Repository of Research and Investigative Information

Repository of Research and Investigative Information

Baqiyatallah University of Medical Sciences

The assessment of safe nursing care: development and psychometric evaluation

(2017) The assessment of safe nursing care: development and psychometric evaluation. Journal of Nursing Management. pp. 22-36. ISSN 0966-0429

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AimTo develop an instrument for the assessment of safe nursing care (ASNC) within the Iranian context and psychometrically evaluate its reliability and validity. BackgroundThere is a need for a valid and reliable instrument to assess how nurses employ the components of safe nursing care in clinical practice in non-Western countries. MethodThis methodological study was conducted in two phases: (1) a qualitative phase of instrument development, and (2) a quantitative phase of psychometric evaluation of the assessment of safe nursing care (ASNC). The instrument's content validity was assessed by experts in the field of safe nursing care. The reliability of this instrument was examined using internal consistency reliability and intra-rater reliability analysis. Exploratory factor analysis was then conducted to establish the instrument's initial construct validity. ResultsThe instrument developed was a questionnaire with 32 items. The Cronbach's alpha of the scale was 0.92, and Intra-class Correlation Coefficient for intra-rater reliability was 0.78. Exploratory factor analysis resulted in a four-factor solution: (1) evaluation of nursing skills, (2) assessing the patient's psychological needs, (3) assessing the patient's physical need, and (4) Assessing nurses' teamwork. The four factors accounted for 63.54 of the observed variance. ConclusionThe ASNC can be applied to a wide variety of settings because of the broad range of methods utilised to generate items and domains, its comprehensive consideration of the principles of safe care, and its initial reliability and validity. Implications for nursing managementThe ASNC can help nurse managers assess whether clinical nurses are prepared to apply their safe care skills in clinical practice. It can also be used by clinical nurses to assess their own and peers' practice to detect potential areas for improvement in nursing care and help nurse managers with planning appropriate quality improvement programmes.

Item Type: Article
Keywords: assessment instrument nurse manager patient safety psychometric evaluation safe care quality-of-care patient safety content validity questionnaire climate culture work satisfaction perceptions validation Business & Economics Nursing
Page Range: pp. 22-36
Journal or Publication Title: Journal of Nursing Management
Journal Index: ISI
Volume: 25
Number: 1
Identification Number:
ISSN: 0966-0429
Depositing User: مهندس مهدی شریفی

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