Adaptation of Clinical Decision Making in Nursing Scale to Undergraduate Students of Nursing: The Study of Reliability and Validity

Abstract

A clinical decision making skill is an essential step in the implementation of nursing knowledge and reflecting on patient care. The research was planned to measure the reliability and validity of The Clinical Decision Making in Nursing Scale CDMNSTr for undergraduate nursing students from Turkey. This study is a methodological design. This study was conducted on 210 undergraduate students of nursing. For validity; Language – Content Validity, Construct Validity Exploratory and Confirmatory Factor Analysis were examined. For reliability; CDMNS’s Cronbach’s alpha reliability coefficient, item-total score correlation coefficients, stability analysis test-retest were examined. Item Content Validity Index and Scale Content Validity Index were calculated as .81 and .83 respectively. Confirmatory factor analyses showed that goodness of fit indexes were acceptable. Cronbach alpha value of the scale was .78. Item-to-total score correlation coefficients ranged from .13 to .56. The correlation coefficient for test-retest was .82. The scale can be used as a valid and reliable measurement tool to determine the perceptions of Turkish undergraduate students of nursing as regards to clinical decision making.

Keywords

• Decision Making,Nursing Student,Reliability,Validity

References

1. Akgül, A., Çevik, O. (2005). Faktör analizi, İstatistiksel analiz teknikleri SPSS'de işletme yönetimi uygulamaları. 2.Baskı. Ankara, Kişisel Yayınlar.
2. Aksayan, S., Gözüm, S. (2002). Kültürlerarası ölçek uyarlaması için rehber I: Ölçek uyarlama aşamaları ve dil uyarlaması. Hemşirelik Araştırma Geliştirme Dergisi, 4(1):9-14. http://hemarge.org.tr/ckfinder/userfiles/files/2002/2002-vol4-sayi1-147.pdf
3. American Association of Colleges of Nursing (AACN). (2008). The essentials of baccalaureate education for professional nursing practice. Retrieved from http://www.aacn.nche.edu/Education/pdf/BaccEssentials08.pdf (19 Kasım 2013)
4. Baumberger-Henry, M. (2005). Cooperative learning and case study: does the combination improve students’ perception of problem-solving and decision making skills?. Nurse Education Today, 25(3), 238– 246. doi:10.1016/j.nedt.2005.01.010
5. Byrnes, M., West, S. (2000). Registered nurses' clinical reasoning abilities: a study of self perception. The Australian Journal of Advanced Nursing, 17(3), 18-23.
6. Dimitrov, D.M. (2010). Testing for factorial invariance in the context of construct validation. Measurement and Evaluation in Counseling and Development, 43(2),121-149. doi:10.1177/0748175610373459
7. Dunphy, B. C., Wıllıamson S. L. (2004). In pursuit of expertise toward an educational model for expertise development. Advances in Health Sciences Education, 9(2), 107–127.
8. Ercan, İ., Kan, İ. (2004). Ölçeklerde güvenirlik ve geçerlik. Uludağ Üniversitesi Tıp Fakültesi Dergisi), 30(3):211- 216. http://www.utf.dergisi.org/pdf/pdf_UTF_149.pdf

9. Eser, E. (2007). Sağlıkla ilgili yaşam kalitesi ölçeklerinin kültürel uyarlaması. 2. Sağlıkta Yaşam Kalitesi Kongresi, Kongre Öncesi Kurslar Kitabı, İzmir.
10. Girot, E.A. (2000). Graduate nurses: critical thinkers or better decision makers?. Journal of Advanced Nursing, 31(2), 288-297. doi: 10.1046/j.1365-2648.2000.01298.x
11. Gorton, K.L.(2010). An Investigation into the relationship between critical thinking skills and clinical judgment in the nurse practitioner student. Published Doctor of Philosophy Dissertation, College of Natural and Health Sciences, School of Nursing, Program of Nursing Education, University of Northern Colorado.
12. Gözüm, S., Aksayan, S. (2003). Kültürlerarası Ölçek Uyarlaması İçin Rehber II: Psikometrik Özellikler ve Kültürlerarası http://hemarge.org.tr/ckfinder/userfiles/files/2003/2003-vol5-sayi1-65.pdf Hemşirelikte Araştırrma Geliştirme Dergisi, 5(1), 3-14.
13. Hilton, A., Skrutkowski, M. (2002). Translating instruments into other languages: development and testing processes. Cancer Nursing, 25(1), 1-7.
14. Jackson, D. L., Gillaspy, J. A. Jr., & Purc-Stephenson, R. (2009). Reporting practices in confirmatory factor analysis: An overview and some recommendations. Psychological methods, 14(1), 6-23.
15. Jenkins, H. (1983). Perceptions of decision making among baccalaureate nursing students as measured by the clinical decision making in nursing scale. doctors of thesess, University of Maryland.
16. Jenkins, H. (1985). A research tool for measuring perceptions of clinical decision making. Journal of Professional Nursing, 1(4), 221-229.
17. Jenkins, H.M. (2001). Cinical decision making in nursing scale. In: Waltz, C.F., Jenkins, L.S. (Eds.), Measurement of Nursing Outcomes volume:1 measuring nursing performance in practice, education and research, Springer Publishing Company, 33-37.
18. LoBiondo-Wood, G., Haber, J. (2005). Nursing research in Canada. Methods, critical appraisal and utilization. Elseiver Mosby, Canada, 327–347.
19. Ozdamar, K. (2004). Güvenirlik ve soru analizi, Paket programlar istatistiksel veri analizi. 4. Baskı, Eskişehir, Kaan Kitabevi, 661-676.
20. Polit, D.F., Beck, C.T. (2006). The content validity index: are you sure you know what’s being reported? critique and recommendations, Research in Nursing & Health, 29(5), 489–497. doi: 10.1002/nur.20147
21. Schreiber, J.B., Nora, A., Stage F.K., Barlow E.A., King J. (2006). Reporting structural equation modeling and confirmatory factor analysis results: a review. Journal of Educational Research, 99(6), 323-337. doi:10.3200/JOER.99.6.323-338
22. Sencan, H. (2005). Sosyal ve davranışsal ölçümlerde güvenirlik ve geçerlik. Ankara, 250-252.
23. Simşek, Ö.F. (2007). Yapısal eşitlik modellemesine giriş temel ilkeler ve lisrel uygulamaları. Ankara, Ekinoks,11-49.
24. Ullman, J.B. (2006). Structural equation modeling: Reviewing the basics and moving forward, Journal of
25. Personality Assessment, 87(1), 35-50. doi:10.1207/s15327752jpa8701_03.
26. Tanner, C.A. (2006). Thinking like a nurse: a research-based model of clinical judgment in nursing. Journal of Nursing Education, 45(6), 204-211.
27. Tabachnick, B.G. (1996). Fidell, L.S. Using Multivariate Statistics. Northridge, CA: HarperCollins.
28. Tavşancıl, E. (2006). Ölçme ile ilgili temel kavramlar. Tutumların ölçülmesi ve SPSS ile veri analizi. 3. Basım, Ankara, Nobel yayın dağıtım, 17-19.
29. Thompson, C., Dowding, D. (2002). Clinical decision making and judgement in nursing. London, Churchill Livingstone.
30. World Health Organization (WHO). (2009). Nursing & Midwifery Human Resources for Health, Global standards for the initial education of professional nurses and midwives. Retrieved June 22, 2010, from http://www.who.int/hrh/nursing_midwifery/en/.