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Updated: May 25, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Psychometric evaluation of the nurses' attitudes toward eICU scale
Yanika Kowitlawakul1, Heibatollah Baghi, Catharine A Kopac
1The George Washington University-Virginia, School of Nursing, Ashburn, VA 20147, USA. ykowitla@gwu.edu
This study validated the Nurses' Attitudes Toward eICU Scale (NATES), finding it reliable for measuring critical care nurses' perceptions of electronic intensive care unit (eICU) technology before implementation.
Area of Science:
- Nursing Informatics
- Healthcare Technology Assessment
- Psychometrics
Background:
- The nationwide implementation of eICU technology aims to enhance patient care efficiency and safety.
- Assessing healthcare professionals' attitudes is crucial for technology adoption.
- No validated instrument existed to measure nurses' attitudes toward eICU technology.
Purpose of the Study:
- To provide psychometric evidence for the reliability and validity of the Nurses' Attitudes Toward eICU Scale (NATES).
- To establish a tool for evaluating nurses' perceptions of eICU technology.
Main Methods:
- A study was conducted with 117 registered nurses in critical care units not yet using eICU technology.
- Psychometric properties, including reliability and construct validity, were assessed.
- Factor analysis was employed to identify underlying dimensions of nurses' attitudes.
Main Results:
- The NATES demonstrated high internal consistency, with a total scale reliability of .91.
- Factor analysis supported construct validity, with five factors explaining 67.3% of the variance.
- Identified factors included Cost and Benefit, Patient Care and Quality, Anxiety and Confidence, Effort, and Anger and Fear.
Conclusions:
- The NATES is a psychometrically sound instrument for assessing nurses' attitudes toward eICU technology.
- The scale can be used to understand potential barriers and facilitators to eICU adoption among nursing staff.
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