Organ Transplantation Readiness Scale: A Scale Development Study

Area of Science:

• Transplantation Science
• Nursing Research
• Psychometrics

Background:

• Assessing transplant readiness is crucial for post-transplant adaptation.
• A validated scale is needed to evaluate patients awaiting organ transplantation.

Purpose of the Study:

• Determine transplant readiness levels in patients awaiting organ transplantation.
• Assess patients' ability to adjust to life post-transplant.
• Evaluate the validity and reliability of the Organ Transplant Readiness Scale (OTRS) in Turkish.

Main Methods:

• Methodological descriptive study with 227 kidney transplant candidates.
• Data analyzed using SPSS Statistics and AMOS.
• Content Validity Index (CVI), Content Validity Ratio (CVR), Cronbach's alpha, item-total correlation, exploratory and confirmatory factor analysis, and test-retest reliability were used.

Main Results:

• The Turkish OTRS demonstrated high reliability (Cronbach's alpha = 0.94, test-retest = 0.99).
• Exploratory and confirmatory factor analysis resulted in a 21-item scale with a 5-factor structure (knowledge, treatment compliance, healthy living, cognition, social support).
• Model-fit indices supported the scale's construct validity.

Conclusions:

• The Turkish OTRS is a valid and reliable instrument for assessing transplant readiness.
• The scale identifies patient needs and guides nursing care planning.
• Findings aid healthcare professionals in understanding patient preparedness and post-transplant adaptation.