Ivana Žilić, Sandra Bošković, Dijana Filipović, Danko Relić, Tihana Gašpert
{"title":"Validation of the Scale of Perceived Overqualification Among Nurses: A Cross-Sectional Study.","authors":"Ivana Žilić, Sandra Bošković, Dijana Filipović, Danko Relić, Tihana Gašpert","doi":"10.1891/JNM-2026-0017","DOIUrl":"https://doi.org/10.1891/JNM-2026-0017","url":null,"abstract":"<p><p><b>Background and Purpose:</b> Perceived overqualification refers to the perception that one's education, skills, and competencies exceed job requirements. Although widely examined internationally, no validated instrument has been available to assess this construct among nurses in Croatia. The purpose of this study was to validate the Croatian version of the Scale of Perceived Overqualification (SPOQ) and examine its associations with selected job-related outcomes. <b>Methods:</b> A cross-sectional online survey was conducted among 90 registered nurses in Croatia. The SPOQ was translated using a double back-translation procedure. Internal consistency was assessed using coefficient alpha, and construct validity was examined using confirmatory factor analysis, comparing one- and two-factor models. Associations between SPOQ scores, job satisfaction, ambition alignment, and turnover intentions were analyzed using correlation and regression analyses. <b>Results:</b> The Croatian SPOQ demonstrated good internal consistency (coefficient alpha = .830). Confirmatory factor analysis supported a two-factor structure distinguishing perceived underutilization of skills from perceived educational/experiential mismatch. Higher perceived overqualification was significantly associated with lower job satisfaction, ambition alignment, and higher turnover intentions. Perceived underutilization emerged as the stronger predictor of job-related outcomes. <b>Conclusions:</b> The findings support the reliability and construct validity of the Croatian SPOQ and confirm its relevance for nursing workforce research. The distinction between underutilization and formal mismatch provides additional insights into the mechanisms linking overqualification with dissatisfaction and turnover intentions.</p>","PeriodicalId":16585,"journal":{"name":"Journal of nursing measurement","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148456077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Breanne Levarity, Elizabeth Adenmosun, Patricia Liehr
{"title":"Preliminary Evidence of Internal Structure Validity of the Ease Measure Among Bahamians Exposed to the Trauma Cluster of Hurricane Dorian and COVID-19.","authors":"Breanne Levarity, Elizabeth Adenmosun, Patricia Liehr","doi":"10.1891/JNM-2025-0183","DOIUrl":"https://doi.org/10.1891/JNM-2025-0183","url":null,"abstract":"<p><p><b>Background and Purpose:</b> Ease is recognized in nursing as a sense of calm, understanding, and contentment, yet it remains underexplored and rarely measured. Existing reliance on indirect indicators highlights the need for a tool that captures the holistic lived experience of ease. This study evaluated the construct validity of the 20-item Ease Measure. <b>Methods:</b> A secondary analysis was conducted using cross-sectional data collected from 208 adults on Grand Bahama Island after Hurricane Dorian and the COVID-19 pandemic, with analyses conducted on complete cases. Exploratory factor analysis using parallel analysis and principal axis factoring in SPSS was performed, with internal reliability assessed with coefficient alpha and McDonald's omega. <b>Results:</b> A two-factor structure explained 49.6% of the variance with strong reliability (α = .89), though the solution largely aligned with the direction of item wording (positive vs. negative). <b>Conclusions:</b> The findings provide preliminary evidence of the internal structure validity of the Ease Measure and suggest a need for further validation and future application.