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Turkish validity and reliability study of the simulation self-report cognitive load measurement tool 2.0
Hilal Yıldız Çelik1,2, Esra Uğur3,4
1Department of Nursing, Acibadem Mehmet Ali Aydinlar University, Istanbul, Türkiye.
BMC Medical Education
|July 2, 2025
Summary
This study validated the Turkish Simulation Self-Report Cognitive Load Measurement Tool 2.0 for nursing students. The tool reliably measures cognitive load during simulations, aiding in improved learning strategies.
Area of Science:
- Nursing Education
- Cognitive Psychology
- Educational Measurement
Background:
- High cognitive load in simulations negatively impacts nursing student learning.
- Managing cognitive load is essential for effective information processing and achieving learning objectives.
Purpose of the Study:
- To validate the Turkish-adapted Simulation Self-Report Cognitive Load Measurement Tool 2.0.
- To assess the reliability and validity of measuring intrinsic, extraneous, and germane cognitive load in nursing students during simulation-based experiences.
Main Methods:
- Cross-sectional methodological study involving instrument translation and validation.
- 101 second-year nursing undergraduates participated.
- Data collected using the Turkish-adapted tool measuring three aspects of cognitive load and overall load.
Main Results:
- Confirmatory factor analysis supported a three-factor structure (intrinsic, extraneous, germane load) with 16 items.
- Model fit indices (e.g., RMSEA=0.0643, CFI=0.950) and factor loadings (>0.30) indicated good construct validity.
- Reliability was confirmed with a Cronbach's alpha of 0.822.
Conclusions:
- The Turkish-adapted tool is valid and reliable for assessing cognitive load in Turkish nursing students.
- This validated instrument can inform the development of strategies to enhance learning outcomes in clinical simulations.
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