Development and validation of Nurses’ Moral Courage Scale

2018 ◽  
Vol 26 (7-8) ◽  
pp. 2438-2455 ◽  
Author(s):  
Olivia Numminen ◽  
Jouko Katajisto ◽  
Helena Leino-Kilpi
Keyword(s):  
Internal Consistency ◽  
Reliability And Validity ◽  
Principal Component ◽  
Moral Courage ◽  
Face Validity ◽  
University Hospital ◽  
Moral Competence ◽  
Good Reliability ◽  
Cross Sectional ◽  
Convenience Sample

Background: Moral courage is required at all levels of nursing. However, there is a need for development of instruments to measure nurses’ moral courage. Objectives: The objective of this study is to develop a scale to measure nurses’ self-assessed moral courage, to evaluate the scale’s psychometric properties, and to briefly describe the current level of nurses’ self-assessed moral courage and associated socio-demographic factors. Research design: In this methodological study, non-experimental, cross-sectional exploratory design was applied. The data were collected using Nurses’ Moral Courage Scale and analysed statistically. Participants and research context: The data were collected from a convenience sample of 482 nurses from four different clinical fields in a major university hospital in Finland for the final testing of the scale. The pilot comprised a convenience sample of 129 nurses. Ethical considerations: The study followed good scientific inquiry guidelines. Ethical approval was obtained from the university ethics committee and permission to conduct the study from the participating hospital. Findings: Psychometric evaluation showed that the 4-sub-scale, 21-item Nurses’ Moral Courage Scale demonstrates good reliability and validity at its current state of development showing a good level of internal consistency for a new scale, the internal consistency values ranging from 0.73 to 0.82 for sub-scales and 0.93 for the total scale, thus well exceeding the recommended Cronbach’s alpha value of >0.7. Principal component analysis and confirmatory factor analysis supported the theoretical construct of Nurses’ Moral Courage Scale. Face validity and expert panel assessments markedly contributed to the relevance of items in establishing content validity. Discussion and conclusion: Nurses’ Moral Courage Scale provides a new generic instrument intended for measuring nurses’ self-assessed moral courage. Recognizing the importance of moral courage as a part of nurses’ moral competence and its assessment offers possibilities to develop interventions and educational programs for enhancement of moral courage. Research should focus on further validation measures of Nurses’ Moral Courage Scale in international contexts.

scholarly journals Validation of the Dutch-language version of Nurses’ Moral Courage Scale

2021 ◽  
pp. 096973302098175
Author(s):  
Olivia Numminen ◽  
Kasper Konings ◽  
Roelant Claerhout ◽  
Chris Gastmans ◽  
Jouko Katajisto ◽  
...  
Keyword(s):  
Goodness Of Fit ◽  
Scale Validation ◽  
Principal Component ◽  
Moral Courage ◽  
Copyright Holder ◽  
Moral Competence ◽  
Cross Sectional ◽  
Component Structure ◽  
Language Version ◽  
Dutch Language

Background: Moral courage as a part of nurses’ moral competence has gained increasing interest as a means to strengthen nurses acting on their moral decisions and offering alleviation to their moral distress. To measure and assess nurses’ moral courage, the development of culturally and internationally validated instruments is needed. Objective: The objective of this study was to validate the Dutch-language version of the four-component Nurses’ Moral Courage Scale originally developed and validated in Finnish data. Research design: This methodological study used non-experimental, cross-sectional exploratory design. Participants and research context: A total of 559 nurses from two hospitals in Flanders, Belgium, completed the Dutch-language version of the Nurses’ Moral Courage Scale. Ethical considerations: Good scientific inquiry guidelines were followed throughout the study. Permission to translate the Nurses’ Moral Courage Scale was obtained from the copyright holder, and the ethical approval and permissions to conduct the study were obtained from the participating university and hospitals, respectively. Findings: The four-component 21-item, Dutch-language version of the Nurses’ Moral Courage Scale proved to be valid and reliable as the original Finnish Nurses’ Moral Courage Scale. The scale’s internal consistency reliability was high (0.91) corresponding with the original Nurses’ Moral Courage Scale validation study (0.93). The principal component analysis confirmed the four-component structure of the original Nurses’ Moral Courage Scale to be valid also in the Belgian data explaining 58.1% of the variance. Confirmatory factor analysis based on goodness-of-fit indices provided evidence of the scale’s construct validity. The use of a comparable sample of Belgian nurses working in speciality care settings as in the Finnish study supported the stability of the structure. Discussion and conclusion: The Dutch-language version of the Nurses’ Moral Courage Scale is a reliable and valid instrument to measure nurses’ self-assessed moral courage in speciality care nursing environments. Further validation studies in other countries, languages and nurse samples representing different healthcare environments would provide additional evidence of the scale’s validity and initiatives for its further development.

