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Determinants of Nurses' Caring Behaviours: Cultural Adaptation and Psychometric Testing of the Turkish Version—A Methodologic Study.

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Title: Determinants of Nurses' Caring Behaviours: Cultural Adaptation and Psychometric Testing of the Turkish Version—A Methodologic Study.
Authors: Salimi, Saleh, Şenturan, Leman, Beji, Nezihe Kizilkaya, Mutlu, Eren Yaşar
Source: Scandinavian Journal of Caring Sciences. Jun2025, Vol. 39 Issue 2, p1-12. 12p.
Subjects: Nurse-patient relationships, Nurses, Cronbach's alpha, Occupational roles, Humanity, Research methodology evaluation, Research evaluation, Questionnaires, Judgment sampling, Descriptive statistics, Chi-squared test, Job satisfaction, Psychometrics, Research, Intensive care units, Job stress, Nursing practice, Nurses' attitudes, Research methodology, Baccalaureate nursing education, Factor analysis, Comparative studies, Data analysis software, Confidence intervals, Shift systems, Employees' workload, Educational attainment, Evaluation
Geographic Terms: Türkiye, Islands of the Mediterranean
Abstract: Background: Understanding the factors influencing nurses' caring behaviour is imperative for advancing care quality. Aim: This study aims to translate and culturally adapt the Determinants of Nurses' Caring Behaviours (DNCB) instrument into Turkish and assess its psychometric properties. The original DNCB consists of 35 items and six subscales, designed to identify and measure the factors that influence nurses' caring behaviours in clinical practice. Method: This methodological study followed the guidelines for outcome measurement instruments established by COSMIN. The translation process followed the guidelines of the Patient‐Reported Outcome (PRO) Consortium, which involved forward and back translation, reconciliation, cognitive interviewing, and expert panel review. A sample of 351 nurses was recruited from adult units at a university‐affiliated hospital in Istanbul. Face validity and Content Validity Index (CVI) were assessed by an expert panel. Cronbach's alpha was used to evaluate internal consistency. Construct validity was assessed using Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA), along with model fit evaluations, using SPSS version 25 and AMOS 26. Results: The EFA revealed that 55% of the total variance was explained by 33 factors. Six distinct factors emerged, labelled as Nurses' Practice and Educational Background, Characteristics of Nurses, Challenge in Nursing Care and Identity, Professional Engagement, Satisfaction with Workplace, and Patient Characteristics. Following refinement, the model demonstrated significant enhancements, with improved indices: Normed Fit Index (NFI) at 0.921, Incremental Fit Index (IFI) at 0.979, and Tucker‐Lewis Index (TLI) at 0.951. Additionally, the Comparative Fit Index (CFI) improved to 0.957, with a reduced RMSEA value of 0.053 (90% CI [0.046, 0.055]), indicating a more accurate representation of the data's underlying structure. Conclusion: The Turkish version of the DNCB demonstrates strong internal consistency and validity, supported by robust psychometric properties. It can serve as an effective instrument for measuring and investigating the determinants of nurses' care behaviour both in Turkey and Northern Cyprus, with implications for nursing practice and future research. [ABSTRACT FROM AUTHOR]
Copyright of Scandinavian Journal of Caring Sciences is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Label: Title
  Group: Ti
  Data: Determinants of Nurses' Caring Behaviours: Cultural Adaptation and Psychometric Testing of the Turkish Version—A Methodologic Study.
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  Data: <searchLink fieldCode="AR" term="%22Salimi%2C+Saleh%22">Salimi, Saleh</searchLink><br /><searchLink fieldCode="AR" term="%22Şenturan%2C+Leman%22">Şenturan, Leman</searchLink><br /><searchLink fieldCode="AR" term="%22Beji%2C+Nezihe+Kizilkaya%22">Beji, Nezihe Kizilkaya</searchLink><br /><searchLink fieldCode="AR" term="%22Mutlu%2C+Eren+Yaşar%22">Mutlu, Eren Yaşar</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Scandinavian+Journal+of+Caring+Sciences%22">Scandinavian Journal of Caring Sciences</searchLink>. Jun2025, Vol. 39 Issue 2, p1-12. 12p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Nurse-patient+relationships%22">Nurse-patient relationships</searchLink><br /><searchLink fieldCode="DE" term="%22Nurses%22">Nurses</searchLink><br /><searchLink fieldCode="DE" term="%22Cronbach's+alpha%22">Cronbach's alpha</searchLink><br /><searchLink fieldCode="DE" term="%22Occupational+roles%22">Occupational roles</searchLink><br /><searchLink fieldCode="DE" term="%22Humanity%22">Humanity</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology+evaluation%22">Research methodology evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Research+evaluation%22">Research evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Judgment+sampling%22">Judgment sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Chi-squared+test%22">Chi-squared test</searchLink><br /><searchLink fieldCode="DE" term="%22Job+satisfaction%22">Job satisfaction</searchLink><br /><searchLink fieldCode="DE" term="%22Psychometrics%22">Psychometrics</searchLink><br /><searchLink fieldCode="DE" term="%22Research%22">Research</searchLink><br /><searchLink fieldCode="DE" term="%22Intensive+care+units%22">Intensive care units</searchLink><br /><searchLink fieldCode="DE" term="%22Job+stress%22">Job