</p>","PeriodicalId":16585,"journal":{"name":"Journal of nursing measurement","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148456106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Validity and Reliability of the Surgical Conscience Scale for Turkish Operating Room Nurses.","authors":"Esra Eren, Yasemin Uslu, Danielle Quintana","doi":"10.1891/JNM-2025-0190","DOIUrl":"https://doi.org/10.1891/JNM-2025-0190","url":null,"abstract":"<p><p><b>Background and Purpose:</b> Surgical conscience is a core concept in perioperative nursing practice that influences the quality and safety of perioperative care. It refers to nurses' moral responsibility to maintain surgical asepsis and ensure patient safety. Despite its central role in perioperative nursing, surgical conscience has rarely been operationalized using validated measurement tools across cultures. This study aimed to adapt the Surgical Conscience Scale into Turkish and assess its reliability and validity among operating room nurses. <b>Methods:</b> The scale was translated using forward and backward translation procedures. Content validity was evaluated by 10 experts in surgical nursing. A pilot test with 30 nurses was conducted to assess item clarity and cultural appropriateness before the main data collection. Psychometric testing was performed with 238 operating room nurses. Construct validity was examined using exploratory and confirmatory factor analyses, and reliability was assessed through internal consistency and test-retest analyses. <b>Results:</b> The Kaiser-Meyer-Olkin value was 0.848, and Bartlett's test was significant (<i>p</i> < .001). The scale demonstrated high reliability (coefficient α = .840; subscales = .844-.891) and excellent temporal stability (intraclass correlation coefficient = .930, <i>p</i> < .001). A three-factor structure with acceptable to good model fit was supported. <b>Conclusion:</b> The Turkish version of the Surgical Conscience Scale is a valid and reliable instrument for assessing surgical conscience among operating room nurses. Its use may support nursing research, perioperative education, and clinical quality improvement efforts aimed at strengthening ethical awareness and patient safety.</p>","PeriodicalId":16585,"journal":{"name":"Journal of nursing measurement","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148456074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aleksandra Wardak, Lena Serafin, Bożena Czarkowska-Pączek
{"title":"Measurement Properties of the Polish Nurse-Nurse Collaboration Scale: A Psychometric Study.","authors":"Aleksandra Wardak, Lena Serafin, Bożena Czarkowska-Pączek","doi":"10.1891/JNM-2026-0035","DOIUrl":"https://doi.org/10.1891/JNM-2026-0035","url":null,"abstract":"<p><p><b>Background and Purpose:</b> Reliable measurement of nurse-nurse collaboration requires psychometrically sound instruments with stable factor structures across cultural contexts. Previous cross-cultural studies of the Nurse-Nurse Collaboration Scale (NNCS) suggest variability in its dimensional structure. This study aimed to evaluate the psychometric properties of the Polish version of the NNCS (NNCS-Pl). <b>Methods:</b> A cross-sectional study was conducted among 312 professionally active nurses in Poland. The NNCS was translated and culturally adapted following established guidelines. Construct validity was examined using confirmatory factor analysis (CFA) and exploratory factor analysis (EFA). Convergent and discriminant validity and internal consistency were also assessed. <b>Results:</b> CFA indicated acceptable overall model fit but limited discriminant validity. EFA yielded a refined five-factor, 26-item structure with satisfactory reliability (α = .73-0.84; ω = .72-.85). <b>Conclusions:</b> The NNCS-Pl demonstrates satisfactory reliability and construct validity and is suitable for research on nurse-nurse collaboration in cross-cultural contexts.</p>","PeriodicalId":16585,"journal":{"name":"Journal of nursing measurement","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148421835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stephanie D Uhr, Joshua D Copher, Teresa S Johnson, Janna Woodard
{"title":"Another Tool in the Toolbox: Quantifying Preexisting Human Milk Feeding Experience With the Breastfeeding Awareness Level Tool.","authors":"Stephanie D Uhr, Joshua D Copher, Teresa S Johnson, Janna Woodard","doi":"10.1891/JNM-2026-0036","DOIUrl":"https://doi.org/10.1891/JNM-2026-0036","url":null,"abstract":"<p><p><b>Background and Purpose:</b> Breastfeeding awareness-distinct from knowledge, skills, and attitudes-may influence breastfeeding behaviors and support, yet no validated instrument exists to measure this construct. This study developed and evaluated the Breastfeeding Awareness Level (BAL) instrument to quantify breastfeeding awareness among lactating parents, families, and health care professionals. <b>Methods:</b> Using a mixed-methods design, focus groups (<i>n</i> = 45) identified attributes of breastfeeding awareness and informed BAL item development. Psychometric testing was conducted using survey data from 152 participants. <b>Results:</b> The 16-item BAL demonstrated good internal consistency (coefficient alpha = .84). Confirmatory factor analysis supported the instrument's latent structure. <b>Conclusions:</b> The BAL appears to be a reliable measure of breastfeeding awareness and can support research and educational initiatives to strengthen breastfeeding support for the breastfeeding dyad.