Background and Purpose: Predicting nurse turnover before it occurs is important for nursing management to develop effective, data-driven retention strategies to reduce turnover. The purpose of this study was to test the reliability and validity of the Anticipated Turnover Scale (ATS) in Turkish. Methods: A methodological design was used. The scale was tested on a sample of 390 nurses working in hospitals across Turkey. The data were collected between January and March 2023. Validity was assessed using content validity and confirmatory factor analysis modeling. Reliability was evaluated using Cronbach's alpha and test-retest methods. Results: Cronbach's alpha internal consistency coefficient was 0.95. No significant difference was found between the test-retest mean scores. The item-total score correlation values of the scale were between 0.73 and 0.91, and the single-factor structure was found to be acceptable. The ATS was found to be a unidimensional scale consisting of 12 items. Conclusion: It was determined that the ATS is a valid and reliable scale to be applied to Turkish nurses.
{"title":"Turkish Validity and Reliability Study of the Anticipated Turnover Scale.","authors":"Tuğba Yeşilyurt Sevim, Şehrinaz Polat, Hanife Tiryaki Şen, Leyla Afşar Doğrusöz","doi":"10.1891/JNM-2025-0004","DOIUrl":"https://doi.org/10.1891/JNM-2025-0004","url":null,"abstract":"<p><p><b>Background and Purpose:</b> Predicting nurse turnover before it occurs is important for nursing management to develop effective, data-driven retention strategies to reduce turnover. The purpose of this study was to test the reliability and validity of the Anticipated Turnover Scale (ATS) in Turkish. <b>Methods:</b> A methodological design was used. The scale was tested on a sample of 390 nurses working in hospitals across Turkey. The data were collected between January and March 2023. Validity was assessed using content validity and confirmatory factor analysis modeling. Reliability was evaluated using Cronbach's alpha and test-retest methods. <b>Results:</b> Cronbach's alpha internal consistency coefficient was 0.95. No significant difference was found between the test-retest mean scores. The item-total score correlation values of the scale were between 0.73 and 0.91, and the single-factor structure was found to be acceptable. The ATS was found to be a unidimensional scale consisting of 12 items. <b>Conclusion:</b> It was determined that the ATS is a valid and reliable scale to be applied to Turkish nurses.</p>","PeriodicalId":16585,"journal":{"name":"Journal of nursing measurement","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144608577","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}
Andrea Eliana Alvarado-Quinteros, María Cecilia Toffoletto, Guillermo Durán-González, Ricardo Monge-Rogel, Mónica Panes-Martínez
Background and Purpose: Violence against nursing students in the clinical field has a great impact on learning. In Chile, there is no validated instrument to measure the violence perceived by nursing students during their training. The reliability of a Perceived Violence Scale for nursing students in clinical practice was validated and analyzed. Methods: This instrumental research designed the scale and subjected it to prima facie validation with 5 experts and content validation with 42 expert judges. A pilot test was conducted with 100 students, and reliability was assessed by using the ordinal alpha coefficient. Results: The scale demonstrated high item relevance and clarity (Aiken's V >0.75, LI >0.70) and outstanding internal consistency (ordinal alpha of .959; 95% confidence interval [0.947, 0.970]). Conclusions: The rigorous validation process confirms the instrument's efficacy to measure perceived violence in clinical nursing practices.
{"title":"Development and Validation of the Scale of Violence Perceived by Nursing Students in Clinical Placements.","authors":"Andrea Eliana Alvarado-Quinteros, María Cecilia Toffoletto, Guillermo Durán-González, Ricardo Monge-Rogel, Mónica Panes-Martínez","doi":"10.1891/JNM-2024-0050","DOIUrl":"https://doi.org/10.1891/JNM-2024-0050","url":null,"abstract":"<p><p><b>Background and Purpose:</b> Violence against nursing students in the clinical field has a great impact on learning. In Chile, there is no validated instrument to measure the violence perceived by nursing students during their training. The reliability of a Perceived Violence Scale for nursing students in clinical practice was validated and analyzed. <b>Methods:</b> This instrumental research designed the scale and subjected it to prima facie validation with 5 experts and content validation with 42 expert judges. A pilot test was conducted with 100 students, and reliability was assessed by using the ordinal alpha coefficient. <b>Results:</b> The scale demonstrated high item relevance and clarity (Aiken's <i>V</i> >0.75, LI >0.70) and outstanding internal consistency (ordinal alpha of .959; 95% confidence interval [0.947, 0.970]). <b>Conclusions:</b> The rigorous validation process confirms the instrument's efficacy to measure perceived violence in clinical nursing practices.</p>","PeriodicalId":16585,"journal":{"name":"Journal of nursing measurement","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144497347","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 test the validity and reliability of the Turkish version of the Angle Labor Pain Questionnaire (A-LPQ). Methods: This cross-sectional research was carried out with 229 women giving birth in Turkey. Confirmatory factor analysis was employed to evaluate the compliance of the Turkish version with the original construct of the A-LPQ. Internal consistency analyses were used for reliability analysis. Results: The construct validity test showed that the Turkish version of the scale had 22 items and 5 subdimensions like the original scale. Cronbach's alpha was 0.904 for the total scale and ranged between 0.717 and 0.853 for the subscales. Conclusions: The Turkish version of the A-LPQ is a valid and reliable tool for assessing labor pain.
