Walsh Pauline, Owen Patricia, Mustafa Nageen
Pro Vice Chancellor and Executive Dean, Faculty of Medicine and Health Sciences, Keele University, UK.
Head of School of Nursing and Midwifery, Keele University, UK.
J Res Nurs. 2021 Sep;26(6):483-496. doi: 10.1177/1744987120979272. Epub 2021 Feb 18.
Self-confidence and self-efficacy are vital psychological constructs that can affect a student's performance.
To measure the level of confidence in nursing students in managing challenging situations in clinical practice settings.
In order to develop the scale three focus groups were conducted: with registered nurses, third year student nurses and service users. Focus group frameworks included: challenging behaviours, managing challenging situations and preparing students to manage challenging situations. Themes in relation to challenging situations that emerged from the focus groups, in conjunction with Nursing and Midwifery Council standards and expert discussions were used to create the confidence scale. The Confidence in Managing Challenging Situations Scale consists of two parts with 21 items in total. Both parts were measured by way of a five-point Likert scale. The scale was utilised to determine the level of confidence of students both pre and post a teaching intervention.
The confidence in managing challenging situations scale had good internal consistency, with a Cronbach's alpha coefficient reported of 0.86. Exploratory factor analysis was used to support the scale validation process.
The Confidence in Managing Challenging Situations Scale is a successful measure of confidence for nursing students in healthcare settings. It can be applied in alternative healthcare settings for the identification of confidence levels in those student nurses learning in care settings.
自信和自我效能感是重要的心理结构，会影响学生的表现。
测量护理专业学生在临床实践环境中应对具有挑战性情况的自信水平。
为了开发该量表，进行了三个焦点小组访谈，参与者分别为注册护士、三年级护理专业学生和服务使用者。焦点小组访谈框架包括：具有挑战性的行为、应对具有挑战性的情况以及让学生为应对具有挑战性的情况做好准备。焦点小组访谈中出现的与具有挑战性情况相关的主题，结合护理和助产士理事会的标准以及专家讨论，用于创建自信量表。应对具有挑战性情况的自信量表由两部分组成，共21个项目。两部分均通过五点李克特量表进行测量。该量表用于确定教学干预前后学生的自信水平。
应对具有挑战性情况的自信量表具有良好的内部一致性，克朗巴哈系数为0.86。探索性因素分析用于支持量表的验证过程。
应对具有挑战性情况的自信量表是衡量护理专业学生在医疗保健环境中自信程度的一种成功方法。它可应用于其他医疗保健环境，以确定在护理环境中学习的学生护士的自信水平。
