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Turkish Validity and Reliability of the Nursing Students' Rights Awareness Scale in Clinical Practice

Year 2025,

Abstract

Objective: To adapt the Nursing Students’ Rights Awareness Scale into Turkish and test its validity and reliability.

Methods: This was a methodological study performed with 296 nursing students between 11 April and 10 June 2022 in the capital city of Turkey. Expert opinions were taken for the language and content validity of the scale. Exploratory and Confirmatory Factor Analyses were used to test construct validity. Cronbach's alpha coefficient was used for internal reliability. Test-retest was conducted using the Intra-Class Correlation and Spearman’s rank correlation.

Results: The Content Validity Index was 0.87. The scale, which originally had three factors, was formed in a single-factor structure in the current study, and the factor loads ranged from 0.563 to 0.871. The variance explained for the single-factor structure consisting of 14 items was 63.7%. The Cronbach's alpha was 0.95. The Intra-Class Correlation value was 0.95 (95%CI= 0.938-0.956, P<.001) and the Spearman's rank correlation coefficient was 0.70.

Conclusion: The Turkish version of the Nursing Students’ Rights Awareness Scale is a valid and reliable instrument.

References

  • 1. Akbaş M, Sürücü ŞG. Expectations of Student Nurses from Instructors in Clinics, Classrooms and Out of Classroom Settings. Lokman Hekim Journal. 2019;9(1):45-54. https://doi.org/10.31020/mutftd.452689
  • 2. Sezer H. How should clinical education be in nursing education. J Nurs Res Pract. 2018;2(1):15. https://www.pulsus.com/scholarly-articles/phow-should-clinical-education-be-in-nursing-educationp-4138.html
  • 3. Kalyani MN, Jamshidi N, Molazem Z, Torabizadeh C, Sharif, F. How do nursing students experience the clinical learning environment and respond to their experiences? A qualitative study. BMJ Open. 2019;9(7):e028052. http://dx.doi.org/10.1136/bmjopen-2018-028052
  • 4. Peters AB, Quinn B, Moreno R. Undergraduate nursing clinical absences: A review. Teach Learn Nurs. 2019;14(1):37-42. https://doi.org/10.1016/j.teln.2018.09.003
  • 5. Heidari MR, Norouzadeh R. Nursing students’ perspectives on clinical education. J Adv Med Educ Prof. 2015;3(1):39-43. https://pmc.ncbi.nlm.nih.gov/articles/PMC4291507/
  • 6. Park SH, Choi MY. Development and Validation of the Nursing Students’ Rights Awareness Scale in Clinical Practice: A Scale Development Study. Healthcare. 2021;9(10):1-11. https://doi.org/10.3390/healthcare9101323
  • 7. Öner H, Sarıkaya SK. Negative emotions and coping experiences of nursing students during clinical practices: A focus group interview. J Psy Nurs. 2021;12(3):205-215. https://dx.doi.org/10.14744/phd.2021.59480
  • 8. Akyüz E., Ergöl Ş. The Challenges Experienced by Nursing Students in Clinical Learning Environment and Their Suggestions. Journal of Health and Nursing Management. 2022;9(3):463-474. https://doi.org/10.54304/SHYD.2022.58561
  • 9. Kang J, Jeong YJ, Kong KR. Threats to identity: A grounded theory approach on student nurses' experience of incivility during clinical placement. J Korean Acad Nurs. 2018;48(1):85-95. https://doi.org/10.4040/jkan.2018.48.1.85
  • 10. Mamaghani EA, Rahmani A, Hassankhani H, et al. Experiences of Iranian nursing students regarding their clinical learning environment. Asian Nurs Res. 2018;12(3):216-222. https://doi.org/10.1016/j.anr.2018.08.005
  • 11. Levina Y. Legal Protection of Nursing Students in Implementing Clinical Practices at the Hospital. IJCLS. 2020;5(2):121-132. https://repository.um-surabaya.ac.id/6739/
  • 12. Hemşirelik Yönetmeliği (Resmî Gazete Tarihi: 08.03.2010 Resmî Gazete Sayısı: 27515) https://www.mevzuat.gov.tr/mevzuat?MevzuatNo=13830&MevzuatTur=7&MevzuatTertip=5
  • 13. Karadağ G, Kılıç SP, Ovayolu N, Ovayolu Ö, Kayaaslan H. Difficulties encountered by nursing students in practices and their views about nurses. TAF Prev Med Bull. 2013;12(6):665-672. http://dx.doi.org/10.5455/pmb.1-1353569323