{"title":"Cross-Cultural Adaptation and Psychometric Properties of the Angle Labor Pain Questionnaire With Turkish Women.","authors":"Burcu Tuncer Yılmaz, Nebahat Özerdoğan, Ferhan Elmalı","doi":"10.1891/JNM-2024-0103","DOIUrl":"https://doi.org/10.1891/JNM-2024-0103","url":null,"abstract":"<p><p><b>Background and Purpose:</b> This study was conducted to test the validity and reliability of the Turkish version of the Angle Labor Pain Questionnaire (A-LPQ). <b>Methods:</b> This cross-sectional research was carried out with 229 women giving birth in Turkey. Confirmatory factor analysis was employed to evaluate the compliance of the Turkish version with the original construct of the A-LPQ. Internal consistency analyses were used for reliability analysis. <b>Results:</b> The construct validity test showed that the Turkish version of the scale had 22 items and 5 subdimensions like the original scale. Cronbach's alpha was 0.904 for the total scale and ranged between 0.717 and 0.853 for the subscales. <b>Conclusions:</b> The Turkish version of the A-LPQ is a valid and reliable tool for assessing labor pain.</p>","PeriodicalId":16585,"journal":{"name":"Journal of nursing measurement","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144497346","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: Executive function refers to a collection of cognitive processes that is crucial for effective planning, decision-making, and behavioral regulation. It is particularly important during the school years. This study investigates the psychometric properties of the Persian version of the Executive Functions Assessment Questionnaire (EFAQ) for school-aged children. Methods: This cross-sectional study was conducted in 2024 on 400 school-aged children in Tehran, Iran, using a convenience sampling method. Following the translation of the questionnaire according to the protocol of the World Health Organization, forward and backward translation techniques into Persian, and its psychometric properties were evaluated through exploratory and confirmatory factor analysis, as well as construct validity assessments. Reliability was assessed using coefficient alpha, McDonald's omega, composite reliability, and test-retest methods. Results: The results of the exploratory factor analysis revealed five factors: dependence on assistance, initiative and problem-solving skills, controlling sadness and anger, neatness and organization, and ultimately, social behavior challenges, which generally accounted for 40.607% of the total variance of the construct. Additionally, the confirmatory factor analysis indicated that the proposed model exhibits a satisfactory fit index (comparative fit index = 0.912, incremental fit index = 0.913, goodness-of-fit index = 0.927). The extracted factors demonstrated adequate convergent and discriminant validity, and ultimately, the reliability of the EFAQ was acceptable (intraclass correlation coefficient > 0.7). Conclusions: The Persian version of the EFAQ for school-aged children exhibits favorable psychometric properties and can be utilized as a valid and reliable questionnaire for assessing children's executive functions in educational and research settings.
