Development and psychometric evaluation of a reflection on clinical practice questionnaire for nursing students

Abstract Background Reflection on clinical practice is the core of education for nursing students. Evaluating reflection on clinical experiences requires a tool which accurately measures reflection skills. The present study aims to develop and test the psychometric properties of a tool for measuring nursing students’ reflection on clinical practice. Methods Based on a mix-method exploratory approach, the study was carried out in two stages: in the first stage (the qualitative phase), the concept of reflection on clinical practice was established. In the second stage (the quantitative phase), the psychometric properties of the developed scale were evaluated. Results Based on the results of the exploratory factor analysis and the verification process, the final version of the scale came to consist of 36 items and 6 dimensions. The dimensions were: professional competence, internal sources of motivation, challenging situational clinical setting, dynamic organizational atmosphere, reflection-based self-management, and dynamic professional growth. Overall, 6 factors accounted for 62.79% of the variances. The factor loadings of the items ranged between 0.62 and 0.94, all of which were significant. The total intraclass correlation (ICC) of the scale was found to be 0.94. Also, evaluation of the reliability of the scale as measured through internal homogeneity yielded a total Cronbach’s alpha of 0.90. Conclusion The findings show that the developed scale for evaluation of nursing students’ reflection on clinical practice possesses satisfactory validity and reliability, and nursing professors can use this instrument to assess students’ reflection skills.

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Development and psychometric evaluation of the Thirst Distress Scale for patients with heart failure

European Journal of Cardiovascular Nursing ◽

10.1177/1474515117728624 ◽

2017 ◽

Vol 17 (3) ◽

pp. 226-234 ◽

Cited By ~ 5

Author(s):

Nana Waldréus ◽

Tiny Jaarsma ◽

Martje HL van der Wal ◽

Naoko P Kato

Keyword(s):

Heart Failure ◽

Psychometric Properties ◽

Intraclass Correlation ◽

Psychometric Testing ◽

Psychometric Evaluation ◽

Weighted Kappa ◽

Patients With Heart Failure ◽

Using Data ◽

Test Retest Reliability ◽

Distress Scale

Background: Patients with heart failure can experience thirst distress. However, there is no instrument to measure this in patients with heart failure. The aim of the present study was to develop the Thirst Distress Scale for patients with Heart Failure (TDS-HF) and to evaluate psychometric properties of the scale. Methods and results: The TDS-HF was developed to measure thirst distress in patients with heart failure. Face and content validity was confirmed using expert panels including patients and healthcare professionals. Data on the TDS-HF was collected from patients with heart failure at outpatient heart failure clinics and hospitals in Sweden, the Netherlands and Japan. Psychometric properties were evaluated using data from 256 heart failure patients (age 72±11 years). Concurrent validity of the scale was assessed using a thirst intensity visual analogue scale. Patients did not have any difficulties answering the questions, and time taken to answer the questions was about five minutes. Factor analysis of the scale showed one factor. After psychometric testing, one item was deleted. For the eight item TDS-HF, a single factor explained 61% of the variance and Cronbach’s alpha was 0.90. The eight item TDS-HF was significantly associated with the thirst intensity score ( r=0.55, p<0.001). Regarding test-retest reliability, the intraclass correlation coefficient was 0.88, and the weighted kappa values ranged from 0.29–0.60. Conclusion: The eight-item TDS-HF is valid and reliable for measuring thirst distress in patients with heart failure.

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Psychometric Testing of the Persian Version of the Perceived Perioperative Competence Scale–Revised

Journal of Nursing Measurement ◽

10.1891/1061-3749.25.3.e162 ◽

2017 ◽

Vol 25 (3) ◽

pp. E162-E172

Author(s):

Neda Mirbagher Ajorpaz ◽

Mansoureh Zagheri Tafreshi ◽

Jamileh Mohtashami ◽

Farid Zayeri ◽

Zahra Rahemi

Keyword(s):

