Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Standart Önlemlere Uyumu Etkileyen Faktörler Ölçeği Öğrenci Versiyonu'nun Türkçe Geçerlik Güvenirlik Çalışması: Metodolojik Çalışma
Turkish Validity and Reliability Study of the Factors Influencing Adherence to Standard Precautions Scale Student Version: Methodological Study
Gökçe ÖRÜCÜa , Selma ATAYb
aKonya Şehir Hastanesi, Konya, Türkiye
bÇanakkale Onsekiz Mart Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Çanakkale, Türkiye
Turkiye Klinikleri J Nurs Sci. 2023;15(4):1088-95
doi: 10.5336/nurses.2023-98033
Article Language: TR
Full Text
ÖZET
 Amaç: Araştırma, Standart Önlemlere Uyumu Etkileyen Faktörler Ölçeği Öğrenci Versiyonu'nun Türkçe geçerlik ve güvenirliğini değerlendirmek amacıyla metodolojik olarak yapılmıştır. Gereç ve Yöntemler: Bu çalışma, Türkiye'nin batısındaki bir üniversitenin sağlık bilimleri fakültesinde öğrenim gören 230 hemşirelik öğrencisiyle Ocak-Haziran 2022 tarih aralığında yürütülmüştür. Veriler, ''kişisel bilgi formu'' ve ''Standart Önlemlere Uyumu Etkileyen Faktörler Ölçeği Öğrenci Versiyonu'' ile toplanmıştır. Veriler değerlendirilirken, dil geçerliği, kapsam geçerliği, yapı geçerliği ve iç tutarlılık analizlerinden yararlanılmıştır. Bulgular: Araştırmaya katılan öğrencilerin %75,7'sinin kadın, %45,2'sinin 3. sınıf, %53,5'inin 21-22 yaş aralığında olduğu bulunmuştur. Ölçeğin dil eş değerliliği, çeviri, geri-çeviri, uzman görüşü alınması ve pilot çalışma olmak üzere 4 aşamada gerçekleştirilmiştir. Kapsam geçerliği yönteminde tüm maddelerin indeksleri 0,80-1,00 arasında hesaplanmıştır. Ölçeğin toplam Kapsam Geçerlik İndeksi 0,97 bulunmuştur. Yapı geçerliğini elde etmek için doğrulayıcı faktör analizi yapılmış olup χ2 /serbestlik derecesi=575,34/224=2,56, Tucker-Lewis İndeksi=0,90, Karşılaştırmalı Uyum İndeksi=0,92 ve yaklaşık hataların ortalama karekökü=0,083 olarak bulunmuştur. Değişmezlik güvenilirliği için test-tekrar test analizi uygulanıp korelasyon katsayıları 0,747-0,997 arasında bulunmuştur. Ölçeğin toplam Cronbach alfa güvenirlik katsayısı 0,623 bulunmuştur. Alt boyutlara ait Cronbach α katsayıları 0,585-0,847 arasında değişmiştir. Alt boyutlarına ait korelasyon değerleri ise 0,747- 0,997 arasında hesaplanmıştır. Elde edilen sonuçlara göre bu ölçeğin geçerlik ve güvenirlik için gereken değerleri karşıladığı bulunmuştur. Sonuç: Araştırmada, öğrenci hemşirelerin standart önlemlere uyumunu etkileyen faktörleri değerlendirmeye yarayan 23 maddelik ''Standart Önlemlere Uyumu Etkileyen Faktörler Ölçeği Öğrenci Versiyonu''nun geçerli ve güvenilir bir ölçek olduğu belirlenmiştir.

Anahtar Kelimeler: Standart önlemler; uyum; öğrenci hemşireler
ABSTRACT
 Objective: This methodological study aims to test the reliability and validity of the Factors Influencing Adherence to Standard Precautions Scale-Student Version for the Turkish population. Material and Methods: The study was conducted with 230 nursing students studying Faculty of Health Sciences at a university which is west side of Türkiye, between January and June 2022. The data were collected using the ''personal information form'' and the ''Factors Influencing Adherence to Standard Precautions Scale-Student Version''. Linguistic validity, content validity, construct validity, and internal consistency analyses were used to evaluate the data. Results: It was found that 75.7% of the students participating in the research were female, 45.2% were in the 3rd grade, and 53.5% were between the ages of 21-22. Language equivalence of the scale was carried out in four stages: translation, back-translation, expert opinion and pilot study. In the content validity, the indices of all items were found to be in the range of 0.80- 1.00. The total Content Validity Index of the scale was found to be 0.97. Confirmatory factor analysis was performed to obtain construct validity with the values of χ2 /degree of freedom=575.34/224=2.56, TuckerLewis Index=0.90, Comperative Fit Index=0.92, and root mean square error of approximation=0.083. Test-retest analysis was applied for invariance reliability, and correlation coefficients were found in the range of 0.747-0.997. The total Cronbach alpha reliability coefficient of the scale was found to be 0.623. Cronbach's α coefficients for the subscales ranged between 0.585 and 0.847. Conclusion: In this study, it was determined that the 23-item ''Factors Influencing Adherence to Standard Precautions Scale-Student Version'', which is used to evaluate the factors affecting the compliance of student nurses with standard precautions, is a valid and reliable scale.

Keywords: Standard precautions; adherence; nursing students
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