Xin Ran Chu, Priya Jaggi, Julia St Louis, Shane Sinclair
Background and Purpose: Compassion is increasingly considered essential to quality nursing care and is a concept that is strongly embedded across cultures, including Chinese culture. The Patient Compassion Model (PCM) depicts the unique yet overlapping domains of compassion. The Sinclair Compassion Questionnaire (SCQ) was directly developed and validated from this empirical model. In this study, we sought to establish initial validation of a translated SCQ among Mandarin-speaking patients by assessing the transferability of the PCM and the clinical sensibility of the SCQ. Methods: Forward and back-translation of the PCM and SCQ were performed in accordance with World Health Organization guidelines. Qualitative interviews were used to assess the transferability of the PCM with conceptualizations of compassion within a Chinese context. Cognitive interviews were conducted to assess the clarity, readability, wording, questions, and response scales of the Mandarin translation of the SCQ. Qualitative data were analyzed using constant comparative analysis, and cognitive interviews were analyzed using framework analysis. Results: The original categories of the PCM were verified in this Mandarin-speaking patient population. Specifically, participants' understanding of compassion is described as consisting of healthcare provider virtues, emphasizing the importance of a virtuous response that sought to understand the individual and their unique needs, to relationally communicate from a place of shared humanity and to ameliorate suffering. Participants were able to answer, comprehend, and endorse all 15 Mandarin SCQ items, resulting in no modifications to the Mandarin SCQ. Conclusions: This study provides initial validation of the Mandarin SCQ and PCM. Future studies should consider further establishing the validity and reliability of the Mandarin SCQ among a larger Chinese patient population.
{"title":"Initial Validation of a Patient-Reported Compassion Measure in a Mandarin-Speaking Long-Term Care Patient Population.","authors":"Xin Ran Chu, Priya Jaggi, Julia St Louis, Shane Sinclair","doi":"10.1891/JNM-2022-0097","DOIUrl":"10.1891/JNM-2022-0097","url":null,"abstract":"<p><p><b>Background and Purpose:</b> Compassion is increasingly considered essential to quality nursing care and is a concept that is strongly embedded across cultures, including Chinese culture. The Patient Compassion Model (PCM) depicts the unique yet overlapping domains of compassion. The Sinclair Compassion Questionnaire (SCQ) was directly developed and validated from this empirical model. In this study, we sought to establish initial validation of a translated SCQ among Mandarin-speaking patients by assessing the transferability of the PCM and the clinical sensibility of the SCQ. <b>Methods:</b> Forward and back-translation of the PCM and SCQ were performed in accordance with World Health Organization guidelines. Qualitative interviews were used to assess the transferability of the PCM with conceptualizations of compassion within a Chinese context. Cognitive interviews were conducted to assess the clarity, readability, wording, questions, and response scales of the Mandarin translation of the SCQ. Qualitative data were analyzed using constant comparative analysis, and cognitive interviews were analyzed using framework analysis. <b>Results:</b> The original categories of the PCM were verified in this Mandarin-speaking patient population. Specifically, participants' understanding of compassion is described as consisting of healthcare provider virtues, emphasizing the importance of a virtuous response that sought to understand the individual and their unique needs, to relationally communicate from a place of shared humanity and to ameliorate suffering. Participants were able to answer, comprehend, and endorse all 15 Mandarin SCQ items, resulting in no modifications to the Mandarin SCQ. <b>Conclusions:</b> This study provides initial validation of the Mandarin SCQ and PCM. Future studies should consider further establishing the validity and reliability of the Mandarin SCQ among a larger Chinese patient population.</p>","PeriodicalId":16585,"journal":{"name":"Journal of nursing measurement","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9960093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background and Purpose: Clinical reasoning for nurses is considered a valuable component of clinical nursing competencies, but there are few tools to ascertain this. This study tested the Italian Nurses Clinical Reasoning Scale (I-NCRS) psychometric properties based on Levett-Jones' theoretical clinical reasoning model. Methods: Content, face, and construct characteristics were ascertained for their validity. The study had a two-phase design: (a) content and face validity and (b) construct validity. Results: Three factors emerged from the factorial analysis of our reference sample: nursing problems of health, nursing information of health, and nursing assessment of health. Conclusions: The scale represents a valuable tool for the self-assessment of the clinical reasoning skills of nurses. I-NCRS showed evidence of validity and reliability, being also useful for assessing clinical reasoning for educational and research purposes among Italian nurses.
