LISANS HEMŞIRELIĞI ÖĞRENCILERI İÇIN “AFETE MÜDAHALE ÖZ-YETERLILIK ÖLÇEĞI’NIN TÜRKÇE FORMUNUN GEÇERLIK VE GÜVENIRLIĞI

Amaç: Türkiye’de lisans hemşirelerinin afete müdahale öz-yeterliliklerini belirlemeye yönelik bir ölçme aracı bulunmamaktadır ve uygun araçların geliştirilmesi veya uyarlanması gerekmektedir. Metodolojik nitelikteki bu araştırma, “Afete Müdahale Özyeterlilik Ölçeği’nin AMÖYÖ Türkçe Geçerlik ve Güvenirliliğini saptamak amacıyla planlanmış bir araştırmadır. Yöntem: Verilerek yüz yüze görüşülerek toplanmıştır. Araştırmanın örneklemini Hemşirelik Fakültesinde 3. ve 4. sınıfta öğrenim gören, araştırmaya katılmayı kabul eden 271 öğrenci oluşturmuştur. Ölçeğin Türkçe uyarlamasında çeviri geri çeviri yöntemi kullanılmıştır. İçerik geçerliğini test etmek için kapsam geçerlik indeksi, yapı geçerliğini belirlemek için açımlayıcı ve doğrulayıcı faktör analizi, güvenirliğini test edebilmek için Cronbach alfa değeri, madde toplam korelasyonu kullanılmıştır. Bulgular: AMÖYÖ için kapsam geçerlik indeksi 0,99’dur. Ölçeğin tamamının Cronbach alfa katsayısı 0,96, yerinde kurtarma yeterliliği, afet psikolojik hemşirelik yeterliliği, afet rolü kalitesi ve adaptasyon yeterliliği boyutlarının 0,93 olarak saptanmış, madde-toplam korelasyonu pozitif ve yüksek bulunmuştur. Faktör analizi ölçeğin üç faktörlü bir yapıya sahip olduğunu ve benzer maddelerin aynı faktörler altında toplandığını göstermiştir. DFA Uyum indekslerinden RMSEA 0,077, GFI 0,87, CFI 0,98, IFI 0,98, RFI 0,97, NFI TLI 0,97 ve x2/df bölümü ise 2,604 olarak belirlenmiştir. Sonuç: AMÖYÖ’nin Türkçe versiyonunun lisans hemşirelik öğrencilerinin afete müdahale öz-yeterliliklerini belirlemede kullanılabilecek, güvenilir ve geçerli bir ölçme aracı olduğu sonucuna varılmıştır.

Validity and Reliability Study of The Turkish Version of The Disaster Response Self-Efficacy Scale In Undergraduate Nursing Students

Objective: In Turkey, unfortunately, there is no measuring tool to determine nurses’ disaster response self-efficacy and thus appropriate tools should be either developed or adapted. This methodological study was designed to determine the validity and reliability of the Turkish version of the “Disaster Response Self-Efficacy Scale DRSES ”.Materials and Methods: The data were collected through face-to-face interviews. The study sample comprised 271 3rd and 4th year students who attended a Nursing Faculty and accepted to participate in the study. In adapting the scale into Turkish, the translation and back-translation method was used. The Content Validity Index was used to test the content validity, the Exploratory and Confirmatory Factor Analysis was used for determining the construct validity, and Cronbach’s alpha value and item total correlation were used to test the reliability.Results: The content validity index for the Disaster Response Self-Efficacy Scale was 0.99. The Cronbach alpha coefficient was 0.96. For on-site rescue competency, disaster psychological nursing competency, disaster role quality and adaptation competency subscales, it was 0.93. The item-total correlation was positive and high. The factor analysis revealed that the scale had a three-factor structure and that similar items were grouped under the same factors. Confirmatory factor analysis revealed the following values: RMSEA: 0.077, GFI: 0.87, CFI: 0.98, IFI: 0.98, RFI: 0.97, NFI TLI : 0.97, and x2/df: 2.604.Conclusion: It was concluded that the Turkish version of the Disaster Response Self-Efficacy Scale was a reliable and valid measurement tool that could be used to determine the nursing students’ disaster response self-efficacy

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1. International Federation of Red Cross and Red Crescent [IFRC]. World Disasters Report – Resilience: Saving Lives Today, Investing for Tomorrow. International Federation of Red Cross and Red Crescent Societies. Geneva, 2016. https://www.ifrc.org/en/news-and-media/ press-releases/general/world-disasters-report-2016---resiliencesaving-lives-today-investing-for-tomorrow/

2. Guha-Sapir D, Hoyois Ph, Wallemacq P, Below R. Annual Disaster Statistical Review 2016: The Numbers and Trends. Brussels: CRED; 2016. http://emdat.be/sites/default/files/adsr_2016.pdf

3. Kalanlar B. Teaching disaster nursing and management to nursing students: use of Jennings Disaster Management Model in nursing. [PhD thesis]. Hacettepe University Institute of Health Sciences, Public Health Nursing Program, Turkey; 2013.

