Hemşirelikte Klinik Karar Verme Öz-güven Anksiyete Ölçeğinin Türkçe Psikometrik Özellikleri (NASC-CDM-T)

Öz

Amaç: Bu çalışma, Hemşirelikte Klinik Karar Verme Öz-güven ve Anksiyete Ölçeği’nin (NASC-CDM) Türkiye’deki geçerlilik ve güvenilirliğini analiz etmeyi amaçlayan tanımlayıcı ve kesitsel metadolojik bir çalışmadır. Yöntem: Araştırmanın örneklemini, hemşirelik bölümünde eğitim alan 334 öğrenci oluşturmuştur. Çalışmanın verileri, demografik veri toplama formu ve Hemşirelikte Klinik Karar Verme Öz-güven ve Anksiyete Ölçeği (NASC-CDM) kullanılarak toplanmıştır. Bulgular: Öz-güven ölçeği ve anksiyete alt boyutlarının Cronbach alfa katsayıları sırasıyla .97, .96, .89 ve .91 olarak bulunmuştur. Bu değerlerin anksiyete bölümünde ve alt ölçeklerinde .97, .95, .91 ve .90 olduğu bulunmuştur. Öz güven bölümünde toplam madde korelasyon puanı .70 ile .86 arasında değişmekte ve anksiyete bölümünde .69 ile .81 arasında değişmektedir (p <.001). Faktör yükleri öz-güven bölümünde .65 ile .84 arasında değişmekte ve anksiyete bölümünde .43 ile .86 arasında değişmektedir. Her iki bölümün iyi uyum indeksleri .90'ın üstündedir ve RMSEA değerleri <.08 dir. Sonuç: Bu sonuçlar ölçeğin Türkiye'de hemşirelik öğrencileri için geçerli ve güvenilir bir araç olduğunu göstermektedir.

Anahtar Kelimeler

• Anksiyete, Klinik Karar Verme, Hemşirelik Öğrencisi, Öz-Güven.

Psychometric Properties of the Turkish Version of Nursing Anxiety and SelfConfidence with Clinical Decision Making Scale (NASC-CDM-T)

Öz

Objective: This is a methodological, descriptive and cross-sectional study, which aimed to analyze the validity and reliability of the Nursing Anxiety and Self-confidence with Clinical Decision Making (NASC-CDM) Scale in Turkey. Methods: The sample of the study included a total of 334 sophomores, juniors, and seniors in a nursing department. The study data were collected using a demographic data collection form and the Nursing Anxiety and Self-confidence with Clinical Decision-Making Scale (NASC-CDM). Results: The Cronbach's alpha coefficients of the self-confidence scale and its sub-dimensions were .97, .96, .89, and .91, respectively. These values were found to be .97, .95, .91, and .90 in the anxiety section and its sub-subscales. The total item correlation scores ranged between .70 and .86 in the selfconfidence section, and they ranged between .69 and .81 in the anxiety section (p<.001). The factor loads ranged between .65 and .84 in the self-confidence section, and they ranged between .43 and .86 in the anxiety section. The goodness-of-fit indices of both sections were above .90, and their root mean square error of approximation (RMSA) values were <.08. Conclusion: These results show that the scale is a valid and reliable tool for use with nursing students in Turkey.

Anahtar Kelimeler

• Anxiety, Clinical Decision-Making, Nursing Student, Self-Confidence.

Kaynakça

1. Aktaş, Y. Y., Karabulut, N. (2016). A survey on turkish nursing students' perception of clinical learning environment and its association with academic motivation and clinical decision making. Nurse Education Today, 36(1), 124-128.
2. Atasoy, I., Sütütemiz, N. (2014). A group of final year students views on nursing education. Florence Nightingale Journal of Nursing, 22 (2), 94-104.
3. Atay, S., & Yılmaz. F. (2011). The first stress levels of the students of vocational higher school of health. Journal of Anatolia Nursing and Health Sciences,14(4), 32-37.
4. Azak, A., & Taşçı, S. (2009).Clinical decision making and nursing: review. Turkiye Klinikleri Journal of Medical Ethics-Law and History, 17(3), 176-183.
5. Bakr, M.M., Sherif, N.M., Eid, N.M., & ELshal, S.E. (2013) Factors ınfluencing decision making and ıts effect on ıntern students clinical performance. World Applied Programming, 3 (2), 75-84.
6. Bjørk, I. T., & Hamilton, G. A. (2011). Clinical decision making of nurses working in hospital settings. Nursing Research and Practice. 2011,1-9. http://dx.doi.org/10.1155/2011/524918
7. Bulut, S. Ertem, G., & Sevil, Ü. (2009) Examination of nursing students' level of critical thinking. DEUHYO ED, 2 (2), 27-38.
8. Burns, N., Grove, S. K. (2009). The practice of nursing research : appraisal, synthesis, and generation of evidence. St. Louis, Mo: Saunders Elsevier.

