Cruz Jonas Preposi, Almazan Joseph, Colet Paolo, Nadirbekova Gulnur, Khazhymurat Akmaral, Kuntuganova Anargul, Balay-Odao Ejercito Mangawa
Department of Medicine, School of Medicine, Nazarbayev University, Astana, Kazakhstan.
University Medical Center Corporate Fund, Astana, Kazakhstan.
J Nurs Meas. 2024 Oct 16. doi: 10.1891/JNM-2024-0063.
The "Hospital's Culture of Nursing Research Scale" (HCNRS) is a critical assessment tool in health care research. It was created in response to the rising acknowledgment of nursing research's critical role in improving patient care outcomes. This study aimed to develop the HCNRS to assess the nurses' perceptions of the hospital's culture of nursing research. This study utilized the instrument development design in developing the HCNRS. The study was conducted in Astana, Kazakhstan, from May to September 2023. The study followed three major stages of scale development: "item development," "scale development," and "scale evaluation." "Principal component analysis" (PCA; = 387) and "confirmatory factor analysis" (CFA; = 362) were performed in this study. Cronbach's coefficient α was computed for reliability. The PCA on the 32-item HCNRS revealed five factors with an eigenvalue of above 1, contributing 66.0% of the model's total variance. The CFA revealed the following findings supporting the five subscales of the HCNRS-R: χ = 2.65, root mean square error of approximation = .068 (90% CI [0.063, 0.072]), comparative fit index = 0.92, Tucker-Lewis index = 0.91, and standardized root mean square residual = .04. Based on the items that loaded in each factor, the subscales were labeled "Research Ethics, Integrity, and Supportive Culture," "Nursing Research Institutionalization," "Hospital's Financial Support and Incentives for Research Initiatives," "Nursing Research Engagement and Innovation," and "Nursing Research Integration and Career Support." The computed Cronbach's coefficient α of the entire scale was .963. For its subscales, the Cronbach's coefficient α ranged from .833 to .953. The study developed a five-factor HCNRS to evaluate the multifaceted aspects of nursing research culture in hospital settings. Health care institutions can utilize this scale to identify areas for improvement in research culture and implement strategies to foster research ethics, integrity, and innovation. This tool can also be used by hospital leaders, policymakers, and nurse researchers seeking to evaluate the research culture within their health care organizations.
“医院护理研究文化量表”（HCNRS）是医疗保健研究中的一项关键评估工具。它是为应对人们日益认识到护理研究在改善患者护理结果方面的关键作用而创建的。本研究旨在开发HCNRS，以评估护士对医院护理研究文化的认知。本研究在开发HCNRS时采用了工具开发设计。该研究于2023年5月至9月在哈萨克斯坦阿斯塔纳进行。该研究遵循量表开发的三个主要阶段：“项目开发”、“量表开发”和“量表评估”。本研究进行了“主成分分析”（PCA；n = 387）和“验证性因素分析”（CFA；n = 362）。计算了Cronbach's系数α以评估信度。对32个项目的HCNRS进行的主成分分析揭示了五个特征值大于1的因素，占模型总方差的66.0%。验证性因素分析得出以下结果，支持HCNRS - R的五个子量表：χ² = 2.65，近似均方根误差 = .068（90%置信区间[0.063, 0.072]），比较拟合指数 = 0.92，塔克 - 刘易斯指数 = 0.91，标准化均方根残差 = .04。根据每个因素中加载的项目，子量表被标记为“研究伦理、诚信和支持性文化”、“护理研究制度化”、“医院对研究倡议的资金支持和激励措施”、“护理研究参与和创新”以及“护理研究整合和职业支持”。整个量表计算出的Cronbach's系数α为.963。其子量表的Cronbach's系数α范围为.833至.953。该研究开发了一个五因素HCNRS，以评估医院环境中护理研究文化的多方面情况。医疗保健机构可以利用该量表确定研究文化中需要改进的领域，并实施促进研究伦理、诚信和创新的策略。该工具也可供医院领导、政策制定者和护士研究人员用于评估其医疗保健组织内的研究文化。
