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The Nursing Needs Assessment Scale for Women with Infertility: Turkish Validity and Reliability Study

Year 2024, Volume: 14 Issue: 4, 1048 - 1055
https://doi.org/10.33808/clinexphealthsci.1481793

Abstract

Objective: This study was designed and conducted to establish the Turkish validity and reliability of “The Nursing Needs Assessment Scale for Women with Infertility (NNASIW).”
Methods: Originally developed in Korean, the scale contains 18 items, and a sample of 262 infertile women was included, multiplying each item by 10. In the analysis of this methodological study, second-order multifactor Confirmatory Factor Analysis (CFA), independent samples t-test, split-half reliability analysis, and Cronbach’s alpha were utilized.
Results: The CFA goodness-of-fit values of the scale were: χ² = 221.326, χ²/df = 1.72, AGFI = .89, CFI = .98, GFI = .91, RMSEA = .052, and NFI = .96. Factor loadings for all variables ranged from .39 to .99, and they were found to contribute significantly to the scale (p<.001). Statistically significant differences were noted between the lower and upper 27% groups for the total score and sub-dimensions of the scale, which originally had four sub-dimensions (p < .001). A high, positive, and significant correlation was found between the two halves of the scale (p <.001). The overall Cronbach’s alpha value of the scale was 0.88, with sub-dimension alpha values ranging between .70 and .99.
Conclusion: The NNASIW is confirmed to be a valid and reliable measurement tool for assessing the nursing needs of infertile women.

Ethical Statement

This study was approved by Ethics Committee of MaltepeUniversity, Noninvasive Clinic Ethics Committee (Approval date: 05.02.2021; Number: 2021/04-07)

