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Updated: Jul 8, 2025

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Psychometric Testing of the Newborn Skin Assessment Attitude Scale in Neonatal ICU Nurses
Adnan Batuhan Coşkun1, Zerrin Çiğdem, Tülay Ortabağ
1Adnan Batuhan Coşkun, PhD, is Assistant Professor, Department of Nursing, Faculty of Health Sciences, Hasan Kalyoncu University, Gaziantep, Turkey. In the Department of Nursing, Faculty of Health Sciences, Istanbul Topkapi University, Istanbul, Turkey, Zerrin Çiğdem, PhD, is Assistant Professor, and Tülay Ortabağ, PhD, is Professor. Also in the Faculty of Health Sciences, Hasan Kalyoncu University, Kezban Bayramlar, PhD, is Professor, Department of Physiotherapy and Rehabilitation. Acknowledgments: This research was supported by the Hasan Kalyoncu University Scientific Research Projects Coordinator Unit as part of the Dissertation Support Program (project number BAP.LTP.002, 2021). This article is based on the PhD thesis of Adnan Batuhan Coşkun, PhD. The authors have disclosed no other financial relationships related to this article. Submitted November 3, 2022; accepted in revised form January 25, 2023.
Objective:
To develop a Newborn Skin Assessment Attitude Scale (NSAAS) for neonatal ICU (NICU) RNs.
Methods:
The study was conducted with 326 nurses working in NICUs in three cities in Turkey. The researchers evaluated the content and construct validity and reliability of the scale with item-total score correlation analysis, the test-retest method, and calculating the Cronbach α reliability coefficient.
Results:
The content validity index of the scale ranged between 0.87 and 1.00. Prior to exploratory factor analysis and confirmatory factor analysis, the Kaiser-Meyer-Olkin coefficient of the NSAAS was 0.976, and the Bartlett test of sphericity result was χ2 = 15,337.052 (P < .001). The scale was constructed with 35 items with factor loads greater than 0.40 and three subdimensions. Confirmatory factor analysis showed that the fit indices of the NSAAS were χ2/df = 3.57, root mean square error of approximation = 0.08, normed fit index = 0.98, non-normed fit index = 0.98, comparative fit index = 0.98, and standardized root mean square residual = 0.05. The overall reliability coefficient of the NSAAS was α = .978. The test-retest coefficients of correlation were r = 0.558 for the overall scale and r = 0.615, r = 0.504, and r = 0.598 for the Awareness, Practice, and Avoidance subdimensions, respectively. In addition, no statistically significant difference was observed when comparing the test-retest mean scores for the total scale and the subdimensions (P > .05).
Conclusions:
The NSAAS can be reliably used for measuring NICU nurses' attitudes toward newborn skin assessment.
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