scholarly journals Development and psychometric evaluation of an information literacy self-efficacy survey and an information literacy knowledge test*

2015 ◽  
Vol 29 (1) ◽  
pp. 11-15 ◽  
Author(s):  
Rodger Tepe ◽  
Chabha Tepe
Keyword(s):  
Information Literacy ◽  
Internal Consistency ◽  
Self Efficacy ◽  
Reliability And Validity ◽  
Reliability Test ◽  
Knowledge Test ◽  
Good Reliability ◽  
Convenience Sample ◽  
Literacy Knowledge ◽  
Good Internal Consistency

Objective To develop and psychometrically evaluate an information literacy (IL) self-efficacy survey and an IL knowledge test. Methods In this test–retest reliability study, a 25-item IL self-efficacy survey and a 50-item IL knowledge test were developed and administered to a convenience sample of 53 chiropractic students. Item analyses were performed on all questions. Results The IL self-efficacy survey demonstrated good reliability (test–retest correlation = 0.81) and good/very good internal consistency (mean κ = .56 and Cronbach's α = .92). A total of 25 questions with the best item analysis characteristics were chosen from the 50-item IL knowledge test, resulting in a 25-item IL knowledge test that demonstrated good reliability (test–retest correlation = 0.87), very good internal consistency (mean κ = .69, KR20 = 0.85), and good item discrimination (mean point-biserial = 0.48). Conclusions This study resulted in the development of three instruments: a 25-item IL self-efficacy survey, a 50-item IL knowledge test, and a 25-item IL knowledge test. The information literacy self-efficacy survey and the 25-item version of the information literacy knowledge test have shown preliminary evidence of adequate reliability and validity to justify continuing study with these instruments.

scholarly journals Validation of the Croatian Version of the Sense of Coherence 29-Item Scale in Croatian Nurses

2020 ◽  
Vol 59 (3) ◽  
pp. 155-163
Author(s):  
Martina Smrekar ◽  
Lijana Zaletel-Kragelj ◽  
Olivera Petrak ◽  
Alenka Franko
Keyword(s):  
Factor Analysis ◽  
Internal Consistency ◽  
Sense Of Coherence ◽  
Factor Model ◽  
Principal Component ◽  
Internal Consistency Reliability ◽  
University Hospital ◽  
Single Factor ◽  
Cross Sectional ◽  
Three Factor

AbstractIntroductionThe aim of the study was to validate the Croatian version of the Sense of Coherence 29-item instrument (SOC-29) within a nursing population.MethodsThe cross-sectional study was conducted between December 2017 and June 2018 at the University Hospital Centre Sisters of Mercy (UHCSM) in Zagreb, Croatia. A total of 711 nurses participated in this study. Internal consistency reliability was evaluated using Cronbach’s alpha coefficient (α), while the structure of the questionnaire was verified by exploratory factor analysis (EFA) (method of extraction: principal component analysis (PCA)) and confirmatory factor analysis (CFA).ResultsThe instrument demonstrated high internal consistency (α=0.885). PCA analysis has identified five factors that together account for 48% of the variance. However, the observed factors could not be interpreted. In the CFA, none of the models fitted well, although the fit of the three-factor model (CMIN/DF=4.786, CFI=0.767, RMSEA=0.073) was slightly better in comparison with the one-factor model (CMIN/DF=6.072, CFI=0.685, RMSEA=0.084). As the three-factor model in PCA has been shown to be uninterpretable, and all three factors were mutually positive and significantly correlated (correlation coefficients: 0.365–0.521), this indicated a single factor in the background. All items also showed saturation with the first factor (accounting for 25.7% of the variance).ConclusionsThe Croatian version of the SOC-29 instrument successfully fulfilled the necessary psychometric criteria for being used on the population of Croatian nurses. The study proposes that potential users use the single-factor structure.

scholarly journals Development and Validation of the Smartphone Addiction Scale for Children- Parent Version (SASC-P)

2021 ◽  
Author(s):  
Gopi Rajendhiran ◽  
Vikhram Ramasubramanian ◽  
P Bijulakshmi ◽  
S Mathumathi ◽  
M Kannan
Keyword(s):  
Children And Adolescents ◽  
Reliability And Validity ◽  
Small Sample ◽  
Face Validity ◽  
Smartphone Addiction ◽  
Cronbach’S Alpha ◽  
Good Reliability ◽  
Children And Adolescent ◽  
Cronbach's Alpha ◽  
Smartphone Use

