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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Article info
Publication history
Published online: November 11, 2022
Accepted:
September 20,
2022
Received in revised form:
September 20,
2022
Received:
June 14,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2022 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.
