Cross-Cultural Validation of the Occupational Coping Self-Efficacy Scale for Nurses: A Cross-Sectional Study.

Abstract

Aims and objectives: To translate the Occupational Coping Self-Efficacy Scale for Nurses (OCSE-N) into a simplified Chinese version and test its reliability and validity among the Chinese nursing population.

Background: Coping self-efficacy beliefs are important self-appraisals of one's capability to cope with challenging situations. Using a reliable and valid instrument to assess nurses' coping self-efficacy is essential. However, in previous studies in China, a specific scale to assess nurses' occupational coping self-efficacy was not available.

Design: Cross-sectional study.

Methods: In total, 1172 of 1200 nursing staff selected by convenience sampling from 5 public hospitals in Shenzhen completed the investigation. The OCSE-N was translated and adapted using the Brislin translation-back translation method. Then, the internal consistency of the OCSE-N-CHI was measured by Cronbach's alpha. The construct validity of the OCSE-N-CHI was analysed by exploratory factor analysis (EFA) and confirmatory factor analysis (CFA).

Results: The Cronbach's alpha of the OCSE-N-CHI was 0.882, and the test-retest reliability was 0.991 (95% CI: 0.985-0.993, p < 0.01). The correlation coefficients of each item and the total score were 0.482-0.683 (p < 0.01). After exploratory factor analysis, the scale extracted 2 common factors with a cumulative variance contribution of 67.508% and a commonality of 0.524-0.860 for each entry. The empirical factor analysis of each fit index met the recommended criteria. Statistical differences existed in the occupational coping self-efficacy scores of nurses with different marital statuses, different levels of satisfaction with their jobs, as well as their income, and different average numbers of night shifts per week.

Conclusion: The reliability and validity of the OCSE-N-CHI are good, and it can be used as an assessment tool to evaluate the occupational coping self-efficacy of nursing staff in China.

Relevance to clinical practice: The OCSE-N-CHI can be completed by participants in less than 2 min and is considered a convenient and reliable measure of occupational coping self-efficacy for nurses.

Patient or public contribution: After participants signed an informed consent form, questionnaires were completed in a conference room. The questionnaires were collected and entered in pairs in the office, and the data were analysed. Finally, the articles were written and revised.