{"title":"Psychometric Properties of the Persian Version of Executive Functions Assessment Questionnaire for School-Aged Children.","authors":"Hamid Sharif-Nia, Esmaeil Hoseinzadeh, Nazanin Fard Moghadam, Maryam Saadatmandi, Reza Fatehi","doi":"10.1891/JNM-2024-0122","DOIUrl":"https://doi.org/10.1891/JNM-2024-0122","url":null,"abstract":"<p><p><b>Background and Purpose:</b> Executive function refers to a collection of cognitive processes that is crucial for effective planning, decision-making, and behavioral regulation. It is particularly important during the school years. This study investigates the psychometric properties of the Persian version of the Executive Functions Assessment Questionnaire (EFAQ) for school-aged children. <b>Methods:</b> This cross-sectional study was conducted in 2024 on 400 school-aged children in Tehran, Iran, using a convenience sampling method. Following the translation of the questionnaire according to the protocol of the World Health Organization, forward and backward translation techniques into Persian, and its psychometric properties were evaluated through exploratory and confirmatory factor analysis, as well as construct validity assessments. Reliability was assessed using coefficient alpha, McDonald's omega, composite reliability, and test-retest methods. <b>Results:</b> The results of the exploratory factor analysis revealed five factors: dependence on assistance, initiative and problem-solving skills, controlling sadness and anger, neatness and organization, and ultimately, social behavior challenges, which generally accounted for 40.607% of the total variance of the construct. Additionally, the confirmatory factor analysis indicated that the proposed model exhibits a satisfactory fit index (comparative fit index = 0.912, incremental fit index = 0.913, goodness-of-fit index = 0.927). The extracted factors demonstrated adequate convergent and discriminant validity, and ultimately, the reliability of the EFAQ was acceptable (intraclass correlation coefficient > 0.7). <b>Conclusions:</b> The Persian version of the EFAQ for school-aged children exhibits favorable psychometric properties and can be utilized as a valid and reliable questionnaire for assessing children's executive functions in educational and research settings.</p>","PeriodicalId":16585,"journal":{"name":"Journal of nursing measurement","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144131926","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}
Jonas Preposi Cruz, Joseph U Almazan, Ejercito Mangawa Balay-Odao, Anargul Kuntuganova, Fritz Gerald V Jabonete, Jovencio M Milan, Paolo C Colet
Background and Purpose: This study assessed the validity and reliability of the English version of the Hospital Culture of Nursing Research Scale among nurses. Methods: A cross-sectional study was conducted with 352 nurses in the Philippines from December 2023 to January 2024. The data were analyzed using principal components analysis (PCA), and coefficient alpha was calculated to assess reliability. Results: The PCA yielded five distinct components that explained a cumulative variance of 75.2%. The overall coefficient alpha for the scale was .959, while the subscales achieved values ranging from 0.860 to 0.944. Conclusion: The study showed that the tool can assess the perceptions of English-speaking nurses regarding their hospital's culture of nursing research.
{"title":"Validity and Reliability of the English Version of the Hospital Culture of Nursing Research Scale.","authors":"Jonas Preposi Cruz, Joseph U Almazan, Ejercito Mangawa Balay-Odao, Anargul Kuntuganova, Fritz Gerald V Jabonete, Jovencio M Milan, Paolo C Colet","doi":"10.1891/JNM-2024-0119","DOIUrl":"https://doi.org/10.1891/JNM-2024-0119","url":null,"abstract":"<p><p><b>Background and Purpose:</b> This study assessed the validity and reliability of the English version of the Hospital Culture of Nursing Research Scale among nurses. <b>Methods:</b> A cross-sectional study was conducted with 352 nurses in the Philippines from December 2023 to January 2024. The data were analyzed using principal components analysis (PCA), and coefficient alpha was calculated to assess reliability. <b>Results:</b> The PCA yielded five distinct components that explained a cumulative variance of 75.2%. The overall coefficient alpha for the scale was .959, while the subscales achieved values ranging from 0.860 to 0.944. <b>Conclusion:</b> The study showed that the tool can assess the perceptions of English-speaking nurses regarding their hospital's culture of nursing research.</p>","PeriodicalId":16585,"journal":{"name":"Journal of nursing measurement","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144131927","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}
Maria Del Mar Martí-Ejarque, Maria Antonia Martínez-Momblan, Camilla Strandell-Laine, Marta Romero-García, Llúcia Benito-Aracil, Sergio Alonso-Fernández
Background and Purpose: The clinical learning environment is the space in which nursing students develop their professional skills. The Clinical Learning Environment, Supervision and Nurse Teacher (CLES+T) scale makes it possible to assess its quality. This study aimed to develop the psychometric testing of the newly translated Catalan version of the CLES+T. Methods: The translation process was carried out according to the principles of good practice of the International Society for Pharmacoeconomics and Outcomes Research Working Group. The students completed the Catalan version of the CLES+T, and 15 days later, they took part in the temporal stability test. Results: The internal consistency was .934, and the interclass correlation coefficient of the re-test was .865. The exploratory factor analysis showed five dimensions. Conclusion: The Catalan version of the CLES+T scale is a valid and reliable tool to assess the quality of clinical learning environments in Catalonia.
