Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Hemşirelik Tanıları Hakkındaki Görüşler Ölçeğinin Türkçeye Uyarlanması
Adaptation of the Positions on Nursing Diagnosis Scale to Turkish
Ayten ZAYBAKa, Elif GÜNAY İSMAİLOĞLUb, Ahmet EROLa, Handan ÖZDEMİRc
aEge Üniversitesi Hemşirelik Fakültesi, Hemşirelik Esasları ABD, İzmir, TÜRKİYE
bBakırçay Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, İzmir, TÜRKİYE
cMehmet Akif Ersoy Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Burdur, TÜRKİYE
Turkiye Klinikleri J Nurs Sci. 2020;12(4):520-7
doi: 10.5336/nurses.2020-74725
Article Language: TR
Full Text
ÖZET
Amaç: Bu çalışma, hemşirelik tanıları hakkındaki görüşler (HTHG) ölçeğinin Türkçe formunun geçerlilik ve güvenirliliğinin incelenmesi amacıyla yapılmış metodolojik bir araştırmadır. Gereç ve Yöntemler: Araştırma, Nisan 2016-Haziran 2016 tarihleri arasında bir hemşirelik fakültesinde öğrenim gören, araştırmaya katılmayı kabul eden 3 ve 4. sınıf olan toplam 209 öğrenci ile yürütülmüştür. Araştırma verilerinin toplanmasında,'Birey tanıtım formu' ve "HTHG ölçeği" kullanılmıştır. Ölçeğin geçerlilik çalışmasında dil eş değerliliği, kapsam geçerliliği ve yapı geçerliliği, uzman görüşünün değerlendirilmesinde içerik geçerlilik indeksi kullanılmıştır. Ölçeğin güvenirlilik çalışmasında, iç tutarlılığını belirlemek için Cronbach alfa değeri katsayısının hesaplanması, madde analizleri ve doğrulayıcı faktör analizi yöntemlerinden yararlanılmıştır. Bulgular: Araştırmaya katılan öğrencilerin %87,6'sı kadın ve %62,2'si 4. Sınıf, %37,8'i 3.sınıf öğrencisidir. Araştırma sonucunda, HTHG ölçeğinin tek boyuttan meydana geldiği ve faktör yüklerinin 0,878-0,492 arasında değiştiği ve her maddenin yeterli seviyede ölçeğe katkı sunduğu saptanmıştır. Ölçeğin Cronbach alfa değeri 0,958'dir. Doğrulayıcı faktör analizi sonuçlarına göre, ölçeğin uyum indeksleri değerleri ile iyi uyum ve kabul edilebilir uyum indekslerinde olduğu görülmektedir. Sonuç: 7'li Likert tipte 20 madden oluşan HTHG ölçeğinin, oldukça yeterli geçerlilik ve güvenirlilik göstergelerine sahip bir ölçme aracı olduğu ve ölçeğin hemşirelik öğrencilerinin HTHG'yi belirlemede güvenli bir şekilde kullanılabileceği söylenebilir.

Anahtar Kelimeler: Hemşirelik tanısı; ölçek; geçerlilik; güvenirlilik; hemşirelik
ABSTRACT
Objective: This methodological study was conducted to investigate the validity and reliability of the Turkish version of the Positions on Nursing Diagnosis (PND) Scale. Material and Methods: The sample of the study carried out between April and June 2016 comprised 209 3rd and 4th class students of a nursing faculty who agreed to participate in the study. The study data were collected using the "Individual Introduction Form" and "PND Scale". In the validity study of the scale, the content validity index was used to evaluate language validity, content validity, construct validity and expert opinion. In the reliability study of the scale, the Cronbach's alpha coefficient calculation, item analysis and confirmatory factor analysis were used to determine the internal consistency. Results: Of the students participating in the study, 87.6% were women, 62.2% were the 4th class students, and 37.8% were the 3rd class students. The results of the study indicated that PND scale had one dimension, that its factor loadings varied between 0.878 and 0.492 and that each item contributed to the scale at a sufficient level. The Cronbach's alpha value of the scale was 0.958. According to the results of the Confirmatory Factor Analysis, the scale had good fit and acceptable fit indices. Conclusion: The PND scale consisting of 20 items rated on a 7-point Likert type scale is a measurement tool with sufficient validity and reliability indicators, and it can be used safely in determining nursing students' opinions of nursing diagnoses.

