Konuk Tuğba Gözütok, Kural Şerife Kurşun, Dikmenc Yurdanur
Faculty of Nursing, Selcuk University, Konya, Turkey.
Department of Nursing, Faculty of Health Sciences, Alanya Alaaddin Keykubat University, Antalya, Turkey.
BMC Nurs. 2025 May 8;24(1):502. doi: 10.1186/s12912-025-03132-7.
Academic incivility is one of the most significant issues that disrupt the learning process for nursing students and adversely affects the quality of nursing care. Therefore, it is crucial to assess incivility within the nursing academic environment using valid and reliable measurement tools. The aim of this study is to translate and adapt the Incivility in Nursing Education-Revised (INE-R) Survey into Turkish and assess its validity and reliability for nursing students and faculty.
The cross-cultural adaptation and validation of the INE-R were carried out within the framework of a methodological cross-sectional study. The Turkish validity and reliability of the INE-R survey, which assesses the behaviors of faculty incivility, were examined with 522 nursing students from 11 different universities, including students from the 2nd, 3rd, 4th year. Data were collected from April 20, 2021 to October 30, 2021.
Following the cross-cultural adaptation, the confirmatory factor analysis (CFA) confirmed that the Turkish version of the INE-R, with 24 items and a two-factor structure, showed a good fit. The reliability analysis revealed Cronbach's alpha of 0.952 for the total score, 0.899 for the low-level incivility subscale, and 0.991 for the high-level incivility subscale. Item analysis indicated that all items had item-total correlation values above 0.30, with none removed. Additionally, removing any item did not improve the scale's Cronbach's alpha. The test-retest results showed no statistically significant differences.
The Turkish adaptation of the INE-R demonstrates its validity and reliability as a valuable instrument for assessing the perceptions of Turkish nursing students regarding uncivil faculty behaviors, as well as the frequency of their exposure to such behaviors.
INE-R survey has demonstrated psychometric reliability and validity, making it a valuable tool for assessing incivility within nursing academia.
学术不文明行为是扰乱护理专业学生学习过程并对护理质量产生不利影响的最重要问题之一。因此，使用有效且可靠的测量工具评估护理学术环境中的不文明行为至关重要。本研究的目的是将《护理教育中的不文明行为修订版》（INE-R）调查翻译成土耳其语并进行改编，评估其对护理专业学生和教师的有效性和可靠性。
INE-R的跨文化适应和验证是在方法学横断面研究的框架内进行的。对评估教师不文明行为的INE-R调查的土耳其语有效性和可靠性，在来自11所不同大学的522名护理专业学生中进行了检验，包括二年级、三年级、四年级的学生。数据收集时间为2021年4月20日至2021年10月30日。
经过跨文化适应后，验证性因素分析（CFA）证实，具有24个项目和双因素结构的INE-R土耳其语版本显示出良好的拟合度。可靠性分析显示，总分的克朗巴哈系数为0.952，低水平不文明行为子量表为0.899，高水平不文明行为子量表为0.991。项目分析表明，所有项目的项目与总分相关值均高于0.30，无一被删除。此外，删除任何项目均未提高量表的克朗巴哈系数。重测结果显示无统计学显著差异。
INE-R的土耳其语改编版证明了其作为一种有价值工具的有效性和可靠性，可用于评估土耳其护理专业学生对教师不文明行为的看法以及他们接触此类行为的频率。
INE-R调查已证明具有心理测量学的可靠性和有效性，使其成为评估护理学术界不文明行为的有价值工具。
