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Pediatric Ward Nurses' Caring Self-Efficacy Scale: Development and Validation.

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Summary

A new scale was developed to measure pediatric nurses

Keywords:
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Area of Science:

  • Nursing Research
  • Psychometrics
  • Healthcare Quality Improvement

Background:

  • Lack of a specific instrument to assess caring self-efficacy among pediatric nurses.
  • The critical role of caring behaviors in pediatric nursing practice.
  • The need for a validated tool to measure and enhance nurses' confidence in providing care.

Purpose of the Study:

  • To develop and validate a scale measuring caring self-efficacy in pediatric ward nurses.
  • To provide a psychometrically sound instrument for research and practice improvement in pediatric nursing.

Main Methods:

  • Exploratory, sequential, mixed-methods design conducted in Iran (2015).
  • Qualitative phase: 27 semi-structured interviews analyzed via conventional content analysis.
  • Quantitative phase: Scale development (65 items initially) and validation (305 nurses) using face, content, construct, and concurrent validity assessments, alongside reliability testing (internal consistency and test-retest).

Main Results:

  • A 51-item Pediatric Ward Nurses' Caring Self-Efficacy (PWNCSE) scale was finalized after item reduction based on validity indices (S-CVI=0.85, CVR, CVI).
  • Exploratory factor analysis identified four subscales, supporting construct validity.
  • The scale demonstrated strong concurrent validity (r=0.77, p<0.001), internal consistency (Cronbach's α=0.96), and test-retest reliability (r=0.98).

Conclusions:

  • The developed PWNCSE scale is a practical, reliable, and valid instrument.
  • It can be effectively used to evaluate the caring self-efficacy of nurses in pediatric settings.
  • The scale can inform targeted interventions to bolster nurses' confidence and improve patient care.