Bakhtiari-Dovvombaygi Hossein, Pourhasan Kosar, Rahmaty Zahra, Zare-Kaseb Akbar, Abbaszadeh Abbas, Rashtbarzadeh Amirreza, Borhani Fariba
Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Medical Ethics and Law Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
BMC Nurs. 2024 Jul 8;23(1):463. doi: 10.1186/s12912-024-02129-y.
Assessing critical thinking disposition is crucial in nursing education to foster analytical skills essential for effective healthcare practice. This study aimed to evaluate the cross-cultural adaptation and validation of the Persian version of the Critical Thinking Disposition Scale among Iranian nursing students.
A total of 390 nursing students (mean age = 21.74 (2.1) years; 64% female) participated in the study. Face and content validity were established through feedback from nursing students and expert specialists, respectively. Construct validity was assessed using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). The EFA was used to explore the number of factors and the items that were loading on them. The CFA was used to confirmed the fidnings of the EFA on the same sample. Convergent and discriminant validity were examined, along with reliability through internal consistency and test-retest reliability.
EFA revealed a two-factor structure, comprising "Critical Openness" and "Reflective Skepticism," explaining 55% of the total variance. CFA confirmed the model's fit (χ² = 117.37, df = 43, χ²/df = 2.73, p < 0.001; RMSEA = 0.067; CFI = 0.95; TLI = 0.93, SRMR = 0.041). Convergent and discriminant validity were supported, with significant factor loadings (p < 0.001) ranging from 0.61 to 0.77. The CTDS exhibited strong internal consistency (α = 0.87) and excellent test-retest reliability (ICC = 0.96).
The validation of the CTDS in Persian language settings provides a reliable tool for assessing critical thinking disposition among Iranian nursing students. The two-factor structure aligns with previous research, reflecting students' propensity towards critical openness and reflective skepticism. The study's findings underscore the importance of nurturing critical thinking skills in nursing education.
在护理教育中,评估批判性思维倾向对于培养有效医疗实践所需的分析技能至关重要。本研究旨在评估伊朗护理专业学生中批判性思维倾向量表波斯语版本的跨文化适应性和有效性。
共有390名护理专业学生(平均年龄=21.74(2.1)岁;64%为女性)参与了该研究。分别通过护理专业学生和专家的反馈建立了表面效度和内容效度。使用探索性因子分析(EFA)和验证性因子分析(CFA)评估结构效度。EFA用于探索因子数量以及在这些因子上的载荷项目。CFA用于在同一样本上确认EFA的结果。检验了收敛效度和区分效度,以及通过内部一致性和重测信度检验的信度。
EFA揭示了一个两因素结构,包括“批判性开放性”和“反思性怀疑主义”,解释了总方差的55%。CFA确认了模型的拟合度(χ² = 117.37,df = 43,χ²/df = 2.73,p < 0.001;RMSEA = 0.067;CFI = 0.95;TLI = 0.93,SRMR = 0.041)。支持收敛效度和区分效度,显著因子载荷(p < 0.001)范围为0.61至0.77。CTDS表现出很强的内部一致性(α = 0.87)和出色的重测信度(ICC = 0.96)。
CTDS在波斯语环境中的验证为评估伊朗护理专业学生的批判性思维倾向提供了一个可靠的工具。两因素结构与先前的研究一致,反映了学生对批判性开放性和反思性怀疑主义的倾向。该研究结果强调了在护理教育中培养批判性思维技能的重要性。