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确定护理学生对污名化认知的量表的有效性和可靠性。

Validity and reliability of the scale for determining nursing students' perceptions of stigmatization.

机构信息

Vocational School of Health Services, Bozok University, Yozgat, Turkiye.

Faculty of Health Sciences, Ondokuz Mayıs University, Samsun, Turkiye.

出版信息

Arch Psychiatr Nurs. 2024 Dec;53:130-137. doi: 10.1016/j.apnu.2024.10.016. Epub 2024 Oct 15.

Abstract

INTRODUCTION

Stigmatization can negatively affect the relationship between the patient and health professional.

AIMS

The aim of this study was to develop the Scale for Determining Nursing Students' Perceptions of Stigmatization.

METHODS

The population of the study consisted of 403 nursing students. A literature review and qualitative interviews with 24 students were conducted to generate the initial items. Confirmatory factor analysis and exploratory factor analysis were applied to examine the construct validity of the scale. The reliability of the scale was evaluated with Cronbach's alpha reliability coefficient and item-total score correlation coefficients.

RESULTS

After confirmatory factor analysis, the Scale for Determining Nursing Students' Perceptions of Stigmatization was finalized with 19 items and five sub-dimensions. In the confirmatory factor analysis, the goodness of fit values of the scale was determined as χ/sd: 2.957; GFI: 0.902; AGFI: 0.869; IFI: 0.906; TLI: 0.937; CFI: 0.905; RMSEA: 0.070; SRMR: 0.063. The reliability of the scale over time was evaluated with the test-retest method, and it was found that the agreement between the responses was very good (ICC: 0.980; p < 0.001). The Cronbach's alpha reliability coefficient of the scale was 0.824.

CONCLUSIONS

It was determined that the Scale for Determining Nursing Students' Perceptions of Stigmatization is a short, easy-to-understand, and psychometrically sound measurement tool that can be safely applied to nursing students. Nursing students' perceptions of stigmatization can be determined using this scale. The nursing education curriculum can be restructured in line with the findings obtained.

摘要

简介

污名化会对患者与卫生专业人员之间的关系产生负面影响。

目的

本研究旨在开发用于确定护理学生对污名化感知的量表。

方法

该研究的总体人群由 403 名护理学生组成。进行文献回顾和与 24 名学生的定性访谈,以生成初始项目。采用验证性因子分析和探索性因子分析来检验量表的结构效度。使用 Cronbach's alpha 可靠性系数和项目总分相关系数评估量表的信度。

结果

在验证性因子分析后,确定护理学生对污名化感知的量表最终确定为 19 个项目和五个子维度。在验证性因子分析中,量表的拟合优度值为 χ/sd:2.957;GFI:0.902;AGFI:0.869;IFI:0.906;TLI:0.937;CFI:0.905;RMSEA:0.070;SRMR:0.063。使用测试-重测法评估量表的时间信度,发现反应之间的一致性非常好(ICC:0.980;p<0.001)。量表的 Cronbach's alpha 可靠性系数为 0.824。

结论

确定护理学生对污名化感知的量表是一种简短、易于理解且具有良好心理测量学特性的测量工具,可以安全地应用于护理学生。可以使用该量表来确定护理学生对污名化的感知。可以根据研究结果对护理教育课程进行重构。

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