Evaluating anxiety and self-confidence in nursing students: Adaptation and validation of the NASC-CDM scale for high-fidelity simulation training

IF 3.4 3区医学 Q1 NURSING

Clinical Simulation in Nursing Pub Date : 2024-09-25 DOI:10.1016/j.ecns.2024.101618

Geert Van de Weyer RN, MSc , Krista White RN, PhD, CCRN, CNE , Erik Franck RN, MScPSY, PhD , Deborah Hilderson RN, MSc, PhD , Filip Haegdorens RN, MSc, PhD

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引用次数: 0

Abstract

Background

Anxiety and self-confidence impact performance and decision-making during high-fidelity simulation in nursing education. A validated tool to assess these factors is lacking.

Methods

The Nursing Anxiety and Self-Confidence with Clinical Decision-Making© scale (NASC-CDM) was translated, adapted for high-fidelity simulation and validated using a five-step approach. This included a Content Validity Index review by experts and pilot-testing with first-year nursing students. Construct validity and internal consistency were evaluated using Exploratory Factor Analysis and Cronbach's alpha.

Results

A total of 187 first-year nursing students participated. Exploratory Factor Analysis identified constructs for anxiety (two factors, 60.72% variance) and self-confidence (three factors, 61.22% variance). The tool demonstrated high internal consistency, with Cronbach's alpha values of 0.956 for anxiety and 0.955 for self-confidence.

Conclusion

The 19-item Dutch Nursing Anxiety and Self-Confidence with Clinical Decision-Making for High-Fidelity Simulation scale is a valid and reliable instrument measuring anxiety and self-confidence in nursing students during high-fidelity simulation.

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评估护理专业学生的焦虑和自信：为高仿真模拟训练改编和验证 NASC-CDM 量表

背景焦虑和自信会影响护理教育中高保真模拟的表现和决策。方法翻译了护理焦虑和临床决策自信量表（NASC-CDM），并针对高仿真模拟进行了调整，采用五步方法进行了验证。其中包括由专家对内容效度指数进行审查，并在护理专业一年级学生中进行试点测试。使用探索性因子分析和 Cronbach's alpha 评估了结构效度和内部一致性。探索性因子分析确定了焦虑（两个因子，方差占 60.72%）和自信（三个因子，方差占 61.22%）的结构。该工具显示出较高的内部一致性，焦虑的 Cronbach's alpha 值为 0.956，自信的 Cronbach's alpha 值为 0.955。结论由 19 个项目组成的荷兰护理焦虑和自信与高仿真模拟临床决策量表是一种有效、可靠的工具，可用于测量护理专业学生在高仿真模拟过程中的焦虑和自信。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Simulation in Nursing NURSING-

CiteScore

5.50

自引率

15.40%

发文量

107

期刊介绍： Clinical Simulation in Nursing is an international, peer reviewed journal published online monthly. Clinical Simulation in Nursing is the official journal of the International Nursing Association for Clinical Simulation & Learning (INACSL) and reflects its mission to advance the science of healthcare simulation. We will review and accept articles from other health provider disciplines, if they are determined to be of interest to our readership. The journal accepts manuscripts meeting one or more of the following criteria: Research articles and literature reviews (e.g. systematic, scoping, umbrella, integrative, etc.) about simulation Innovative teaching/learning strategies using simulation Articles updating guidelines, regulations, and legislative policies that impact simulation Leadership for simulation Simulation operations Clinical and academic uses of simulation.