Ivziku Dhurata, Filomeno Lucia, Forte Daniela, Caruso Rosario, Conte Gianluca, Magon Arianna, Gualandi Raffaella, Di Muzio Marco, Tartaglini Daniela
Department of Health Professions, Fondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy.
Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.
Int J Nurs Sci. 2024 Jun 6;11(3):338-348. doi: 10.1016/j.ijnss.2024.06.001. eCollection 2024 Jul.
This study aimed to translate and test the psychometric properties of the Chase Nurse Manager Competency Instrument (CNMCI) among Italian nurse managers and to provide further support for the scale's validity testing.
An instrument translation and cross-sectional validation study was conducted. The English version was translated into Italian using the translation method, which included pre-translation (establishing equivalence), initial translation, pretesting, review, and administration. From August 2022 to June 2023, 349 nurse managers were recruited through a web survey from 31 public and private healthcare organizations in North, Central, and Southern Italy. Validity assessments included content and structural validity. Reliability was evaluated using Cronbach's α coefficient and test-retest reliability.
The content validity confirmed all the items of the CNMCI in the Italian version, including the two measurement sections, "knowledge and understand" and "ability to implement and/or use." The instrument's item-content validity index (I-CVI) ranged from 0.83 to 1.00, while the scale-level content validity index (S-CVI) for both instrument sections was 0.97. The confirmatory factor analysis showed an acceptable fit. In the "knowledge and understand" section, Cronbach's α coefficient was 0.978, and in the "ability to implement and/or use" section, Cronbach's α coefficient was 0.976. The correlation coefficient between each dimension was 0.494-0.908. The test-retest reliability score was 0.82, suggesting good instrument consistency.
Overall, the Italian CNMCI demonstrates good reliability and validity for measuring nurse managers' core competencies and supports the construct's multi-dimensionality. Also, our findings support the hierarchical nature of the factors, further supporting the validity of the instrument.
本研究旨在翻译并测试意大利护士管理者的蔡斯护士管理者能力量表（CNMCI）的心理测量特性，并为该量表的效度测试提供进一步支持。
进行了一项量表翻译和横断面效度验证研究。采用翻译方法将英文版翻译成意大利语，包括预翻译（建立等效性）、初步翻译、预测试、审核和施测。2022年8月至2023年6月，通过网络调查从意大利北部、中部和南部的31家公立和私立医疗保健机构招募了349名护士管理者。效度评估包括内容效度和结构效度。使用克朗巴赫α系数和重测信度评估信度。
内容效度证实了意大利版CNMCI的所有项目，包括“知识与理解”和“实施和/或使用能力”这两个测量部分。该量表的项目内容效度指数（I-CVI）范围为0.83至1.00，而两个量表部分的量表水平内容效度指数（S-CVI）均为0.97。验证性因素分析显示拟合度可接受。在“知识与理解”部分，克朗巴赫α系数为0.978，在“实施和/或使用能力”部分，克朗巴赫α系数为0.976。各维度之间的相关系数为0.494 - 0.908。重测信度得分为0.82，表明量表具有良好的一致性。
总体而言，意大利版CNMCI在测量护士管理者的核心能力方面显示出良好的信度和效度，并支持该结构的多维性。此外，我们的研究结果支持这些因素的层级性质，进一步支持了该量表的效度。
