Development of the Nurse Occupational Stigma Scale

Abstract

Introduction Occupational stigma toward nurses exerts a negative impact on the physical and mental health and work performance of nurses. However, hitherto, there has been no quantitative instrument designed to assess occupational stigma toward nurses. Objective The present study aimed to develop the Nurse Occupational Stigma Scale (NOSS) and test its reliability and validity in the Chinese context. Methods The items of the scale were formed through the open-ended interview and literature review. A questionnaire survey was administered among 765 patients using NOSS and the Caring Behaviors Inventory (CBI-24). Results In the initial questionnaire, a total of 21 items were developed, and 5 items were dropped for cross-loadings. The formal scale consists of 16 items divided into three dimensions of negative label, nurse-patient relationship, and devaluation and discrimination. The results of confirmatory factor analysis (CFA) indicated that the three-factor model fitted well ( χ 2 /df=2.635, RMSEA=0.064, RFI=0.926, CFI=0.962, NFI=0.941, IFI=0.953). The total scores of the NOSS and the scores of all dimensions were significantly negatively correlated with the scores of the CBI-24. The internal consistency coefficients of the scale and all dimensions were between 0.827–0.920, and the split-half reliability coefficients were between 0.826–0.942. The NOSS had the measurement invariance across gender. Conclusion With its good reliability and validity, the NOSS can be an appropriate instrument for researchers to conduct studies about nurse occupational stigma.

Moral courage, job-esteem, and social responsibility in disaster relief nurses

“…One possible reason for this may be the traditional mindset of “doctors speak, nurses walk,” which still exists and affects some nurses. 46 On the other hand, in recent years, due to various factors, the nursing workforce has become unstable, with nurses resigning frequently, leading to uncertainty in their future career prospects. 47 Additionally, the current situation of doctor–patient and nurse–patient relationships is still challenging, with instances of violence occurring occasionally.…”

Validation of the Chinese version of the ‘caring ability of family caregivers of patients with cancer scale (CAFCPCS)’ in family caregivers of elderly patients with cancer: A study protocol

“…Arrange the total score of the samples in descending order, and use the independent sample t ‐test to compare the differences between high (top 27% of the total score) and low (bottom 27% of the total score) groups on each item. Items with a critical ratio >3 ( p < 0.05) will be considered acceptable (Yang, Zhang, Leng, Fan, & Luo, 2022 ; Yang, Wang, & Wang, 2022 ).…”

“…The scale is divided into two parts, and the correlation coefficient of the two parts is calculated as the split‐half reliability, and >0.7 will be considered acceptable (Yang, Zhang, Leng, Fan, & Luo, 2022 ; Yang, Wang, & Wang, 2022 ).…”

Development of the Chinese Version of the Physician Internalized Occupational Stigma Scale (PIOSS)

“…In succession, researchers have developed stigma scales that can be used to assess specific occupations, for example, scales applicable to female sex workers, 37 airline cabin crew, 38 and nurses. 39 It is clear from the retrieval of available literature that there are two main scales related to physician occupational stigma. The Forensic Stigma Scale (FSS) is composed of 12 items divided into two dimensions – Dangerousness/Unpredictability and Responsibility/Blame.…”