Nursing Education ◽

Nursing Students ◽

Psychometric Properties ◽

Goodness Of Fit ◽

Psychometric Testing ◽

Cross Sectional Study ◽

Validity And Reliability ◽

Cross Sectional ◽

Competence Scale ◽

Fit Index

The clinical competence of nursing students in operating room (OR) is an important issue in nursing education. The purpose of this study was to evaluate the psychometric properties of the Persian Perceived Perioperative Competence Scale–Revised (PPCS-R) instrument. This cross-sectional study was conducted across 12 universities in Iran. The psychometric properties and factor structure of the PPCS-R for OR students was examined. Based on the results of factor analysis, seven items were removed from the original version of the scale. The fitness indices of the Persian scale include comparative fit index (CFI) 5 .90, goodness-of-fit-index (GFI) 5 .86, adjusted goodness-of-fit index (AGFI) 5 .90, normed fit index (NFI) 5 .84, and root mean square error of approximation (RMSEA) 5 .04. High validity and reliability indicated the scale’s value for measuring perceived perioperative competence of Iranian OR students.

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Short Assessment of Health Literacy for Portuguese-speaking Adults

Revista de Saúde Pública ◽

10.1590/s0034-89102012005000047 ◽

2012 ◽

Vol 46 (4) ◽

pp. 702-711 ◽

Cited By ~ 48

Author(s):

Daniel Apolinario ◽

Rafaela de Castro Oliveira Pereira Braga ◽

Regina Miksian Magaldi ◽

Alexandre Leopold Busse ◽

Flavia Campora ◽

...

Keyword(s):

Older Adults ◽

Health Literacy ◽

Construct Validity ◽

Psychometric Properties ◽

Assessment Tool ◽

Characteristic Curve ◽

Intraclass Correlation ◽

Validity And Reliability ◽

Convenience Sample ◽

Inadequate Health Literacy

OBJECTIVE: To develop and validate a short health literacy assessment tool for Portuguese-speaking adults. METHODS: The Short Assessment of Health Literacy for Portuguese-speaking Adults is an assessment tool which consists of 50 items that assess an individual's ability to correctly pronounce and understand common medical terms. We evaluated the instrument's psychometric properties in a convenience sample of 226 Brazilian older adults. Construct validity was assessed by correlating the tool scores with years of schooling, self-reported literacy, and global cognitive functioning. Discrimination validity was assessed by testing the tool's accuracy in detecting inadequate health literacy, defined as failure to fully understand standard medical prescriptions. RESULTS: Moderate to high correlations were found in the assessment of construct validity (Spearman's coefficients ranging from 0.63 to 0.76). The instrument showed adequate internal consistency (Cronbach's alpha=0.93) and adequate test-retest reliability (intraclass correlation coefficient=0.95). The area under the receiver operating characteristic curve for detection of inadequate health literacy was 0.82. A version consisting of 18 items was tested and showed similar psychometric properties. CONCLUSIONS: The instrument developed showed good validity and reliability in a sample of Brazilian older adults. It can be used in research and clinical settings for screening inadequate health literacy.

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Frommelt Attitudes Toward Care of the Dying Scale Form B

OMEGA - Journal of Death and Dying ◽

10.1177/0030222815568944 ◽

2015 ◽

Vol 70 (3) ◽

pp. 227-250 ◽

Cited By ~ 13

Author(s):

Chiara Mastroianni ◽

Michela Piredda ◽

Chiara Taboga ◽

Fiorino Mirabella ◽

Elisabetta Marfoli ◽

...

Keyword(s):

