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Development and validation of an instrument for measuring junior nurses’ recognition and response abilities to clinical deterioration (RRCD)

  • Author Footnotes
    1 Laiyu Xu and Jianwen Tan contributed equally to this work and should be considered co-first authors.
    Laiyu Xu
    Footnotes
    1 Laiyu Xu and Jianwen Tan contributed equally to this work and should be considered co-first authors.
    Affiliations
    Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, Hunan, China
    Search for articles by this author
  • Author Footnotes
    1 Laiyu Xu and Jianwen Tan contributed equally to this work and should be considered co-first authors.
    Jianwen Tan
    Footnotes
    1 Laiyu Xu and Jianwen Tan contributed equally to this work and should be considered co-first authors.
    Affiliations
    Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, Hunan, China
    Search for articles by this author
  • Qirong Chen
    Affiliations
    Xiangya Nursing School, Central South University, Changsha, Hunan, China
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  • Zhen Luo
    Affiliations
    Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, Hunan, China
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  • Lili Song
    Affiliations
    Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, Hunan, China
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  • Qingqing Liu
    Affiliations
    Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, Hunan, China
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  • Lingli Peng
    Correspondence
    Corresponding author. Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, Hunan, China. Tel.: 86-0731-89753074
    Affiliations
    Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, Hunan, China
    Search for articles by this author
  • Author Footnotes
    1 Laiyu Xu and Jianwen Tan contributed equally to this work and should be considered co-first authors.
Published:November 11, 2022DOI:https://doi.org/10.1016/j.aucc.2022.09.010

      Abstract

      Background

      Nurses of all levels are expected to be competent in managing clinical deterioration. Given their limited experience and basic-level knowledge, there is a concern about junior nurses' clinical and patient management skills. However, junior nurses’ abilities to recognise and respond to clinical deterioration have not been adequately explored because of the absence of a comprehensive tool.

      Objectives

      The aim of this study was to develop a new self-assessment scale to assess the junior nurses’ recognition and response abilities to clinical deterioration and to examine its reliability and validity.

      Methods

      Scale items were based on literature reviews and interviews. The preliminary scale was generated through two rounds of expert review. A panel of five experts evaluated content validity. After a pilot study, the questionnaire was distributed to 168 junior nurses via convenience sampling. Subsequent statistical analysis of results included construct validity, internal consistency, and test–retest reliability.

      Results

      Six factors were included, and 69.310% of the total variance was explained by the 25 items comprising the scale. The Cronbach's alpha coefficient was 0.905 (95% confidence interval [CI]: 0.812–0.979) for the overall scale and 0.655–0.838 for its subscales. The Guttman split-half reliability was 0.856 (95% CI: 0.806–0.894). The test–retest reliability of the scale was 0.878 (95% CI: 0.836–0.911).

      Conclusion

      We developed a scale for measuring the abilities of junior nurses to recognise and respond to clinical deterioration and confirmed its reliability and validity. More experimental studies are needed to further evaluate this instrument.

      Keywords

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