Supporting Institution

The authors received no financial support for the research

References

  • World Health Organization. Infertility. Updated [01 May 2023]; Accessed [01 June 2023]. https://www.who.int/news-room/fact-sheets/detail/infertility#:~:text=Infertility%20is%20a%20disease%20of,on%20their%20families%20and%20communities.
  • T.R. Ministry of Development and TÜBİTAK. Hacettepe University Institute of Population Studies, 2013 Turkey Demographic and Health Survey. Ankara: 2014. Report No: IPS-HU.14.02
  • Afferri A, Allen H, Booth A, Dierickx S, Pacey A, Balen J. Barriers and facilitators for the inclusion of fertility care in reproductive health policies in Africa: A qualitative evidence synthesis. Hum Reprod Update. 2022;28(2):190-199. DOI: 10.1093/humupd/dmab040
  • Thoma M, Fledderjohann J, Cox C, Adageba RK. Biological and social aspects of human infertility: A global perspective. Oxford Research Encyclopedia of Global Public Health Int: 2021. DOI: 10.1093/acrefore/9780190632366.013.184
  • Covington SN. Fertility Counseling: Clinical Guide. 2nd ed. Cambridge: Cambridge University Press; 2022.
  • Kim M. Relationship between infertility stress and quality of life of infertile women: Based on the moderating and mediating effects of sexual satisfaction. J Korean Matern Child Health. 2016;20(2):140-151. DOI: 10.21896/jksmch.2016.20.2.140
  • Park J, Shin N, Lee K. Nursing needs assessment scale for women with infertility: Development and validation. Korean J Women Health Nurs. 2020;26(2):141-150. DOI: 10.4069/kjwhn.2020.03.31.1
  • Strauss B, Boivin J. 2. Fundamental issues in counselling: 2.1 Counselling within infertility. ESHRE Monographs. 2002;2002(1):4-6. DOI: 10.1093/eshremonographs/2002.1.4
  • Lee EH, Moon S, Cho S-Y, Oh YT, Chun M, Kim SH, et al. Psychometric evaluation of a need scale for cancer patients undergoing follow-up care. Journal of Korean Academy of Nursing. 2010;40(4):551-60. DOI: 10.4040/jkan.2010.40.4.551
  • Luk BHK, Loke AY. A review of supportive interventions targeting individuals or couples undergoing infertility treatment: Directions for the development of interventions. Journal of Sex & Marital Therapy. 2016;42(6):515-533. DOI: 10.1080/0092623X.2015.1074133
  • Lee YS, Kwon JH. A survey on the current status and demands of infertility counseling towards the development of an infertility counseling delivery system. J Korean Matern Child Health. 2020;24(1):52-63. DOI: 10.21896/jksmch.2020.24.1.52
  • Allan HT. The anxiety of infertility: the role of the nurses in the fertility clinic. Human Fertility 2013;16(1):17-21. DOI: 10.3109/14647273.2013.778423
  • Denton J, Monach J, Pacey A. Infertility and assisted reproduction: Counselling and psychosocial aspects. Human Fertility. 2013;16(1):1. DOI: 10.3109/14647273.2013.781335
  • Newton CR, Sherrard W, Glavac I. The Fertility Problem Inventory: Measuring perceived infertility-related stress. Fertility and Sterility 1999;72(1):54-62. DOI: 10.1016/S0015-0282(99)00164-8
  • Yilmaz T, Oskay UY. The copenhagen multi-centre psychosocial infertility (COMPI) fertility problem stress and coping strategy scales: A psychometric validation study in Turkish infertile couples. International Journal of Caring Sciences. 2016;9(2):452. A
  • Boivin J, Takefman J, Braverman A. The fertility quality of life (FertiQoL) tool: Development and general psychometric properties. Human Reproduction 2011;26(8):2084-2091. DOI: doi.org/10.1093/humrep/der171
  • Coster WJ, Mancini MC. Recommendations for translation and cross-cultural adaptation of instruments for occupational therapy research and practice. Rev Ter Ocup Univ São Paulo. 2015;26(1):50-57. DOI: 10.11606/issn.2238-6149.v26i1p50-57
  • Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine. 2000;25(24):3186-91. DOI: 10.1097/00007632-200012150-00014
  • Kartal M, Bardakçi S. SPSS ve AMOS uygulamalı örneklerle güvenirlik ve geçerlik analizleri. 1.Baskı. Ankara: Akademisyen Kitabevi; 2018 (Turkish).
  • Lawshe CH. A quantitative approach to content validity. Personnel psychology. 1975;28(4):563-75.
  • Erkuş A. Ölçek geliştirme ve uyarlama çalışmalarında karşılaşılan sorunlar. Türk Psikoloji Bülteni. 2007;13(40):17-25 (Turkish).
  • Şeker H, Gençdoğan B. Psikolojide ve eğitimde ölçme aracı geliştirme. 3. Baskı. Ankara: Nobel Yayın Dağıtım; 2020 (Turkish).
  • De-Madaria E, Sánchez-Marin C, Carrillo I, Vege SS, Chooklin S, Bilyak A, Mejuto R, Mauriz V, Hegyi P, Márta K, Kamal A, Lauret-Brana E, Barbu ST, Nunes V, Ruiz-Rebollo L, Garcia-Rayado G, Lozad-Hernandez EE, Pereira J, Negoi I, Espina S, Hollenbach M, Litvin A, Bolado-Concejo F, Vargas RD, Pascal-Moreno I, Singh VK, Mira JJ. Design and validation of a patient-reported outcome measure scale in acute pancreatitis: The PAN-PROMISE study. Gut. 2021;70(1):139-147. DOI: 10.1136/gutjnl-2020-320729
  • International Test Commission. The ITC guidelines for translating and adapting tests. 2nd edition. Final version. v.2.4. 2017. Available from: https://www.intestcom.org/page/14.
  • Ayre C, Scally AJ. Critical values for Lawshe’s content validity ratio: revisiting the original methods of calculation. Measurement and Evaluation in Counseling and Development 2014;47(1):79-86. DOI: 10.1177/0748175613513
  • Shrestha N. Factor analysis as a tool for survey analysis. Am J Appl Math Stat. 2021;9(1):4-11. DOI: 10.12691/ajams-9-1-2
  • Arsham H, Lovric M. Bartlett’s Test. Lovric M, editor. International Encyclopedia of Statistical Science. Berlin: Springer Berlin Heidelberg; 2011. p. 87-8.
  • Marsh HW, Guo J, Dicke T, Parker PD, Craven RG. Confirmatory factor analysis (CFA), exploratory structural equation modeling (ESEM), and set-ESEM: Optimal balance between goodness of fit and parsimony. Multivar Behav Res. 2020;55(1):102-19. DOI: 10.1080/00273171.2019.1602503
  • Lee S. Structural Equation Modeling: A Bayesian Approach. 1st ed. England: Johna Wiley&Sons, Ltd; 2007.
  • Marsh HW, Muthén B, Asparouhov T, Lüdtke O, Robitzsch A, Morin AJS, Trautwein U. Exploratory Structural Equation Modeling, Integrating CFA and EFA: Application to Students' Evaluations of University Teaching. Structural Equation Modeling: A Multidisciplinary Journal. 2009;16(3):439-476. DOI: 10.1080/10705510903008220
  • Worthington RL, Whittaker TA. Scale development research: A content analysis and recommendations for best practices. The Counseling Psychologist. 2006;34(6):806-838. DOI: 10.1177/0011000006288127
  • Çapık C, Gözüm S, Aksayan S. Kültürlerarası ölçek uyarlama aşamaları, dil ve kültür uyarlaması: Güncellenmiş rehber. Florence Nightingale J Nurs. 2018;26(3):199-210. DOI: 10.26650/FNJN397481 (Turkish).
  • Schumacker RE, Lomax RG. A beginner’s guide to structural equation modeling. 3th ed. New York: Taylor and Francis Group, LLC; 2010.
  • Harrington D. Confirmatory factor analysis. 1st ed. New York: Oxford University Press; 2009.
  • Munro BH. Statistical methods for health care research. 5th ed. USA: Lippincott Williams & Wilkins; 2005.
  • Byrne B. Structural equation modeling with AMOS: Basic concepts, applications, and programming. New York: Routledge; 2010.
  • Sürücü L, Maslakçi A. Validity and reliability in quantitative research. Bus Manag Stud Inter J. 2020;8(3):2694-2726. DOI: 10.15295/bmij.v8i3.1540
  • DeVellis RF. Scale Development: Theory and Applications. 3rd ed. USA: SAGE Publications; 2012.
Year 2024, Volume: 14 Issue: 4, 1048 - 1055
https://doi.org/10.33808/clinexphealthsci.1481793