Nursing Students ◽

End Of Life ◽

Internal Consistency ◽

End Of Life Care ◽

Intraclass Correlation ◽

Italian Population ◽

Life Care ◽

Validity And Reliability ◽

Convenience Sample ◽

Care Of The Dying

Nurses' attitudes toward caring for dying patients have an impact on the quality of the care provided. Education can improve knowledge and attitudes toward end-of-life care. No validated tool that measures such attitudes is available for Italian nursing students. The aim of this study was to translate the Frommelt Attitudes Toward Care of the Dying Scale (FATCOD) Form B from English into Italian and to establish its validity and reliability within an Italian population of students. A two-stage design was used. Stage 1 adapted the original version of the tool and tested it for content validity through a multistep process. Stage 2 tested its psychometric properties by analyzing internal consistency, test–retest reliability, and construct validity. The convenience sample consisted of 465 nursing students from all the universities of one Italian region. Measures of stability showed a very good overall (0.87) intraclass correlation coefficient (ICC). The discriminating capacity of the scale was adequate with good values of asymmetry and kurtosis for most of the items. Good internal consistency was found. The six factors derived from the factor analysis are the following: Fear/Malaise, Communication, Relationship, Care of the family, Family as Caring, and Active Care. FATCOD Form B-I is a valid, reliable, and acceptable tool for evaluation of attitudes toward end-of-life care in Italian students. It measures six specific dimensions that should be highlighted during health care student education and training.

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Validity and reliability testing of the Spanish version of the BESTest and mini-BESTest in healthy community-dwelling elderly

BMC Geriatrics ◽

10.1186/s12877-020-01724-3 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Pilar Dominguez-Olivan ◽

Angel Gasch-Gallen ◽

Esmeralda Aguas-Garcia ◽

Ana Bengoetxea

Keyword(s):

Psychometric Properties ◽

Correlation Coefficient ◽

Internal Consistency ◽

Elderly Women ◽

Pearson Correlation ◽

Strong Association ◽

Intraclass Correlation ◽

Community Dwelling ◽

Validity And Reliability ◽

Convenience Sample

Abstract Background The Balance Evaluation Systems Test (BESTest) and its abbreviated version, the Mini-BESTest are clinical examination of balance impairment, but its psychometric properties have not yet been tested in European Spanish. We aimed to assess the psychometric properties of BESTest and Mini-BESTest in Spanish in community-dwelling elderly people. Methods We designed a cross-sectional transcultural adaptation and validation study. Convenience sample of thirty (N-30) adults aged 65 to 89 years old without balance problems were recruited. Two physiotherapists assessed participants at the same time. Internal consistency of Spanish BESTest and Mini-BESTest was carried out by obtaining the Cronbach Alpha. The reproducibility between raters was studied with the Intraclass Correlation Coefficient. The Pearson correlation coefficient was calculated by comparing the relationship between the BESTest, mini-BESTest, Berg Balance Scale (BBS) and Falls Efficacy Scale-International (FES-I). Results BESTest and Mini-BESTest showed good internal consistency. BESTest and Mini-BESTest total scores showed an excellent inter-rater agreement. There was a significant correlation between total score of the BESTest and the Mini-BESTest (r = 0.65; p < 0.001). BESTest had a moderate association with BBS and a strong association with FES-I. Mini-BESTest had a fair correlation with BBS and FES-I. Total scores obtained by women at BESTest and at Mini-BESTest were significantly lower than those reached by men. The differences observed in all the test when disaggregating data by sex require further research. Conclusions Spanish versions of BESTest and Mini-BESTest are comprehensible for new raters. They are reliable tools to provide information on which particular balance systems show impairment in community dwelling older adults. Elderly women had a worse quality of balance and a greater perception of their risk of falling. Trial registration This study was registered in ClinicalTrials.gov with NCT 03403218 on 2018/01/17.

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Psychometric evaluation of the Chinese version of the Person-Centred Care Assessment Tool

BMJ Open ◽

10.1136/bmjopen-2019-031580 ◽

2020 ◽

Vol 10 (7) ◽

pp. e031580

Author(s):

Cai Le ◽

Ke Ma ◽

Pingfen Tang ◽

David Edvardsson ◽

Lina Behm ◽

...