{"title":"Psychometric Evaluation of the Nurse Clinical Reasoning Scale: A Validation Study Among Italian Nurses.","authors":"Ippolito Notarnicola, Gennaro Rocco, Laura Iacorossi, Francesca Gambalunga, Rosario Caruso, Emanuela Prendi, Blerina Duka, Alessandro Stievano","doi":"10.1891/JNM-2022-0026","DOIUrl":"10.1891/JNM-2022-0026","url":null,"abstract":"<p><p><b>Background and Purpose:</b> Clinical reasoning for nurses is considered a valuable component of clinical nursing competencies, but there are few tools to ascertain this. This study tested the Italian Nurses Clinical Reasoning Scale (I-NCRS) psychometric properties based on Levett-Jones' theoretical clinical reasoning model. <b>Methods:</b> Content, face, and construct characteristics were ascertained for their validity. The study had a two-phase design: (a) content and face validity and (b) construct validity. <b>Results:</b> Three factors emerged from the factorial analysis of our reference sample: nursing problems of health, nursing information of health, and nursing assessment of health. <b>Conclusions:</b> The scale represents a valuable tool for the self-assessment of the clinical reasoning skills of nurses. I-NCRS showed evidence of validity and reliability, being also useful for assessing clinical reasoning for educational and research purposes among Italian nurses.</p>","PeriodicalId":16585,"journal":{"name":"Journal of nursing measurement","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9733013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background and Purpose: We utilized the Perceived Racism Scale-Racism on the Job subscale-to assess how frequently Black nurses experienced racism on the job in the past year (ROTJ-Y) and throughout their lifetime (ROTJ-L). We aimed to assess the reliability and assess construct validity of each subscale in a sample of 53 nurses. Methods: Reliability was evaluated using coefficient alphas, item correlations, and interitem correlations. Construct validity was examined using exploratory factor analysis. Results: Results demonstrated that the subscales are reliable and valid. Coefficient alphas for the ROTJ-Y and ROTJ-L were .93 and .91, respectively. Exploratory factor analysis revealed a unidimensional factor for both subscales. Conclusion: This study demonstrated that the Racism on the Job subscales are psychometrically sound measures of workplace racism among Black nurses.
{"title":"Reliability and Validity of the Perceived Racism Scale-Racism on the Job Subscale-in a Sample of Black Nurses.","authors":"Arica Brandford, Anita Fernander, Mary Kay Rayens","doi":"10.1891/JNM-2023-0067","DOIUrl":"10.1891/JNM-2023-0067","url":null,"abstract":"<p><p><b>Background and Purpose:</b> We utilized the Perceived Racism Scale-Racism on the Job subscale-to assess how frequently Black nurses experienced racism on the job in the past year (ROTJ-Y) and throughout their lifetime (ROTJ-L). We aimed to assess the reliability and assess construct validity of each subscale in a sample of 53 nurses. <b>Methods:</b> Reliability was evaluated using coefficient alphas, item correlations, and interitem correlations. Construct validity was examined using exploratory factor analysis. <b>Results:</b> Results demonstrated that the subscales are reliable and valid. Coefficient alphas for the ROTJ-Y and ROTJ-L were .93 and .91, respectively. Exploratory factor analysis revealed a unidimensional factor for both subscales. <b>Conclusion:</b> This study demonstrated that the Racism on the Job subscales are psychometrically sound measures of workplace racism among Black nurses.</p>","PeriodicalId":16585,"journal":{"name":"Journal of nursing measurement","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140305974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background and Purpose: Because there are conflicting perspectives on the factor structure of the World Health Organization Quality of Life-BREF (WHOQOL-BREF) Questionnaire among college students, we evaluated the psychometric properties of the instrument in a sample of U.S. college students. Methods: We conducted secondary analysis of data collected from 1,138 undergraduate students from a large metropolitan university in the southeastern United States. Results: Confirmatory factor analysis did not support the original 4-factor structure. Based on exploratory factor analysis, three factors were retained and rotated using Varimax rotation, which accounted for 96% of the item variance. Coefficient alphas for the factors were: social/psychological health, 0.84; physical health, 0.81; and environment, 0.77. Sexual minorities had significantly lower scores on all factors than those who identified as heterosexuals. Conclusions: In this sample of college students, the WHOQOL-BREF was three-dimensional, and a significant amount of the item variance was explained. Lower quality of life scores of nonWhites and sexual minority college students point to a critical need that should be addressed.