stress</searchLink><br /><searchLink fieldCode="DE" term="%22Nursing+practice%22">Nursing practice</searchLink><br /><searchLink fieldCode="DE" term="%22Nurses'+attitudes%22">Nurses' attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Baccalaureate+nursing+education%22">Baccalaureate nursing education</searchLink><br /><searchLink fieldCode="DE" term="%22Factor+analysis%22">Factor analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Comparative+studies%22">Comparative studies</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Shift+systems%22">Shift systems</searchLink><br /><searchLink fieldCode="DE" term="%22Employees'+workload%22">Employees' workload</searchLink><br /><searchLink fieldCode="DE" term="%22Educational+attainment%22">Educational attainment</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation%22">Evaluation</searchLink>
– Name: SubjectGeographic
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Türkiye%22">Türkiye</searchLink><br /><searchLink fieldCode="DE" term="%22Islands+of+the+Mediterranean%22">Islands of the Mediterranean</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Understanding the factors influencing nurses' caring behaviour is imperative for advancing care quality. Aim: This study aims to translate and culturally adapt the Determinants of Nurses' Caring Behaviours (DNCB) instrument into Turkish and assess its psychometric properties. The original DNCB consists of 35 items and six subscales, designed to identify and measure the factors that influence nurses' caring behaviours in clinical practice. Method: This methodological study followed the guidelines for outcome measurement instruments established by COSMIN. The translation process followed the guidelines of the Patient‐Reported Outcome (PRO) Consortium, which involved forward and back translation, reconciliation, cognitive interviewing, and expert panel review. A sample of 351 nurses was recruited from adult units at a university‐affiliated hospital in Istanbul. Face validity and Content Validity Index (CVI) were assessed by an expert panel. Cronbach's alpha was used to evaluate internal consistency. Construct validity was assessed using Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA), along with model fit evaluations, using SPSS version 25 and AMOS 26. Results: The EFA revealed that 55% of the total variance was explained by 33 factors. Six distinct factors emerged, labelled as Nurses' Practice and Educational Background, Characteristics of Nurses, Challenge in Nursing Care and Identity, Professional Engagement, Satisfaction with Workplace, and Patient Characteristics. Following refinement, the model demonstrated significant enhancements, with improved indices: Normed Fit Index (NFI) at 0.921, Incremental Fit Index (IFI) at 0.979, and Tucker‐Lewis Index (TLI) at 0.951. Additionally, the Comparative Fit Index (CFI) improved to 0.957, with a reduced RMSEA value of 0.053 (90% CI [0.046, 0.055]), indicating a more accurate representation of the data's underlying structure. Conclusion: The Turkish version of the DNCB demonstrates strong internal consistency and validity, supported by robust psychometric properties. It can serve as an effective instrument for measuring and investigating the determinants of nurses' care behaviour both in Turkey and Northern Cyprus, with implications for nursing practice and future research. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Scandinavian Journal of Caring Sciences is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1111/scs.70041
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 12
        StartPage: 1
    Subjects:
      – SubjectFull: Nurse-patient relationships
        Type: general
      – SubjectFull: Nurses
        Type: general
      – SubjectFull: Cronbach's alpha
        Type: general
      – SubjectFull: Occupational roles
        Type: general
      – SubjectFull: Humanity
        Type: general
      – SubjectFull: Research methodology evaluation
        Type: general
      – SubjectFull: Research evaluation
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Judgment sampling
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Chi-squared test
        Type: general
      – SubjectFull: Job satisfaction
        Type: general
      – SubjectFull: Psychometrics
        Type: general
      – SubjectFull: Research
        Type: general
      – SubjectFull: Intensive care units
        Type: general
      – SubjectFull: Job stress
        Type: general
      – SubjectFull: Nursing practice
        Type: general
      – SubjectFull: Nurses' attitudes
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Baccalaureate nursing education
        Type: general
      – SubjectFull: Factor analysis
        Type: general
      – SubjectFull: Comparative studies
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Shift systems
        Type: general
      – SubjectFull: Employees' workload
        Type: general
      – SubjectFull: Educational attainment
        Type: general
      – SubjectFull: Evaluation
        Type: general
      – SubjectFull: Türkiye
        Type: general
      – SubjectFull: Islands of the Mediterranean
        Type: general
    Titles:
      – TitleFull: Determinants of Nurses' Caring Behaviours: Cultural Adaptation and Psychometric Testing of the Turkish Version—A Methodologic Study.
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            – D: 01
              M: 06
              Text: Jun2025
              Type: published
              Y: 2025
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