Development and validation of the infant nursing assessment scale: Results from exploratory factor analysis and Rasch modeling

IF 2.1 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2025-01-23 DOI:10.1016/j.pedn.2025.01.018

Matteo Danielis, Martina Dato, Renzo Zanotti, Elena Biasin, Mayra Veronese

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引用次数: 0

Abstract

Purpose: The primary challenge in infant care is developing a comprehensive, rapid, and reliable assessment tool that is minimally dependent on subjective evaluations and applicable in various inpatient settings. This study aims to develop and assess the structural validity of the Infant Nursing Assessment Scale (INA), enabling a comprehensive evaluation of hospitalized newborns and infants.

Design and methods: A development and validation study based on cross-sectional design was undertaken. The study included the conceptualization and validation of the INA scale through qualitative expert interviews, followed by a pilot study and psychometric evaluation using exploratory factor analysis and Rasch analysis. The INA scale comprises three subscales: Functionality, Breastfeeding, and Parental-infant relationship dynamics, encompassing 22 items.

Results: The study included 319 valid measurements, with significant score decreases from admission to discharge in most items, indicating the scale's sensitivity to clinical status changes. Factor analysis revealed strong structural validity while the Rasch analysis revealed optimal Infit and Outfit Mean-Square values for most items. Items Sensorium and Mother's substance use did not show significant changes and were considered for removal. The scale's internal consistency was acceptable, with Cronbach's Alpha values ranging from 0.59 to 0.74 across subscales.

Conclusions: The INA scale is a reliable instrument for assessing the comprehensive needs of hospitalized infants, supporting targeted nursing interventions and enhancing the quality of pediatric care. The study confirms the INA scale's validity and reliability, highlighting its potential for broader application in various in-hospital clinical settings.

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来源期刊

Journal of Pediatric Nursing-Nursing Care of Children & Families NURSING-PEDIATRICS

CiteScore

3.70

自引率

8.30%

发文量

291

审稿时长

65 days

期刊介绍： Official Journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society (PENS) The Journal of Pediatric Nursing: Nursing Care of Children and Families (JPN) is interested in publishing evidence-based practice, quality improvement, theory, and research papers on a variety of topics from US and international authors. JPN is the official journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society. Cecily L. Betz, PhD, RN, FAAN is the Founder and Editor in Chief. Journal content covers the life span from birth to adolescence. Submissions should be pertinent to the nursing care needs of healthy and ill infants, children, and adolescents, addressing their biopsychosocial needs. JPN also features the following regular columns for which authors may submit brief papers: Hot Topics and Technology.