Journal of nursing measurement最新文献

Background and Purpose: Graduate nursing programs require structured processes to address clinical deficiencies while ensuring fairness and patient safety. However, existing remediation practices often lack standardization and transparency. To address this gap, a clinical remediation algorithm was developed and evaluated to assist in managing unsatisfactory clinical performance. Methods: The 26-item Graduate Nursing Student Clinical Remediation (GNS-CR) Algorithm, developed from literature and expert feedback, was reviewed by 20 invited experts in graduate nursing education. Content validity indices (CVI) were calculated at the item and scale level. Results: Item-level CVI scores ranged from .80 to 1.00, with a scale-level CVI of .923, surpassing accepted thresholds. Feedback confirmed the algorithm's clarity, logical structure, and relevance. Conclusions: The GNS-CR Algorithm demonstrated strong content validity and offers a systematic, transparent approach to clinical remediation. Future research should evaluate its effectiveness in academic and clinical settings.

Background and Purpose: Pediatric nursing requires tools that reflect the unique nature of care provided to children and their families. Nurse caregiving behaviors are critical to patient satisfaction, quality of care, and return intentions, yet validated instruments in Persian are lacking. This study aimed to translate and psychometrically evaluate the caregiver version of the Nurse Caring Behavior Scale into the Persian language. Methods: This study employed a cross-sectional design with psychometric validation methods including exploratory and confirmatory factor analyses. The participants were 450 parents of hospitalized children, 15 nursing faculty, and 8 pediatric head nurses who were selected in various phases of the study. The caregiver version of the Nurse Caring Behavior Scale was translated into the Persian language via a forward-backward process. The psychometric evaluation encompassed three phases: face validity, content validity, and construct validity. Reliability was estimated through internal consistency. Results: Content validity was confirmed with an Scale-level Content Validity Index, Average method (S-CVI/Ave) of .945 and Scale-level Content Validity Index, Universal Agreement (S-CVI/AU) of .714. Exploratory factor analysis supported a single-factor structure comprising 14 items, explaining 60.7% of the variance. Confirmatory factor analysis confirmed acceptable model fit (χ² divided by degrees of freedom = 2.078, root mean square error of approximation = .074), leading to the removal of one item (item 11) due to low factor loading. Reliability indices were strong: Cronbach's alpha = .925, composite reliability = .930, McDonald's omega = .930, and intraclass correlation coefficient = .885. Conclusions: The Nurse Caring Behavior Scale-Iranian version for parents demonstrated strong validity and reliability. This scale is appropriate for use in future studies among Persian-speaking parents of hospitalized children. Assessing the nurses' caring behavior according to the parents of hospitalized children can provide useful information for nursing stakeholders to evaluate the quality of their care.

Background and Purpose: Genomic literacy is essential for nurses to integrate genomics into clinical practice. The Genomic Nursing Concept Inventory (GNCI) is a validated tool to assess genomic literacy. This study aimed to validate the Italian version of the GNCI (GNCI_ITA) and evaluate its psychometric properties. Methods: A cross-sectional study was conducted in March 2024 with 315 nursing students from an Italian university. The tool was translated following Beaton's guidelines, and data were collected via an online survey. Exploratory and confirmatory factor analyses assessed the factor structure. Internal consistency and reliability were evaluated using Cronbach's α and Spearman-Brown coefficient. Item difficulty and discrimination were also analyzed. Results: The analyses supported a one-factor solution, consistent with the original validation study. Item difficulty and internal consistency of both the full 31-item version and the shortened 20-item version aligned wih the original instrument. Conclusions: The GNCI_ITA is a reliable instrument for assessing genomic literacy in Italian nursing students.

Background and Purpose: In order for nurses in professional practice to be considered practice ready, critical thinking skills are an important part of fully developing skills in patient care. The Critical Thinking Self-Assessment Scale (CTSAS) measures 16 subskills under 6 broader themes. After previous reductions in the original 115-item scale to 46, the purpose of this study was to evaluate the structure, reliability, validity, and clinical utility of the CTSAS in its current form. Methods: With a sample of 514 undergraduate nursing students, confirmatory factor analysis, reliability statistics, and relationships with the Need for Cognition Scale were used for the current aims. Results: Good reliability and structural and convergent validity statistics were obtained. Conclusions: After finding the CTSAS to be a valid, reliable tool, we also discuss how the tool could be used by nursing faculty to evaluate and improve their students' critical thinking skills.

Background and Purpose: Scale simplification is a key trend in psychometric research, aiming to reduce the measurement burden while preserving reliability, validity, and applicability. This study aims to develop a more efficient short version of the Malnutrition Risk Perception Scale (MRPS) for older adults by simplifying the original 35-item version (MRPS-35). Methods: Genetic algorithms were used to optimize the MRPS-35, resulting in the short MRPS. Reliability, validity, and structural consistency were tested, and measurement invariance across gender groups was assessed, including configural, weak, and strong invariance. Results: The scale was simplified to 12 items (MRPS-12), which demonstrated strong reliability, validity, and structural consistency, showing high comparability to the original MRPS-35. Measurement invariance testing confirmed configural, weak, and strong invariance, indicating the scale's stability across gender groups. Conclusions: As a more efficient assessment tool, the MRPS-12 holds significant potential for community use, enabling the rapid identification of malnutrition risk perception among older adults and supporting tailored nursing interventions.

