Development and validation of the advance care planning practice preference scale for clinical nurses

Abstract

Aims:The aim of this study was to develop the advance care planning (ACP) practice preference scale and validate its psychometric properties among clinical nurses.Design: An instrument development and validation study was completed in the following three phases: (a) the generation and revision of the item, (b) the preliminary exploration and evaluation of the item and (c) the psychometric evaluation of the scale. Methods:A literature review was conducted to develop the indicator system. A total of 360 clinical nurses (for item analysis) and 688 clinical nurses (for psychometric evaluation) were recruited. The exploratory factor analysis and confirmatory factor analysis were conducted to evaluate the construct validity. The reliability was explored by internal consistency and test-retest reliability. The study was conducted from October 2021 to January 2022.Results: A total of 24 items were finally retained by the item analysis from the initial 78-item pool. In the exploratory factor analysis, the six-factor model explained 79.933% of the total variation. After limiting to three factors, 59.305% of the total variation was explained. Above factor models supported by the confirmatory factor analysis were consistent with the theoretically structure, and the fitting indexes were all satisfactory. Also, the findings showed appropriate internal consistency and testretest reliability.Conclusions: ACP practice preference scale presents satisfactory psychometric properties among clinical nurses and can be adopted to evaluate the propensity of clinical nurses to practice ACP.

Differences in evidence‐based nursing practice competencies of clinical and academic nurses in China and opportunities for complementary collaborations: A cross‐sectional study

“…The Evidence‐based Nursing Practice Competence Scale (EBNPCS) was used to measure the EBNP competence of nurses with EBNP training experience. This Chinese instrument was developed and validated by Wang et al in 2017 (Wang et al, 2017). It can be used for different types of nursing roles.…”

“…A larger score suggests that the participant is equipped with a higher level of EBNP competence. Prior validation results showed that the EBNPCS has high reliability and validity (Wang et al, 2017). The scale‐level content validity index (S‐CVI) was 0.987.…”

“…The measurement instrument for evidence‐based nursing practice competence used in this study (Evidence‐based Nursing Practice Competence Scale—EBNPCS) was also developed based on the Fudan's Pathways for evidence‐based nursing practice (Wang et al, 2017). However, it is noted that, in the EBNPCS, the evidence synthesis competence was divided into two parts of ‘Competence in Searching for and Appraising Evidence’ and ‘Competence in Synthesizing Evidence’.…”

Advance care planning readiness for Chinese older people: An integrative review and conceptual framework

“…Uncertainty about advance care planning readiness could hamper efforts to carry out an exercise of advance care planning. 11 A systematic review demonstrated that enhancing the readiness for advance care planning would help patients engage in advance care planning and attenuate the obstacles involved in the process of such planning. 10…”

Psychometric properties evaluation of the Advance Care Planning Readiness Scale for community‐dwelling older adults with chronic diseases residing in suburban counties within the Chinese context

“…The Advance Care Planning Readiness Scale (ACPRS‐C) was specifically designed to measure the ACP readiness among patients with chronic disease in China (Wang & Sheng, 2022). The overall Cronbach's alpha coefficient was 0.923, and scale content validity index (S‐CVI) was 0.986 (Wang & Sheng, 2019). The ACPRS‐C has been validated in urban communities and hospitals in the Chinese context, with Cronbach's alpha coefficient between 0.912 and 0.928 (Han, 2022; Yuan & Liu, 2020).…”