  • 14. Jamshidi N, Molazem Z, Sharif F, Torabizadeh C, Najafi Kalyani M. The challenges of nursing students in the clinical learning environment: A qualitative study. The Scientific World Journal. 2016;1846178. http://dx.doi.org/10.1155/2016/1846178
  • 15. Jafarian-Amiri SR, Zabihi A, Qalehsari MQ. The challenges of supporting nursing students in clinical education. J Educ Health Promot. 2020;9:216. https://doi.org/10.4103/jehp.jehp_13_20
  • 16. Karakoç FY, Dönmez L. Ölçek geliştirme çalışmalarında temel ilkeler (Basic Principles of Scale Development). Tıp Eğitimi Dünyası. 2014;13(40):39-49. https://doi.org/10.25282/ted.228738
  • 17. Papastavrou E, Dimitriadou M, Tsangari H, Andreou C. Nursing students’ satisfaction of the clinical learning environment: a research study. BMC Nurs. 2016;15(1):1-10. https://doi.org/10.1186/s12912-016-0164-4
  • 18. Davis LL. Instrument review: Getting the most from a panel of experts. Appl Nurs Res. 1992:5(4);194-197. https://doi.org/10.1016/S0897-1897(05)80008-4
  • 19. Orçan F. Exploratory and Confirmatory Factor Analysis: Which One to Use First? Journal of Measurement and Evaluation in Education and Psychology. 2018;9(4):413-421. https://doi.org/10.21031/epod.394323
  • 20. Leonardsen, A. C. L. The Impact of Clinical Experience in Advanced Practice Nursing Education - A Cross-Sectional Study of Norwegian Advanced Practice Nurses’ Perspectives. Nurs Rep. 2023;13(3):1304-1317. https://doi.org/10.3390/nursrep13030110
  • 21. Anyango E, Ngune, I, Brown, J, Adama E. “I changed my mind after my placement”: The influence of clinical placement environment on career choices of final-year pre-registration nurses. Collegian. 2024;31(2):69-76. https://doi.org/10.1016/j.colegn.2023.11.004
  • 22. Mohajan H. Two criteria for good measurements in research: Validity and reliability. Annals of Spiru Haret University Economics Series. 2017;17(4):59-82. https://www.ceeol.com/search/article-detail?id=673569
  • 23. Beck CT, Gable RK. Ensuring content validity: An illustration of the process. Journal of Nursing Measurement. 2001;9(2);201-215. https://doi.org/10.1891/1061-3749.9.2.201
  • 24. Yusoff MSB. ABC of content validation and content validity index calculation. EIMJ. 2019;11(2):49-54. https://doi.org/10.21315/eimj2019.11.2.6
  • 25. Esin NM. Data collection methods and tools & reliability and variability of data collection tools. In S. Erdoğan, N. Nahcivan, &N. M. Esin (Eds.), Research in nursing 2nd ed., İstanbul:Nobel Medical Bookstores, 2014;193-232.
  • 26. Akgül A. Statistical analyse techniques in medical research “SPSS practices”, 3rd ed., Ankara: Emek Ofset Ltd. Sti, 2005;440-453.
  • 27. Altunısık R, Coskun R, Bayraktaroglu S, Yıldırım, E. Researchmethods in social science: With SPSS practice 4th ed., Sakarya: Sakarya Bookstore, 2005;217.
  • 28. Büyüköztürk Ş. Some statistics used in the validity and reliability analyses of tests. Data Analysis Handbook for Social Sciences. 15th ed. Ankara: Pegem Akademi; 2011:167-82.
  • 29. Kline RB. Principles and practice of structural equation modeling. New York: Guilford publications. Kluwer, Philadelphia, PA. 2016;164-165.
  • 30. DeVellis RF. Scale development: Theory and applications. SAGE Publications, Los Angeles.2017;49-53.
  • 31. Kılınç E. Validity and reliability in quantitative data. In: Aslan Ş, editor. Research Methods in Social Sciences: A Guide for Quantitative, Qualitative, and Mixed Designs. Konya: Eğitim Yayınevi; 2018:147-161.
  • 32. Tavakol M, Dennick R. Making sense of Cronbach's alpha. Int J Med Educ. 2011;2:53-55. https://doi.org/10.5116/ijme.4dfb.8dfd
  • 33. Koo TK, Li MY. A guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropr Med. 2016;15(2):155-163. https://doi.org/10.1016/j.jcm.2016.02.012

Hemşirelik Öğrencilerinin Klinik Uygulamadaki Haklarının Farkındalığı Ölçeği Türkçe Geçerlik ve Güvenirlik Çalışması

Year 2025,

Abstract

Amaç: Bu çalışmanın amacı Hemşirelik Öğrencilerinin Klinik Uygulamadaki Haklarının Farkındalığı Ölçeğinin Türkçe geçerlik ve güvenirliğini test etmektir.

