NDLI: Psychometrics assessment of clinical reasoning competency scale in nurses of critical care units

Content Provider	Springer Nature : BioMed Central
Author	Mohammadi, Fateme Hosseini, Seyed Kianoosh Khazaei, Salman Fariba, Farnaz
Abstract	Background Nurses play a crucial role in identifying patients’ needs and assessing their clinical conditions to provide adequate and timely interventions. However, evaluating the clinical reasoning competence of nurses requires valid, specific, and comprehensive tools. The present study aimed to translate and psychometrically assess the Persian version of the Clinical Reasoning Competence Scale (CRCS) for nurses in special care units in Iran. Methods This cross-sectional, multi-axis methodological study involved 630 nurses from critical care departments in 11 Iranian hospitals. The original version of the Clinical Reasoning Competency Scale for Nurses (CRCSN) was translated into Persian using the forward and backward translation method. The psychometric properties of this scale were assessed using COSMIN criteria. Results Each item’s content validity ratio (CVR) ranges from 0.69 to 1, the Item content validity index (I-CVI) ranges from 0.82 to 1, while the S-w was 0.95. Exploratory factor analysis revealed that the items load on three distinct dimensions—“plan setting,” “intervention strategy regulation,” and “self-instruction”—with loadings ranging from 0.621 to 0.912. These dimensions collectively explain 74.32% of the variance. Confirmatory validity was affirmed without necessitating the removal or reordering of items during the exploratory phase. The scale’s reliability was established with a Cronbach’s alpha coefficient of 0.91 and a test-retest reliability coefficient of 0.92. Factor analysis was also conducted. Conclusion The Persian version of CRCSN has been found to be valid and reliable in critical care units. Therefore, nursing managers can confidently use this tool to evaluate the clinical reasoning competence of nurses. They can also implement appropriate strategies, such as educational interventions, to improve their clinical reasoning skills.
Related Links	https://bmcnurs.biomedcentral.com/counter/pdf/10.1186/s12912-024-02263-7.pdf
Ending Page	8
Page Count	8
Starting Page	1
File Format	HTM / HTML
ISSN	14726955
DOI	10.1186/s12912-024-02263-7
Journal	BMC Nursing
Issue Number	1
Volume Number	23
Language	English
Publisher	BioMed Central
Publisher Date	2024-10-09
Access Restriction	Open
Subject Keyword	Nursing Nursing Management Nursing Research Reasoning competency Nurses Clinical competence Psychometrics assessment Translation
Content Type	Text
Resource Type	Article
Subject	Nursing
Journal Impact Factor	3.1/2023
5-Year Journal Impact Factor	3.5/2023

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

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