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[韩国版护理专业学生临床决策焦虑与自信量表的信效度]

[Reliability and Validity of Korean Version of Nursing Students' Anxiety and Self-Confidence with Clinical Decision Making Scale].

作者信息

Yu Mi, Eun Young, White K A, Kang KyungJa

机构信息

College of Nursing · Institute of Health Sciences, Gyeongsang National University, Jinju, Korea.

School of Nursing & Health Studies, Georgetown University, Washington D.C., USA.

出版信息

J Korean Acad Nurs. 2019 Aug;49(4):411-422. doi: 10.4040/jkan.2019.49.4.411.

Abstract

PURPOSE

The purpose of this study was to adapt, modify, and validate the Nursing Anxiety and Self-Confidence with Clinical Decision-Making Scale (NASC-CDM©) for Korean nursing students.

METHODS

Participants were 183 nursing students with clinical practice experience in two nursing colleges. The construct validity and reliability of the final Korean version of the NASC-CDM© were examined using exploratory and confirmatory factor analyses and testing of internal consistency reliability. For adaptation and modification, the instrument was translated from English to Korean. Expert review and a cross-sectional survey were used to test the instrument's validity.

RESULTS

The Korean version of the NASC-CDM© (KNASC-CDM) was composed of 23 items divided into four dimensions: (i) Listening fully and using resources to gather information; (ii) Using information to see the big picture; (iii) Knowing and acting; and (iv) Seeking information from clinical instructors. The instrument explained 60.1% of the total variance for self-confidence and 63.1% of the variance for anxiety; Cronbach's α was .93 for self-confidence and .95 for anxiety.

CONCLUSION

The KNASC-CDM can be used to identify anxiety and self-confidence in nursing students' clinical decision-making in Korea. However, further research should be done to test this instrument, as it is classified differently from the original NASC-CDM© version.

摘要

目的

本研究旨在对韩国护理专业学生改编、修改并验证临床决策中的护理焦虑与自信量表(NASC-CDM©)。

方法

研究对象为两所护理学院183名有临床实践经验的护理专业学生。通过探索性和验证性因素分析以及内部一致性信度检验,对最终韩文版的NASC-CDM©的结构效度和信度进行了检验。为了改编和修改,该工具从英文翻译成韩文。采用专家评审和横断面调查来检验该工具的效度。

结果

韩文版的NASC-CDM©(KNASC-CDM)由23个项目组成,分为四个维度:(i)充分倾听并利用资源收集信息;(ii)利用信息把握全局;(iii)知晓并行动;(iv)向临床教师寻求信息。该工具解释了自信总方差的60.1%和焦虑方差的63.1%;自信的Cronbach's α系数为0.93,焦虑的为0.95。

结论

KNASC-CDM可用于识别韩国护理专业学生临床决策中的焦虑和自信。然而,由于该工具与原始的NASC-CDM©版本分类不同,应进一步开展研究以检验该工具。

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