Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Hemşirelik Tanıları Hakkındaki Görüşler Ölçeğinin Türkçeye Uyarlanması
Adaptation of the Positions on Nursing Diagnosis Scale to Turkish
Ayten ZAYBAKa, Elif GÜNAY İSMAİLOĞLUb, Ahmet EROLa, Handan ÖZDEMİRc
aEge Üniversitesi Hemşirelik Fakültesi, Hemşirelik Esasları ABD, İzmir, TÜRKİYE
bBakırçay Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, İzmir, TÜRKİYE
cMehmet Akif Ersoy Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Burdur, TÜRKİYE
Turkiye Klinikleri J Nurs Sci. 2020;12(4):520-7
doi: 10.5336/nurses.2020-74725
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışma, hemşirelik tanıları hakkındaki görüşler (HTHG) ölçeğinin Türkçe formunun geçerlilik ve güvenirliliğinin incelenmesi amacıyla yapılmış metodolojik bir araştırmadır. Gereç ve Yöntemler: Araştırma, Nisan 2016-Haziran 2016 tarihleri arasında bir hemşirelik fakültesinde öğrenim gören, araştırmaya katılmayı kabul eden 3 ve 4. sınıf olan toplam 209 öğrenci ile yürütülmüştür. Araştırma verilerinin toplanmasında,'Birey tanıtım formu' ve "HTHG ölçeği" kullanılmıştır. Ölçeğin geçerlilik çalışmasında dil eş değerliliği, kapsam geçerliliği ve yapı geçerliliği, uzman görüşünün değerlendirilmesinde içerik geçerlilik indeksi kullanılmıştır. Ölçeğin güvenirlilik çalışmasında, iç tutarlılığını belirlemek için Cronbach alfa değeri katsayısının hesaplanması, madde analizleri ve doğrulayıcı faktör analizi yöntemlerinden yararlanılmıştır. Bulgular: Araştırmaya katılan öğrencilerin %87,6'sı kadın ve %62,2'si 4. Sınıf, %37,8'i 3.sınıf öğrencisidir. Araştırma sonucunda, HTHG ölçeğinin tek boyuttan meydana geldiği ve faktör yüklerinin 0,878-0,492 arasında değiştiği ve her maddenin yeterli seviyede ölçeğe katkı sunduğu saptanmıştır. Ölçeğin Cronbach alfa değeri 0,958'dir. Doğrulayıcı faktör analizi sonuçlarına göre, ölçeğin uyum indeksleri değerleri ile iyi uyum ve kabul edilebilir uyum indekslerinde olduğu görülmektedir. Sonuç: 7'li Likert tipte 20 madden oluşan HTHG ölçeğinin, oldukça yeterli geçerlilik ve güvenirlilik göstergelerine sahip bir ölçme aracı olduğu ve ölçeğin hemşirelik öğrencilerinin HTHG'yi belirlemede güvenli bir şekilde kullanılabileceği söylenebilir.

Anahtar Kelimeler: Hemşirelik tanısı; ölçek; geçerlilik; güvenirlilik; hemşirelik
ABSTRACT
 Objective: This methodological study was conducted to investigate the validity and reliability of the Turkish version of the Positions on Nursing Diagnosis (PND) Scale. Material and Methods: The sample of the study carried out between April and June 2016 comprised 209 3rd and 4th class students of a nursing faculty who agreed to participate in the study. The study data were collected using the "Individual Introduction Form" and "PND Scale". In the validity study of the scale, the content validity index was used to evaluate language validity, content validity, construct validity and expert opinion. In the reliability study of the scale, the Cronbach's alpha coefficient calculation, item analysis and confirmatory factor analysis were used to determine the internal consistency. Results: Of the students participating in the study, 87.6% were women, 62.2% were the 4th class students, and 37.8% were the 3rd class students. The results of the study indicated that PND scale had one dimension, that its factor loadings varied between 0.878 and 0.492 and that each item contributed to the scale at a sufficient level. The Cronbach's alpha value of the scale was 0.958. According to the results of the Confirmatory Factor Analysis, the scale had good fit and acceptable fit indices. Conclusion: The PND scale consisting of 20 items rated on a 7-point Likert type scale is a measurement tool with sufficient validity and reliability indicators, and it can be used safely in determining nursing students' opinions of nursing diagnoses.