9. Campbell, E. T. (2008). Gaining ınsight into student nurses clinical decision-making process. Aquichan, 8(1), 19-32.
10. DeVellis, R.F. (2012). Scale development, theory and Applications. 3rd ed. India, SAGE Publication, Inc, pp.31-59.
11. Dowding, D., Gurbutt, R., Murphy, M., Lascelles, M., Pearman, A., & Summers, B. (2012). Conceptualising decision making in nursing education. Journal of Research in Nursing, 17(4), 348-360.
12. Fry, M., MacGregor, C. (2014). Confidence and impact on clinical decision-making and behaviour in the emergency department. Australasian Emergency Nursing Journal, 17(3), 91-97.
13. Garrett, B. (2005) Student nurses’ perceptions of clinical decision-making in the final year of adult nursing studies. Nurse Education in Practice, 5 (1), 30–39.
14. Gillespie, M. (2010) Using the Situated clinical decision-making framework to guide analysis of nurses’ clinical decisionmaking. Nurse Education in Practice, 10 (6), 333-340.
15. Hagbaghery, M. A., Salsali, M., & Ahmadi, F. (2004). The factors facilitating and inhibiting effective clinical decision-making in nursing: a qualitative study. BMC Nursing, 3(2), 1-11.
16. Hooper, D., Coughlan, J., & Mullen, M.R. (2008). Structural equation modelling: guidelines for determining model fit. Journal of Business Research Methods, 6(1), 53–60.
17. Jahanpour, F., Sharif, F., Salsali, M., Kaveh, M., H., Williams, L. M. (2010) Clinical decision-making in senior nursingstudents in Iran. International Journal of Nursing Practice, 16 (6), 595–602.
18. Jonhson, B., Christensen, L. (2014). Educational research: quantitative, qualitative, and mixed approaches. California, SAGE Publication, Inc.pp.190-222.
19. Lauri, S., Salanterä, S., Chalmers, K., Ekman, S. L., Kim, H. S., Käppeli, S., & MacLeod, M. (2001). An exploratory study of clinical decision‐making in five countries. Journal of Nursing Scholarship, 33(1), 83-90.
20. Nunnally, J. C., Bernstein, I. H. (2010). Psychometric theory (3rd Ed.). New York, NY: McGraw-Hill. Polit, D.F., Beck, C.T., & Owen, S.V. (2007). Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Research in Nursing & Health, 30(4), 459-67.
21. Porter, J., Morphet, J., Missen, K., & Raymond, A. (2013). Preparation for high-acuity clinical placement: confidence levels of final-year nursing students. Advances in Medical Education and Practice, 4, 83-89.
22. Rattray, J., & Jones, M.C. (2007). Essential elements of questionnaire design and development. Journal of Clinical Nursing, 16(2), 234–243.
23. Sucu, G., Dicle, A., & Saka, O. (2012). Decision making in clinical nursing: decision- making models and affecting factors. Journal of Education and Research in Nursing, 9(1), 52-60.
24. Şencan, H. (2005). Sosyal ve davranışsal ölçümlerde güvenilirlik ve geçerlilik (reliability and validity in cocial and behavioral measurement). 1.edition, Ankara: Seçkin Yayınevi.
25. Şimşek, Ö.F. (2010). Yapısal eşitlik modellemesine giriş temel ilkeler ve LISREL uygulamaları (Introduction to structural equation modeling, Lısrel fundamental principles and practices). Ekinoks yayınları, İstanbul.
26. Terwee, C.B., Bot, S.D., de Boer, M.R., van der Windt, D.A., Knol, D.L., Dekker, J., et al. (2007). Quality criteria were proposed for measurement properties of health status questionnaires. Journal of Clinical Epidemiology, 60(1), 34-42.
27. Thompson, C. (2003). Clinical experience as evidence in evidence‐based practice. Journal of Advanced Nursing, 43(3), 230- 237.
28. Thompson, C., Aitken, L., Doran, D., Dowding, D. (2013). An agenda for clinical decision making and judgement in nursing research and education. International Journal of Nursing Studies, 50(12), 1720-1726.
29. Tiffen, J., Corbridge, S. J., & Slimmer, L. (2014). Enhancing clinical decision making: Development of a contiguous definition and conceptual framework. Journal of Professional Nursing, 30(5), 399-405.
30. White, A.H. (2003) Clinical decision making among fourth-year nursing students: An inter pretive study. The Journal of Nursing Education, 42(3), 113–120.
31. White, K. A. (2014). Development and validation of a tool to measure self-confidence and anxiety in nursing students during clinical decision making. Journal of Nursing Education; 53(1), 14-22.