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Published on: February 2, 2020
Validation of the esthetics of nursing care scale among Iranian nurses
Maryam Radmehr1, Mahlagha Dehghan2, Jamileh Farokhzadian3
1Community Health Research Center, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran.
Background:
The role of aesthetics in nursing care is increasingly recognized as a crucial component of high-quality practice. Professional development for nurses necessitates a thorough understanding of these aesthetic dimensions. While the Esthetics of Nursing Care Scale has previously demonstrated validity from patients' perspectives, this study aimed to evaluate its psychometric properties from nurses' perspectives. Therefore, we evaluated the nurse version of the Esthetics of Nursing Care Scale (ENCS) among a sample of Iranian nurses, with the goal of developing a reliable scale for assessing and enhancing aesthetic knowledge in nursing practice.
Methods:
This cross-sectional methodological study measured the psychometric properties of the Esthetics of Nursing Care Scale through content validity (10 experts), face validity (10 nurses), a pilot study (50 nurses), construct validity [350 nurses for exploratory factor analysis (EFA) and 200 nurses for confirmatory factor analysis (CFA) and convergent validity], and reliability (internal consistency).
Results:
The nurse version of the ENCS consists of 20 items divided into five subscales: compassionate commitment and competence (4 items), stress-free care (4 items), humanistic attention to patient (3 items), patient satisfaction and comfort (5 items), and admirable commitment and competence (4 items). These subscales explained 74.5% of the concept's variance. The CFA sufficiently confirmed the structure extracted from EFA. Convergent validity was confirmed due to the strong correlation between the ENCS and the compassion competence scale (r = 0.537). Additionally, the scale had good reliability (Cronbach's alpha coefficient = 0.956 and Omega coefficient = 0.957).
Conclusion:
The nurse version of ENCS can be utilized in clinical settings to evaluate the esthetics and quality of nursing care from nurses' perspectives. Further research within the nursing community is recommended to confirm these results.
Clinical Trial Number:
Not applicable.
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