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The Nurses' Attitudes About AIDS Scale (NAAS): development and psychometric analysis
D B Preston1, E W Young, P B Koch
1Dept. of Health Education and Nursing, Pennsylvania State University, University Park 16802, USA.
This study developed and validated the Nurses' Attitudes About AIDS Scale (NAAS) to measure nurses' views on acquired immunodeficiency syndrome (AIDS). The NAAS is a reliable tool for assessing attitudes toward people with AIDS and related nursing concerns.
Area of Science:
- Nursing Research
- Psychometrics
- Public Health
Background:
- Attitudes towards acquired immunodeficiency syndrome (AIDS) and human immunodeficiency virus (HIV) among nurses can impact patient care.
- A validated instrument is needed to accurately measure these attitudes.
Purpose of the Study:
- To develop and psychometrically evaluate the Nurses' Attitudes About AIDS Scale (NAAS).
- To provide a reliable and valid measure of nurses' attitudes related to AIDS.
Main Methods:
- Development of 273 items based on literature review.
- Content and face validity established through expert and pilot testing.
- Factor analysis and reliability testing on a sample of 731 registered nurses (RNs).
Main Results:
- A 21-item measure, the NAAS, was developed with strong psychometric properties (alpha = .96).
- A 'homosexuality factor' explained 53% of variance, labeled 'attitudes about people with AIDS'.
- Two subscales, 'attitudes about nursing care concerns' (alpha = .83) and 'attitudes about social-professional concerns' (alpha = .72), were identified.
Conclusions:
- The NAAS is a psychometrically sound instrument for measuring nurses' attitudes toward AIDS.
- The scale can be used to identify specific areas of concern among nurses regarding AIDS.
- Findings support the use of NAAS for research and educational interventions to improve nursing care for individuals with AIDS.
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