Shahsavari Hooman, Yekta Zohreh Parsa, Zare Zahra, Sigaroodi Abdolhossain Emami
Department of Medical-Surgical Nursing, Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Social Determinants of Health Research Center, Guilan University of Medical Sciences, School of Nursing, Guilan University of Medical Sciences, Rasht, Iran.
Iran J Nurs Midwifery Res. 2014 Mar;19(2):132-8.
Clinical education is the heart of the nursing education program. Effective nursing clinical instructors are needed for graduating the future qualified nurses. There is a well-developed body of knowledge about the effectiveness of clinical teaching and the instructors. However, translating this knowledge into a context-based evaluation tool for measuring the effectiveness of Iranian clinical nursing instructors remains a deficiency. The purpose of this study is to describe the development and psychometric testing process of an instrument to evaluate the characteristics of Iranian effective clinical nurse instructor.
Following a precise review of Iranian literatures and expert consultation, 83 statements about the characteristics that make clinical nurse instructors effective were extracted. In the next phase, the psychometric properties of the instrument were established by looking at the content validity, face validity, and internal consistency. Content validity of the instrument was assessed based on the comments of an expert panel including 10 nursing faculty members. During this phase, 30 items of the instrument were omitted or merged. Face validity of the instrument was assured based on the advices of 10 nursing students and 10 nursing faculty members. Finally, in the pilot test, the data of 168 filled questionnaires were gathered and analyzed by an exploratory factor analysis to reduce the items and identify the factor structure of the instrument.
Through subsequent analyses, of the 83 items, 31 items were merged or omitted. At last, 52 retained items were divided into four subscales including student-centric behaviors, clinical performances, planning ability, and personality traits. The Cronbach's alpha level of the inventory was 0.96, with the value for each domain ranging from 0.87 to 0.94.
Iranian Effective Clinical Nurse Instructor evaluation tool has acceptable psychometric properties and can be used in evaluating the effectiveness of clinical nursing instructors.
临床教育是护理教育项目的核心。培养未来合格护士需要高效的护理临床教师。关于临床教学和教师有效性，已有完善的知识体系。然而，将这些知识转化为基于情境的评估工具，以衡量伊朗临床护理教师的有效性，仍然存在不足。本研究的目的是描述一种评估伊朗高效临床护士教师特征的工具的开发和心理测量测试过程。
在对伊朗文献进行精确回顾和专家咨询后，提取了83条关于使临床护士教师高效的特征的陈述。在下一阶段，通过考察内容效度、表面效度和内部一致性来确定该工具的心理测量特性。基于包括10名护理教员在内的专家小组的意见评估该工具的内容效度。在此阶段，该工具的30个项目被省略或合并。根据10名护理学生和10名护理教员的建议确保该工具的表面效度。最后，在预测试中，收集了168份填写完整的问卷数据，并通过探索性因素分析进行分析，以减少项目数量并确定该工具的因素结构。
通过后续分析，83个项目中，31个项目被合并或省略。最后，保留的52个项目分为四个子量表，包括以学生为中心的行为、临床表现、规划能力和个性特征。该量表的Cronbach's alpha系数为0.96，每个领域的值在0.87至0.94之间。
伊朗高效临床护士教师评估工具具有可接受的心理测量特性，可用于评估临床护理教师的有效性。
