Developing an instrument to measure nurses' attitudes towards nursing students during clinical practice: A quantitative study

Ali Kaplan; Özlem Kaplan; Cevriye Özdemir; Büşra Emir; Necmi Baykan

doi:10.1016/j.nedt.2024.106488

Developing an instrument to measure nurses' attitudes towards nursing students during clinical practice: A quantitative study

Nurse Educ Today. 2024 Nov 12:145:106488. doi: 10.1016/j.nedt.2024.106488. Online ahead of print.

Authors

Ali Kaplan¹, Özlem Kaplan², Cevriye Özdemir³, Büşra Emir⁴, Necmi Baykan⁵

Affiliations

¹ University of Kayseri, İncesu Ayşe and Saffet Arslan Health Services Vocational School, Department of Medical Services and Techniques, 38280 Kayseri, Türkiye. Electronic address: alikaplan@kayseri.edu.tr.
² University of Erciyes, Health Science Faculty, Department Nursing, 38039 Kayseri, Türkiye. Electronic address: ozlem.kaplan@erciyes.edu.tr.
³ University of Kayseri, İncesu Ayşe and Saffet Arslan Health Services Vocational School, Department of Medical Services and Techniques, 38280 Kayseri, Türkiye. Electronic address: cevriyeozdemir@kayseri.edu.tr.
⁴ University of İzmir Katip Çelebi, Faculty of Medicine, Department of Biostatistics, 35620 İzmir, Türkiye. Electronic address: busra.emir@ikcu.edu.tr.
⁵ Kayseri City Hospital, Department of Emergency Medicine, Kayseri, Türkiye. Electronic address: drnecmibaykan@gmail.com.

PMID: 39556897
DOI: 10.1016/j.nedt.2024.106488

Abstract

Background: Since nursing students' interactions with nurses in the clinical practice process play an important role in nursing education and practice, it is a necessity to evaluate nurses' attitudes towards students.

Aim: To develop a valid and reliable measurement tool to determine the attitudes of nurses' towards nursing students in the clinical practice process.

Design: This study used a quantitative cross-sectional design.

Settings: The study was conducted in a public hospital in Turkey between February and April 2024.

Participants: The sample of the study consisted of 364 nurses.

Methods: Through literature review and qualitative data analysis, 40 items were identified for the item pool of the scale and these items were presented to 22 experts. After the content validity, the draft scale consisting of 32 items was used as a data collection tool. Lawshe's Content Validity Ratio, Kaiser-Mayer-Olkin Coefficient, Bartlett's test, Exploratory Factor Analysis, Principal Component Analysis, Varimax Factor Rotation Method, Confirmatory Factor Analysis, Cronbach's Alpha Internal Consistency Coefficient, Spearman Correlation Coefficient and Wilcoxon Signed Ranks tests were used to analyze the data.

Results: As a result of the exploratory factor analysis, it was determined that there were twenty-two items and five sub-dimensions in the scale. The Cronbach's alpha internal consistency coefficient was 0.770 for the clinical experience and ethics sub-dimension, 0.811 for the collaboration sub-dimension, 0.792 for the desire to learn sub-dimension, 0.765 for the continuous development sub-dimension, 0.736 for the communication skills sub-dimension and 0.903 for the total scale. As a result of the test-retest reliability analysis, it was determined that all items and factor scores showed significant relationships between the two applications (p < 0.001).

Conclusions: The scale was found to be a valid and reliable measurement tool that can be used to determine the attitudes of nurses' towards nursing students in the clinical practice process.

Keywords: Attitude; Clinical practice; Nurse; Scale development; Student nurse.