Yu Mi, Eun Young, White K A, Kang KyungJa
College of Nursing · Institute of Health Sciences, Gyeongsang National University, Jinju, Korea.
School of Nursing & Health Studies, Georgetown University, Washington D.C., USA.
J Korean Acad Nurs. 2019 Aug;49(4):411-422. doi: 10.4040/jkan.2019.49.4.411.
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.
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.
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.
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.
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©）。
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。
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。
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。