</p>","PeriodicalId":16585,"journal":{"name":"Journal of nursing measurement","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148421813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Turkish Validity and Reliability Study of the Youth Physical Activity Attitude Scale.","authors":"Ayşe Berivan Savcı Bakan, Gülpınar Aslan","doi":"10.1891/JNM-2025-0011","DOIUrl":"10.1891/JNM-2025-0011","url":null,"abstract":"<p><p><b>Background and Purpose:</b> The purpose of the research is to assess the validity and reliability of the Youth Physical Activity Attitude Scale in Turkish. <b>Methods:</b> This study was conducted with 320 children aged 9 to 14 in a province in eastern Turkey between March and June 2022. The scale consisted of four factors and 23 items responded on a 3-point Likert scale. No items were removed from the scale during content validity. <b>Results:</b> Confirmatory factor analysis showed that the model fit was within acceptable criteria, and the factor structure was the same as the original one. Coefficient α values were .85 for the total scale, .80 for the positive attitude sub-scale, and .68 for the negative attitudes sub-scale. <b>Conclusions:</b> The Turkish version of the scale was found to be valid and reliable.</p>","PeriodicalId":16585,"journal":{"name":"Journal of nursing measurement","volume":" ","pages":"212-218"},"PeriodicalIF":1.0,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144957849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hongrui Zhu, Zhishan Xie, Qinyan Wang, Juan Wang, Huimin Zhang, Jinnan Xiao, Chongmei Huang, Jinfeng Ding, Lin Xiao
{"title":"Transcultural Adaptation and Validation of the Digital Competence Scale for Teachers Among Nursing Educators in China.","authors":"Hongrui Zhu, Zhishan Xie, Qinyan Wang, Juan Wang, Huimin Zhang, Jinnan Xiao, Chongmei Huang, Jinfeng Ding, Lin Xiao","doi":"10.1891/JNM-2025-0033","DOIUrl":"10.1891/JNM-2025-0033","url":null,"abstract":"<p><p><b>Background and Purpose:</b> This study aimed to culturally adapt and validate the \"Digital Competence Scale for Teachers (DCST)\" among nursing educators in China. <b>Methods:</b> Following Brislin's translation model, the Chinese version was tested among 326 educators from 43 institutions across 17 provinces. <b>Results:</b> The scale retained all 46 original items, showing strong content validity (scale-level content validity index/average = .963, scale-level content validity index/universal agreement = .804) and construct validity, with confirmatory factor analysis supporting a six-factor model. Reliability was high (coefficient alpha = .983, split-half = .971). <b>Conclusion:</b> The Chinese DCST is a reliable and valid tool for assessing digital competence among nursing educators in China.</p>","PeriodicalId":16585,"journal":{"name":"Journal of nursing measurement","volume":" ","pages":"241-253"},"PeriodicalIF":1.0,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145505147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Validity and Reliability of Persian Version of the Perth A-Loneness Scale in Iranian Adolescents.","authors":"Neda Salami, Mansoureh Ashghali Farahani, Hamid Sharif-Nia, Amir Hossein Goudarzian, Shabnam Shariatpanahi, Kaveh Alavi","doi":"10.1891/JNM-2025-0009","DOIUrl":"10.1891/JNM-2025-0009","url":null,"abstract":"<p><p><b>Background and Purpose:</b> The present study was carried out with the aim of translating and psychometrically assessing the 24-item version of the Perth A-Loneness Scale. <b>Methods:</b> This cross-sectional study was carried out between January 2023 and August 2024. Adolescents from public schools in Tehran City were recruited for this study. The Perth A-Loneness Scale was translated into Persian. Subsequently, the validity (content and construct) and reliability of this scale were assessed. <b>Results:</b> The exploratory factor analysis revealed a four-factor structure for the scale, accounting for 51.7% of the total variance. Confirmatory