{"title":"The Psychometric Properties of the World Health Organization Quality of Life-BREF Questionnaire in College Students.","authors":"Lynne A Hall, S Lee Ridner, Timothy N Crawford","doi":"10.1891/JNM-2022-0062","DOIUrl":"10.1891/JNM-2022-0062","url":null,"abstract":"<p><p><b>Background and Purpose:</b> Because there are conflicting perspectives on the factor structure of the World Health Organization Quality of Life-BREF (WHOQOL-BREF) Questionnaire among college students, we evaluated the psychometric properties of the instrument in a sample of U.S. college students. <b>Methods:</b> We conducted secondary analysis of data collected from 1,138 undergraduate students from a large metropolitan university in the southeastern United States. <b>Results:</b> Confirmatory factor analysis did not support the original 4-factor structure. Based on exploratory factor analysis, three factors were retained and rotated using Varimax rotation, which accounted for 96% of the item variance. Coefficient alphas for the factors were: social/psychological health, 0.84; physical health, 0.81; and environment, 0.77. Sexual minorities had significantly lower scores on all factors than those who identified as heterosexuals. <b>Conclusions:</b> In this sample of college students, the WHOQOL-BREF was three-dimensional, and a significant amount of the item variance was explained. Lower quality of life scores of nonWhites and sexual minority college students point to a critical need that should be addressed.</p>","PeriodicalId":16585,"journal":{"name":"Journal of nursing measurement","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9675998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hamid Sharif-Nia, Long She, Bahar Farhadi, Fereshteh Mollaei, Seyed Amirhossein Mazhari, Hasan Mosazadeh, Amir Hossein Goudarzian, Ghaem Hasan Nejad
Background and Purpose: The present study aimed to examine the psychometric properties of the Persian version of the Mendelson and White Body Esteem Scale in Iranian adults. Methods: This cross-sectional study design was used and carried out in 2023. Following the inclusion criteria, 500 adults were gathered from Tehran (Tehran, Iran) with an accessible sampling method. After translation of Body Esteem Scale to Persian language, construct validity (with factor analysis and exploratory graph analysis) and reliability were assessed. Results: The mean age of the participants was 30.66 (standard deviation = 7.40) years. The results of Maximum Likelihood Exploratory Factor Analysis (MLEFA) with Promax with Kaiser normalization rotation extracted three factors accounting for 43.4% of the variance comprising 21 items. Also, after necessary modifications during confirmatory factor analysis, the final model was approved. As for construct reliability, the Cronbach's alpha, Composite Reliability, and Maximal Reliability for all constructs were greater than 0.7, demonstrating good internal consistency and construct reliability. Conclusions: According to results, the Persian version of Body Esteem Scale has a valid structure and acceptable reliability. This scale can be used by health professionals in many ways.
