Uysal Dilek, Demirsoy Nilüfer, Türe Aysun, Bıyık Müzelfe, Trindade Letícia de Lima, Ribeiro Olga Maria Pimenta Lopes, Ventura-Silva João Miguel Almeida
Eskisehir Health Services Vocational School, Eskisehir Osmangazi University, 26040 Eskisehir, Turkey.
Department of History of Medicine and Medical Ethics, Faculty of Medicine, Eskisehir Osmangazi University, 26040 Eskisehir, Turkey.
Nurs Rep. 2025 Jun 17;15(6):220. doi: 10.3390/nursrep15060220.
: Organizing nurses' work is crucial for ensuring patient care quality and efficiency. Nurses' work methods directly influence patient safety and healthcare outcomes, making them vital for effective health services. Assessing these methods helps identify effective practices, enhance work organization, and improve both professional satisfaction and patient safety. This study aims to translate, adapt, and validate the Nurse Work Method Assessment Scale (NWMAS) for Turkish. : Methodological study with a non-probabilistic sample of 209 hospital nurses, conducted between June and July 2024. The linguistic adaptation involved translation and back-translation with the participation of bilingual experts. Statistical analyses included exploratory and confirmatory factor analyses, item-total correlation tests, test-retest reliability, and internal consistency assessment using Cronbach's alpha. : One item was removed due to cultural incompatibility, resulting in a 24-item Turkish version of the NWMAS. During the adaptation process, expert evaluations led to the removal of one item from the original scale, as it referenced nursing practices that are either not widely implemented or considered culturally incompatible with the structure of the Turkish healthcare system. Content Validity Index values ranged from 0.85 to 0.95. Exploratory factor analysis confirmed a five-factor structure explaining 55.65% of total variance. Confirmatory factor analysis supported this structure with acceptable fit indices (χ/df = 1.89; RMSEA = 0.06; GFI = 0.86). Cronbach's alpha for the overall scale was 0.87, with subscale alphas ranging from 0.52 to 0.82. Test-retest reliability coefficients ranged from 0.95 to 0.98, indicating high stability over time. : The Turkish version of the NWMAS demonstrated adequate validity and reliability and can be used to evaluate nurses' work methods in Turkish hospital settings. The study highlights the importance of cultural adaptation in scale development to ensure conceptual relevance in local healthcare systems.
组织护士的工作对于确保患者护理质量和效率至关重要。护士的工作方法直接影响患者安全和医疗保健结果,使其对有效的医疗服务至关重要。评估这些方法有助于识别有效的实践,加强工作组织,并提高职业满意度和患者安全。本研究旨在对土耳其语版的护士工作方法评估量表(NWMAS)进行翻译、改编和验证。:2024年6月至7月对209名医院护士进行的非概率抽样方法学研究。语言改编包括在双语专家的参与下进行翻译和回译。统计分析包括探索性和验证性因素分析、项目-总分相关测试、重测信度以及使用克朗巴赫α系数进行内部一致性评估。:由于文化不兼容性,删除了一个项目,从而产生了一个24项的土耳其语版NWMAS。在改编过程中,专家评估导致从原始量表中删除了一个项目,因为它所提及的护理实践要么没有广泛实施,要么在文化上与土耳其医疗保健系统的结构不兼容。内容效度指数值在0.85至0.95之间。探索性因素分析确认了一个五因素结构,解释了总方差的55.65%。验证性因素分析以可接受的拟合指数(χ/df = 1.89;RMSEA = 0.06;GFI = 0.86)支持了该结构。整个量表的克朗巴赫α系数为0.87,子量表的α系数在0.52至0.82之间。重测信度系数在0.95至0.98之间,表明随时间具有高度稳定性。:土耳其语版的NWMAS表现出足够的效度和信度,可用于评估土耳其医院环境中护士的工作方法。该研究强调了在量表开发中进行文化改编以确保在当地医疗保健系统中概念相关性的重要性。