Keyword(s):

Assessment Tool ◽

Intraclass Correlation ◽

Psychometric Evaluation ◽

Quality Of Healthcare ◽

Hospital Staff ◽

Chinese Version ◽

Validity And Reliability ◽

Retest Reliability ◽

Care Assessment ◽

Test Retest Reliability

ObjectiveThis study aims to test a Chinese cross-cultural adaptation of the English version of the Person-Centred Care Assessment Tool (P-CAT) and evaluate its psychometric properties.DesignP-CAT was translated/back-translated using established procedures before the psychometric evaluation of the Chinese version was made.SettingTwo hospitals covering urban and suburban areas of Kunming in the Yunnan province of China.Participants152 female hospital staff completed the survey.Main outcome measure(s)Construct validity and reliability, including internal consistency and test–retest reliability, were assessed among a sample of hospital staff.ResultsThe factor analysis resulted in a two-component solution that consisted of two subscales. The corrected item-total correlations for all of the items ranged from 0.14 to 0.44, with six items not meeting the cut-off level for item-total correlation (>0.3). The Chinese P-CAT demonstrated strong reliability, with a Cronbach’s alpha of 0.91–0.94 for the scales and a test–retest reliability coefficient of 0.88 for the overall scale scores. The intraclass correlation was 0.92 (95% CI 0.90 to 0.95).ConclusionP-CAT appears to be a promising measure for evaluating staff perceptions of person-centredness in Chinese hospital environments. The results show that P-CAT can be a useful tool for improving the quality of healthcare in terms of person-centred care in the Chinese context.

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Designing and psychometric evaluation of Stretching Exercise Influencing Scale (SEIS)

BMJ Open ◽

10.1136/bmjopen-2018-026565 ◽

2019 ◽

Vol 9 (5) ◽

pp. e026565

Author(s):

Mohammad Hossien Delshad ◽

Sedigheh Sadat Tavafian ◽

Anoshirvan Kazemnejad

Keyword(s):

Psychometric Properties ◽

Intraclass Correlation ◽

Psychometric Evaluation ◽

Cross Sectional Study ◽

Medical Sciences ◽

Cross Sectional ◽

Valid Instrument ◽

Good Internal Consistency ◽

The Mean ◽

Office Employees

ObjectiveThe lack of reliable and valid tools for assessing the factors that influence stretching exercises (SEs) among Iranian office employees is obvious. This study aimed to design and evaluate psychometric properties of this instrument.DesignCross-sectional study of psychometric properties.SettingData were gathered from May to September 2017.ParticipantsParticipants were 420 office employees who were working in 10 health centres affiliated to the Shahid Beheshti University of Medical Sciences in Tehran, Iran.Primary outcome measuresThe instrument was designed on the basis of the constructs of the health promotion model (HPM) and extant literature. Exploratory factor analysis (EFA), Cronbach’s α and intraclass correlation coefficient (ICC) were employed to check the scale’s psychometric properties.ResultsIn total, 420 questionnaires were completed. The mean age of the office employees was 37.1±8.03 years. Among the 86 items, 77 items had significant item-to-total correlations (p<0.05). The results showed good internal consistency and reliability for the whole questionnaire and each domain. EFA results confirmed 53.32% of the total variance of the items yielded in 11 subscales. The ICC was acceptable (0.78, 95% CI 0.70 to 0.88).ConclusionsThe Stretching Exercise Influencing Scale (SEIS) can be a reliable and valid instrument for measuring the factors that influence SEs among office employees.Trial registrationIRCT20160824295512N1

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Development and Psychometric Evaluation of the Professional Integration Factors Retention Strategies Survey

Journal of Nursing Measurement ◽

10.1891/jnm-d-19-00015 ◽

2020 ◽

pp. JNM-D-19-00015

Author(s):

Beth Gamble

Keyword(s):

Nursing Students ◽

Psychometric Properties ◽

Psychometric Evaluation ◽

Preliminary Evidence ◽

Nursing Programs ◽

Enrichment Programs ◽

Retention Strategies ◽

Attrition Rates ◽

Professional Integration ◽

Program Coordinators

Background and PurposeNursing students experience higher attrition rates than average college students due to the academic rigor of nursing programs. This study examined psychometric properties of the Professional Integration Factors Retention Strategies Survey (PIF-RSS), which measured constructs of faculty advisement and helpfulness, professional events, memberships, encouragement by friends in class, peer mentoring-tutoring, and enrichment programs.MethodsThe PIF-RSS survey was distributed to deans, directors, and program coordinators of traditional Bachelor’s in Nursing programs.ResultsFollowing exploratory factor analysis, 47 items aligned within a 5-factor solution were retained. Reliability of the total instrument was .90.ConclusionsThis study provides preliminary evidence of the psychometric properties of the PIF-RSS instrument. Additional studies are recommended to further examine instrument psychometric properties for different program types and populations.