{"title":"The Clinical Learning Environment, Supervision and Nurse Teacher Scale: Psychometric Testing of the Catalan Version.","authors":"Maria Del Mar Martí-Ejarque, Maria Antonia Martínez-Momblan, Camilla Strandell-Laine, Marta Romero-García, Llúcia Benito-Aracil, Sergio Alonso-Fernández","doi":"10.1891/JNM-2024-0111","DOIUrl":"https://doi.org/10.1891/JNM-2024-0111","url":null,"abstract":"<p><p><b>Background and Purpose:</b> The clinical learning environment is the space in which nursing students develop their professional skills. The Clinical Learning Environment, Supervision and Nurse Teacher (CLES+T) scale makes it possible to assess its quality. This study aimed to develop the psychometric testing of the newly translated Catalan version of the CLES+T. <b>Methods:</b> The translation process was carried out according to the principles of good practice of the International Society for Pharmacoeconomics and Outcomes Research Working Group. The students completed the Catalan version of the CLES+T, and 15 days later, they took part in the temporal stability test. <b>Results:</b> The internal consistency was .934, and the interclass correlation coefficient of the re-test was .865. The exploratory factor analysis showed five dimensions. <b>Conclusion:</b> The Catalan version of the CLES+T scale is a valid and reliable tool to assess the quality of clinical learning environments in Catalonia.</p>","PeriodicalId":16585,"journal":{"name":"Journal of nursing measurement","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030768","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}
Muhdedir Caner, Fatma Kartaloğlu Agay, Gamze Özbek Güven
Background and Purpose: The aim of this study was to determine the role of hand hygiene in preventing health care-associated infections, to increase hand hygiene compliance among health care workers, and to develop a measurement tool to guide preventive and corrective activities. Methods: In this study, a literature review was conducted to prepare 40 questions, which were then presented to 14 infection control experts (physicians and nurses) for their feedback. The prepared data form was administered to a total of 458 volunteers and health care workers providing direct care to patients across seven regions in Turkey. Results: The average value of the Hand Hygiene Compliance and Proficiency Scale was found to be 0.88. The Cronbach's alpha value, used to assess the internal consistency of the scale, was calculated to be 0.929. Additionally, the internal consistency of the scale was determined using the Spearman-Brown coefficient (0.787) and the Guttman Split-Half coefficient (0.786). The first sub-dimension of the scale, named "Institutional Structure and Educational Activities," explained 16.449% of the total variance. The second sub-dimension, named "Hand Antiseptics and Their Use," explained 11.093% of the total variance. The third sub-dimension, named "Hand Hygiene Awareness and Practice," explained 19.542% of the total variance. Conclusion: The Hand Hygiene Compliance and Proficiency Scale in health care services was a reliable measurement tool that could be used to assess the current state of hand hygiene practices in healthcare institutions, identify areas that needed improvement, and evaluate the knowledge level and compliance of health care workers.
{"title":"Development of an Assessment Tool to Measure Hand Hygiene Compliance and Competency in Health Care Services.","authors":"Muhdedir Caner, Fatma Kartaloğlu Agay, Gamze Özbek Güven","doi":"10.1891/JNM-2024-0133","DOIUrl":"https://doi.org/10.1891/JNM-2024-0133","url":null,"abstract":"<p><p><b>Background and Purpose:</b> The aim of this study was to determine the role of hand hygiene in preventing health care-associated infections, to increase hand hygiene compliance among health care workers, and to develop a measurement tool to guide preventive and corrective activities. <b>Methods:</b> In this study, a literature review was conducted to prepare 40 questions, which were then presented to 14 infection control experts (physicians and nurses) for their feedback. The prepared data form was administered to a total of 458 volunteers and health care workers providing direct care to patients across seven regions in Turkey. <b>Results:</b> The average value of the Hand Hygiene Compliance and Proficiency Scale was found to be 0.88. The Cronbach's alpha value, used to assess the internal consistency of the scale, was calculated to be 0.929. Additionally, the internal consistency of the scale was determined using the Spearman-Brown coefficient (0.787) and the Guttman Split-Half coefficient (0.786). The first sub-dimension of the scale, named \"Institutional Structure and Educational Activities,\" explained 16.449% of the total variance. The second sub-dimension, named \"Hand Antiseptics and Their Use,\" explained 11.093% of the total variance. The third sub-dimension, named \"Hand Hygiene Awareness and Practice,\" explained 19.542% of the total variance. <b>Conclusion:</b> The Hand Hygiene Compliance and Proficiency Scale in health care services was a reliable measurement tool that could be used to assess the current state of hand hygiene practices in healthcare institutions, identify areas that needed improvement, and evaluate the knowledge level and compliance of health care workers.</p>","PeriodicalId":16585,"journal":{"name":"Journal of nursing measurement","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144018981","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: Various tools exist to measure fatigue, but no specific, comprehensive instrument is currently available to assess the unique fatigue experienced by critical care nurses. This study aimed to develop and evaluate the psychometric properties of the Iranian critical care nurses' fatigue scale (CCNFS). Methods: The scale development process involved two phases: item generation and psychometric evaluation. Results: Following the evaluation of content and face validity, 36 items were retained. Exploratory factor analysis revealed five factors: "compassion fatigue," "emotional fatigue," "sound and alarm fatigue," "lack of motivation," and "physical and mental disturbances." The final scale consisted of 33 items. For the reliability analysis, the internal consistency, intraclass correlation, and Pearson's coefficient of the CCNFS were 0.925, 0.936, and 0.898, respectively. Conclusion: The CCNFS demonstrated acceptable validity and reliability, making it user-friendly for nursing researchers, managers, and practicing nurses in critical care. It can assess fatigue in critical care nurses and guide strategies to enhance their well-being.
