Araştırma Makalesi
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Hemşirelik İlişkisi Ölçeği’nin Türkiye için Geçerlik ve Güvenirlik Çalışması

Yıl 2022, Cilt: 4 Sayı: 1, 51 - 61, 25.04.2022

Öz

Amaç: Hemşirelik, temeli sağlık gereksinimi bulunan birey ile kurulan ilişkiye dayanan bir meslektir. Türkçe alanyazında, hemşirelik ilişkisinin belirlenmesine ve somutlaştırılmasına yönelik bir ölçüm aracı bulunmamaktadır. Bu araştırmada klinik hemşirelerin hemşirelik ilişkisi düzeylerinin belirlenebilmesi amacıyla "Nursing Relationship Scale"(NRS)” isimli ölçeğin psikometrik özelliklerinin belirlenmesi amacıyla yapılmıştır.
Yöntem: Araştırma metadolojik olarak gerçekleştirilmiş, ölçeğin geçerlik ve güvenirliği yapılmıştır. Araştırmanın geçerlik aşaması için, ölçekteki 34 sorunun 7 katına ulaşılmış ve 238 hemşireye çalışmaya katılmıştır. Ölçek güvenirliği için aynı hastanede çalışan 59 hemşireye üç hafta arayla ölçek yeniden uygulanmıştır.
Bulgular: “Hemşirelik İlişkisi Ölçeği (HİÖ)”’nün genel Cronbach αdeğeri 0.87; ölçeğin alt boyutlarının Cronbach α değerleri: “Bakım Verici /Destekleyici”;0,80, “Hemşirelik Doyumu”;0,75, “Otoriter Duruş”;0,27 ve “Negatiflik”;0,72 olarak saptanmıştır. Ölçekte, beş maddeye ait Cronbach α değerleri ile faktör yüklerinin düşük çıktığı ve t testlerinin anlamlı çıkmadığı (p>0,05) bulunmuştur. Bu sebeple beş madde ölçekten çıkarılmış ve orijinali 34 madde olan ölçek, 29 maddeye indirilmiştir.
Sonuç ve Öneriler: Ölçeğe “ait sonuçların alanyazında kabul edilebilir sınırlar içinde yer alması ve ölçeğin orijinaline ait sonuçlar ile benzerlik göstermesi nedeniyle ölçek, Türk Kültürü için, geçerli ve güvenilir bulunmuştur”.

