The Nurse-Nurse Collaboration Behavior Scale: Development and psychometric testing

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• 作者：Chunli Liao¹ ; ² ; Ying Qin ; ¹ ; ^{sherry_1986@163.com" class="auth_mail" title="E-mail the corresponding author} ; Yue He² ; Yu Guo²
• 关键词：Instrument development ; Nurse&ndash ; Nurse Collaboration Scale ; Psychometric testing
• 刊名：International Journal of Nursing Sciences
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：2
• 期：4
• 页码：334-339
• 全文大小：325 K

文摘

To develop and test the reliability and validity of a new instrument, the Nurse–Nurse Collaboration Behavior Scale (NNCBS).

Background

The importance of cooperation among nurses is widely acknowledged, but is a lack of scientific studies regarding the behaviorial interactions associated with nurse–nurse relationships throughout the process of patient-centered care. Therefore, there is a great need to develop a reliable scale to measure nurse–nurse collaboration behavior, which is what we have generated in this study.

Methods

The 46-item Nurse–Nurse Collaboration Scale was developed using a process of item design, refinement, and testing for both reliability and validity. In 2014, the 202 nurses from the International Department of Services participated in this pilot study. Cronbach's a coefficients and test–retest reliability coefficients were calculated in order to evaluate this new scale's internal consistency and stability. Exploratory factor analysis was calculated using a principal factor method with promax rotation to evaluate the scale's validity.

Results

Exploratory factor analysis yielded four factors and 23 items. The overall Cronbach's a coefficient of the scale was 0.929. The item-total correlation values were overall high, ranging from 0.427 to 0.751. For the entire scale, the r values of the test–retest reliability correlations were 0.764.

Conclusion

The NNCB Scale developed in this study demonstrates acceptable reliability and validity for measuring the level of NNCB. Its implementration on a broader scale would at the very least guide and promote collaborative relationships between nurses involved in patient care. It should be noted that the scale requires further psychometric testing using a larger sample size of nurses who also represent a wider diversity of backgrounds, as well as researchers who are encouraged to improve the instrument.