Keywords: Nursing diagnosis; scale; validity; reliability; nursing
REFERENCES:
  1. Hellesø R, Ruland CM. Developing a module for nursing documentation integrated in the electronic patient record. J Clin Nurs. 2001;10(6):799-805.[Crossref] [PubMed] 
  2. Bozkurt G, Düzkaya D, Terzi B. Hemşirelik Sürecinin Uygulanması: Klinik Karar Verme Süreci. 8. İstanbul: Nobel Tıp Kitabevi; 2017:3.
  3. Rutherford MA. Standardized nursing language: What does it mean for nursing practice? Online J Issues Nurs. 2008:1-11.[Crossref] 
  4. Schwiran PM, Thede LQ. Informatics: the standardized nursing terminologies: a national survey of nurses' experiences and attitudes.Online J Issues Nurs. 2011;16(2):12.[PubMed] 
  5. Wilkinson JM, Barcus L, eds. Nursing Diagnostics Handbook. 11th ed. Ankara: Pelikan Yayınevi;2018.
  6. Lunney M. Use of critical thinking in the diagnostic process. Int J Nurs Terminol Classif. 2010;21(2):82-8.[Crossref] [PubMed] 
  7. Herdman TH, Kamitsuru S. NANDA International Nursing Diagnoses: Definitions and Classification, 2015-2017. 10th ed. Oxford: Wiley Blackwell; 2014. http://stikespanritahusada.ac.id/wp-content/uploads/2017/04/NANDA-Nursing-Diagnoses-2015-2017.pdf
  8. Herdman TH, Gordon M, Craft‐Rosenberg M. Notes on NDEC: The Evolving Role of DRC: Impact on Collaboration with NDEC and Other Research Groups. International Journal of Nursing Terminologies and Classifications. 2000; 11(4):176-8.[Crossref] 
  9. İlçe A, Totur B, Özbayır T. [Evaluation of patients with brain tumors according to international NANDA nursing diagnoses: care recommendations]. J Neurol Sci. 2010;27:178-84. https://www.researchgate.net/publication/49614719_Evaluation_of_Patients_With_Brain_Tumors_According_to_International_NANDA_Nursing_Diagnoses_Care_Suggestions
  10. Güner P, Terakye G. [The level of determination nursing diagnosis of senior nursing school students]. Cumhuriyet Üniversitesi Hemşirelik Yüksekokulu Dergisi 2000;4(1):9-15. http://eskidergi.cumhuriyet.edu.tr/makale/2.pdf
  11. Babadağ K, Kaya N, Esen F. [Determining students' status of determining NANDA nursing diagnoses]. Hemşirelik Forumu. 2004;7(3):37-41.
  12. Ogunfowokan AA, Oluwatosin AO, Olajubu AO, Alao OA, Faremi AF. Student nurses' perceived use of NANDA-I nursing diagnoses in the community setting. Int J Nurs Knowl. 2013;24(1):37-43.[Crossref] [PubMed] 
  13. Guedes Ede S, Turrini RN, de Sousa RM, Baltar VT, da Cruz Dde A. Atitudes dos profissionais de enfermagem relacionadas ao Processo de Enfermagem [Attitudes of nursing staff related to the nursing process]. Rev Esc Enferm USP. 2012;46 Spec No:130-7.[Crossref] [PubMed] 
  14. Junttila K, Salanterä S, Hupli M. Perioperative nurses' attitudes toward the use of nursing diagnoses in documentation. J Adv Nurs. 2005;52(3):271-80.[Crossref] [PubMed] 
  15. Jensen R, de Moraes Lopes MH, Silveira PS, Ortega NR. [The development and evaluation of software to verify diagnostic accuracy]. Rev Esc Enferm USP. 2012;46(1):184-91.[Crossref] [PubMed] 
  16. Halverson EL, Beetcher EL, Scherb CA, Olsen G, Frost M, Orth K. Minnesota nurses' perceptions of nursing diagnoses. Int J Nurs Terminol Classif. 2011:123-32.[Crossref] [PubMed] 
  17. D'Agostino F, Vellone E, Cerro E, Di Sarra L, Juárez-Vela R, Ghezzi V, et al. Psychometric evaluation of the Positions on Nursing Diagnosis scale. Appl Nurs Res. 2016;29:e1-6.[Crossref] [PubMed] 
  18. Romero-Sánchez JM, Paramio-Cuevas JC, Paloma-Castro O, Pastor-Montero SM, O'Ferrall-González C, Gabaldón-Bravo EM, et al. The Spanish version of the Position on Nursing Diagnosis scale: cross-cultural adaptation and psychometric assessment. J Adv Nurs. 2013;69(12):2759-71.[Crossref] [PubMed] 
  19. da Cruz Dde A, Hayashi AA, Oliva AP, Corrêa CG. Adaptação e validaçõ do instrumento "Positions on Nursing Diagnosis" para a língua Portuguesa [Adaptation and validation of the "Positions on Nursing Diagnosis" tool to Portuguese language]. Rev Bras Enferm. 2006;59(2):163-7. Portuguese.[Crossref] [PubMed] 
  20. Lunney M, Krenz M. Adaptation and validation of the "Positions on Nursing Diagnosis" tool to Portuguese language. Brazilian J Nurs. 1994;59(2):136-67.
  21. Alpar R. [Applied Statistics and Validity and Reliability in Sports, Health and Education Sciences]. 4. Ankara: Detay Yayıncılık;2016.
  22. Tabachnick BG, Fidell LS. Çok Değişkenli İstatistiklerin Kullanımı. (Baloğlu M, ed.). Ankara: Nobel Akademik Yayıncılık; 2015.
  23. Karakoç AGDFY, Dönmez PDL. [Basic Principles in Scale Development Studies]. Tıp Eğitimi Dünyası. 2014;13(40):39-9.[Crossref] 
  24. Özdamar K. [Statistical Data Analysis with Package Programs]. 9th ed. Seçkin Yayıncılık;2018.
  25. Çapık C. [Use of confirmatory factor analysis in validity and reliability studies]. J Anatolia Nurs Heal Sci. 2014;17(3):196-205.[Crossref] 
  26. Munro B. Statistical Methods For Health Care Research. Philadelphia: Lippincott Williams & Wilkins; 2005.
  27. Hooper D, Coughlan J, Mullen MR. Structural equation modelling: Guidelines for determining model fit. Electron J Bus Res Methods. 2008;6(1):53-60.[Crossref] 
  28. de Souza Guedes E, Cardoso de Sousa RM, Turrini RN, Baltar VT, Monteiro da Cruz Dde A. Adaptation and validation of the instrument positions on the nursing process. Rev Lat Am Enfermagem. 2013;21(1):404-11. English, Portuguese, Spanish.[Crossref] [PubMed] 
  29. Gözüm S, Aksayan S. [Guidelines for Intercultural Scale Adaptation II: Psychometric properties and intercultural comparison]. Hemşirelikte Araştırma Geliştirme Dergisi 2003;1:3-14. http://hemarge.org.tr/ckfinder/userfiles/files/2003/2003-vol5-sayi1-65.pdf

