Ghiyasvandian Shahrzad, Shahsavari Hooman, Ghorbani Azam, Zakerimoghadam Masoumeh, Matourypour Pegah, Ghane Golnar
Medical Surgical Nursing Department, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
J Educ Health Promot. 2020 Dec 29;9:339. doi: 10.4103/jehp.jehp_404_20. eCollection 2020.
Understanding adaptation is strongly influenced by the culture and beliefs of every society. By increasing knowledge about the different dimensions which require the adaptation in different aspects requiring the nurse adaptation in oncology, a clear definition of the problem can be stated. Because of the lack of a standard and appropriate tool for the culture of the Iranian society, this aimed at developing and validating the nurse adaptation tool in the oncology departments.
This research is a methodological study and an exploratory mixed method being conducted in three main steps of conceptualization, production of items, and field test. Inductive conceptualization was performed through qualitative methodology and conventional content analysis approach; in the second step, developed instrument was evaluated in terms of face validity, content validity, and construct validity. In the third step, sampling of oncology nurses was done and exploratory factor analysis was performed for evaluating the construct validity, adequacy of sampling, and dimensioning. Cronbach's alpha was calculated for checking the reliability of the instrument.
The oncology nurse adaptation questionnaire was formed with twenty items in four main dimensions, including "emotional factors," "supportive factors," "work-related factors in the ward," and "factors related to job conditions." The reliability of the tool was confirmed by evaluating the internal consistency with Cronbach's alpha, which was above 0.7 for each dimension and 0.82 for the whole instrument.
This instrument can be used as a practical tool for determining the adaptation of oncology nurses for providing evidence to improve the work conditions of nurses by improving the working conditions in the workplace and providing facilities with individual intervention, and the outcome will be care of patients with high quality.
对适应的理解在很大程度上受到每个社会的文化和信仰的影响。通过增加对肿瘤护理中护士适应所需不同方面的不同维度的了解，可以明确阐述问题的定义。由于缺乏适用于伊朗社会文化的标准且合适的工具，本研究旨在开发并验证肿瘤科室护士适应工具。
本研究是一项方法学研究，采用探索性混合方法，分概念化、条目生成和现场测试三个主要步骤进行。归纳概念化通过定性方法和传统内容分析方法进行；第二步，从表面效度、内容效度和结构效度方面对所开发的工具进行评估。第三步，对肿瘤护士进行抽样，并进行探索性因素分析以评估结构效度、抽样充分性和维度划分。计算克朗巴哈系数以检验工具的信度。
肿瘤护士适应问卷由四个主要维度的20个条目组成，包括“情感因素”、“支持因素”、“病房工作相关因素”和“与工作条件相关的因素”。通过克朗巴哈系数评估内部一致性，证实了该工具的信度，每个维度的信度均高于0.7，整个工具的信度为0.82。
该工具可作为一种实用工具，用于确定肿瘤护士的适应情况，通过改善工作场所的工作条件并提供个性化干预措施来为改善护士工作条件提供依据，其结果将是高质量的患者护理。
