Weng Huiting, Ding Ziwei, Yang Li, Zhang Bo, Luo Yuanyuan, Wang Qin
Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital of Central South University, 139 Middle Renmin Road, Changsha, 410011, China.
Clinical Nursing Teaching and Research Section, Xiangya Nursing School of Central South University, The Second Xiangya Hospital of Central South University, 172 Tongzroad, Changsha, 410013, China.
BMC Nurs. 2025 Jan 30;24(1):112. doi: 10.1186/s12912-025-02768-9.
The Transition Shock Scale for Undergraduate Nursing Students assesses transition to undergraduate nursing students. The TSS is a tool used in various countries and has been translated into Chinese; however, associate degree nurses dominate China's nursing workforce, it needs to be validated in associate degree nursing interns. This study aimed to analyze the TSS (Chinese version) validity and reliability in Chinese associate degree nursing interns.
This methodological validity study investigated internal consistency and reliability. The critical ratio (CR) method and correlation analysis are used for item screening of the scale. Eight experts in nursing management and nursing education were invited to assess the scale's content validity. Construct validity was assessed using Pearson's correlation between domains, exploratory factor analysis, and Confirmatory Factor Analysis. This methodological validity study investigated internal consistency and reliability using Cronbach's alpha and intraclass correlation coefficients (ICC). The level of significance was set at 5%.
This study included 800 associate degree nursing interns from 8 Hunan Province, China hospitals. Validity analysis showed positive and significant correlations between all TSS (Chinese version) domains, ranging from 0.344 to 0.772. The internal consistency and reliability of the total TSS (Chinese version) score were high (Cronbach's alpha = 0.925; intraclass correlation coefficient = 0.908). The content validity assessment showed that the I-CVI ranged from 0.875 to 1.000, and the S-CVI was 0.951. Exploratory factor analysis was performed by orthogonal rotation of the data using principal component analysis and maximum variance, and three common factors with eigenroots greater than 1.0 were extracted, with a cumulative variance contribution of 61.095%. Furthermore, confirmatory factor analysis demonstrated the following values of goodness of fit: RMSEA = 0.062, CFI = 0.953, TLI = 0.939, SRMR = 0.0389, χ2/df = 4.064. Thus, the TSS (Chinese version) discriminant and concurrent validities were confirmed.
TSS (Chinese version) contains 6 dimensions and 18 items, which has good reliability and validity among associate degree nursing interns, and can be used as an evaluation tool for transition shock in associate degree nursing interns.
本科护生过渡冲击量表用于评估本科护生的过渡情况。该量表在多个国家使用并已翻译成中文；然而，中国护理队伍中以大专学历护士为主，需要在大专护理实习生中进行效度验证。本研究旨在分析中文版本科护生过渡冲击量表（TSS）在大专护理实习生中的效度和信度。
本方法学效度研究调查了量表的内部一致性和信度。采用临界比率（CR）法和相关分析进行量表项目筛选。邀请8名护理管理和护理教育专家评估量表的内容效度。采用各领域间的Pearson相关性、探索性因子分析和验证性因子分析评估结构效度。本方法学效度研究使用Cronbach's α系数和组内相关系数（ICC）调查内部一致性和信度。显著性水平设定为5%。
本研究纳入了来自中国湖南省8所医院的800名大专护理实习生。效度分析显示，中文版TSS各领域之间存在显著正相关，范围从0.344至0.772。中文版TSS总分的内部一致性和信度较高（Cronbach's α = 0.925；组内相关系数 = 0.908）。内容效度评估显示，I-CVI范围为0.875至1.000，S-CVI为0.951。采用主成分分析和最大方差法对数据进行正交旋转进行探索性因子分析，提取出3个特征值大于1.0的共同因子，累积方差贡献率为61.095%。此外，验证性因子分析显示拟合优度的以下值：RMSEA = 0.062，CFI = 0.953，TLI = 0.939，SRMR = 0.0389，χ2/df = 4.064。因此，中文版TSS的区分效度和同时效度得到证实。
中文版TSS包含6个维度和18个条目，在大专护理实习生中具有良好的信度和效度，可作为大专护理实习生过渡冲击的评估工具。
