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Development and psychometric testing of the Pediatric Atraumatic Care Attitude Scale (PACAS) in pediatric nurses

Adnan Batuhan Coşkun1, Erhan Elmaoğlu2, Murat Bektaş3

  • 1Hasan Kalyoncu University, Faculty of Health Sciences, Department of Nursing, Gaziantep, Turkey.

Journal of Pediatric Nursing
|September 25, 2024
PubMed

Insights

The Pediatric Atraumatic Care Attitude Scale (PACAS) was developed and validated for pediatric nurses. This reliable and valid tool measures attitudes toward atraumatic care, enhancing pediatric nursing practices.

Area of Science:

  • Pediatric Nursing
  • Healthcare Quality Improvement
  • Psychometrics

Background:

  • Atraumatic care is crucial for minimizing physical and psychological distress in children.
  • Assessing pediatric nurses' attitudes is essential for effective implementation of atraumatic care principles.
  • A validated scale is needed to measure these attitudes accurately.

Purpose of the Study:

  • To develop and validate the Pediatric Atraumatic Care Attitude Scale (PACAS) for pediatric nurses.
  • To evaluate the psychometric properties of the PACAS, including construct validity and internal consistency.
  • To provide a reliable tool for measuring pediatric nurses' attitudes towards atraumatic care.

Main Methods:

  • Methodological and correlational study with 336 pediatric nurses in Turkey.
  • Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA) for construct validity.
  • Internal consistency assessed via item-total correlations, Cronbach's α, and test-retest reliability.

Main Results:

  • The PACAS demonstrated strong content validity (CVI 0.84-1.00).
  • EFA identified a 31-item, two-factor structure ('Knowledge and Awareness', 'Practice and Family Involvement') explaining 76.7% of variance.
  • CFA confirmed good model fit; high reliability (Cronbach's α=0.985) and test-retest stability (r=0.957-0.985) were observed.

Conclusions:

  • The PACAS is a reliable and valid instrument for assessing pediatric nurses' attitudes towards atraumatic care.
  • The scale can be utilized to improve adherence to atraumatic care principles in pediatric nursing.
  • Implementation of PACAS can enhance the quality of pediatric care and patient outcomes.
Abstract

Keywords:
Atraumatic careAttitude scalePediatric nursingReliabilityValidity

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