Yılmaz Sümeyra, Hepokur Yıldırım Şeyma Nur, Kitiş Yeter, Kan Adnan
Gazi University, Faculty of Nursing, Department of Public Health Nursing, Ankara, Turkey.
Gazi University, Faculty of Education, Department of Guidance and Psychological Counseling Ankara, Ankara, Turkey.
J Clin Nurs. 2025 Jun;34(6):2138-2148. doi: 10.1111/jocn.17369. Epub 2024 Jul 15.
To develop the nurses' attitudes towards use of a telehealth scale (NATUTS) and evaluate its psychometric properties.
This methodological study involved two stages: the development of the NATUTS and the testing of the psychometric properties of NATUTS. We followed STROBE guidelines when reporting the study (File S1).
Items for NATUTS were created using evidence from the literature and presented to eight experts. The scale was tested in a methodological study conducted through a face-to-face survey with nurses working in outpatient and inpatient units of a tertiary hospital in Türkiye. Psychometric properties of the scale, such as structural validity, content validity and internal consistency reliability, were tested. The sample, consisting of 630 nurses, was divided into two separate random groups. Exploratory factor analysis was conducted with the data of the first 330 people, and confirmatory factor analysis was conducted with the data of the remaining 300 people.
A 19-item, three-factor structure (Satisfaction, Rejection, Development) was obtained in the newly developed scale. In NATUTS, Factor 1 (α = .93), Factor 2 (α = .86) and Factor 3 (α = .87) measured 64.4% of the total variance. The entire 19-item acceptability survey showed good internal consistency. NATUTS is a brief survey based on research evidence validated in a large Turkish sample.
Findings show that NATUTS has acceptable content and structural validity and is reliable in measuring nurses' attitudes towards the use of telehealth. Further research can be conducted to develop the scale and strengthen its validity.
No Patient or Public Contribution.
编制护士对远程医疗量表的态度（NATUTS）并评估其心理测量学特性。
本方法学研究包括两个阶段：NATUTS的编制以及NATUTS心理测量学特性的测试。我们在报告本研究时遵循了STROBE指南（文件S1）。
利用文献证据创建NATUTS的条目，并提交给八位专家。该量表在一项方法学研究中进行测试，该研究通过对土耳其一家三级医院门诊和住院部工作的护士进行面对面调查来开展。对该量表的心理测量学特性进行了测试，如结构效度、内容效度和内部一致性信度。由630名护士组成的样本被分为两个独立的随机组。对前330人的数据进行探索性因素分析，对其余300人的数据进行验证性因素分析。
新编制的量表获得了一个包含19个条目的三因素结构（满意度、拒绝度、发展度）。在NATUTS中，因素1（α = 0.93）、因素2（α = 0.86）和因素3（α = 0.87）解释了总方差的64.4%。整个19条目可接受性调查显示出良好的内部一致性。NATUTS是一项基于在大量土耳其样本中验证的研究证据的简短调查。
研究结果表明，NATUTS具有可接受的内容和结构效度，在测量护士对使用远程医疗的态度方面是可靠的。可以开展进一步研究来完善该量表并加强其效度。
无患者或公众参与。