Yöntemler: Bu metodolojik çalışma, 11 Nisan-10 Haziran 2022 tarihleri arasında Türkiye’nin başkentinde, 296 hemşirelik öğrencisi ile yapılmıştır. Ölçeğin dil ve kapsam geçerliğini değerlendirmek için uzman görüşleri alınmıştır. Yapı geçerliğini değerlendirmek için açımlayıcı ve doğrulayıcı faktör analizleri yapılmıştır. İç güvenirlik, Cronbach alfa katsayısı ile değerlendirilmiştir. Test-tekrar test güvenirliği, grup içi korelasyon ve Spearman sıra farkları korelasyon katsayısı ile test edilmiştir.

Bulgular: Ölçeğin kapsam geçerlik indeksi 0,87 olarak bulunmuştur. Orijinalinde üç alt boyutu olan ölçek, Türkçe uyarlamasında tek alt boyutta toplanmış ve faktör yükleri 0,563-0,871 arasında değişmiştir. On dört maddeden oluşan tek faktörlü yapı için açıklanan varyans %63,7 idi. Ölçeğin grup içi korelasyon değeri 0,95 (95% Güven aralığı: 0,938-0,956, P<.001) ve Spearman sıra farkları korelasyon katsayısı 0,70 idi.

Sonuç: Hemşirelik Öğrencilerinin Klinik Uygulamadaki Haklarının Farkındalığı Ölçeğinin Türkçe versiyonu geçerli ve güvenilir bir ölçme aracıdır.

