross-sectional research design, 400 Iranian cardiovascular patients completed the HFS-F between October 2019 and January 2020. We assessed the characteristics, content, and both exploratory and confirmatory construct validity of the measures. To evaluate the reliability and construct validity of the HFS-F, we calculated Cronbach's alpha, McDonald's omega, and the Intraclass Correlation Coefficient. Results: Three factors were identified following confirmatory and deterministic factor analyses. The extracted factors demonstrated satisfactory reliability, exceeding a threshold of 0.7. Conclusions: The HFS-F exhibited a robust level of validity and reliability, rendering it a suitable instrument for future research endeavors.

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. Cronbach's 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.