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Development and psychometric testing of a new instrument to measure the caring behaviour of nurses in Italian acute care settings.

Abstract：

AIM:To develop and psychometrically test the Italian-language Nurse Caring Behaviours Scale, a short measure of nurse caring behaviour as perceived by inpatients. BACKGROUND:Patient perceptions of nurses' caring behaviours are a predictor of care quality. Caring behaviours are culture-specific, but no measure of patient perceptions has previously been developed in Italy. Moreover, existing tools show unclear psychometric properties, are burdensome for respondents, or are not widely applicable. DESIGN:Instrument development and psychometric testing. METHOD:Item generation included identifying and adapting items from existing measures of caring behaviours as perceived by patients. A pool of 28 items was evaluated for face validity. Content validity indexes were calculated for the resulting 15-item scale; acceptability and clarity were pilot tested with 50 patients. To assess construct validity, a sample of 2,001 consecutive adult patients admitted to a hospital in 2014 completed the scale and was split into two groups. Reliability was evaluated using nonlinear structural equation modelling coefficients. Measurement invariance was tested across subsamples. RESULTS:Item 15 loaded poorly in the exploratory factor analysis (n = 983) and was excluded from the final solution, positing a single latent variable with 14 indicators. This model fitted the data moderately. The confirmatory factor analysis (n = 1018) returned similar results. Internal consistency was excellent in both subsamples. Full scalar invariance was reached, and no significant latent mean differences were detected across subsamples. CONCLUSION:The new instrument shows reasonable psychometric properties and is a promising short and widely applicable measure of inpatient perceptions of nurse caring behaviours.

journal_name

J Adv Nurs

journal_title

Journal of advanced nursing

authors

Piredda M,Ghezzi V,Fenizia E,Marchetti A,Petitti T,De Marinis MG,Sili A

doi

10.1111/jan.13384

subject

Has Abstract

pub_date

2017-12-01 00:00:00

pages

3178-3188

issue

eissn

0309-2402

issn

1365-2648

journal_volume

pub_type

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Development and psychometric testing of a new instrument to measure the caring behaviour of nurses in Italian acute care settings.