.: Up To Date

.: Process List

Login



Contact


Ortadoğu Reklam Tanıtım Yayıncılık Turizm Eğitim İnşaat Sanayi ve Ticaret A.Ş.

.: Address

Turkocagi Caddesi No:30 06520 Balgat / ANKARA
Phone: +90 312 286 56 56
Fax: +90 312 220 04 70
E-mail: info@turkiyeklinikleri.com

.: Manuscript Editing Department

Phone: +90 312 286 56 56/ 2
E-mail: yaziisleri@turkiyeklinikleri.com

.: English Language Redaction

Phone: +90 312 286 56 56/ 145
E-mail: tkyayindestek@turkiyeklinikleri.com

.: Marketing Sales-Project Department

Phone: +90 312 286 56 56/ 142
E-mail: reklam@turkiyeklinikleri.com

.: Subscription and Public Relations Department

Phone: +90 312 286 56 56/ 118
E-mail: abone@turkiyeklinikleri.com

.: Customer Services

Phone: +90 312 286 56 56/ 118
E-mail: satisdestek@turkiyeklinikleri.com

1. TERMS OF USE

1.1. To use the web pages with http://www.turkiyeklinikleri.com domain name or the websites reached through the sub domain names attached to the domain name (They will be collectively referred as "SITE"), please read the conditions below. If you do not accept these terms, please cease to use the "SITE." "SITE" owner reserves the right to change the information on the website, forms, contents, the "SITE," "SITE" terms of use anytime they want.

1.2. The owner of the "SITE" is Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. (From now on it is going to be referred as "Turkiye Klinikleri", shortly) and it resides at Turkocagi cad. No:30, 06520 Balgat Ankara. The services in the "SITE" are provided by "Turkiye Klinikleri."