背景和目的:本研究旨在考察波斯语版 Mendelson 和 White 体型自尊量表在伊朗成年人中的心理测量特性。研究方法本研究采用横断面研究设计,于 2023 年进行。根据纳入标准,采用无障碍抽样方法从德黑兰(伊朗德黑兰)收集了 500 名成年人。在将 "身体自尊量表 "翻译成波斯语后,对其结构效度(通过因子分析和探索性图表分析)和信度进行了评估。结果显示参与者的平均年龄为 30.66 岁(标准差 = 7.40)。通过最大似然探索性因子分析(MLEFA)和凯撒归一化旋转(Promax with Kaiser normalization rotation),共提取出三个因子,占方差的 43.4%,包含 21 个项目。此外,经过确认性因子分析的必要修改,最终模型获得通过。在构念信度方面,所有构念的 Cronbach'sα、复合信度和最大信度均大于 0.7,显示出良好的内部一致性和构念信度。结论根据研究结果,波斯语版的身体自尊量表具有有效的结构和可接受的信度。该量表可在许多方面为医疗专业人员所用。
{"title":"Factor Structure and Reliability of the Persian Version of Body Esteem Scale Among Iranian Adults: Exploratory Graph Analysis Approach.","authors":"Hamid Sharif-Nia, Long She, Bahar Farhadi, Fereshteh Mollaei, Seyed Amirhossein Mazhari, Hasan Mosazadeh, Amir Hossein Goudarzian, Ghaem Hasan Nejad","doi":"10.1891/JNM-2023-0134","DOIUrl":"10.1891/JNM-2023-0134","url":null,"abstract":"<p><p><b>Background and Purpose:</b> The present study aimed to examine the psychometric properties of the Persian version of the Mendelson and White Body Esteem Scale in Iranian adults. <b>Methods:</b> This cross-sectional study design was used and carried out in 2023. Following the inclusion criteria, 500 adults were gathered from Tehran (Tehran, Iran) with an accessible sampling method. After translation of Body Esteem Scale to Persian language, construct validity (with factor analysis and exploratory graph analysis) and reliability were assessed. <b>Results:</b> The mean age of the participants was 30.66 (standard deviation = 7.40) years. The results of Maximum Likelihood Exploratory Factor Analysis (MLEFA) with Promax with Kaiser normalization rotation extracted three factors accounting for 43.4% of the variance comprising 21 items. Also, after necessary modifications during confirmatory factor analysis, the final model was approved. As for construct reliability, the Cronbach's alpha, Composite Reliability, and Maximal Reliability for all constructs were greater than 0.7, demonstrating good internal consistency and construct reliability. <b>Conclusions:</b> According to results, the Persian version of Body Esteem Scale has a valid structure and acceptable reliability. This scale can be used by health professionals in many ways.</p>","PeriodicalId":16585,"journal":{"name":"Journal of nursing measurement","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141317477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background and Purpose: This study was conducted to develop a measurement tool to determine the perception of pregnancy. Methods: The scale was developed in four main stages: the design and development of the items, submitting the draft form to expert opinion, administration of the scale, and performing construct validity and reliability analyses. The study data were collected from 327 women with pregnancies between May 1, 2020, and February 1, 2021. The Statistical Package for the Social Sciences 22 and LISREL software packages were used to evaluate the data. Results: The result of the exploratory factor analysis of the scale indicated that there were three factors with an eigenvalue of greater than 1 and that the factors explained 54.152% of the total variance. Cronbach's alpha values of the factors were .84, .80, and .81, respectively. Conclusions: Considering the factor structure, item-total test correlations, and reliability coefficients, the negative perceptions of the pregnancy scale that was developed in this study can be used to determine the perception of pregnancy.