{"title":"Development and Psychometric Evaluation of Iranian Critical Care Nurses' Fatigue Scale.","authors":"Reyhaneh Abbaszadeh, Fazlollah Ahmadi, Mitra Khoobi, Anoshirvan Kazemnejad, Mojtaba Vaismoradi","doi":"10.1891/JNM-2024-0137","DOIUrl":"https://doi.org/10.1891/JNM-2024-0137","url":null,"abstract":"<p><p><b>Background and Purpose:</b> Various tools exist to measure fatigue, but no specific, comprehensive instrument is currently available to assess the unique fatigue experienced by critical care nurses. This study aimed to develop and evaluate the psychometric properties of the Iranian critical care nurses' fatigue scale (CCNFS). <b>Methods:</b> The scale development process involved two phases: item generation and psychometric evaluation. <b>Results:</b> Following the evaluation of content and face validity, 36 items were retained. Exploratory factor analysis revealed five factors: \"compassion fatigue,\" \"emotional fatigue,\" \"sound and alarm fatigue,\" \"lack of motivation,\" and \"physical and mental disturbances.\" The final scale consisted of 33 items. For the reliability analysis, the internal consistency, intraclass correlation, and Pearson's coefficient of the CCNFS were 0.925, 0.936, and 0.898, respectively. <b>Conclusion:</b> The CCNFS demonstrated acceptable validity and reliability, making it user-friendly for nursing researchers, managers, and practicing nurses in critical care. It can assess fatigue in critical care nurses and guide strategies to enhance their well-being.</p>","PeriodicalId":16585,"journal":{"name":"Journal of nursing measurement","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970441","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: Efforts are limited in investigating psychometric properties of the Direct Care Staff Survey (DCSS) that measures the nurse practice environment in long-term care. Purpose: This study aimed to determine if the DCSS is consistent with its underlying five-factor model (Impact of Work Environment on Organizational Performance) and evaluate its validity in a long-term care nurse sample. Methods: A national United States sample of long-term care nurses completed the DCSS. SPSS Amos was used to perform a confirmatory factor analysis (CFA). Results: CFA found modest support for a five-factor structure for the Impact of Work Environment on Organizational Performance model, whereas χ2/df exceeded the commonly accepted criteria (χ2/df = 2.47, <3), fit indices that accounted for model complexity did not (comparative fit index = 0.70, not >0.8; Tucker-Lewis index = 0.67, not ≥ 0.95; root-mean-square error of approximation = .08, not <.08). Further analyses indicated that some items may benefit from revision. Conclusion: The CFA provided modest support for the currently accepted five-factor structure of the DCSS. This study suggests that there is still a need to revise the DCSS questionnaire to address the directionality of the relationship between the factors. This revision could facilitate the use of the DCSS to understand and guide improvements in long-term care nurses' work environments and is vital for enhancing staff well-being and patient outcomes.
