Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Terapötik İlişki Değerlendirme Ölçeği-Hemşire Formu'nun Türkçe Geçerliği ve Güvenirliği: Metodolojik Çalışma
The Turkish Validity and Reliability of the Therapeutic Relationship Rating Scale-Nurse Form: A Methodological Study
Esra USLUa , Gülcan KENDİRKIRANb , Muzaffer BİLGİNc , Muradiye POLATd
aEskişehir Osmangazi Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Eskişehir, Türkiye
bHaliç Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, İstanbul, Türkiye
cEskişehir Osmangazi Üniversitesi Tıp Fakültesi, Biyoistatistik Bölümü, Eskişehir, Türkiye
dSamsun Ruh Sağlığı ve Hastalıkları Hastanesi, İdari ve Mali İşler Birimi, Samsun, Türkiye
Turkiye Klinikleri J Nurs Sci. 2023;15(2):499-507
doi: 10.5336/nurses.2022-94833
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışma, psikiyatri hemşirelerinden oluşan bir örneklemde hasta-hemşire arasındaki terapötik ilişkiyi değerlendirmek için geliştirilmiş ''Terapötik İlişki Değerlendirme Ölçeği-Hemşire Formu''nun Türkçe geçerlik ve güvenirliğini incelemek amacıyla planlanmıştır. Gereç ve Yöntemler: Metodolojik desende tasarlanmış bu çalışmanın evrenini bir ruh ve sinir hastalıkları hastanesinde çalışan psikiyatri hemşireleri oluşturmuştur. Örneklem seçimi yapılmamış olup, 146 hemşirenin katılımı ile çalışma sonlandırılmıştır (n=146). Araştırma verileri Haziran-Ekim 2022 tarihleri arasında çevrim içi olarak toplanmıştır. Ölçeğin kapsam geçerliği için ''Kapsam Geçerlik İndeksi'', yapı geçerliği için ''açıklayıcı faktör analizi ve doğrulayıcı faktör analizi'' güvenirliği için ''Cronbach alfa güvenirlik katsayısı, madde-toplam puan analizi, test-tekrar test'' yöntemi kullanılmıştır. Test-tekrar test yönetimi için 35 psikiyatri hemşiresinin katılımı sağlanmıştır. Bulgular: Ölçeğin Kapsam Geçerlik İndeksi puanı 0,975 (mükemmel) bulunmuştur. Yapı geçerliği kapsamında; açıklayıcı faktör analizine göre toplam açıklanan varyansının %56,441 olduğu ve 4 faktör altında toplandığı görülmüştür. Doğrulayıcı faktör analizine göre ise indeks değerleri model uyumu iyiliğini sağlamaktadır. Güvenirlik kapsamında; Cronbach alfa katsayısı 0,884 olarak (yüksek), test-tekrar ölçümlerinin ise değişkenlik göstermediği (p>0,05) bulunmuştur. Sonuç: Terapötik İlişki Değerlendirme Ölçeği-Hemşire Formu'nun Türkçe versiyonu psikiyatri hemşireleri için geçerli ve güvenilirdir. Gelecek çalışmalarda, ölçeğin daha büyük örneklemi olan psikiyatri hemşireleri ve farklı klinik ortamlarda ve farklı hasta grupları ile de çalışan hemşireler ve öğrenci hemşireler ile test edilmesi önerilebilir.

Anahtar Kelimeler: Geçerlik ve güvenirlik; psikiyatri hemşireliği; hemşire-hasta ilişkileri
ABSTRACT
 Objective: This study was planned to examine the Turkish validity and reliability of the ''Therapeutic Relationship Evaluation Scale-Nurse Form'', which was developed to evaluate the therapeutic relationship between patient-nurse in a sample of psychiatric nurses. Material and Methods: The universe of this research, which was designed in a methodological design, consisted of psychiatric nurses working in a psychiatric hospital. No sample selection was made and the study was terminated with the participation of 146 nurses (n=146). Research data were collected online between June and October 2022. ''Content Validity Index'' for the content validity of the scale, ''exploratory factor analysis and confirmatory factor analysis'' for construct validity, for reliability, ''Cronbach's alpha reliability coefficient, itemtotal score analysis'' and test-retest method were used. 35 psychiatric nurses participated in the test-retest method. Results: The content validity index score of the scale was found to be 0.975 (excellent). Within the scope of construct validity; according to the explanatory factor analysis, it was seen that the total explained variance was 56.441% and gathered under four factors. According to confirmatory factor analysis, index values provide good model fit. Within the scope of reliability; Cronbach's alpha coefficient was found to be 0.884 (high), and testretest measurements did not show any variation (p>0.05). Conclusion: The Turkish version of the Therapeutic Relationship Assessment ScaleNurse Form is valid and reliable for psychiatric nurses. In future studies, it may be recommended to test the scale with psychiatric nurses with a larger sample, nurses who work in different clinical settings and with different patient groups, and student nurses.

Keywords: Reliability and validity; psychiatric nursing; nurse-patient relations
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