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Psychometric Evaluation of Instruments Measuring The Older Adult’s Functional Status in Indonesian

Jurnal Keperawatan Padjadjaran ◽

10.24198/jkp.v7i2.840 ◽

2019 ◽

Vol 7 (2) ◽

Author(s):

Dara Febriana ◽

Juanita Juanita ◽

Nurhasanah Nurhasanah

Keyword(s):

Older Adults ◽

Psychometric Properties ◽

Functional Status ◽

Physical Performance ◽

Convergent Validity ◽

Performance Test ◽

Functional Disability ◽

Psychometric Evaluation ◽

Validity And Reliability ◽

Functional Status Questionnaire

For year research on quantifying how well individual’s function has been reported. Assessing function is particularly important in the older adults, as the prevalence of functional disability increases with age. In Indonesia, there is a lack of studies that measure the functional status of the older adults. There is even less research on evaluating the psychometric properties of an instrument. Therefore, this study aimed to compare the psychometric properties of the evidence supported functional status instrument consisting of the Short Physical Performance Battery (SPPB), the Functional Status Questionnaire (FSQ) and the Physical Performance Test (PPT). This study using the validation design with descriptive approach. And 401 subjects aged more than 60 years old were recruited purposively from five districts in Aceh. Every instrument showed good validity and reliability and has been used either for research purposes or in clinical setting. All subjects completed the FSQ, SPBB, and FSQ assessment. Correlation between SPPB and PPT were higher than FSQ when assessed for convergent validity the FSQ had comparable correlations with the reported health status. However, relationship between SPPB, PPT and FSQ were inconsistent. The findings of this study is expected to support the psychometric properties of all three instrument for functional status assessment in Indonesian Older adults, and SPPB appear to be the best among the other instruments to use in the nursing practice.

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Development and psychometric evaluation of a scale on nursing students’ perceptions of hospital caring environment (PHCE) in China

10.21203/rs.3.rs-19078/v1 ◽

2020 ◽

Author(s):

Li Cheng ◽

Yilan Liu ◽

Wenru Wang

Keyword(s):

Nursing Students ◽

Clinical Education ◽

Assessment Tool ◽

Psychometric Evaluation ◽

Teaching Hospitals ◽

Second Phase ◽

Validity And Reliability ◽

Two Phase ◽

Convenience Sample ◽

Caring Environment

Abstract Background: Caring is a basic tenet of nursing and an essential trait a competent nurse. In China, nursing students spend 8-12 months on clinical rotation in hospitals after the completion of theoretical component of the program in their fourth year. The hospital then becomes the focus of nursing clinical education. However, there is no culturally-specific tool to assess nursing students’ perceptions of hospital caring environment (PHCE). The aim of this study was to develop a valid assessment tool to measure nursing students’ perceptions of hospital caring environment. Methods: A two-phase study was conducted to develop a PHCE scale and to test its psychometric properties. In phase one, the items of the PHCE scale were developed from a qualitative study, a literature review and expert validation. The second phase tested the factor structure, construct validity and reliability through a convenience sample of 383 final year nursing students recruited from two teaching hospitals in China (response rate 95.75%). Results: The final PHCE scale consists of 41 items, was internally consistent (Cronbach’s α = 0.98) and had satisfactory test-retest reliability (intra-class correlation coefficient = 0.87). The exploratory factor analysis revealed that the scale contained four subscales, accounting for 63.69% variance. Conclusions: The 41-item NSPHCE is a reliable tool to assess the Chinese nursing students’ perceptions of the hospital caring environment in China.

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