Destekleyen Kurum

yok

Proje Numarası

yok

Kaynakça

  • Alpar, R. (2012). Validity and reliability. Applied statistics and validity-reliability with examples from sports, health and educational sciences (4th ed). Ankara: Detay Yayıncılık.
  • American Psychiatric Nurses Association. Scopeand Standarts for Public Comment. (2015). Cited 20 Apr 2016. Available from URL: http://www.apna.org/files/public/12-11.
  • Arnold EC, Boggs KU. (2016) Interpersonal Relationships - E-Book: Professional Communication Skills for Nurses Elsevier Health Sciences. Cited 24 May 2017. Available from URL https://books.google.com.tr/books?id=7DAxBgAAQBAJ&printsec=frontcover&dq=Arnold+EC,+Boggs+KU.+Interpersonal+Relationships&hl=tr&sa=X&ved=2ahUKEwj4qd3225vsAhUP8xQKHfp0AWcQ6wEwAHoECAUQAQ#v=onepage&q&f=false.
  • Ayre, C. & Scally, A. J. (2014). Critical values for Lawshe’s content validity ratio: revisiting the original methods of calculation. Measurement and evaluation in counseling and development. Meas Eval Couns Dev,47(1),79-86. https://doi.org/10.1177/0748175613513808.
  • Bi, J. & Kuesten, C. (2012). Intraclass correlation coefficient (ICC): A framework for monitoring and assessing performance of trained sensory panels and panelists. J Sens Stud,27:352–64. doi:10.1111/j.1745-459X.2012.00399. x.
  • Bozdoğan Yeşilot, S. & Öz, F. (2017). Cancer patients’ perceptions of nursing presence. Journal of Psychiatric Nursing, 8(3), 150-156.Doi: 10.14744/phd.2017.92005.
  • Esin, M. N. (2014). Veri toplama yöntem ve araçları & veri toplama araçlarının güvenirlik ve geçerliği. Erdoğan S, Nahçivan N, Esin MN. Hemşirelikte Araştırma: Süreç, Uygulama ve Kritik, İstanbul: Nobel Tıp Kitapevi, 217-230.
  • Evci, N. & Aylar, F. (2017). Review: The use of confirmatory factor analysis in scale development studies. Sosyal Bilimler Dergisi, 2017;4(10),389-412.doi: 10.16990/SOBIDER.3386. (in Turkish)
  • Forchuk, C. (2007). Tribute to the theorists: Hildegard E. Peplau over the years. Nurs Sci Quart, 20:304. http://dx.doi.org/10.1177/0894318407307129.
  • Geçkil, E. (2008). Evaluation of nursing satisfaction levels of patients in Adıyaman city center. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 15(2), 41-51.(in Turkish)
  • Gürhan, N. & Okanlı, A. (2017). Secret of life:communication. Ankara: Nobel Tıp Kitabevi.
  • Haugan, G., Innstrand, S. T. & Moksnes, U. K. (2013). The effect of nurse–patient interaction on anxiety and depression in cognitively intact nursing home patients. J Clin Nurs, 22(15-16),2192-2205. doi: 10.1111/jocn.12072.
  • Haugan, G., Moksnes, U.K. & Løhre, A. (2016). Intrapersonal self‐transcendence, meaning‐in‐life and nurse–patient interaction: powerful assets for quality of life in cognitively intact nursing‐home patients. Scand J Caring Sci, 30(4),790-801. doi: 10.1111/scs.12307.
  • Hosseinabadi, M. B. & Etemadinezhad, S. (2018). Evaluating the relationship between job stress and job satisfaction among female hospital nurses in Babol: An application of structural equation modeling. Health Promot Perspect.8(2),102. doi: 10.15171/hpp.2018.
  • Kamışlı, S. & Daştan, L. (2008). Nursing practices in a psychiatry clinic and patient views on these practices. Cumhuriyet Üniversitesi Hemşirelik Yüksekokulu Dergisi,12:45-52. (in Turkish)
  • Kleiman, S. (2010). Josephine Paterson and Loretta Zderad’s humanistic nursing theory. Nursing theories and nursing practice, 337-350.