{"title":"Negative Perceptions of Pregnancy Scale: A Scale Development Study.","authors":"Ayşe Nur Ataş, Fatma Bay, Fatma Deniz Sayıner","doi":"10.1891/JNM-2023-0022","DOIUrl":"https://doi.org/10.1891/JNM-2023-0022","url":null,"abstract":"<p><p><b>Background and Purpose:</b> This study was conducted to develop a measurement tool to determine the perception of pregnancy. <b>Methods:</b> The scale was developed in four main stages: the design and development of the items, submitting the draft form to expert opinion, administration of the scale, and performing construct validity and reliability analyses. The study data were collected from 327 women with pregnancies between May 1, 2020, and February 1, 2021. The Statistical Package for the Social Sciences 22 and LISREL software packages were used to evaluate the data. <b>Results:</b> The result of the exploratory factor analysis of the scale indicated that there were three factors with an eigenvalue of greater than 1 and that the factors explained 54.152% of the total variance. Cronbach's alpha values of the factors were .84, .80, and .81, respectively. <b>Conclusions:</b> Considering the factor structure, item-total test correlations, and reliability coefficients, the negative perceptions of the pregnancy scale that was developed in this study can be used to determine the perception of pregnancy.</p>","PeriodicalId":16585,"journal":{"name":"Journal of nursing measurement","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141248064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michael A Miller, Lichuan Ye, Kara Pavone, Maria Van Pelt
Background and Purpose: Mindfulness has been associated with many positive psychological benefits. It is usually measured by self-report, and there are numerous questionnaires available to measure mindfulness in this way. The purpose of this review is to offer a summary of the available self-assessment questionnaires for measuring mindfulness, their appropriate uses, and psychometrics. Methods: CINAHL, PubMed, and PsychINFO databases were queried along with hand searching reference lists based on the indicated criteria, including Mindfulness-Based Stress Reduction-related mindfulness measurement tools, based on self-report and designed for use in adults. Results: Fourteen tools, published between 2001 and 2021, were included in this review. The tools varied in their orientation and have been created to measure mindfulness as a state, trait, and process. Conclusions: There is a wide variety of available tools, and each conceptualizes mindfulness in a distinct way. Understanding these details is crucial to choosing the proper tool.
{"title":"A Critical Review of Mindfulness Measures.","authors":"Michael A Miller, Lichuan Ye, Kara Pavone, Maria Van Pelt","doi":"10.1891/JNM-2023-0116","DOIUrl":"https://doi.org/10.1891/JNM-2023-0116","url":null,"abstract":"<p><p><b>Background and Purpose:</b> Mindfulness has been associated with many positive psychological benefits. It is usually measured by self-report, and there are numerous questionnaires available to measure mindfulness in this way. The purpose of this review is to offer a summary of the available self-assessment questionnaires for measuring mindfulness, their appropriate uses, and psychometrics. <b>Methods:</b> CINAHL, PubMed, and PsychINFO databases were queried along with hand searching reference lists based on the indicated criteria, including Mindfulness-Based Stress Reduction-related mindfulness measurement tools, based on self-report and designed for use in adults. <b>Results:</b> Fourteen tools, published between 2001 and 2021, were included in this review. The tools varied in their orientation and have been created to measure mindfulness as a state, trait, and process. <b>Conclusions:</b> There is a wide variety of available tools, and each conceptualizes mindfulness in a distinct way. Understanding these details is crucial to choosing the proper tool.</p>","PeriodicalId":16585,"journal":{"name":"Journal of nursing measurement","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140943133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background and Purpose: The purpose of this study is to describe the process for developing a reliable and valid survey instrument guided by the protection motivation theory (PMT) to evaluate nurses' health behaviors toward an infectious disease such as Ebola. Methods: The instrument was developed and tested through a systematic process that included a literature review, focus group, validity testing, and reliability testing. Results: The outcome variable, protection motivation, contained two elements, determined by principal component analysis. The instrument's internal consistency had a Cronbach's alpha of .80 or greater. Conclusion: The development and testing of an instrument based on PMT constructs as the theoretical framework have demonstrated a relationship between the perceived threat toward the disease and the proposed coping process needed to address the disease.
