Tisinli Ayla, Saydamli Seyda, Bat Tonkuş Merve
Faculty of Health Sciences, Nursing Department, Istanbul Yeni Yuzyil University, Istanbul, Türkiye.
J Nurs Manag. 2025 Aug 25;2025:6817853. doi: 10.1155/jonm/6817853. eCollection 2025.
This study aimed to adapt the Transactional Style Inventory for Managers (TSI-M) into Turkish and evaluate its psychometric properties among nurse managers. Effective communication is a core competency for nurse managers, influencing both staff satisfaction and the quality of healthcare delivery. Since communication behaviors are shaped by ego states, reflecting internalized thoughts, feelings, and experiences, a valid and reliable tool is essential to assess these states in managerial contexts. The TSI-M was translated into Turkish using a standardized back-translation procedure and reviewed by a panel of experts. The sample consisted of 230 nurse managers (77% female) working in various healthcare institutions. Validity and reliability were assessed using item analysis, the content validity index (CVI), and confirmatory factor analysis (CFA). CFA supported the construct validity of the scale, yielding acceptable model fit indices ( /df = 3.11; GFI = 0.90; AGFI = 0.90; CFI = 0.94; RMSEA = 0.06; RMR = 0.06). Internal consistency was high for the total scale (Cronbach's = 0.93) and good to be acceptable across subscales: parent ( = 0.895), adult ( = 0.812), and child ( = 0.836). While the parent and child ego state subscales demonstrated strong convergent and discriminant validity, the adult ego subscale showed slightly below-threshold composite reliability (CR = 0.692) and weaker discriminant validity. The Turkish version of the TSI-M is a valid and reliable instrument for assessing ego states in nurse managers and holds practical value for leadership development and communication training in healthcare management.
本研究旨在将《管理者交易风格量表》（TSI-M）改编为土耳其语版本，并评估其在护士长中的心理测量学特性。有效的沟通是护士长的一项核心能力，会影响员工满意度和医疗服务质量。由于沟通行为受自我状态的影响，反映了内化的思想、情感和经历，因此在管理环境中，一个有效且可靠的工具对于评估这些状态至关重要。TSI-M通过标准化的回译程序翻译成土耳其语，并由专家小组进行评审。样本包括在各类医疗机构工作的230名护士长（77%为女性）。使用项目分析、内容效度指数（CVI）和验证性因素分析（CFA）来评估效度和信度。CFA支持该量表的结构效度，得出可接受的模型拟合指数（/df = 3.11；GFI = 0.90；AGFI = 0.90；CFI = 0.94；RMSEA = 0.06；RMR = 0.06）。总量表的内部一致性较高（克朗巴哈系数 = 0.93），各子量表的一致性良好且可接受：父母自我状态（系数 = 0.895）、成人自我状态（系数 = 0.812）和儿童自我状态（系数 = 0.836）。虽然父母自我状态和儿童自我状态子量表显示出较强的聚合效度和区分效度，但成人自我状态子量表的组合信度略低于阈值（CR = 0.692），区分效度较弱。TSI-M的土耳其语版本是评估护士长自我状态的有效且可靠的工具，在医疗管理中的领导力发展和沟通培训方面具有实用价值。