Abstract

References

  • World Health Organization. Infertility. Updated [01 May 2023]; Accessed [01 June 2023]. https://www.who.int/news-room/fact-sheets/detail/infertility#:~:text=Infertility%20is%20a%20disease%20of,on%20their%20families%20and%20communities.
  • T.R. Ministry of Development and TÜBİTAK. Hacettepe University Institute of Population Studies, 2013 Turkey Demographic and Health Survey. Ankara: 2014. Report No: IPS-HU.14.02
  • Afferri A, Allen H, Booth A, Dierickx S, Pacey A, Balen J. Barriers and facilitators for the inclusion of fertility care in reproductive health policies in Africa: A qualitative evidence synthesis. Hum Reprod Update. 2022;28(2):190-199. DOI: 10.1093/humupd/dmab040
  • Thoma M, Fledderjohann J, Cox C, Adageba RK. Biological and social aspects of human infertility: A global perspective. Oxford Research Encyclopedia of Global Public Health Int: 2021. DOI: 10.1093/acrefore/9780190632366.013.184
  • Covington SN. Fertility Counseling: Clinical Guide. 2nd ed. Cambridge: Cambridge University Press; 2022.
  • Kim M. Relationship between infertility stress and quality of life of infertile women: Based on the moderating and mediating effects of sexual satisfaction. J Korean Matern Child Health. 2016;20(2):140-151. DOI: 10.21896/jksmch.2016.20.2.140
  • Park J, Shin N, Lee K. Nursing needs assessment scale for women with infertility: Development and validation. Korean J Women Health Nurs. 2020;26(2):141-150. DOI: 10.4069/kjwhn.2020.03.31.1
  • Strauss B, Boivin J. 2. Fundamental issues in counselling: 2.1 Counselling within infertility. ESHRE Monographs. 2002;2002(1):4-6. DOI: 10.1093/eshremonographs/2002.1.4
  • Lee EH, Moon S, Cho S-Y, Oh YT, Chun M, Kim SH, et al. Psychometric evaluation of a need scale for cancer patients undergoing follow-up care. Journal of Korean Academy of Nursing. 2010;40(4):551-60. DOI: 10.4040/jkan.2010.40.4.551
  • Luk BHK, Loke AY. A review of supportive interventions targeting individuals or couples undergoing infertility treatment: Directions for the development of interventions. Journal of Sex & Marital Therapy. 2016;42(6):515-533. DOI: 10.1080/0092623X.2015.1074133
  • Lee YS, Kwon JH. A survey on the current status and demands of infertility counseling towards the development of an infertility counseling delivery system. J Korean Matern Child Health. 2020;24(1):52-63. DOI: 10.21896/jksmch.2020.24.1.52
  • Allan HT. The anxiety of infertility: the role of the nurses in the fertility clinic. Human Fertility 2013;16(1):17-21. DOI: 10.3109/14647273.2013.778423
  • Denton J, Monach J, Pacey A. Infertility and assisted reproduction: Counselling and psychosocial aspects. Human Fertility. 2013;16(1):1. DOI: 10.3109/14647273.2013.781335
  • Newton CR, Sherrard W, Glavac I. The Fertility Problem Inventory: Measuring perceived infertility-related stress. Fertility and Sterility 1999;72(1):54-62. DOI: 10.1016/S0015-0282(99)00164-8
  • Yilmaz T, Oskay UY. The copenhagen multi-centre psychosocial infertility (COMPI) fertility problem stress and coping strategy scales: A psychometric validation study in Turkish infertile couples. International Journal of Caring Sciences. 2016;9(2):452. A
  • Boivin J, Takefman J, Braverman A. The fertility quality of life (FertiQoL) tool: Development and general psychometric properties. Human Reproduction 2011;26(8):2084-2091. DOI: doi.org/10.1093/humrep/der171
  • Coster WJ, Mancini MC. Recommendations for translation and cross-cultural adaptation of instruments for occupational therapy research and practice. Rev Ter Ocup Univ São Paulo. 2015;26(1):50-57. DOI: 10.11606/issn.2238-6149.v26i1p50-57
  • Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine. 2000;25(24):3186-91. DOI: 10.1097/00007632-200012150-00014
  • Kartal M, Bardakçi S. SPSS ve AMOS uygulamalı örneklerle güvenirlik ve geçerlik analizleri. 1.Baskı. Ankara: Akademisyen Kitabevi; 2018 (Turkish).
  • Lawshe CH. A quantitative approach to content validity. Personnel psychology. 1975;28(4):563-75.
  • Erkuş A. Ölçek geliştirme ve uyarlama çalışmalarında karşılaşılan sorunlar. Türk Psikoloji Bülteni. 2007;13(40):17-25 (Turkish).
  • Şeker H, Gençdoğan B. Psikolojide ve eğitimde ölçme aracı geliştirme. 3. Baskı. Ankara: Nobel Yayın Dağıtım; 2020 (Turkish).
  • De-Madaria E, Sánchez-Marin C, Carrillo I, Vege SS, Chooklin S, Bilyak A, Mejuto R, Mauriz V, Hegyi P, Márta K, Kamal A, Lauret-Brana E, Barbu ST, Nunes V, Ruiz-Rebollo L, Garcia-Rayado G, Lozad-Hernandez EE, Pereira J, Negoi I, Espina S, Hollenbach M, Litvin A, Bolado-Concejo F, Vargas RD, Pascal-Moreno I, Singh VK, Mira JJ. Design and validation of a patient-reported outcome measure scale in acute pancreatitis: The PAN-PROMISE study. Gut. 2021;70(1):139-147. DOI: 10.1136/gutjnl-2020-320729
  • International Test Commission. The ITC guidelines for translating and adapting tests. 2nd edition. Final version. v.2.4. 2017. Available from: https://www.intestcom.org/page/14.
  • Ayre C, Scally AJ. Critical values for Lawshe’s content validity ratio: revisiting the original methods of calculation. Measurement and Evaluation in Counseling and Development 2014;47(1):79-86. DOI: 10.1177/0748175613513
  • Shrestha N. Factor analysis as a tool for survey analysis. Am J Appl Math Stat. 2021;9(1):4-11. DOI: 10.12691/ajams-9-1-2
  • Arsham H, Lovric M. Bartlett’s Test. Lovric M, editor. International Encyclopedia of Statistical Science. Berlin: Springer Berlin Heidelberg; 2011. p. 87-8.
  • Marsh HW, Guo J, Dicke T, Parker PD, Craven RG. Confirmatory factor analysis (CFA), exploratory structural equation modeling (ESEM), and set-ESEM: Optimal balance between goodness of fit and parsimony. Multivar Behav Res. 2020;55(1):102-19. DOI: 10.1080/00273171.2019.1602503
  • Lee S. Structural Equation Modeling: A Bayesian Approach. 1st ed. England: Johna Wiley&Sons, Ltd; 2007.
  • Marsh HW, Muthén B, Asparouhov T, Lüdtke O, Robitzsch A, Morin AJS, Trautwein U. Exploratory Structural Equation Modeling, Integrating CFA and EFA: Application to Students' Evaluations of University Teaching. Structural Equation Modeling: A Multidisciplinary Journal. 2009;16(3):439-476. DOI: 10.1080/10705510903008220
  • Worthington RL, Whittaker TA. Scale development research: A content analysis and recommendations for best practices. The Counseling Psychologist. 2006;34(6):806-838. DOI: 10.1177/0011000006288127
  • Çapık C, Gözüm S, Aksayan S. Kültürlerarası ölçek uyarlama aşamaları, dil ve kültür uyarlaması: Güncellenmiş rehber. Florence Nightingale J Nurs. 2018;26(3):199-210. DOI: 10.26650/FNJN397481 (Turkish).
  • Schumacker RE, Lomax RG. A beginner’s guide to structural equation modeling. 3th ed. New York: Taylor and Francis Group, LLC; 2010.
  • Harrington D. Confirmatory factor analysis. 1st ed. New York: Oxford University Press; 2009.
  • Munro BH. Statistical methods for health care research. 5th ed. USA: Lippincott Williams & Wilkins; 2005.
  • Byrne B. Structural equation modeling with AMOS: Basic concepts, applications, and programming. New York: Routledge; 2010.
  • Sürücü L, Maslakçi A. Validity and reliability in quantitative research. Bus Manag Stud Inter J. 2020;8(3):2694-2726. DOI: 10.15295/bmij.v8i3.1540
  • DeVellis RF. Scale Development: Theory and Applications. 3rd ed. USA: SAGE Publications; 2012.
There are 38 citations in total.

