Assessing Attitudes of Nursing Pedagogy: An Instrument Based on the Midrange Theory of Empowered Holistic Nursing...

The Empowered Holistic Nursing Education (EHNE) midrange theory provides a structure for a pedagogy for nursing, bringing the core values of nursing into the classroom. There are five principles of EHNE: Self-Care, Interconnectedness, Prior Knowledge, Contextual Teaching-Learning, and Meet Them Where They Are.

The Thurstone method was used in the development of this scale, resulting in two subscales representing unique phenomena, each with 11 relational items that represent the spectrum of attitudes for the phenomenon.

With a CVI score of 0.92 (n = 23) for subscale 1 and 0.89 (n = 23) for subscale 2, the scale was found to have high inter-rater reliability with an agreement of K = 0.814 (99% confidence interval). Analysis revealed a significant, positive association between the two subscales (r = .96 and sig/2 tailed = .003).

This instrument development study as a whole allows for further testing of the midrange theory and advancement to implementation and intervention research.