Introduction: The use of smartphone among children and adolescents has been increasing steadily over the past decade and is becoming a cause of concern for parents and healthcare professionals alike. Excessive use of smartphone could make a child vulnerable to develop addictive behaviour leading to decrease in academic performance and impairments in social and personal environment. Early identification is key to addressing this issue and although there are scales to measure smartphone addiction in adults, there are no scales to measure smartphone use in children objectively. Aim: To construct a smartphone addiction scale for children that can be administered to parents. Materials and Methods: A set of statements were created to assess smartphone addiction in children. Initially, 43 statements were selected after identifying its content validity and face validity and the scale was administered to parents of children in the age group of 3-17 years after obtaining informed consent from the parents. The construct validity was examined by the exploratory factor analysis. The screen plot of ordered eigen values of a correlation matrix was used to decide the appropriate number of factors extracted. A factor loading of >0.30 was used to determine the items for each factor. Intra-class correlations were calculated for the test-retest reliability, and Cronbach's alpha was calculated for the internal consistency. The final questionnaire contained 24 statements across six subdomains of smartphone addiction and it was administered to a small sample group of 65 parents of children aged 3-17 years and the data was used to test for reliability and validity of the scale. Results: Alpha correlation for the Smartphone Addiction Scale for Children-Parent (SASC-P) ranged from 0.670 to 0.823. The intrinsic validity for the domains was calculated using Cronbach’s alpha and it ranged from 0.819 to 0.907 for the domains and was 0.972 for the whole questionnaire. Thus the scale was found to be reliable and valid for use in children and adolescents. Conclusion: The SASC-P has good reliability and validity and can be used to measure smartphone use in children and adolescent.

scholarly journals Internal Consistency and Structural Validity of the Norwegian Translation of the Ten-Item Personality Inventory

2021 ◽  
Vol 12 ◽  
Author(s):  
Mikkel Magnus Thørrisen ◽  
Talieh Sadeghi ◽  
Jannecke Wiers-Jenssen
Keyword(s):  
Psychometric Properties ◽  
Internal Consistency ◽  
Factor Model ◽  
Rank Order ◽  
Five Factor Model ◽  
Principal Component ◽  
Cross Sectional Study ◽  
Personality Inventory ◽  
Structural Validity ◽  
Cross Sectional

Background: The Ten-Item Personality Inventory (TIPI) is a validated brief instrument measuring the five-factor model (FFM) personality dimensions, developed for instances where more comprehensive FFM instruments are impractical to use. The TIPI has been translated into several languages, but psychometric properties of the Norwegian version (N-TIPI) have not been systematically explored.Objectives: This study aimed to explore the psychometric properties of the N-TIPI, in terms of internal consistency and structural validity.Methods: In a cross-sectional study, responses on the N-TIPI were collected from 5,009 Norwegian master graduates. Descriptive statistics for the subscales and correlations between subscales were calculated. Internal consistency was assessed with inter-item correlations, Cronbach’s α and Spearman-Brown coefficients. Structural validity was explored with principal component analysis, parallel analysis, and visual scree plot inspection. Results for the N-TIPI were compared with those previously reported for the original TIPI as well as the German, French, Spanish, and Portuguese versions.Results: Compared with the original and non-English versions of TIPI, results for N-TIPI showed comparable subscale rank order of means, standard deviations, and pattern of correlations between subscales, as well as inter-item correlations and Cronbach’s α. The 10 N-TIPI items were adequately reduced to five components, theoretically corresponding with the FFM personality domains.Conclusion: The N-TIPI demonstrated acceptable internal consistency and satisfactory structural validity. Although further research is warranted, the instrument stands out as feasible when it is essential to minimize participants’ response burden in studies that aim to explore personality as one among several concepts or utilize personality traits as covariates.