{"title":"Development of a Reliable and Valid Survey Instrument to Measure Nurses' Health Behaviors Towards an Infectious Disease.","authors":"Laurasona Leigh, Colleen Taylor, Jiunn-Jye Sheu, Tavis Glassman, Amy Thompson","doi":"10.1891/JNM-2023-0057","DOIUrl":"10.1891/JNM-2023-0057","url":null,"abstract":"<p><p><b>Background and Purpose:</b> The purpose of this study is to describe the process for developing a reliable and valid survey instrument guided by the protection motivation theory (PMT) to evaluate nurses' health behaviors toward an infectious disease such as Ebola. <b>Methods:</b> The instrument was developed and tested through a systematic process that included a literature review, focus group, validity testing, and reliability testing. <b>Results:</b> The outcome variable, <i>protection motivation</i>, contained two elements, determined by principal component analysis. The instrument's internal consistency had a Cronbach's alpha of .80 or greater. <b>Conclusion:</b> The development and testing of an instrument based on PMT constructs as the theoretical framework have demonstrated a relationship between the perceived threat toward the disease and the proposed coping process needed to address the disease.</p>","PeriodicalId":16585,"journal":{"name":"Journal of nursing measurement","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140305969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background and purpose: Clinical judgement (CJ) is a complex variable that utilizes higher level cognitive processing related to clinical reasoning, decision-making, and critical thinking. As CJ is a vital aspect of nursing, the current study evaluated the extent to which the current NCLEX item bank assesses CJ and a critical aspect of measuring new constructs using a dimensionality analysis. Methods: A Confirmatory Factor Analysis was completed to evaluate the factor structure of items written to the National Council of State Boards of Nursing Clinical Judgment Measurement Model (CJMM) that directly measures CJ with respect to extant NCLEX items. Results: Results indicated that scenarios written using the CJMM were found to have a unidimensional structure. Conclusions: The results suggested that the scenarios written with the CJMM could be scaled concurrently with the current NCLEX items.
背景和目的:临床判断(CJ)是一个复杂的变量,它利用了与临床推理、决策和批判性思维相关的高层次认知处理。由于 CJ 是护理工作的一个重要方面,本研究评估了当前 NCLEX 项目库评估 CJ 的程度,以及使用维度分析测量新构造的一个重要方面。方法:完成了确认性因子分析,以评估根据美国国家护理委员会临床判断测量模型(CJMM)编写的项目的因子结构,该模型直接测量 CJ 与现有 NCLEX 项目之间的关系。结果:结果表明,使用 CJMM 编写的情景具有单维结构。结论:结果表明,使用 CJMM 编写的情景模拟可与当前的 NCLEX 项目同时缩放。
{"title":"Integrating Clinical Judgment Into the Entry-Level Nursing: A Confirmatory Factor Analytic Study.","authors":"Joseph Betts, William Muntean","doi":"10.1891/JNM-2023-0106","DOIUrl":"10.1891/JNM-2023-0106","url":null,"abstract":"<p><p><b>Background and purpose:</b> Clinical judgement (CJ) is a complex variable that utilizes higher level cognitive processing related to clinical reasoning, decision-making, and critical thinking. As CJ is a vital aspect of nursing, the current study evaluated the extent to which the current NCLEX item bank assesses CJ and a critical aspect of measuring new constructs using a dimensionality analysis. <b>Methods:</b> A Confirmatory Factor Analysis was completed to evaluate the factor structure of items written to the National Council of State Boards of Nursing Clinical Judgment Measurement Model (CJMM) that directly measures CJ with respect to extant NCLEX items. <b>Results:</b> Results indicated that scenarios written using the CJMM were found to have a unidimensional structure. <b>Conclusions:</b> The results suggested that the scenarios written with the CJMM could be scaled concurrently with the current NCLEX items.</p>","PeriodicalId":16585,"journal":{"name":"Journal of nursing measurement","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140305971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}