RESEARCH ARTICLE
Translation and Validation of the Persian Version of the Nurses Clinical Reasoning Scale (NCRS): A Psychometric Analysis
Amir Saberi Kojabadi1, Elnaz Asghari1, *, Faranak Jabbarzadeh Tabrizi1, Parvin Sarbakhsh2
Article Information
Identifiers and Pagination:
Year: 2023Volume: 17
E-location ID: e187443462212260
Publisher ID: e187443462212260
DOI: 10.2174/18744346-v16-e221227-2022-95
Article History:
Received Date: 24/6/2022Revision Received Date: 31/10/2022
Acceptance Date: 4/11/2022
Electronic publication date: 01/02/2023
Collection year: 2023
open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Purpose:
Nurses need strong clinical reasoning competency because they provide specialized and important care to patients. It is hence necessary to measure nurses’ clinical reasoning by using a valid and reliable tool.
Objective:
This study aimed to translate and determine the psychometric test of Persian version of the nurses clinical reasoning scale.
Methodology:
This study was a cross-sectional study. In the first step of this methodological study, the English version of Nurses Clinical Reasoning Scale (NCRS) was translated and back-translated. Then the content validity index (CVI) of the items was assessed based on expert views, and its face validity was examined by studying the views of the target group and experts. In the next step, 170 nurses working in hospitals affiliated with Tabriz University of Medical Sciences were asked to complete the instrument. Finally, the construct validity and reliability of this scale were measured using exploratory factor analysis (EFA) and internal consistency (Cronbach’s alpha), respectively.
Results:
The findings showed that the CVI values of all the items were greater than .8. The wording of some items was changed based on the suggestions received regarding face validity, whereas the results of content and face validity did not necessitate the elimination of any of the items. The EFA results also suggested that the Persian version of the NCRS had a two-factor structure with the titles of nursing diagnosis and care knowledge. The Cronbach’s alpha for this scale was 0.91, which confirmed its internal consistency.
Conclusion:
This instrument is valid and reliable enough to assess Iranian nurses’ clinical reasoning in the dimensions of nursing diagnosis and care knowledge. The research limitations and further recommendations will be discussed later in this paper.
