Dağci-Günal Büşra, Ayaz-Alkaya Sultan, Köse-Kabakcioğlu Neslihan, Kan Adnan
Bandırma Onyedi Eylül University Faculty of Health Sciences, Balıkesir, Türkiye.
Gazi University Faculty of Nursing, Ankara, Türkiye.
Int Nurs Rev. 2025 Sep;72(3):e70086. doi: 10.1111/inr.70086.
To develop an original scale to measure nurses' attitudes toward incarcerated patients and assess its psychometric properties.
This study employed a psychometric testing approach involving test-retest design. The sample size was determined based on the rule of selecting a sample 5 to 10 times the number of scale items. The study included 672 nurses. Data were collected using the Descriptive Information Form and the Nurses' Attitudes Toward Incarcerated Patients Scale. Content validity was determined using the Lawshe technique. Construct validity was examined through exploratory (n1 = 336) and confirmatory factor analysis (n2 = 336). Internal consistency was assessed using Cronbach's alpha coefficient. Temporal stability was evaluated through the test-retest method conducted four weeks later (n = 32).
The scale consists of 12 items and was categorized into three factors-discriminatory attitudes, emotional discomfort, and patient equality-accounting for 67.6% of the variance. Items with factor loadings between 0.69 and 0.85 supported the scale's validity. The fit indices from confirmatory factor analysis indicated an acceptable model fit. Internal consistency was confirmed with a Cronbach's alpha of 0.84. Test-retest reliability analysis showed moderate, significant correlations among subdimensions.
The scale is valid and reliable in assessing nurses' attitudes toward incarcerated patients. Future research should test its applicability across diverse cultural and geographical contexts to enhance generalizability.
This study underscores the need for policies addressing nurses' attitudes toward incarcerated patients. The developed scale may support the identification of biases and emotional discomfort, guiding targeted education and institutional interventions to promote equitable, ethical, and nonjudgmental healthcare practices.
开发一种原创量表，以测量护士对被监禁患者的态度，并评估其心理测量特性。
本研究采用心理测量测试方法，包括重测设计。样本量根据选择量表项目数量5至10倍的样本的规则确定。该研究纳入了672名护士。使用描述性信息表和护士对被监禁患者态度量表收集数据。使用劳希技术确定内容效度。通过探索性分析（n1 = 336）和验证性因素分析（n2 = 336）检验结构效度。使用克朗巴赫α系数评估内部一致性。通过四周后进行的重测法评估时间稳定性（n = 32）。
该量表由12个项目组成，分为三个因素——歧视态度、情感不适和患者平等，解释了67.6%的方差。因子载荷在0.69至0.85之间的项目支持了量表的有效性。验证性因素分析的拟合指数表明模型拟合可接受。克朗巴赫α系数为0.84，证实了内部一致性。重测信度分析显示各子维度之间存在中度、显著的相关性。
该量表在评估护士对被监禁患者的态度方面有效且可靠。未来的研究应测试其在不同文化和地理背景下的适用性，以提高普遍性。
本研究强调了制定解决护士对被监禁患者态度问题的政策的必要性。所开发的量表可能有助于识别偏见和情感不适，指导有针对性的教育和机构干预，以促进公平、符合伦理和无偏见的医疗实践。