  • Kornhaber, R., Walsh, K., Duff, J. & Walker, K. (2016). Enhancing adult therapeutic interpersonal relationships in the acute health care setting: an integrative review. J Multidiscip Healthc. 9,537–546. doi: 10.2147/JMDH.S116957.
  • Kostovich, C. T. (2012). Development and psychometric assessment of the presence of nursing scale. Nursing science quarterly, 25(2),167-175. Nurs Sci Quart, 25:167–75. DOI:10.1177/0894318412437945.
  • Ku, T. K., & Minas, H. (2010). Development of the Nursing Relationships Scale: a measure of interpersonal approaches in nursing care. National Journal of Mental Health System,4(12),1-12. https://doi.org/10.1186/1752-4458-4-12. Nurses Association Of New Brunswick.(2015) Standards for the Therapeutic Nurse-Client Relationship. Cited 15 Mar 2018. Available from URL http://www.nanb.nb.ca/media/resource/NANB-standardsNurseClientRelation-E-2015-10.pdf.
  • Oflaz, F.(2006). The concept of the therapeutic milieu in the psychiatry ward and the responsibilities of the nurse. Anadolu Psikiyatri Dergisi,7:55-61.
  • Özcan, A. (2015). Nurse-patient relationship and communication (4th ed.). Ankara: Sistem Ofset Bas. Yay.San Tic. Ltd. Şti.
  • Paterson, J. G. & Zderad, L. T. (1976). Humanistic nursing (p. 129). New York: National League for Nursing. (2017) Cited 17 Nov 2017. Available from URL.http://www.gutenberg. org/files/25020/25020-8.txt.
  • Rasheed, S. P., Younas, A. & Sundus, A. (2019). Self‐awareness in nursing: A scoping review. J Clin Nurs, 28(5),762-774. doi: 10.1111/jocn.14708.
  • Sönmez, V. & Alacapınar, F. G. (2014). Örneklendirilmiş bilimsel araştırma yöntemleri. Anı Yayıncılık.
  • Şantaş, F. & Kahraman, G. (2017) Perception towards healthcare professionals: presentation of physicians, nurses and pharmacists in "Ekşi Sözlük". Gümüshane University Electronic Journal of the Institute of Social Science/Gümüshane Üniversitesi Sosyal Bilimler Enstitüsü Elektronik Dergisi, 2017;8(19),207-229. doi:10.17823/gusb.356. (in Turkish)
  • Şengül, Şişe. (2013). Satisfaction of patients with their nursing services. Kocatepe Tıp Dergisi, 14(2), 69-75. doi:10.18229. (in Turkish)
  • Turkish Language Institution Current Dictionary. (2015). Cited 25 Apr 2016. Available from URL http://www.tdk.gov.tr/index.php?option=com_gts&arama=gts&guid=TDK.GTS.572834c2cb3d72.12521649.
  • Turkish Nurses Association. Laws and Regulations. http://www.turkhemsirelerdernegi.org.tr/files/tr/yasa-ve-yonetmelikler/yonetmelikler/19-nisan-2011-hemsirelik-yonetmeliginde-degisiklik/hemsirelik%20%202011.pdf.
  • Velioğlu, P. (2012). Concepts and theories in nursing. İstanbul: Alaş Ofset.
  • Williams, A. M. & Irurita, V. F. (2004). Therapeutic and non‐therapeutic interpersonal interactions: the patient's perspective. J Clin Nurs, 13(7),806-815. doi: 10.1111/j.1365-2702.2004.01020.x.
  • Yalçın E.G. (2010) Patient-nurse interactions among nurses working in the acute psychiatry service. [Master's thesis] İstanbul: İstanbul Üniversitesi. (in Turkish)
  • Yeşilot, S. B. & Öz, F. (2016). The presence of the nurse: a theoretical perspective. Journal of Psychiatric Nursing, 7(2), 94-99. Doi: 10.5505/phd.2016.96967.
  • Yeşilyurt, S. & Çapraz, C. (2018). A roadmap for content validity used in scale development studies Erzincan Üniversitesi Eğitim Fakültesi Dergisi, 20(1), 251-264. https://doi.org/10.17556/erziefd.297741. (in Turkish).