Background and Purpose: This study aimed to assess the attitudes of clinicians, academicians, and nursing students toward specialization in nursing and to validate the newly developed Attitude Scale toward Specialization in Nursing (ASSN). The objective was to create a reliable and valid tool for measuring attitudes toward nursing specialization and to ensure its practical application in both academic and clinical settings. The objective was to create a reliable and valid tool for measuring attitudes toward nursing specialization and to ensure its practical application in both academic and clinical settings. Methods: Using a quantitative design, the study incorporated exploratory (EFA) and confirmatory factor analyses (CFA) to develop and validate the ASSN. The scale's psychometric properties were evaluated through a multistep process, including expert reviews, pretesting, and a pilot study. A sample of 634 nursing professionals was surveyed between September and November 2021 to ensure the scale's robustness and reliability. Results: The ASSN demonstrated excellent psychometric properties, with a high content validity index of .93 and a Cronbach's alpha of .97. EFA revealed a unidimensional 18-item structure that accounted for 69.9% of the total variance. CFA confirmed a strong model fit, affirming the scale's validity and reliability. Conclusions/Implications for Practice: The ASSN is a reliable and valid tool for assessing attitudes toward nursing specialization. It provides a standardized method to inform policy-making, optimize educational curricula, and shape health care policies in the nursing sector. Patient and public input during the development phase further enhanced the scale's relevance and clarity.

Background and Purpose: Self-management activities are essential for individuals with diabetes to effectively control their disease and prevent complications. This study aimed to culturally adapt the Diabetes Self-Management Questionnaire-Revised (DSMQ-R) into Brazilian Portuguese and to verify its content validity among patients with diabetes. Methods: A methodological study was conducted and comprised the following steps, as recommended by the literature: translation, synthesis of translations, back-translation, evaluation of the Brazilian Portuguese version by an expert committee, and pretest. The expert committee evaluated the semantic-idiomatic, conceptual, and cultural equivalences, and the content validity index (CVI) was calculated. The pretest of the instrument was conducted using cognitive interviews. Results: Nine of the 27 items of the DSMQ-R had a CVI below .80 and were thus revised and reformulated. The pretest of the Brazilian Portuguese version was conducted with 30 patients with type 1 diabetes and 30 with type 2. Participants suggested minor amendments for a better understanding of single items, resulting in the final Brazilian Portuguese version. Conclusion: The translation and cultural adaptation of the Brazilian version of the DSMQ-R were performed according to recommended standards and showed content validity evidence.

Background and Purpose: This study aimed to culturally adapt and validate the "Digital Competence Scale for Teachers (DCST)" among nursing educators in China. Methods: Following Brislin's translation model, the Chinese version was tested among 326 educators from 43 institutions across 17 provinces. Results: The scale retained all 46 original items, showing strong content validity (scale-level content validity index/average = .963, scale-level content validity index/universal agreement = .804) and construct validity, with confirmatory factor analysis supporting a six-factor model. Reliability was high (Cronbach's alpha = .983, split-half = .971). Conclusion: The Chinese DCST is a reliable and valid tool for assessing digital competence among nursing educators in China.

Background and Purpose: Surrogate decision-maker trust in health care professionals has been previously identified as an important component in improving outcomes in the adult intensive care unit setting, but no validated instrument currently exists to measure this concept. The purpose of this study is to develop and provide initial validity support for such a scale, the Surrogate Decision-Maker Trust Scale (SDMTS). Methods: This study employed a quantitative cross-sectional survey development research design. An initial list of survey items was developed from a literature review, and this list was then evaluated for content validity by a panel of six experts and content validity index calculations. Construct validity was evaluated through regularized exploratory factor analysis and internal consistency reliability through the calculation of Cronbach's alpha scores. Results: The final SDMTS contained 22 items that were best explained by a three-factor model that accounted for 48.4% of the total variance. The scale-level Cronbach's alpha was .947. Conclusions: This research provides initial support for the validity and reliability of the SDMTS. Further research through confirmatory factor analysis is needed to confirm the factor structure in a new population.

Background and Purpose: The aim of this study was to conduct a Turkish validity and reliability study of the Emotional Vulnerability Scale (EVS). Methods: The study was a cross-sectional methodological study conducted with 370 people aged 18-65 years. Participants completed a sociodemographic form, the EVS, the Difficulties in Emotion Regulation Scale-Short Form, and the Psychological Vulnerability Scale. Results: The mean age in the study was 34.51 ± 8.53 years; 72% of the participants were female. First, a pilot study was conducted with 45 participants to predict the comprehensibility of the questionnaires and the relationship between the scales. Exploratory and confirmatory factor analyses were performed. In our study, Cronbach's alphas were α = .82 for "F1: vulnerability to deteriorating relationships," α = .81 for "F2: vulnerability to interpersonal conflict," α = .86 for "F3: vulnerability to criticism or denial," and α = .57 for "F4: vulnerability to self-avoidance." In addition, Cronbach's alpha = .86 was found to have very high reliability for all items. EVS total score and subscales showed a significant positive correlation with all scales and subscales (p < .05). Conclusions: This scale can be used to measure emotional vulnerability of individuals. High levels of vulnerability are associated with difficulties in the assessment and regulation of emotions.