Demir Kösem Dilek, Demir Şenay, Bektaş Murat, Bektaş İlknur
Department of Nursing, Faculty of Health Sciences, Hakkari University, Hakkari, Turkey.
Department of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Selcuk University, Konya, Turkey.
J Eval Clin Pract. 2025 Feb;31(1):e14204. doi: 10.1111/jep.14204. Epub 2024 Oct 23.
Progress in the nursing profession and clinical decision-making are largely sustained by the coherence between theory and practice. The quality of healthcare provided by nurses and patient outcomes are adversely impacted by the gap between knowledge and practice. Measurement tools used to assess nurses' perceptions of this gap are inadequate in Türkiye. This research aimed to adapt the nurses' perception of the gap between knowledge and practice scale into Turkish and to evaluate its reliability and validity.
The study, in which a methodological design was employed, was conducted with 406 nurses between March and June 2022. A descriptive information form and the nurses' perception of the gap between knowledge and practice scale (NPGKPS) were employed to gather data. The validity study included content and construct validity analyses, and the reliability study included item analysis, split-half test, and Cronbach alpha coefficients.
The scale had 35 items and four dimensions, which explained 54.65% of the total variance. The goodness of fit values, which were found following a confirmatory factor analysis, were estimated as follows: CMIN = 1808.984, DF = 512, CMIN/DF = 3.533, IFI = 0.89, TLI = 0.87, RFI = 0.83, CFI = 0.89, RMSEA = 0.079, and NFI = 0.86. Cronbach's alpha coefficient of the total scale was estimated as 0.95 and it was in the range of 0.84 to 0.93 for four factors.
In conclusion, the nurses' perception of the gap between knowledge and practice scale was a reliable and valid measure which could be applied to Turkish society.
护理专业的进步和临床决策很大程度上依赖于理论与实践之间的连贯性。知识与实践之间的差距对护士提供的医疗保健质量和患者预后产生了不利影响。在土耳其，用于评估护士对这一差距认知的测量工具并不完善。本研究旨在将护士知识与实践差距感知量表改编为土耳其语版本，并评估其信效度。
本研究采用方法学设计，于2022年3月至6月对406名护士进行了调查。采用描述性信息表和护士知识与实践差距感知量表（NPGKPS）收集数据。效度研究包括内容效度和结构效度分析，信度研究包括项目分析、分半检验和克朗巴赫α系数分析。
该量表有35个条目和四个维度，解释了总方差的54.65%。验证性因子分析后的拟合优度值估计如下：CMIN = 1808.984，DF = 512，CMIN/DF = 3.533，IFI = 0.89，TLI = 0.87，RFI = 0.83，CFI = 0.89，RMSEA = 0.079，NFI = 0.86。总量表的克朗巴赫α系数估计为0.95，四个因子的克朗巴赫α系数在0.84至0.93之间。
总之，护士知识与实践差距感知量表是一种可靠且有效的测量工具，可应用于土耳其社会。