Details

Primary Language English
Subjects Obstetrics and Gynocology Nursing
Journal Section Articles
Authors

Tugba Bozdemir 0000-0002-5230-4300

Hatice Yıldız 0000-0003-2026-0726

Jummi Park 0000-0002-9321-8716

Publication Date
Submission Date May 10, 2024
Acceptance Date October 31, 2024
Published in Issue Year 2024 Volume: 14 Issue: 4

Cite

APA Bozdemir, T., Yıldız, H., & Park, J. (n.d.). The Nursing Needs Assessment Scale for Women with Infertility: Turkish Validity and Reliability Study. Clinical and Experimental Health Sciences, 14(4), 1048-1055. https://doi.org/10.33808/clinexphealthsci.1481793
AMA Bozdemir T, Yıldız H, Park J. The Nursing Needs Assessment Scale for Women with Infertility: Turkish Validity and Reliability Study. Clinical and Experimental Health Sciences. 14(4):1048-1055. doi:10.33808/clinexphealthsci.1481793
Chicago Bozdemir, Tugba, Hatice Yıldız, and Jummi Park. “The Nursing Needs Assessment Scale for Women With Infertility: Turkish Validity and Reliability Study”. Clinical and Experimental Health Sciences 14, no. 4 n.d.: 1048-55. https://doi.org/10.33808/clinexphealthsci.1481793.
EndNote Bozdemir T, Yıldız H, Park J The Nursing Needs Assessment Scale for Women with Infertility: Turkish Validity and Reliability Study. Clinical and Experimental Health Sciences 14 4 1048–1055.
IEEE T. Bozdemir, H. Yıldız, and J. Park, “The Nursing Needs Assessment Scale for Women with Infertility: Turkish Validity and Reliability Study”, Clinical and Experimental Health Sciences, vol. 14, no. 4, pp. 1048–1055, doi: 10.33808/clinexphealthsci.1481793.
ISNAD Bozdemir, Tugba et al. “The Nursing Needs Assessment Scale for Women With Infertility: Turkish Validity and Reliability Study”. Clinical and Experimental Health Sciences 14/4 (n.d.), 1048-1055. https://doi.org/10.33808/clinexphealthsci.1481793.
JAMA Bozdemir T, Yıldız H, Park J. The Nursing Needs Assessment Scale for Women with Infertility: Turkish Validity and Reliability Study. Clinical and Experimental Health Sciences.;14:1048–1055.
MLA Bozdemir, Tugba et al. “The Nursing Needs Assessment Scale for Women With Infertility: Turkish Validity and Reliability Study”. Clinical and Experimental Health Sciences, vol. 14, no. 4, pp. 1048-55, doi:10.33808/clinexphealthsci.1481793.
Vancouver Bozdemir T, Yıldız H, Park J. The Nursing Needs Assessment Scale for Women with Infertility: Turkish Validity and Reliability Study. Clinical and Experimental Health Sciences. 14(4):1048-55.

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