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Active-empathic listening scale: a reliability and validity study in nursing students.

Handan Özçılnak Ünver1, Çiğdem Yüksel2

  • 1Department of Psychiatric Nursing, Health Sciences University Gulhane Nursing Faculty, Ankara, Türkiye. handanozclnak@gmail.com.

BMC Nursing
|December 30, 2025
PubMed
Summary

The Turkish version of the Active Empathic Listening Scale (AELS-TR) is a reliable tool for assessing nursing students' listening skills. This validated scale enhances therapeutic communication and patient care in Turkish nursing education.

Keywords:
Active listeningListeningPsychometricReliabilityValidity

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Area of Science:

  • Nursing Education
  • Psychometrics
  • Therapeutic Communication

Background:

  • Active-empathic listening is crucial for therapeutic communication and person-centered care in nursing.
  • It involves emotional awareness and cognitive engagement, skills developed through quality nursing education.
  • Effective listening enhances the overall quality of patient care provided by nurses.

Purpose of the Study:

  • To validate and adapt the Active Empathic Listening Scale (AELS) for use in Turkey, creating the AELS-TR.
  • To assess the reliability and validity of the Turkish version of the AELS within the Turkish nursing student population.

Main Methods:

  • A descriptive, cross-sectional study involving 405 nursing faculty students.
  • Data collected via online surveys, including the AELS, a descriptive form, and the Communication Skills Scale.
  • Language and content validity were established, followed by Confirmatory Factor Analysis (CFA) and reliability analyses (item-total correlation, Cronbach's alpha).

Main Results:

  • The AELS-TR achieved a content validity index of 1.00.
  • CFA indicated excellent model fit (χ²/SD = 1.78, CFI = 0.97, GFI = 0.96).
  • Reliability was confirmed with Cronbach's alpha of 0.86 and test-retest reliability (r=0.717).

Conclusions:

  • The AELS-TR is a psychometrically sound instrument for evaluating Turkish nursing students' listening skills.
  • This validated scale can be effectively utilized in nursing education to improve communication competencies.
  • The findings support the AELS-TR's utility in enhancing the quality of patient care through improved listening skills.