Keywords: Nursing diagnosis; scale; validity; reliability; nursing
REFERENCES:
  1. Hellesø R, Ruland CM. Developing a module for nursing documentation integrated in the electronic patient record. J Clin Nurs. 2001;10(6):799-805.[Crossref] [PubMed] 
  2. Bozkurt G, Düzkaya D, Terzi B. Hemşirelik Sürecinin Uygulanması: Klinik Karar Verme Süreci. 8. İstanbul: Nobel Tıp Kitabevi; 2017:3.
  3. Rutherford MA. Standardized nursing language: What does it mean for nursing practice? Online J Issues Nurs. 2008:1-11.[Crossref] 
  4. Schwiran PM, Thede LQ. Informatics: the standardized nursing terminologies: a national survey of nurses' experiences and attitudes.Online J Issues Nurs. 2011;16(2):12.[PubMed] 
  5. Wilkinson JM, Barcus L, eds. Nursing Diagnostics Handbook. 11th ed. Ankara: Pelikan Yayınevi;2018.
  6. Lunney M. Use of critical thinking in the diagnostic process. Int J Nurs Terminol Classif. 2010;21(2):82-8.[Crossref] [PubMed] 
  7. Herdman TH, Kamitsuru S. NANDA International Nursing Diagnoses: Definitions and Classification, 2015-2017. 10th ed. Oxford: Wiley Blackwell; 2014. http://stikespanritahusada.ac.id/wp-content/uploads/2017/04/NANDA-Nursing-Diagnoses-2015-2017.pdf
  8. Herdman TH, Gordon M, Craft‐Rosenberg M. Notes on NDEC: The Evolving Role of DRC: Impact on Collaboration with NDEC and Other Research Groups. International Journal of Nursing Terminologies and Classifications. 2000; 11(4):176-8.[Crossref] 
  9. İlçe A, Totur B, Özbayır T. [Evaluation of patients with brain tumors according to international NANDA nursing diagnoses: care recommendations]. J Neurol Sci. 2010;27:178-84. https://www.researchgate.net/publication/49614719_Evaluation_of_Patients_With_Brain_Tumors_According_to_International_NANDA_Nursing_Diagnoses_Care_Suggestions
  10. Güner P, Terakye G. [The level of determination nursing diagnosis of senior nursing school students]. Cumhuriyet Üniversitesi Hemşirelik Yüksekokulu Dergisi 2000;4(1):9-15. http://eskidergi.cumhuriyet.edu.tr/makale/2.pdf
  11. Babadağ K, Kaya N, Esen F. [Determining students' status of determining NANDA nursing diagnoses]. Hemşirelik Forumu. 2004;7(3):37-41.
  12. Ogunfowokan AA, Oluwatosin AO, Olajubu AO, Alao OA, Faremi AF. Student nurses' perceived use of NANDA-I nursing diagnoses in the community setting. Int J Nurs Knowl. 2013;24(1):37-43.[Crossref] [PubMed] 
  13. Guedes Ede S, Turrini RN, de Sousa RM, Baltar VT, da Cruz Dde A. Atitudes dos profissionais de enfermagem relacionadas ao Processo de Enfermagem [Attitudes of nursing staff related to the nursing process]. Rev Esc Enferm USP. 2012;46 Spec No:130-7.[Crossref] [PubMed] 
  14. Junttila K, Salanterä S, Hupli M. Perioperative nurses' attitudes toward the use of nursing diagnoses in documentation. J Adv Nurs. 2005;52(3):271-80.[Crossref] [PubMed] 
  15. Jensen R, de Moraes Lopes MH, Silveira PS, Ortega NR. [The development and evaluation of software to verify diagnostic accuracy]. Rev Esc Enferm USP. 2012;46(1):184-91.[Crossref] [PubMed] 
  16. Halverson EL, Beetcher EL, Scherb CA, Olsen G, Frost M, Orth K. Minnesota nurses' perceptions of nursing diagnoses. Int J Nurs Terminol Classif. 2011:123-32.[Crossref] [PubMed] 
  17. D'Agostino F, Vellone E, Cerro E, Di Sarra L, Juárez-Vela R, Ghezzi V, et al. Psychometric evaluation of the Positions on Nursing Diagnosis scale. Appl Nurs Res. 2016;29:e1-6.[Crossref] [PubMed] 
  18. Romero-Sánchez JM, Paramio-Cuevas JC, Paloma-Castro O, Pastor-Montero SM, O'Ferrall-González C, Gabaldón-Bravo EM, et al. The Spanish version of the Position on Nursing Diagnosis scale: cross-cultural adaptation and psychometric assessment. J Adv Nurs. 2013;69(12):2759-71.[Crossref] [PubMed] 
  19. da Cruz Dde A, Hayashi AA, Oliva AP, Corrêa CG. Adaptação e validaçõ do instrumento "Positions on Nursing Diagnosis" para a língua Portuguesa [Adaptation and validation of the "Positions on Nursing Diagnosis" tool to Portuguese language]. Rev Bras Enferm. 2006;59(2):163-7. Portuguese.[Crossref] [PubMed] 
  20. Lunney M, Krenz M. Adaptation and validation of the "Positions on Nursing Diagnosis" tool to Portuguese language. Brazilian J Nurs. 1994;59(2):136-67.
  21. Alpar R. [Applied Statistics and Validity and Reliability in Sports, Health and Education Sciences]. 4. Ankara: Detay Yayıncılık;2016.
  22. Tabachnick BG, Fidell LS. Çok Değişkenli İstatistiklerin Kullanımı. (Baloğlu M, ed.). Ankara: Nobel Akademik Yayıncılık; 2015.
  23. Karakoç AGDFY, Dönmez PDL. [Basic Principles in Scale Development Studies]. Tıp Eğitimi Dünyası. 2014;13(40):39-9.[Crossref] 
  24. Özdamar K. [Statistical Data Analysis with Package Programs]. 9th ed. Seçkin Yayıncılık;2018.
  25. Çapık C. [Use of confirmatory factor analysis in validity and reliability studies]. J Anatolia Nurs Heal Sci. 2014;17(3):196-205.[Crossref] 
  26. Munro B. Statistical Methods For Health Care Research. Philadelphia: Lippincott Williams & Wilkins; 2005.
  27. Hooper D, Coughlan J, Mullen MR. Structural equation modelling: Guidelines for determining model fit. Electron J Bus Res Methods. 2008;6(1):53-60.[Crossref] 
  28. de Souza Guedes E, Cardoso de Sousa RM, Turrini RN, Baltar VT, Monteiro da Cruz Dde A. Adaptation and validation of the instrument positions on the nursing process. Rev Lat Am Enfermagem. 2013;21(1):404-11. English, Portuguese, Spanish.[Crossref] [PubMed] 
  29. Gözüm S, Aksayan S. [Guidelines for Intercultural Scale Adaptation II: Psychometric properties and intercultural comparison]. Hemşirelikte Araştırma Geliştirme Dergisi 2003;1:3-14. http://hemarge.org.tr/ckfinder/userfiles/files/2003/2003-vol5-sayi1-65.pdf

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