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The Development and Validation of the Mobilization Attitude Scale for Surgical Patients (MASSP): A Methodological
Pinar Yilmaz Eker1, Aysegul Kaya Imrek1
1Department of Nursing, Susehri Health College, Sivas Cumhuriyet University, Sivas, Turkey.
Purpose:
This study aimed to develop and validate a measurement tool to assess attitudes toward mobilization in surgical patients.
Design:
In this methodological study, the Mobilization Attitude Scale for Surgical Patients (MASSP) was developed, and its psychometric properties were tested.
Methods:
The items for the MASSP were developed based on evidence from the literature and presented to nine experts for evaluation. The scale was administered through face-to-face surveys with patients receiving treatment in the surgical clinics of a university hospital in Turkey. The psychometric properties of the scale, including structural validity, content validity, and internal consistency reliability, were tested. Data from 482 patients were analyzed. Exploratory factor analysis and confirmatory factor analysis were conducted on the collected data.
Findings:
The newly developed scale resulted in a structure comprising 36 items and three factors: Avoidance of Mobilization, Readiness for Mobilization, and Motivation for Recovery. In the MASSP, factor 1 (α = 0.932), factor 2 (α = 0.890), and factor 3 (α = 0.822) accounted for 48.704% of the total variance. The entire 36-item acceptability questionnaire demonstrated good internal consistency (α = 0.940). The MASSP was determined to be a valid and applicable measurement tool, confirmed in a Turkish sample of acceptable size.
Conclusions:
The findings indicate that the MASSP has acceptable content and structural validity and is reliable for measuring surgical patients' attitudes toward mobilization. Further research in different cultures and geographical regions can enhance the scale's development and strengthen its validity.
