Advances in Medical Education and Practice (Oct 2019)
Psychometric Properties Of The Persian Version Of The Uncivil Behavior In Clinical Nursing Education Among Nursing Students
Abstract
Tayebeh Hasan Tehrani,1 Abbas Ebadi,2,3 Zahra Mokhtari,4 Reza Ghanei Gheshlagh5 1Mother and Child Care Research Center, Hamadan University of Medical Sciences, Hamadan, Iran; 2Behavioral Sciences Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Teheran, Iran; 3Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran; 4School of Nursing Midwifery, Tehran University of Medical Sciences, Tehran, Iran; 5Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, IranCorrespondence: Reza Ghanei GheshlaghGheshlagh Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, IranTel +98 91 4405 0284Email [email protected]: Some clinical staff nurses show unprofessional behavior toward nursing students in clinical nursing education that can negatively affect their self-esteem and professionally. Examination of uncivil behavior toward nursing students requires a valid and reliable instrument. Therefore, the goal of the present study was to examine the psychometric properties of the Persian version of the Uncivil Behavior in Clinical Nursing Education (UBCNE) among nursing students.Methods: In this methodological study, a total of 558 nursing students participated who were selected using a convenience sampling method, and were asked to complete the Persian version of the UBCNE. The UBCNE was translated based on the WHO guidelines. The face, content, and construct (using explanatory and confirmatory factor analysis) validities were assessed. In addition, internal consistency was assessed using the McDonald’s omega and the Cronbach’s alpha coefficient, and stability was assessed using the test-retest method.Results: Explanatory factor analysis led to two factors, including Dismissive Behavior and Exclusionary Behavior that together explained 62.1% of the total variance of uncivil behavior. In the confirmatory factor analysis, the comparative and parsimonious fit indices were very good, but the absolute fit indices were poor (RMSEA=0.116, GFI=0.98, NFI=0.97, AFGI=0.83, PNFI=0.78). Reliability of the UBCNE was found to be 0.93 and 0.97, using the Cronbach’s alpha coefficient and the test-retest method, respectively.Conclusion: The two-factor structure of the UBCNE has good validity and reliability among nursing students. Therefore, it can be used to assess civil behavior in clinical nursing education.Keywords: psychometric property, uncivil behavior, factor analysis, nursing student, Iran