References

  • 1. Akbaş M, Sürücü ŞG. Expectations of Student Nurses from Instructors in Clinics, Classrooms and Out of Classroom Settings. Lokman Hekim Journal. 2019;9(1):45-54. https://doi.org/10.31020/mutftd.452689
  • 2. Sezer H. How should clinical education be in nursing education. J Nurs Res Pract. 2018;2(1):15. https://www.pulsus.com/scholarly-articles/phow-should-clinical-education-be-in-nursing-educationp-4138.html
  • 3. Kalyani MN, Jamshidi N, Molazem Z, Torabizadeh C, Sharif, F. How do nursing students experience the clinical learning environment and respond to their experiences? A qualitative study. BMJ Open. 2019;9(7):e028052. http://dx.doi.org/10.1136/bmjopen-2018-028052
  • 4. Peters AB, Quinn B, Moreno R. Undergraduate nursing clinical absences: A review. Teach Learn Nurs. 2019;14(1):37-42. https://doi.org/10.1016/j.teln.2018.09.003
  • 5. Heidari MR, Norouzadeh R. Nursing students’ perspectives on clinical education. J Adv Med Educ Prof. 2015;3(1):39-43. https://pmc.ncbi.nlm.nih.gov/articles/PMC4291507/
  • 6. Park SH, Choi MY. Development and Validation of the Nursing Students’ Rights Awareness Scale in Clinical Practice: A Scale Development Study. Healthcare. 2021;9(10):1-11. https://doi.org/10.3390/healthcare9101323
  • 7. Öner H, Sarıkaya SK. Negative emotions and coping experiences of nursing students during clinical practices: A focus group interview. J Psy Nurs. 2021;12(3):205-215. https://dx.doi.org/10.14744/phd.2021.59480
  • 8. Akyüz E., Ergöl Ş. The Challenges Experienced by Nursing Students in Clinical Learning Environment and Their Suggestions. Journal of Health and Nursing Management. 2022;9(3):463-474. https://doi.org/10.54304/SHYD.2022.58561
  • 9. Kang J, Jeong YJ, Kong KR. Threats to identity: A grounded theory approach on student nurses' experience of incivility during clinical placement. J Korean Acad Nurs. 2018;48(1):85-95. https://doi.org/10.4040/jkan.2018.48.1.85
  • 10. Mamaghani EA, Rahmani A, Hassankhani H, et al. Experiences of Iranian nursing students regarding their clinical learning environment. Asian Nurs Res. 2018;12(3):216-222. https://doi.org/10.1016/j.anr.2018.08.005
  • 11. Levina Y. Legal Protection of Nursing Students in Implementing Clinical Practices at the Hospital. IJCLS. 2020;5(2):121-132. https://repository.um-surabaya.ac.id/6739/
  • 12. Hemşirelik Yönetmeliği (Resmî Gazete Tarihi: 08.03.2010 Resmî Gazete Sayısı: 27515) https://www.mevzuat.gov.tr/mevzuat?MevzuatNo=13830&MevzuatTur=7&MevzuatTertip=5
  • 13. Karadağ G, Kılıç SP, Ovayolu N, Ovayolu Ö, Kayaaslan H. Difficulties encountered by nursing students in practices and their views about nurses. TAF Prev Med Bull. 2013;12(6):665-672. http://dx.doi.org/10.5455/pmb.1-1353569323
  • 14. Jamshidi N, Molazem Z, Sharif F, Torabizadeh C, Najafi Kalyani M. The challenges of nursing students in the clinical learning environment: A qualitative study. The Scientific World Journal. 2016;1846178. http://dx.doi.org/10.1155/2016/1846178
  • 15. Jafarian-Amiri SR, Zabihi A, Qalehsari MQ. The challenges of supporting nursing students in clinical education. J Educ Health Promot. 2020;9:216. https://doi.org/10.4103/jehp.jehp_13_20
  • 16. Karakoç FY, Dönmez L. Ölçek geliştirme çalışmalarında temel ilkeler (Basic Principles of Scale Development). Tıp Eğitimi Dünyası. 2014;13(40):39-49. https://doi.org/10.25282/ted.228738
  • 17. Papastavrou E, Dimitriadou M, Tsangari H, Andreou C. Nursing students’ satisfaction of the clinical learning environment: a research study. BMC Nurs. 2016;15(1):1-10. https://doi.org/10.1186/s12912-016-0164-4
  • 18. Davis LL. Instrument review: Getting the most from a panel of experts. Appl Nurs Res. 1992:5(4);194-197. https://doi.org/10.1016/S0897-1897(05)80008-4
  • 19. Orçan F. Exploratory and Confirmatory Factor Analysis: Which One to Use First? Journal of Measurement and Evaluation in Education and Psychology. 2018;9(4):413-421. https://doi.org/10.21031/epod.394323
  • 20. Leonardsen, A. C. L. The Impact of Clinical Experience in Advanced Practice Nursing Education - A Cross-Sectional Study of Norwegian Advanced Practice Nurses’ Perspectives. Nurs Rep. 2023;13(3):1304-1317. https://doi.org/10.3390/nursrep13030110
  • 21. Anyango E, Ngune, I, Brown, J, Adama E. “I changed my mind after my placement”: The influence of clinical placement environment on career choices of final-year pre-registration nurses. Collegian. 2024;31(2):69-76. https://doi.org/10.1016/j.colegn.2023.11.004
  • 22. Mohajan H. Two criteria for good measurements in research: Validity and reliability. Annals of Spiru Haret University Economics Series. 2017;17(4):59-82. https://www.ceeol.com/search/article-detail?id=673569
  • 23. Beck CT, Gable RK. Ensuring content validity: An illustration of the process. Journal of Nursing Measurement. 2001;9(2);201-215. https://doi.org/10.1891/1061-3749.9.2.201
  • 24. Yusoff MSB. ABC of content validation and content validity index calculation. EIMJ. 2019;11(2):49-54. https://doi.org/10.21315/eimj2019.11.2.6
  • 25. Esin NM. Data collection methods and tools & reliability and variability of data collection tools. In S. Erdoğan, N. Nahcivan, &N. M. Esin (Eds.), Research in nursing 2nd ed., İstanbul:Nobel Medical Bookstores, 2014;193-232.
  • 26. Akgül A. Statistical analyse techniques in medical research “SPSS practices”, 3rd ed., Ankara: Emek Ofset Ltd. Sti, 2005;440-453.
  • 27. Altunısık R, Coskun R, Bayraktaroglu S, Yıldırım, E. Researchmethods in social science: With SPSS practice 4th ed., Sakarya: Sakarya Bookstore, 2005;217.
  • 28. Büyüköztürk Ş. Some statistics used in the validity and reliability analyses of tests. Data Analysis Handbook for Social Sciences. 15th ed. Ankara: Pegem Akademi; 2011:167-82.
  • 29. Kline RB. Principles and practice of structural equation modeling. New York: Guilford publications. Kluwer, Philadelphia, PA. 2016;164-165.
  • 30. DeVellis RF. Scale development: Theory and applications. SAGE Publications, Los Angeles.2017;49-53.
  • 31. Kılınç E. Validity and reliability in quantitative data. In: Aslan Ş, editor. Research Methods in Social Sciences: A Guide for Quantitative, Qualitative, and Mixed Designs. Konya: Eğitim Yayınevi; 2018:147-161.
  • 32. Tavakol M, Dennick R. Making sense of Cronbach's alpha. Int J Med Educ. 2011;2:53-55. https://doi.org/10.5116/ijme.4dfb.8dfd
  • 33. Koo TK, Li MY. A guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropr Med. 2016;15(2):155-163. https://doi.org/10.1016/j.jcm.2016.02.012
There are 33 citations in total.

Details

Primary Language English
Subjects Nurse Education
Journal Section Research Articles
Authors

Elif Sözeri Öztürk 0000-0001-7505-2794

Tuğba Karataş 0000-0001-8356-6234

Early Pub Date February 6, 2025
Publication Date
Submission Date January 13, 2024
Acceptance Date November 14, 2024
Published in Issue Year 2025

Cite

AMA Sözeri Öztürk E, Karataş T. Turkish Validity and Reliability of the Nursing Students’ Rights Awareness Scale in Clinical Practice. Journal of Nursology. Published online February 1, 2025.

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