1.3. Anyone accessing the "SITE" with or without a fee whether they are a natural person or a legal identity is considered to agree these terms of use. In this contract hereby, "Turkiye Klinikleri" may change the stated terms anytime. These changes will be published in the "SITE" periodically and they will be valid when they are published. Any natural person or legal identity benefiting from and reaching to the "SITE" are considered to be agreed to any change on hereby contract terms done by "Turkiye Klinikleri."

1.4. The "Terms of Use" hereby is published in the website with the last change on March 30th 2014 and the "SITE" is activated by enabling the access to everyone. The "Terms of Use" hereby is also a part of the any "USER Contract" was and/or will be done with the users using "Turkiye Klinikleri" services with or without a fee an inseparable.

2. DEFINITIONS

2.1. "SITE": A website offering different kind of services and context with a certain frame determined by "Turkiye Klinikleri" and it is accessible on-line on http://www.turkiyeklinikleri.com domain name and/or subdomains connected to the domain name.

2.2. USER: A natural person or a legal identity accessing to the "SITE" through online settings.

2.3. LINK: A link enabling to access to another website through the "SITE", the files, the context or through another website to the "SITE", the files and the context.

2.4. CONTEXT: Any visual, literary and auditory images published in the "Turkiye Klinikleri", "SITE" and/or any website or any accessible information, file, picture, number/figures, price, etc.

2.5. "USER CONTRACT": An electronically signed contract between a natural or a legal identity benefiting from special services "Turkiye Klinikleri" will provide and "Turkiye Klinikleri".

3. SCOPE OF THE SERVICES

3.1. "Turkiye Klinikleri" is completely free to determine the scope and quality of the services via the "SITE".

3.2. To benefit the services of "Turkiye Klinikleri" "SITE", the "USER" must deliver the features that will be specified by "Turkiye Klinikleri". "Turkiye Klinikleri" may change this necessity any time single-sided.

3.3. Not for a limited number, the services "Turkiye Klinikleri" will provide through the "SITE" for a certain price or for free are;

- Providing scientific articles, books and informative publications for health industry.

- Providing structural, statistical and editorial support to article preparation stage for scientific journals.

4. GENERAL PROVISIONS

4.1. "Turkiye Klinikleri" is completely free to determine which of the services and contents provided in the "SITE" will be charged.

4.2. People benefiting from the services provided by "Turkiye Klinikleri" and using the website can use the "SITE" only according to the law and only for personal reasons. Users have the criminal and civil liability for every process and action they take in the "SITE". Every USER agrees, declares and undertakes that they will not proceed by any function or action infringement of rights of "Turkiye Klinikleri"s and/or other third parties', they are the exclusive right holder on usage, processing, storage, made public and revealing any written, visual or auditory information reported to Turkiye Klinikleri" and/or "SITE" to the third parties. "USER" agrees and undertakes that s/he will not duplicate, copy, distribute, process, the pictures, text, visual and auditory images, video clips, files, databases, catalogs and lists within the "SITE", s/he will not be using these actions or with other ways to compete with "Turkiye Klinikleri", directly or indirectly.

4.3. The services provided and the context published within the "SITE" by third parties is not under the responsibility of "Turkiye Klinikleri", institutions collaborated with "Turkiye Klinikleri", "Turkiye Klinikleri" employee and directors, "Turkiye Klinikleri" authorized salespeople. Commitment to accuracy and legality of the published information, context, visual and auditory images provided by any third party are under the full responsibility of the third party. "Turkiye Klinikleri" does not promise and guarantee the safety, accuracy and legality of the services and context provided by a third party.

4.4. "USER"s cannot act against "Turkiye Klinikleri", other "USER"s and third parties by using the "SITE". "Turkiye Klinikleri" has no direct and/or indirect responsibility for any damage a third party suffered or will suffer regarding "USER"s actions on the "SITE" against the rules of the hereby "Terms of Use" and the law.

4.5. "USER"s accept and undertake that the information and context they provided to the "SITE" are accurate and legal. "Turkiye Klinikleri" is not liable and responsible for promising and guaranteeing the verification of the information and context transmitted to "Turkiye Klinikleri" by the "USER"s, or uploaded, changed and provided through the "SITE" by them and whether these information are safe, accurate and legal.

4.6. "USER"s agree and undertake that they will not perform any action leading to unfair competition, weakening the personal and commercial credit of "Turkiye Klinikleri" and a third party,  encroaching and attacking on personal rights within the "SITE" in accordance with the Turkish Commercial Code Law.

