Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Reliability and Validity of Korean Version of Nursing Students' Anxiety and Self-Confidence with Clinical Decision Making Scale

한국어판 간호대학생 임상의사결정능력 자신감과 불안 측정도구의 타당도와 신뢰도

  • Yu, Mi (College of Nursing.Institute of Health Sciences, Gyeongsang National University) ;
  • Eun, Young (College of Nursing.Institute of Health Sciences, Gyeongsang National University) ;
  • White, KA (School of Nursing & Health Studies, Georgetown University) ;
  • Kang, KyungJa (College of Nursing, Jeju National University)
  • 유미 (경상대학교 간호대학.건강과학연구원) ;
  • 은영 (경상대학교 간호대학.건강과학연구원) ;
  • ;
  • 강경자 (제주대학교 간호대학)
  • Received : 2019.01.18
  • Accepted : 2019.05.20
  • Published : 2019.08.31
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Abstract

Purpose: The purpose of this study was to adapt, modify, and validate the Nursing Anxiety and Self-Confidence with Clinical Decision-Making Scale ($NASC-CDM^{(c)}$) for Korean nursing students. Methods: Participants were 183 nursing students with clinical practice experience in two nursing colleges. The construct validity and reliability of the final Korean version of the $NASC-CDM^{(c)}$ were examined using exploratory and confirmatory factor analyses and testing of internal consistency reliability. For adaptation and modification, the instrument was translated from English to Korean. Expert review and a cross-sectional survey were used to test the instrument's validity. Results: The Korean version of the $NASC-CDM^{(c)}$ (KNASC-CDM) was composed of 23 items divided into four dimensions: (i) Listening fully and using resources to gather information; (ii) Using information to see the big picture; (iii) Knowing and acting; and (iv) Seeking information from clinical instructors. The instrument explained 60.1% of the total variance for self-confidence and 63.1% of the variance for anxiety; Cronbach's ${\alpha}$ was .93 for self-confidence and .95 for anxiety. Conclusion: The KNASC-CDM can be used to identify anxiety and self-confidence in nursing students' clinical decision-making in Korea. However, further research should be done to test this instrument, as it is classified differently from the original $NASC-CDM^{(c)}$ version.