factor analysis results indicated that all goodness-of-fit indices supported the model fit (minimum discrepancy function [CMIN]/<i>df</i> = 2.082, goodness-of-fit index = 0.980, incremental fit index = 0.982, comparative fit index = 0.980, Tucker-Lewis index = 0.964, relative fit index = 0.968, and root mean square error of approximation = .073) (95% confidence interval: [.063, .082]). After careful evaluation, all coefficients of internal consistency were deemed acceptable (α = .762 and McDonald's omega = 0.756). <b>Conclusions:</b> In the present context, the translation and validation of the Perth A-Loneness Scale among Iranian adolescents revealed that it has a four-factor structure, reliability, and validity to estimate the degree of loneliness among adolescents.</p>","PeriodicalId":16585,"journal":{"name":"Journal of nursing measurement","volume":" ","pages":"303-314"},"PeriodicalIF":1.0,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Psychometric Properties of the Malnutrition Risk Perception Scale-Short Version for Community-Dwelling Older Adults.","authors":"Lanzhi Wei, Mei-Chan Chong, Nadeeka Shayamalie Gunarathne","doi":"10.1891/JNM-2025-0063","DOIUrl":"10.1891/JNM-2025-0063","url":null,"abstract":"<p><p><b>Background and Purpose:</b> Scale simplification is a key trend in psychometric research, aiming to reduce the measurement burden while preserving reliability, validity, and applicability. This study aims to develop a more efficient short version of the Malnutrition Risk Perception Scale (MRPS) for older adults by simplifying the original 35-item version (MRPS-35). <b>Methods:</b> Genetic algorithms were used to optimize the MRPS-35, resulting in the short MRPS. Reliability, validity, and structural consistency were tested, and measurement invariance across gender groups was assessed, including configural, weak, and strong invariance. <b>Results:</b> The scale was simplified to 12 items (MRPS-12), which demonstrated strong reliability, validity, and structural consistency, showing high comparability to the original MRPS-35. Measurement invariance testing confirmed configural, weak, and strong invariance, indicating the scale's stability across gender groups. <b>Conclusions:</b> As a more efficient assessment tool, the MRPS-12 holds significant potential for community use, enabling the rapid identification of malnutrition risk perception among older adults and supporting tailored nursing interventions.</p>","PeriodicalId":16585,"journal":{"name":"Journal of nursing measurement","volume":" ","pages":"326-335"},"PeriodicalIF":1.0,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145604607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Development and Validation of the Surrogate Decision-Maker Trust Scale.","authors":"Caleb Armstrong, Kevin Gosselin","doi":"10.1891/JNM-2025-0043","DOIUrl":"10.1891/JNM-2025-0043","url":null,"abstract":"<p><p><b>Background and Purpose:</b> Surrogate decision-maker trust in health care professionals has been previously identified as an important component in improving outcomes in the adult intensive care unit setting, but no validated instrument currently exists to measure this concept. The purpose of this study is to develop and provide initial validity support for such a scale, the Surrogate Decision-Maker Trust Scale (SDMTS). <b>Methods:</b> This study employed a quantitative cross-sectional survey development research design. An initial list of survey items was developed from a literature review, and this list was then evaluated for content validity by a panel of six experts and content validity index calculations. Construct validity was evaluated through regularized exploratory factor analysis and internal consistency reliability through the calculation of Coefficient alpha scores. <b>Results:</b> The final SDMTS contained 22 items that were best explained by a three-factor model that accounted for 48.4% of the total variance. The scale-level Coefficient alpha was .947. <b>Conclusions:</b> This research provides initial support for the validity and reliability of the SDMTS. Further research through confirmatory factor analysis is needed to confirm the factor structure in a new population.</p>","PeriodicalId":16585,"journal":{"name":"Journal of nursing measurement","volume":" ","pages":"315-325"},"PeriodicalIF":1.0,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145504991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}