Development and Validation of the Nursing Students' Rights Awareness Scale in Clinical Practice: A Scale Development Study.

Sung-Hee Park,Mi-Young Choi

doi:10.3390/healthcare9101323

Sung-Hee Park, Mi-Young Choi

Open Access

https://doi.org/10.3390/healthcare9101323

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Abstract

Nursing students perform clinical training in a variety of clinical practice fields, so their rights are important. Efforts are needed to accurately identify and measure the awareness of nursing students’ rights. This study aimed to develop and evaluate the psychometric properties of nursing students’ rights awareness scale. The study procedure was carried out in four stages: the concept analysis, item development, scale development, and scale evaluation stage. First, in the concept analysis stage, the attributes of the concept were derived. Second, in the item development stage, preliminary items were derived, and the content validity was verified. Third, in the scale development stage, a preliminary and main survey were conducted, and item reduction was implemented. Fourth, in the scale evaluation stage, construct validity and reliability were verified. The collected data were analyzed using the SPSS 24.0, and item analysis was conducted using skewness, kurtosis, and item-total correlation scores. The construct validity was assessed by exploratory factor analysis, convergent validity, and divergent validity. The reliability was analyzed using Cronbach’s alpha coefficient and composite reliability. The final version of the scale was tested on 240 nursing students from three cities in South Korea. From the construct validity, three factors and 14 items were selected. The factors included “the rights to be protected, cared for, supported, and respected” (eight items), “the rights to be recognized as a member of a nursing team” (three items), and “the rights to learn” (three questions). The reliability of the scale was also verified. Through this study, the scale was developed to identify the rights of nursing students in clinical practice. The implication of this study is that it has laid the foundation for measuring the rights of nursing students applicable in clinical settings for the first time. The limitation of this study is that data were collected in some regions. Therefore, it is necessary to verify the validity and reliability of the scale in various cultures.

Highlights

Nursing students’ rights in clinical practice refer to rights to learn, and be safe and protected from infection and accident, and have a support educational system in the clinical field [1,2].Clinical training is an essential element of nursing education because it enables nursing students to apply theories in clinical practice [3,4]
This study aimed to develop and evaluate the psychometric properties of nursing students’ rights awareness scale based on the results of concept analysis
The five attributes were derived in the theoretical phase: (i) the rights to learn, (ii) the rights to be protected from infections and safety accidents, (iii) the rights to be cared for and supported, (iv) the rights to be respected, and (v) the rights to be recognized as a member of a nursing team

Summary

Introduction

Nursing students’ rights in clinical practice refer to rights to learn, and be safe and protected from infection and accident, and have a support educational system in the clinical field [1,2].Clinical training is an essential element of nursing education because it enables nursing students to apply theories in clinical practice [3,4]. Nursing students’ rights in clinical practice refer to rights to learn, and be safe and protected from infection and accident, and have a support educational system in the clinical field [1,2]. Receiving clinical training in a supportive environment is the foundation to become a good nurse [5,6]. Nursing students are often exposed to human rights violations, such as neglect, discrimination, and harassment during clinical training [7,8,9]. As a result, nursing students are experiencing a violation of their rights to learn that prevents them from receiving supportive education [6,8]. To ensure a safe and supportive clinical environment, efforts are needed [2,10]. An appropriate scale is needed to analyze and measure the concept of awareness of the rights of nursing students

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