The Validity and Reliability of Nursing Relationship Scale in Turkey

Yıl 2022, Cilt: 4 Sayı: 1, 51 - 61, 25.04.2022

Öz

Purpose: In this research, the "Nursing Relationship Scale (NRS) was adapted to Turkish and its validity and reliability was evaluated.
Method: The research was carried out methodologically and aimed to determine the psychometric properties of “NRS”. For validity, 7 times of the 34 questions in the scale were reached and 238 nurses participated in the research. For reliability, test- re test (three weeks later) was applied in 59 nurses working in the same hospitals
Results: The total Cronbach α value of the “Turkish Version of Nursing Relationship Scale” (TVNRS) was 0.87; the Cronbach α values of the subscales of the scale were determined as “Caregiver/Supporter”; 0.80, “Nursing Satisfaction”; 0.75, “Authoritarian Stance”; 0.27 and “Negativity"; 0.72. In the scale, Cronbach α values and factor loads of five items were found to be low and t-tests were not found to be significant (p> 0.05). For this reason, the scale, which was originally 34 items, was reduced to 29 items.
Conclusions and Suggestions: Our result showed that TVNRS is a valid and reliable in Turkish culture and it is suggested to be used in evaluating the patient nurse relationship.

Proje Numarası

yok

Kaynakça

  • Alpar, R. (2012). Validity and reliability. Applied statistics and validity-reliability with examples from sports, health and educational sciences (4th ed). Ankara: Detay Yayıncılık.
  • American Psychiatric Nurses Association. Scopeand Standarts for Public Comment. (2015). Cited 20 Apr 2016. Available from URL: http://www.apna.org/files/public/12-11.
  • Arnold EC, Boggs KU. (2016) Interpersonal Relationships - E-Book: Professional Communication Skills for Nurses Elsevier Health Sciences. Cited 24 May 2017. Available from URL https://books.google.com.tr/books?id=7DAxBgAAQBAJ&printsec=frontcover&dq=Arnold+EC,+Boggs+KU.+Interpersonal+Relationships&hl=tr&sa=X&ved=2ahUKEwj4qd3225vsAhUP8xQKHfp0AWcQ6wEwAHoECAUQAQ#v=onepage&q&f=false.
  • Ayre, C. & Scally, A. J. (2014). Critical values for Lawshe’s content validity ratio: revisiting the original methods of calculation. Measurement and evaluation in counseling and development. Meas Eval Couns Dev,47(1),79-86. https://doi.org/10.1177/0748175613513808.
  • Bi, J. & Kuesten, C. (2012). Intraclass correlation coefficient (ICC): A framework for monitoring and assessing performance of trained sensory panels and panelists. J Sens Stud,27:352–64. doi:10.1111/j.1745-459X.2012.00399. x.
  • Bozdoğan Yeşilot, S. & Öz, F. (2017). Cancer patients’ perceptions of nursing presence. Journal of Psychiatric Nursing, 8(3), 150-156.Doi: 10.14744/phd.2017.92005.
  • Esin, M. N. (2014). Veri toplama yöntem ve araçları & veri toplama araçlarının güvenirlik ve geçerliği. Erdoğan S, Nahçivan N, Esin MN. Hemşirelikte Araştırma: Süreç, Uygulama ve Kritik, İstanbul: Nobel Tıp Kitapevi, 217-230.
  • Evci, N. & Aylar, F. (2017). Review: The use of confirmatory factor analysis in scale development studies. Sosyal Bilimler Dergisi, 2017;4(10),389-412.doi: 10.16990/SOBIDER.3386. (in Turkish)
  • Forchuk, C. (2007). Tribute to the theorists: Hildegard E. Peplau over the years. Nurs Sci Quart, 20:304. http://dx.doi.org/10.1177/0894318407307129.
  • Geçkil, E. (2008). Evaluation of nursing satisfaction levels of patients in Adıyaman city center. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 15(2), 41-51.(in Turkish)
  • Gürhan, N. & Okanlı, A. (2017). Secret of life:communication. Ankara: Nobel Tıp Kitabevi.
  • Haugan, G., Innstrand, S. T. & Moksnes, U. K. (2013). The effect of nurse–patient interaction on anxiety and depression in cognitively intact nursing home patients. J Clin Nurs, 22(15-16),2192-2205. doi: 10.1111/jocn.12072.
  • Haugan, G., Moksnes, U.K. & Løhre, A. (2016). Intrapersonal self‐transcendence, meaning‐in‐life and nurse–patient interaction: powerful assets for quality of life in cognitively intact nursing‐home patients. Scand J Caring Sci, 30(4),790-801. doi: 10.1111/scs.12307.
  • Hosseinabadi, M. B. & Etemadinezhad, S. (2018). Evaluating the relationship between job stress and job satisfaction among female hospital nurses in Babol: An application of structural equation modeling. Health Promot Perspect.8(2),102. doi: 10.15171/hpp.2018.