Developing the Reliability and Validity of an Urdu Version-Self-Efficacy Scale for Breast Cancer Patients in Pakistan

2021 ◽  
pp. JNM-D-19-00065
Author(s):  
Sehrish Sajjad ◽  
Raisa Gul ◽  
Sajida Chagani ◽  
Asho Ali ◽  
Ambreen Gowani
Keyword(s):  
Breast Cancer ◽  
Cancer Patients ◽  
Internal Consistency ◽  
Self Efficacy ◽  
Reliability And Validity ◽  
Principal Component ◽  
Breast Cancer Patients ◽  
Validity And Reliability ◽  
Pilot Studies ◽  
Post Hoc

Background and PurposeNo suitable scale was identified in literature that comprehensively measure self-efficacy of Pakistani breast cancer patients. The study aimed to develop a self-efficacy scale in Urdu language and determine its dimensions.MethodsThe scale was developed with input from experts and literature. It was administered, in crosssectional phase of two pilot studies, on breast cancer patients receiving chemotherapy. Post hoc internal consistency reliability was computed and principal component analysis (PCA) was performed.ResultsSES-U comprised 17 questions. PCA revealed a total of five factors explaining cumulative variance of 68.7%. These factors were self-confidence, faith, coping, optimism, and decision making. Post hoc internal consistency (Cronbach's alpha) value was high (∞ = 0.87).ConclusionsThe self-efficacy scale has acceptable validity and reliability and has potential to obtain information related to self-efficacy of cancer patients receiving chemotherapy.

Validity and Reliability of Mathematical Visual Literacy Skills Based on Avgerinou’s Vilual Literacy Index

2021 ◽  
Vol 12 (3) ◽  
pp. 1102-1121
Author(s):  
Raja Lailatul Zuraida Et.al
Keyword(s):  
Content Validity ◽  
Visual Literacy ◽  
Early Stage ◽  
Reliability And Validity ◽  
Principal Component ◽  
Literacy Skills ◽  
Face Validity ◽  
Validity And Reliability ◽  
Principal Component Axis ◽  
Bartlett’S Test

There is much literature on visual literacy across different fields of knowledge. Even so, generally there is a gap of literature that deals with measuring mathematical visual literacy skills. The objective of this paper is to produce empirical data on reliability and validity of mathematical visual literacy skills instrument. The development of items was based on the skills outlined Avgerinou’s VL Index (2007. The early stage in validating the instrument required researchers to seek face validity and content validity from panels of experts. Face validity was based on subjective judgements of the items. Meanwhile, content validity was determined by Content Validity Index (CVI) which is computed using Item-CVI (I-CVI) and Scale-CVI (S-CVI). Each mathematical visual literacy skills had accepted S-CVI values ranging from 0.86 to 1.00 but items with low I-CVI values were deleted. Next, construct validity and reliability was determined by using Exploratory Factor Analysis (EFA) and Cronbach’s alpha respectively. The instrument, consisting of 43 items was assessed on 428 pre-university students. Students’ responses were scored using analytical rubric developed by researchers. Using Principal Component Axis (PCA) and varimax rotation, EFA was carried out where 40 retaining items were extracted to 7 factors, representing each visual literacy skills. Kaiser-Meyer-Olkin (KMO) of 0.721, significant Bartlett’s Test of Sphericity (BTS), communalities anti images ranging between 0.308-0.721 and 0.503-0.835 respectively, 7 extracted factors explaining 53.685% of the total variance, factor loadings of ±0.520 and more, and overall Cronbach’s alphas of instrument recorded at 0.82, explained the complete validity and reliability of the instrument.

scholarly journals Psychometric Analyses of the Indian (Hindi) Version of the Child Perception Questionnaire (CPQ11–14)

Children ◽  
2020 ◽  
Vol 7 (10) ◽  
pp. 175 ◽  
Author(s):  
Santosh Kumar Tadakamadla ◽  
Garima Mangal ◽  
Mir Faeq Ali Quadri ◽  
Maryam Nayeem ◽  
Jyothi Tadakamadla
Keyword(s):  
Oral Health ◽  
Internal Consistency ◽  
Concurrent Validity ◽  
Reliability And Validity ◽  
Correlation Coefficients ◽  
Repeated Administration ◽  
Cross Sectional Study ◽  
Validity And Reliability ◽  
Cross Sectional ◽  
Child Perception