{"title":"A Confirmatory Factor Analysis to Support the Construct Validity of the Direct Care Staff Survey Scale: A Measure of Work Environment and Work Effectiveness in Long-Term Care.","authors":"Amil Kusain Tan, William Ellery Samuels","doi":"10.1891/JNM-2024-0083","DOIUrl":"https://doi.org/10.1891/JNM-2024-0083","url":null,"abstract":"<p><p><b>Background:</b> Efforts are limited in investigating psychometric properties of the Direct Care Staff Survey (DCSS) that measures the nurse practice environment in long-term care. <b>Purpose:</b> This study aimed to determine if the DCSS is consistent with its underlying five-factor model (Impact of Work Environment on Organizational Performance) and evaluate its validity in a long-term care nurse sample. <b>Methods:</b> A national United States sample of long-term care nurses completed the DCSS. SPSS Amos was used to perform a confirmatory factor analysis (CFA). <b>Results:</b> CFA found modest support for a five-factor structure for the Impact of Work Environment on Organizational Performance model, whereas χ<sup>2</sup>/<i>df</i> exceeded the commonly accepted criteria (χ<sup>2</sup>/<i>df</i> = 2.47, <3), fit indices that accounted for model complexity did not (comparative fit index = 0.70, not >0.8; Tucker-Lewis index = 0.67, not ≥ 0.95; root-mean-square error of approximation = .08, not <.08). Further analyses indicated that some items may benefit from revision. <b>Conclusion:</b> The CFA provided modest support for the currently accepted five-factor structure of the DCSS. This study suggests that there is still a need to revise the DCSS questionnaire to address the directionality of the relationship between the factors. This revision could facilitate the use of the DCSS to understand and guide improvements in long-term care nurses' work environments and is vital for enhancing staff well-being and patient outcomes.</p>","PeriodicalId":16585,"journal":{"name":"Journal of nursing measurement","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144012266","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 present study was carried out with the aim of translating and psychometrically assessing the 24-item version of the Perth A-Loneness Scale. Methods: This methodological cross-sectional study was carried out between January 2023 and August 2024. Adolescents from public schools in Tehran City were recruited for this study. The Perth A-Loneness Scale was translated into Persian. Subsequently, the validity (content and construct) and reliability of this scale were assessed. Results: The exploratory factor analysis revealed a four-factor structure for the scale, accounting for 51.7% of the total variance. Confirmatory factor analysis results indicated that all goodness-of-fit indices supported the model fit (minimum discrepancy function [CMIN]/df = 2.082, goodness-of-fit index = 0.980, incremental fit index = 0.982, comparative fit index = 0.980, Tucker-Lewis Index = 0.964, relative fit index = 0.968, and Root mean square error of approximation = .073) (95% confidence interval: [.063, .082]). After careful evaluation, all coefficients of internal consistency were deemed acceptable (α = .762 and McDonald's omega = 0.756). Conclusions: In the present context, the translation and validation of the Perth A-Loneness Scale among Iranian adolescents revealed that it has a four-factor structure, reliability, and validity to estimate the degree of loneliness among adolescents.
{"title":"Validity and Reliability of Persian Version of the Perth A-Loneness Scale in Iranian Adolescents.","authors":"Neda Salami, Mansoureh Ashghali Farahani, Hamid Sharif-Nia, Amir Hossein Goudarzian, Shabnam Shariatpanahi, Kaveh Alavi","doi":"10.1891/JNM-2025-0009","DOIUrl":"https://doi.org/10.1891/JNM-2025-0009","url":null,"abstract":"<p><p><b>Background and Purpose:</b> The present study was carried out with the aim of translating and psychometrically assessing the 24-item version of the Perth A-Loneness Scale. <b>Methods:</b> This methodological cross-sectional study was carried out between January 2023 and August 2024. Adolescents from public schools in Tehran City were recruited for this study. The Perth A-Loneness Scale was translated into Persian. Subsequently, the validity (content and construct) and reliability of this scale were assessed. <b>Results:</b> The exploratory factor analysis revealed a four-factor structure for the scale, accounting for 51.7% of the total variance. Confirmatory factor analysis results indicated that all goodness-of-fit indices supported the model fit (minimum discrepancy function [CMIN]/<i>df</i> = 2.082, goodness-of-fit index = 0.980, incremental fit index = 0.982, comparative fit index = 0.980, Tucker-Lewis Index = 0.964, relative fit index = 0.968, and Root mean square error of approximation = .073) (95% confidence interval: [.063, .082]). After careful evaluation, all coefficients of internal consistency were deemed acceptable (α = .762 and McDonald's omega = 0.756). <b>Conclusions:</b> In the present context, the translation and validation of the Perth A-Loneness Scale among Iranian adolescents revealed that it has a four-factor structure, reliability, and validity to estimate the degree of loneliness among adolescents.</p>","PeriodicalId":16585,"journal":{"name":"Journal of nursing measurement","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970406","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}