The nursing shared decision making attitude scale: A translation and psychometric evaluation study

Area of Science:

• Nursing
• Healthcare Research
• Psychometrics

Background:

• Nurses play a vital role in shared decision-making (SDM).
• Assessing nurses' attitudes towards SDM is essential for effective implementation.
• No validated Dutch instrument existed to measure nurses' attitudes toward SDM.

Purpose of the Study:

• To translate the Nursing Shared Decision Attitude scale into Dutch.
• To evaluate the psychometric properties of the Dutch version.

Main Methods:

• Translation and cross-cultural adaptation.
• Content validity assessment by experts.
• Cross-sectional survey of 128 nurses.
• Principal components analysis for factor structure.
• Internal consistency and SEM calculation.

Main Results:

• Adequate content validity confirmed by experts.
• A 2-factor structure (Empathic communication, Mastery learning) emerged.
• High internal consistency (0.84, 0.78) and acceptable SEM (1.65).
• No significant correlation found between experience and SDM attitude scores.

Conclusions:

• The Dutch Nursing Shared Decision Attitude scale is a psychometrically sound instrument.
• This validated scale addresses a critical gap in measuring Dutch nurses' attitudes toward SDM.
• The findings support its use in research and practice for SDM implementation.