The current research aims to evaluate the reliability and validity of the Hindi Child Perception Questionnaire (CPQ11–14) in a child population of India. A randomly selected sample of children aged 11–14 years (n = 331) and their parents completed the Hindi translation of CPQ11–14 and the Parental-Caregiver Perceptions Questionnaire (P-CPQ), respectively, in this cross-sectional study. Children also provided a self-rating of oral health and were examined for dental caries. Exploratory Factor Analysis (EFA) was conducted to assess the dimensionality of the Hindi-CPQ11–14. Internal consistency and reliability on repeated administration were evaluated. Convergent and divergent validities were determined by estimating correlation coefficients between items and the hypothesised subscales. Concurrent validity was assessed using multiple linear regression analyses. The four factors extracted in EFA had a total variance of 38.5%, comprising 31 items. Cronbach’s alpha for the internal consistency of the overall scale was 0.90; reliability on repeated administration was 0.92. All the Hindi CPQ11–14 items had an item-hypothesised subscale correlation coefficient of ≥0.4, and these were greater than item-other hypothesised subscale correlations, demonstrating good convergent and divergent validities respectively. Hindi-CPQ11–14 was associated with self-ratings of the oral health and overall P-CPQ scores demonstrating good concurrent validity. Hindi-CPQ11–14 showed a factor structure different from the English CPQ11–14 and exhibited good validity and reliability.

scholarly journals Validity and reliability of the Indonesian version of tinnitus handycap inventory

2015 ◽  
Vol 24 (1) ◽  
pp. 36-42
Author(s):  
Jenny E. Bashiruddin ◽  
Widayat Alviandi ◽  
Alvin Reinaldo ◽  
Eka D. Safitri ◽  
Yupitri Pitoyo ◽  
...  
Keyword(s):  
Internal Consistency ◽  
Reliability And Validity ◽  
Internal Consistency Reliability ◽  
Psychometric Validation ◽  
Validity And Reliability ◽  
Functional Scale ◽  
Cross Sectional ◽  
Validity Test ◽  
Psychometric Instrument ◽  
High Internal Consistency

Background: To translate and assess the validity and reliability of the Indonesian version of Tinnitus Handycap Inventory (THI) as an psychometric instrument for evaluating the quality of life in tinnitus patients. This instrument will support the clinicians to determine the appropriate tinnitus management for them.Methods: A cross-sectional psychometric validation study was performed to assess the internal consistency, reliability and validity of the Indonesian version of THI in 50 subjective tinnitus patients at ENT outpatient clinic of Cipto Mangunkusumo Hospital between May-August 2010. 25 question items of original THI were translated, back-translated and validated using the transcultural validation by WHO.Results: The validity test demonstrated a significant correlation in the emotional and the catastrophic scale whilst there was no significant correlation in the functional scale for item F2 and particularly for item F15. Nevertheless, the validity test on the functional scale showed a good result. This study also showed high internal consistency and reliability for the total scale (Cronbach-α = 0.91)Conclusion: The evaluation result indicated that the reliability of adapted Indonesian version of the THI in our study is relatively high and could be applied in clinical examination or further otolaryngology study by both specialists and general physicians.

scholarly journals The Workplace Support for Health Scale: Reliability and Validity of a Brief Scale to Measure Employee Perceptions of Wellness

2020 ◽  
pp. 089011712094980
Author(s):  
Christine M. Kava ◽  
Debbie Passey ◽  
Jeffrey R. Harris ◽  
Kwun C. Gary Chan ◽  
Peggy A. Hannon
Keyword(s):  
Job Satisfaction ◽  
Factor Analysis ◽  
Controlled Trial ◽  
Reliability And Validity ◽  
Evidence Based ◽  
Good Reliability ◽  
Cross Sectional ◽  
Workplace Support ◽  
Self Rated Health ◽  
Scale Reliability

Purpose: To examine the reliability and validity of a brief measure (the Workplace Support for Health [WSH] scale) to assess employees’ perceived support for a healthy lifestyle. Design: Repeated cross-sectional surveys. Setting: We collected employer- and employee-level survey data from small, low-wage workplaces in King County, WA enrolled in a randomized controlled trial. Sample: We analyzed data from 68 workplaces that had 2,820 and 2,640 employees complete surveys at baseline and 15 months, respectively. Measures: The WSH scale consisted of five items. To assess validity, we examined associations between the WSH scale and employer implementation of evidence-based interventions for health promotion, employee self-rated health, and job satisfaction. Analysis: We performed an exploratory factor analysis to assess the unidimensionality of the WSH scale items, and produced Cronbach’s alpha coefficients to examine scale reliability. We ran regression models using generalized estimating equations to examine validity. Results: The factor analysis indicated one factor, which accounted for 59% of the total variance in the workplace support for health items. The scale had good reliability at baseline (α = 0.82) and 15 months (α = 0.83). Employer evidence-based intervention implementation was positively associated with WSH. WSH was also associated with higher self-rated health and job satisfaction. These associations indicate good concurrent validity. Conclusion: The WSH scale is a reliable and valid measure of perceived workplace support for health. Employers can use the scale to identify gaps in support and create a plan for improvement.

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