The development and validation of a tool to measure self-confidence and anxiety in nursing students while making clinical decisions

摘要: Clinical decision making (CDM) is a cornerstone skill for nurses. Self-confidence and anxiety are two affective influences that impact the learning adeptness of CDM. Currently, no instruments exist measure perceived self-confidence level undergraduate nursing students related to The purpose this research was develop, test, establish psychometric properties quantitative instrument measures levels experienced by while clinical decisions. new tool entitled Nursing Anxiety Self-Confidence with Decision Making (NASC-CDM) scale. self-report, Likert-type subscales measuring anxiety. Bandura's social cognitive theory, regarding self-efficacy arousal framed study along embedded models which explain relationship between self-confidence, anxiety, Content validity face were established through critique panel internationally known experts in area CDM student nurses registered Two samples pre-licensure associate baccalaureate participated either pilot- (fall 2010, n = 303) or main-testing (spring 2011, 242) phase test Exploratory factor analysis used examine scale's construct validity. Items reduced from scale based on EFA results each sample. Similar structures found samples, indicating stable three dimensional NASC-CDM correlated psychometrically sound convergent Pearson r correlation coefficients examined subscale General Self-Efficacy (GSE) Results positive, moderate significant at .54 .62 fall spring respectively. Generalized Disorder-7 (GAD-7) low .52 .38 Internal consistency reliability assessed using Cronbach's alpha coefficient. Alpha final version were: subscale, α .97 .96. provided initial evidentiary support as content valid, valid reliable measurement tool. Findings have important implications education. Nurse educators may be able utilize numerous situations, around real-life simulated experiences. If nurse aware how states, such influence nursing…