Keywords

References

  1. Wang Y, Chien WT, Twinn S. An exploratory study on baccalaureate‐prepared nurses' perceptions regarding clinical decision‐making in mainland China. Journal of Clinical Nursing. 2012;21(11-12):1706-1715. https://doi.org/10.1111/j.1365-2702.2011.03925.x
  2. Jenkins HM. A research tool for measuring perceptions of clinical decision making. Journal of Professional Nursing. 1985;1(4):221-229. https://doi.org/10.1016/S8755-7223(85)80159-9
  3. Baxter PE, Boblin S. Decision making by baccalaureate nursing students in the clinical setting. Journal of Nursing Education. 2008;47(8):345-350. https://doi.org/10.3928/01484834-20080801-02
  4. Hoffman KA, Aitken LM, Duffield C. A comparison of novice and expert nurses' cue collection during clinical decision-making: Verbal protocol analysis. International Journal of Nursing Studies. 2009;46(10):1335-1344. https://doi.org/10.1016/j.ijnurstu.2009.04.001
  5. O'Neill ES, Dluhy NM, Chin E. Modelling novice clinical reasoning for a computerized decision support system. Journal of Advanced Nursing. 2005;49(1):68-77. https://doi.org/10.1111/j.1365-2648.2004.03265.x
  6. White KA. Development and validation of a tool to measure self-confidence and anxiety in nursing students during clinical decision making. Journal of Nursing Education. 2014;53(1):14-22. https://doi.org/10.3928/01484834-20131118-05
  7. O'Neill ES, Dluhy NM, Fortier PJ, Michel H. The N-CODES project: The first year. Computers, Informatics, Nursing. 2004;22(6):345-350. https://doi.org/10.1097/00024665-200411000-00010
  8. Benner P, Tanner C, Chesla C. From beginner to expert: Gaining a differentiated clinical world in critical care nursing. Advances in Nursing Science. 1992;14(3):13-28. https://doi.org/10.1097/00012272-199203000-00005
  9. Papa FJ, Shores JH, Meyer S. Effects of pattern matching, pattern discrimination, and experience in the development of diagnostic expertise. Academic Medicine. 1990;65(9 Suppl):S21-S22. https://doi.org/10.1097/00001888-199009000-00025
  10. Loving GL. The novice nurse experience. The Oklahoma Nurse. 1997;42(1):3-4.
  11. White KA. The development and validation of a tool to measure self-confidence and anxiety in nursing students while making clinical decisions [dissertation]. Las Vegas (NV): University of Nevada; 2011. p. 1-291.
  12. Jeong ME, Park HS. Effects of case-based learning on clinical decision making and nursing performance in undergraduate nursing students. Journal of Korean Academy Fundamentals of Nursing. 2015;22(3):308-317. https://doi.org/10.7739/jkafn.2015.22.3.308
  13. Kim SH, Ham YS. A meta-analysis of the effect of simulation based education - Korean nurses and nursing students -. The Journal of Korean Academic Society of Nursing Education. 2015;21(3):308-319. https://doi.org/10.5977/jkasne.2015.21.3.308
  14. Gover VF. The development and testing of a nursing performance simulation instrument [dissertation]. Chapel Hill (NC): University of North Carolina; 1971. p. 1-210.
  15. Rhodes B. Occupational ideology and clinical decision-making in British nursing. International Journal of Nursing Studies. 1985;22(3):241-257. https://doi.org/10.1016/0020-7489(85)90007-0
  16. Lauri S, Salanterä S. Developing an instrument to measure and describe clinical decision making in different nursing fields. Journal of Professional Nursing. 2002;18(2):93-100. https://doi.org/10.1053/jpnu.2002.32344
  17. Sherer M, Maddux JE, Mercandante B, Prentice-Dunn S, Jacobs B, Rogers RW. The self-efficacy scale: Construction and validation. Psychological Reports. 1982;51(2):663-671. https://doi.org/10.2466/pr0.1982.51.2.663
  18. Chae SI. Research methods in the social sciences. 3rd ed. Paju: Hakhyunsa; 2005. p. 1-530.
  19. Oh HS. Health promoting behaviors and quality of life of Korean women with arthritis. The Journal of Nurses Academic Society. 1993;23(4):617-630. https://doi.org/10.4040/jnas.1993.23.4.617
  20. Spielberger CD. Anxiety: State-trait process. In: Spielberger CD, Sarason IG, editors. Stress and Anxiety. Washington D.C.: Hemisphere Publishing Corporation; 1975. p. 115-143.
  21. Kim JT, Shin DK. A study based on the standardization of the STAI for Korea. The New Medical Journal. 1978;21(11):69-75.
  22. World Health Organization (WHO). Process of translation and adaptation of instruments [Internet]. Geneva: WHO; c2015 [cited 2015 Mar 13]. Available from: http://www.who.int/substance_abuse/research_tools/translation/en/.
  23. Kang H. A guide on the use of factor analysis in the assessment of construct validity. Journal of Korean Academy of Nursing. 2013;43(5):587-594. https://doi.org/10.4040/jkan.2013.43.5.587
  24. Pett MA, Lackey NR, Sullivan JJ. Making sense of factor analysis: The use of factor analysis for instrument development in health care research. Thousand Oaks (CA): Sage; 2003. p. 232-233.
  25. DeVellis RF. Scale development: Theory and applications. 4th ed. Thousand Oaks (CA): Sage; 2016. p. 111-147.
  26. Kim WP. Rewriting statistical analysis: Advanced regression analysis. Seoul: Wise in Company; 2017. p.1-426.
  27. Cho MH, Kwon IS. A study on the clinical practice experiences on nursing activities of nursing students. The Journal of Korean Academic Society of Nursing Education. 2007;13(2):143-154.
  28. Kown IS, Seo YM. Nursing students' needs for clinical nursing education. The Journal of Korean Academic Society of Nursing Education. 2012;18(1):25-33. https://doi.org/10.5977/jkasne.2012.18.1.025
  29. Lee K, Shin S. Validity of instrument development research in Korean nursing research. Journal of Korean Academy of Nursing. 2013;43(6):697-703. https://doi.org/10.4040/jkan.2013.43.6.697
  30. Park S, Kwon IG. Factors influencing nurses' clinical decision making: Focusing on critical thinking disposition. Journal of Korean Academy of Nursing. 2007;37(6):863-871. https://doi.org/10.4040/jkan.2007.37.6.863

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