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Published on: August 25, 2014
Development of a Clinical Judgment Scale for Japanese Nurses
Background:
The purpose of this study was to develop a scale to assess the clinical judgment of nurses based on the clinical judgment process.
Method:
Based on a qualitative analysis of interviews with specialized and certified nurses and extant literature, a scale comprising 44 question items was created. A questionnaire survey was conducted with 1,444 nurses working in 28 general hospitals, psychiatric wards, cardiac care units, and intensive care units in Japan.
Results:
Valid responses were obtained from 610 nurses. Exploratory factor analysis was performed on the 23 items extracted by item analysis, and two factors, "theoretical and practical reasoning" and "grasping the condition by observation," were extracted. Confirmatory factor analysis revealed the fit of the model. Cronbach's alpha confidence factor was 0.943 for the first factor and 0.924 for the second factor.
Conclusion:
These results support the factor validity and reliability of the clinical judgment scale. [.
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