Psychometric properties of the Chinese version of the Oncology NursesHealth Behaviors Determinants Scale

Abstract

Background: Oncology nurses are susceptible to chemotherapy exposure due to frequent exposure to chemotherapy agents.Compliance with the guidelines for safe management of chemotherapy is an important aspect of reducing occupational exposure and protecting the safety of oncology nurses.It is important to investigate the current situation of oncology nurses complying with safety protection guidelines and identify the factors affecting chemotherapy exposure. These factors will help to formulate corresponding intervention measures to effectively promote the health behavior of oncology nurses and strengthen self-protection.The objective of this study was to translate the Oncology Nurses Health Behaviors Determinants Scale (HBDS-ON)into Chinese and validate its psychometric properties in oncology nurses. Methods: A total of 408 oncology nurses from three hospitals in China were selected by convenience sampling method.Item analysis was used to test the differentiation of each item in the scale.Cronbach’s α coefficient, split-half reliability were used to test the internal consistency of the translated scale,and retest reliability was used to measure the external consistency of the translated scale.Exploratory factor analysis(EFA) was used to explore the number of factors affecting the observed variables, and confirmatory factor analysis(CFA) was used to validate the translated scale's structural validity.The content validity of the translated scale was evaluated by expert correspondence consultation. Results: The Cronbach’s α coefficient,the split-half reliability and retest reliability of the translated scale were0.898, 0.849 and 0.898 respectively.The content validity of the scale was 0.965.A 6-factor structure was extracted from EFA, and 63.260% of variance contribution was explained.The factor structure of the scale was verified by CFA, and the results showed that the scale fit within the acceptable range. Conclusions: The Chinese version of the HBDS-ON had good reliability and validity.The scale can be used to measure the influencing factors of chemotherapy exposure in oncology nurses.Moreover, the results of this scale can provide a basis for the formulation of intervention measures to reduce chemotherapy exposure.