  • Kamışlı, S. & Daştan, L. (2008). Nursing practices in a psychiatry clinic and patient views on these practices. Cumhuriyet Üniversitesi Hemşirelik Yüksekokulu Dergisi,12:45-52. (in Turkish)
  • Kleiman, S. (2010). Josephine Paterson and Loretta Zderad’s humanistic nursing theory. Nursing theories and nursing practice, 337-350.
  • Kornhaber, R., Walsh, K., Duff, J. & Walker, K. (2016). Enhancing adult therapeutic interpersonal relationships in the acute health care setting: an integrative review. J Multidiscip Healthc. 9,537–546. doi: 10.2147/JMDH.S116957.
  • Kostovich, C. T. (2012). Development and psychometric assessment of the presence of nursing scale. Nursing science quarterly, 25(2),167-175. Nurs Sci Quart, 25:167–75. DOI:10.1177/0894318412437945.
  • Ku, T. K., & Minas, H. (2010). Development of the Nursing Relationships Scale: a measure of interpersonal approaches in nursing care. National Journal of Mental Health System,4(12),1-12. https://doi.org/10.1186/1752-4458-4-12. Nurses Association Of New Brunswick.(2015) Standards for the Therapeutic Nurse-Client Relationship. Cited 15 Mar 2018. Available from URL http://www.nanb.nb.ca/media/resource/NANB-standardsNurseClientRelation-E-2015-10.pdf.
  • Oflaz, F.(2006). The concept of the therapeutic milieu in the psychiatry ward and the responsibilities of the nurse. Anadolu Psikiyatri Dergisi,7:55-61.
  • Özcan, A. (2015). Nurse-patient relationship and communication (4th ed.). Ankara: Sistem Ofset Bas. Yay.San Tic. Ltd. Şti.
  • Paterson, J. G. & Zderad, L. T. (1976). Humanistic nursing (p. 129). New York: National League for Nursing. (2017) Cited 17 Nov 2017. Available from URL.http://www.gutenberg. org/files/25020/25020-8.txt.
  • Rasheed, S. P., Younas, A. & Sundus, A. (2019). Self‐awareness in nursing: A scoping review. J Clin Nurs, 28(5),762-774. doi: 10.1111/jocn.14708.
  • Sönmez, V. & Alacapınar, F. G. (2014). Örneklendirilmiş bilimsel araştırma yöntemleri. Anı Yayıncılık.
  • Şantaş, F. & Kahraman, G. (2017) Perception towards healthcare professionals: presentation of physicians, nurses and pharmacists in "Ekşi Sözlük". Gümüshane University Electronic Journal of the Institute of Social Science/Gümüshane Üniversitesi Sosyal Bilimler Enstitüsü Elektronik Dergisi, 2017;8(19),207-229. doi:10.17823/gusb.356. (in Turkish)
  • Şengül, Şişe. (2013). Satisfaction of patients with their nursing services. Kocatepe Tıp Dergisi, 14(2), 69-75. doi:10.18229. (in Turkish)
  • Turkish Language Institution Current Dictionary. (2015). Cited 25 Apr 2016. Available from URL http://www.tdk.gov.tr/index.php?option=com_gts&arama=gts&guid=TDK.GTS.572834c2cb3d72.12521649.
  • Turkish Nurses Association. Laws and Regulations. http://www.turkhemsirelerdernegi.org.tr/files/tr/yasa-ve-yonetmelikler/yonetmelikler/19-nisan-2011-hemsirelik-yonetmeliginde-degisiklik/hemsirelik%20%202011.pdf.
  • Velioğlu, P. (2012). Concepts and theories in nursing. İstanbul: Alaş Ofset.
  • Williams, A. M. & Irurita, V. F. (2004). Therapeutic and non‐therapeutic interpersonal interactions: the patient's perspective. J Clin Nurs, 13(7),806-815. doi: 10.1111/j.1365-2702.2004.01020.x.
  • Yalçın E.G. (2010) Patient-nurse interactions among nurses working in the acute psychiatry service. [Master's thesis] İstanbul: İstanbul Üniversitesi. (in Turkish)
  • Yeşilot, S. B. & Öz, F. (2016). The presence of the nurse: a theoretical perspective. Journal of Psychiatric Nursing, 7(2), 94-99. Doi: 10.5505/phd.2016.96967.
  • Yeşilyurt, S. & Çapraz, C. (2018). A roadmap for content validity used in scale development studies Erzincan Üniversitesi Eğitim Fakültesi Dergisi, 20(1), 251-264. https://doi.org/10.17556/erziefd.297741. (in Turkish).
Toplam 33 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Araştırma Makaleleri
Yazarlar

Ayşe Gül Yavaş Ayhan 0000-0002-7061-7757

Fatma Öz 0000-0002-1275-7743

Proje Numarası yok
Yayımlanma Tarihi 25 Nisan 2022
Gönderilme Tarihi 25 Ocak 2022
Kabul Tarihi 8 Mart 2022
Yayımlandığı Sayı Yıl 2022 Cilt: 4 Sayı: 1

Kaynak Göster

APA Yavaş Ayhan, A. G., & Öz, F. (2022). The Validity and Reliability of Nursing Relationship Scale in Turkey. Genel Sağlık Bilimleri Dergisi, 4(1), 51-61.

                                                                  Genel Sağlık Bilimleri Dergisi Creative Commons Atıf-GayriTicari 4.0 Uluslararası Lisansı (CC BY NC) ile lisanslanmıştır.