Ivo Cristiano Soares Paiva, Teresa Margarida Almeida Neves, Filipa Isabel Quaresma Santos Ventura, António Carlos Lopes Vilela, Isabel Maria Pinheiro Borges Moreira
{"title":"将护理决策工具的文化适应性和心理测量学评估纳入欧洲葡萄牙语。","authors":"Ivo Cristiano Soares Paiva, Teresa Margarida Almeida Neves, Filipa Isabel Quaresma Santos Ventura, António Carlos Lopes Vilela, Isabel Maria Pinheiro Borges Moreira","doi":"10.1177/23779608241278611","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Nurses are continually faced with multiple demands to make decisions in their clinical practice. The Nursing Decision-Making Instrument (NDMI) assesses nurses' decision-making styles during the several stages of this process.</p><p><strong>Objectives: </strong>To adapt the NDMI into European Portuguese and evaluate the psychometric properties of the Portuguese version in a population of Portuguese nurses.</p><p><strong>Methods: </strong>Descriptive study design was used to examine psychometric properties of NDMI. Nonprobability convenience sample of 339 Portuguese direct-care nurses. Data were collected using a questionnaire comprising sociodemographic and professional data and the NDMI-Portuguese version (NDMI-PT). An exploratory factor analysis (EFA; <i>n </i>= 125) and a confirmatory factor analysis (CFA; <i>n </i>= 214) were carried out using IBM SPSS (v. 24) and AMOS (v. 22).</p><p><strong>Results: </strong>The EFA revealed a structure of four latent factors, which represent the reorganized stages of the decision-making process. The CFA found a good overall fit of the model (χ<sup>2</sup>/df = 2.13; comparative fit index [CFI] = 0.91; goodness of fit index [GFI] = 0.82; Tucker-Lewis Index [TLI] = 0.90; root mean square error of approximation [RMSEA] = 0.07; maximum-likelihood expected cross-validation index [MECVI] = 3.13). The psychometric analysis of the theoretical structure revealed that the four factors reflect the decision-making stages and have a better overall fit than the empirical structure (χ<sup>2</sup>/df = 1.82; CFI = 0.94; GFI = 0.86; TLI = 0.93; RMSEA = 0.06; MECVI = 2.55). The analysis of the construct reliability of the NDMI-PT revealed that the overall internal consistency was excellent (<i>α</i>=0.96).</p><p><strong>Conclusions: </strong>This study revealed that the empirical and theoretical structures were appropriate and valid for the sample under analysis. The NDMI-PT is a reliable and valid tool for assessing nurses' decision-making styles. Studies should be conducted to gain further insight into the robustness of this validated tool.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"10 ","pages":"23779608241278611"},"PeriodicalIF":2.0000,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11406578/pdf/","citationCount":"0","resultStr":"{\"title\":\"Cultural Adaptation and Psychometric Evaluation of the Nursing Decision-Making Instrument Into European Portuguese.\",\"authors\":\"Ivo Cristiano Soares Paiva, Teresa Margarida Almeida Neves, Filipa Isabel Quaresma Santos Ventura, António Carlos Lopes Vilela, Isabel Maria Pinheiro Borges Moreira\",\"doi\":\"10.1177/23779608241278611\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Nurses are continually faced with multiple demands to make decisions in their clinical practice. The Nursing Decision-Making Instrument (NDMI) assesses nurses' decision-making styles during the several stages of this process.</p><p><strong>Objectives: </strong>To adapt the NDMI into European Portuguese and evaluate the psychometric properties of the Portuguese version in a population of Portuguese nurses.</p><p><strong>Methods: </strong>Descriptive study design was used to examine psychometric properties of NDMI. Nonprobability convenience sample of 339 Portuguese direct-care nurses. Data were collected using a questionnaire comprising sociodemographic and professional data and the NDMI-Portuguese version (NDMI-PT). An exploratory factor analysis (EFA; <i>n </i>= 125) and a confirmatory factor analysis (CFA; <i>n </i>= 214) were carried out using IBM SPSS (v. 24) and AMOS (v. 22).</p><p><strong>Results: </strong>The EFA revealed a structure of four latent factors, which represent the reorganized stages of the decision-making process. The CFA found a good overall fit of the model (χ<sup>2</sup>/df = 2.13; comparative fit index [CFI] = 0.91; goodness of fit index [GFI] = 0.82; Tucker-Lewis Index [TLI] = 0.90; root mean square error of approximation [RMSEA] = 0.07; maximum-likelihood expected cross-validation index [MECVI] = 3.13). The psychometric analysis of the theoretical structure revealed that the four factors reflect the decision-making stages and have a better overall fit than the empirical structure (χ<sup>2</sup>/df = 1.82; CFI = 0.94; GFI = 0.86; TLI = 0.93; RMSEA = 0.06; MECVI = 2.55). The analysis of the construct reliability of the NDMI-PT revealed that the overall internal consistency was excellent (<i>α</i>=0.96).</p><p><strong>Conclusions: </strong>This study revealed that the empirical and theoretical structures were appropriate and valid for the sample under analysis. The NDMI-PT is a reliable and valid tool for assessing nurses' decision-making styles. 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Cultural Adaptation and Psychometric Evaluation of the Nursing Decision-Making Instrument Into European Portuguese.
Introduction: Nurses are continually faced with multiple demands to make decisions in their clinical practice. The Nursing Decision-Making Instrument (NDMI) assesses nurses' decision-making styles during the several stages of this process.
Objectives: To adapt the NDMI into European Portuguese and evaluate the psychometric properties of the Portuguese version in a population of Portuguese nurses.
Methods: Descriptive study design was used to examine psychometric properties of NDMI. Nonprobability convenience sample of 339 Portuguese direct-care nurses. Data were collected using a questionnaire comprising sociodemographic and professional data and the NDMI-Portuguese version (NDMI-PT). An exploratory factor analysis (EFA; n = 125) and a confirmatory factor analysis (CFA; n = 214) were carried out using IBM SPSS (v. 24) and AMOS (v. 22).
Results: The EFA revealed a structure of four latent factors, which represent the reorganized stages of the decision-making process. The CFA found a good overall fit of the model (χ2/df = 2.13; comparative fit index [CFI] = 0.91; goodness of fit index [GFI] = 0.82; Tucker-Lewis Index [TLI] = 0.90; root mean square error of approximation [RMSEA] = 0.07; maximum-likelihood expected cross-validation index [MECVI] = 3.13). The psychometric analysis of the theoretical structure revealed that the four factors reflect the decision-making stages and have a better overall fit than the empirical structure (χ2/df = 1.82; CFI = 0.94; GFI = 0.86; TLI = 0.93; RMSEA = 0.06; MECVI = 2.55). The analysis of the construct reliability of the NDMI-PT revealed that the overall internal consistency was excellent (α=0.96).
Conclusions: This study revealed that the empirical and theoretical structures were appropriate and valid for the sample under analysis. The NDMI-PT is a reliable and valid tool for assessing nurses' decision-making styles. Studies should be conducted to gain further insight into the robustness of this validated tool.
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