{"title":"护士虐待老人评定量表的编制及心理测量学评价。","authors":"Oğuzhan Tiryaki, Birsel Canan Demirbağ","doi":"10.1080/08946566.2026.2734948","DOIUrl":null,"url":null,"abstract":"<p><p>This study aimed to develop and evaluate the psychometric properties of a nurse-administered instrument for the structured assessment of indicators potentially associated with elder abuse. Scale items were generated through literature review and expert evaluation, yielding a content validity index of 0.878. Each nurse assessed one unique older adult. Exploratory factor analysis included 373 nurse-older adult dyads, and confirmatory factor analysis included 334 independent dyads, totaling 707 assessments. Older adults were required to communicate effectively and be clinically suitable for assessment; cognitive status was not formally measured. Exploratory analysis showed adequate sampling adequacy (KMO = 0.861) and a significant Bartlett's test (<i>p</i> < .001), identifying a four-factor structure explaining 61.81% of variance. Confirmatory analysis supported the proposed structure, and Cronbach's alpha ranged from 0.890 to 0.944. Diagnostic accuracy was not evaluated against an independent reference standard; therefore, sensitivity, specificity, predictive values, and clinically meaningful cutoff scores remain to be established.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":" ","pages":"1-19"},"PeriodicalIF":1.2000,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Development and psychometric evaluation of the nurses' elder abuse assessment scale.\",\"authors\":\"Oğuzhan Tiryaki, Birsel Canan Demirbağ\",\"doi\":\"10.1080/08946566.2026.2734948\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>This study aimed to develop and evaluate the psychometric properties of a nurse-administered instrument for the structured assessment of indicators potentially associated with elder abuse. Scale items were generated through literature review and expert evaluation, yielding a content validity index of 0.878. Each nurse assessed one unique older adult. Exploratory factor analysis included 373 nurse-older adult dyads, and confirmatory factor analysis included 334 independent dyads, totaling 707 assessments. Older adults were required to communicate effectively and be clinically suitable for assessment; cognitive status was not formally measured. Exploratory analysis showed adequate sampling adequacy (KMO = 0.861) and a significant Bartlett's test (<i>p</i> < .001), identifying a four-factor structure explaining 61.81% of variance. Confirmatory analysis supported the proposed structure, and Cronbach's alpha ranged from 0.890 to 0.944. Diagnostic accuracy was not evaluated against an independent reference standard; therefore, sensitivity, specificity, predictive values, and clinically meaningful cutoff scores remain to be established.</p>\",\"PeriodicalId\":46983,\"journal\":{\"name\":\"Journal of Elder Abuse & Neglect\",\"volume\":\" \",\"pages\":\"1-19\"},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2026-09-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Elder Abuse & Neglect\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://doi.org/10.1080/08946566.2026.2734948\",\"RegionNum\":2,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"GERONTOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Elder Abuse & Neglect","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1080/08946566.2026.2734948","RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"GERONTOLOGY","Score":null,"Total":0}
Development and psychometric evaluation of the nurses' elder abuse assessment scale.
This study aimed to develop and evaluate the psychometric properties of a nurse-administered instrument for the structured assessment of indicators potentially associated with elder abuse. Scale items were generated through literature review and expert evaluation, yielding a content validity index of 0.878. Each nurse assessed one unique older adult. Exploratory factor analysis included 373 nurse-older adult dyads, and confirmatory factor analysis included 334 independent dyads, totaling 707 assessments. Older adults were required to communicate effectively and be clinically suitable for assessment; cognitive status was not formally measured. Exploratory analysis showed adequate sampling adequacy (KMO = 0.861) and a significant Bartlett's test (p < .001), identifying a four-factor structure explaining 61.81% of variance. Confirmatory analysis supported the proposed structure, and Cronbach's alpha ranged from 0.890 to 0.944. Diagnostic accuracy was not evaluated against an independent reference standard; therefore, sensitivity, specificity, predictive values, and clinically meaningful cutoff scores remain to be established.
期刊介绍：
The Journal of Elder Abuse & Neglect is the peer-reviewed quarterly journal that explores the advances in research, policy and practice, and clinical and ethical issues surrounding the abuse and neglect of older people. This unique forum provides state-of-the-art research and practice that is both international and multidisciplinary in scope. The journal"s broad, comprehensive approach is only one of its strengths—it presents training issues, research findings, case studies, practice and policy issues, book and media reviews, commentary, and historical background on a wide range of topics. Readers get tools and techniques needed for better detecting and responding to actual or potential elder abuse and neglect.
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