4.7. "Turkiye Klinikleri" reserves the right to change the services and the context within the "SITE"  anytime. "Turkiye Klinikleri" may use this right without any notification and timelessly. "USER"s have to make the changes and/or corrections "Turkiye Klinikleri" required immediately. Any changes and/or corrections that are required by "Turkiye Klinikleri", may be made by "Turkiye Klinikleri" when needed. Any harm, criminal and civil liability resulted or will result from changes and/or corrections required by "Turkiye Klinikleri" and were not made on time by the "USER"s belongs completely to the users.

4.8. "Turkiye Klinikleri" may give links through the "SITE" to other websites and/or "CONTEXT"s and/or folders that are outside of their control and owned and run by third parties. These links are provided for ease of reference only and do not hold qualification for support the respective web SITE or the admin or declaration or guarantee for the information inside. "Turkiye Klinikleri" does not hold any responsibility over the web-sites connected through the links on the "SITE", folders and context, the services or products on the websites provided through these links or their context.

4.9. "Turkiye Klinikleri" may use the information provided to them by the "USERS" through the "SITE" in line with the terms of the "PRIVACY POLICY" and "USER CONTRACT". It may process the information or classify and save them on a database. "Turkiye Klinikleri" may also use the USER's or visitor's identity, address, e-mail address, phone number, IP number, which sections of the "SITE" they visited, domain type, browser type, date and time information to provide statistical evaluation and customized services.

5. PROPRIETARY RIGHTS

5.1. The information accessed through this "SITE" or provided by the users legally and all the elements (including but not limited to design, text, image, html code and other codes) of the "SITE" (all of them will be called as studies tied to "Turkiye Klinikleri"s copyrights) belongs to "Turkiye Klinikleri". Users do not have the right to resell, process, share, distribute, display or give someone permission to access or to use the "Turkiye Klinikleri" services, "Turkiye Klinikleri" information and the products under copyright protection by "Turkiye Klinikleri". Within hereby "Terms of Use" unless explicitly permitted by "Turkiye Klinikleri" nobody can reproduce, process, distribute or produce or prepare any study from those under "Turkiye Klinikleri" copyright protection.

5.2. Within hereby "Terms of Use", "Turkiye Klinikleri" reserves the rights for "Turkiye Klinikleri" services, "Turkiye Klinikleri" information, the products associated with "Turkiye Klinikleri" copyrights, "Turkiye Klinikleri" trademarks, "Turkiye Klinikleri" trade looks or its all rights for other entity and information it has through this website unless it is explicitly authorized by "Turkiye Klinikleri".

6. CHANGES IN THE TERMS OF USE

"Turkiye Klinikleri" in its sole discretion may change the hereby "Terms of Use" anytime announcing within the "SITE". The changed terms of the hereby "Terms of Use" will become valid when they are announced. Hereby "Terms of Use" cannot be changed by unilateral declarations of users.

7. FORCE MAJEURE

"Turkiye Klinikleri" is not responsible for executing late or never of this hereby "Terms of Use", privacy policy and "USER Contract" in any situation legally taken into account as force majeure. Being late or failure of performance or non-defaulting of this and similar cases like this will not be the case from the viewpoint of "Turkiye Klinikleri", and "Turkiye Klinikleri" will not have any damage liability for these situations. "Force majeure" term will be regarded as outside of the concerned party's reasonable control and any situation that "Turkiye Klinikleri" cannot prevent even though it shows due diligence. Also, force majeure situations include but not limited to natural disasters, rebellion, war, strike, communication problems, infrastructure and internet failure, power cut and bad weather conditions.

8. LAW AND AUTHORISATION TO FOLLOW

Turkish Law will be applied in practicing, interpreting the hereby "Terms of Use" and managing the emerging legal relationships within this "Terms of Use" in case of finding element of foreignness, except for the rules of Turkish conflict of laws. Ankara Courts and Enforcement Offices are entitled in any controversy happened or may happen due to hereby contract.

9. CLOSING AND AGREEMENT

Hereby "Terms of Use" come into force when announced in the "SITE" by "Turkiye Klinikleri". The users are regarded to agree to hereby contract terms by using the "SITE". "Turkiye Klinikleri" may change the contract terms and the changes will be come into force by specifying the version number and the date of change on time it is published in the "SITE".

 

30.03.2014

Privacy Policy

We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com