Usman Suharno, Taylor Elizabeth Johnston
Department of Nursing, Faculty of Medicine, University of Sam Ratulangi, Kampus Street, Bahu, Malalayang District, Manado, North-Sulawesi, 95115, Indonesia.
School of Nursing, Loma Linda University, West Hall, Room 1310, 11262 Campus Street, Loma Linda, CA, 92350, USA.
J Relig Health. 2025 Apr 9. doi: 10.1007/s10943-025-02296-5.
Across the globe, spiritual care provided by nurses is recognised as an integral component of patient care. The decision to administer this scale test was driven by the observation that the instruments employed by nurses, which are designed to be more straightforward, accessible and culturally aligned with Indonesian contexts, were not adequately addressing spiritual needs. The present study sought to assess the reliability and validity of the Indonesian version of the Nurse Spiritual Care Therapeutics Scale (NSCTS-I). The study comprised 147 participants in a pilot test and 343 participants divided into two sub-samples. Sub-sample one was used for exploratory factor analysis (EFA; 189), and sub-sample two for confirmatory factor analysis (CFA; 154) of nurses working in four public hospitals who served in inpatient wards such as internal medicine wards, surgical wards, mother and child care wards, dedicated units for treating patients with COVD-19, or other treatment rooms. Construct validity was established using content validity indexing, EFA, goodness-of-fit model of a CFA which exhibited the highest comparative fit index (CFI .957), the lowest of root-mean-square-error of approximation (RMSEA .039), and standardised root-mean-square residual (SRMR .022). The analysis results indicate that the model is a well-fitted model with acceptable error margins. Correlational analysis with internal reliability of the NSCTS-I was further substantiated by a Cronbach's alpha of 0.963, thereby affirming its excellent reliability. The content validity indexing process indicated a scale CVI (S-CVI/Ave and I-CVI) of .97, an S-CVI/UA of .87, and an ICC of .927. The NSCTS-I has been developed as a tool to assess and evaluate the frequency with which Indonesian nurses provide spiritual care, with the objective of ensuring that patients' spiritual needs are met in the future.
在全球范围内，护士提供的精神护理被视为患者护理的一个重要组成部分。进行这项量表测试的决定是基于以下观察结果：护士使用的工具虽然设计得更直接、更易于使用且在文化上与印度尼西亚的情况相契合，但并未充分满足患者的精神需求。本研究旨在评估印度尼西亚版护士精神护理治疗量表（NSCTS - I）的信度和效度。该研究包括147名参与预测试的参与者以及分为两个子样本的343名参与者。子样本一用于探索性因子分析（EFA；189人），子样本二用于对在四家公立医院内科病房、外科病房、母婴护理病房、COVID - 19患者专用治疗单元或其他治疗室工作的护士进行验证性因子分析（CFA；154人）。通过内容效度指数、探索性因子分析、验证性因子分析的拟合优度模型建立了结构效度，该模型具有最高的比较拟合指数（CFI = 0.957）、最低的近似均方根误差（RMSEA = 0.039）和标准化均方根残差（SRMR = 0.022）。分析结果表明该模型是一个具有可接受误差范围的良好拟合模型。NSCTS - I内部信度的相关分析通过Cronbach's alpha系数0.963进一步得到证实，从而确认了其出色的信度。内容效度指数过程显示量表的CVI（S - CVI/Ave和I - CVI）为0.97，S - CVI/UA为0.87，ICC为0.927。NSCTS - I已被开发为一种工具，用于评估和评价印度尼西亚护士提供精神护理的频率，目的是确保未来患者的精神需求得到满足。
