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Generational Nursing Challenges: Cross-Cultural Adaptation and Validation of the Multidimensional Nursing Generations
Natalia Pawlak1,2, Lena Serafin1, Bożena Czarkowska-Pączek1
1Doctoral School, Medical University of Warsaw, Warsaw, Poland.
Aim:
This study validated and adapted the Multidimensional Nursing Generations Questionnaire to a Polish context and assessed its accuracy and reliability among Polish nurses.
Design:
A cross-sectional psychometric study.
Methods:
The Multidimensional Nursing Generations Questionnaire was translated, culturally adapted and validated through a structured process involving expert panel reviews, pilot testing and psychometric validation using exploratory and confirmatory factor analyses. The study included 850 Polish nurses actively working in various healthcare settings for over 3 months. Reliability and construct validity were assessed using Cronbach's alpha. Data collection took place over 5 months (December 2022-April 2023).
Results:
The validated questionnaire contains six subscales and 43 items. High reliability was observed across all subscales, with consistent psychometric performance. The tool demonstrated strong cultural and conceptual alignment for assessing generational differences in Polish nursing teams.
Conclusion:
The questionnaire is a reliable and valid instrument for evaluating generational diversity in nursing teams. Its application can facilitate targeted management strategies, foster collaboration and improve job satisfaction, particularly in multigenerational healthcare environments.
Implications For The Profession And/Or Patient Care:
The questionnaire offers a practical tool for healthcare managers to address generational diversity, thereby enhancing team dynamics, reducing turnover and improving the quality of care delivery. It supports evidence-based management and education practices tailored to generational needs.
Impact:
This study develops a culturally adapted, psychometrically robust tool for assessing generational differences in Polish nursing teams. Findings have significant implications for workforce management, education and policy-making, enabling strategies to improve team collaboration, nurse satisfaction and patient outcomes in Poland and globally.
Reporting Method:
This study adhered to the COnsensus-based Standards for the selection of health Measurement INstruments guidelines for the translation, cultural adaptation and psychometric validation of health measurement instruments, ensuring methodological rigour and transparency.
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