4. Veenema TG. Expanding education opportunities in disaster response and emergency preparedness for nurses. Nurs Educ Perspect 2006;27:93–8.

5. Zarea K, Beiranvand S, Sheini-Jaberi P, Nikbakht-Nasrabadi A. Disaster nursing in Iran: Challenges and opportunities. Australas Emerg Nurs J 2014;17:190–6. [CrossRef]

6. Olchin L. Krutz A. Nurses as first responders in a mass casualty. J Trauma Nurs 2012;19:122–9. [CrossRef]

7. Yin H, He H, Arbon P, Zhu J. A survey of the practice of nurses’ skills in Wenchuan earthquake disaster sites: Implications for disaster training. J Adv Nurs 2011;67:2231–8. [CrossRef]

8. Disaster Nursing Society. Disaster nursing. http://www.jsdn.gr.jp/ eng/diaster/nhtml

9. Yan YE, Turale S, Stone T, Petrini M. Disaster nursing skills, knowledge and attitudes required in earthquake relief: Implications for nursing education. Int Nurs Rev 2015;62:351–9. [CrossRef]

10. International Council of Nurses [ICN]. Position statement: Nurses and disaster preparedness; 2006. http://www.icn.ch/PS_A11_ NursesDisaster-Prep.pdf

11. World Health Organization and International Council of Nurses. ICN Framework of Disaster Nursing Competencies. International Council of Nurses, Geneva, Switzerland, 2009.

12. International Nursing Coalition for Mass Casualty Education [INCMCE]. Educational Competencies for Registered Nurses Responding to Mass Casualty Incidents; 2003. http://citeseerx.ist. psu.edu/viewdoc/download?doi=10.1.1.396.8909&rep=rep1&type =pdf

13. Al Thobaity A, Williams B, Plummer V. A new scale for disaster nursing core competencies: development and psychometric testing. Australas Emerg Nurs J 2016;19:11–9. [CrossRef]

14. Li HY, Bi RX, Zhong QL. The development and psychometric testing of a Disaster Response Self- Efficacy Scale among undergraduate nursing students. Nurse Educ Today 2017;59:16–20. [CrossRef]

15. O’Rourke N, Hatcher L. A Step-by-Step Approach to Using the SAS System for Factor Analysis and Structural Equation Modeling, 2nd ed. SAS Institute, Inc., Cary, NC 1994. https://support.sas.com/ publishing/pubcat/chaps/61314.pdf

16. Davis LL. Instrument review: Getting the most from a panel of experts. Applied Nursing Research 1992;5:194–7. [CrossRef]

17. Polit DF, Beck CT, Owen SV. Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Res Nurs Health 2007;30:459–67. [CrossRef]

18. Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J, et al. Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol 2007;60:34–42. [CrossRef]

19. Büyüköztürk S. Factor Analysis: Basic concepts and its use in scale development. Educ Manage Theory Pract 2002;32:470– 83. http://static.dergipark.org.tr/article-download/ imported/5000050785/5000048032.pdf?

20. Polit DF. Statistics and Data Analysis for Nursing Research 2nd ed. USA New York: Appleton and Lange; 1996.

21. Şencan H. Reliability and validity in social and behavioral measurement, 1st ed. Ankara: Seçkin Publisher; 2005.

22. De Vellis RF. Scale development, theory and Applications, 3rd ed. India: SAGE Publication; 2012. pp.31–59.

23. Watson R, Thompson DR. Use of factor analysis in Journal of Advanced Nursing: literature review. J Adv Nurs 2006;55:330–41. [CrossRef]

24. Şimsek ÖF. Introduction to structural equation modeling: LISREL fundamental principles and practices. İstanbul: Ecinocs publications; 2010.

25. Hooper D, Coughlan J, Mullen MR. Structural equation modelling: guidelines for determining model fit. Electronic Journal of Business Research Methods - EJBRM 2008;6:53– 60. https://issuu.com/academic-conferences.org/docs/ ejbrm-volume6-issue1-article183?mode=a_p

26. Gözüm S. Aksayan S. A guide for transcultural adaptation of the scale II: psychometric characteristics and cross-cultural comparison. J Res Dev Nurs 2003;5:3–14.

27. Erkuş A. Articles on psychometry. Turkish Psychological Association Publications,1st ed. Ankara: 2003. pp.36–42.

28. Özdamar K. Statistical data analysis using package programs 2: Multivariate analysis, 5th ed. Turkey: Kaan Printworks; 2004.

29. Jonhson RB, Christensen L. Educational research: quantitative, qualitative, and mixed approaches. California: SAGE Publication; 2014. pp.190–222. https://ismailsunny.files.wordpress.com/2017/07/ educational-research_-quantitat-r-robert-burke-johnson.pdf