The scale development of nursing repositioning practice for bedridden patients, Saudi Arabia

Abstract

This study aimed to explore, develop and test the psychometric properties of repositioning practice measures among nurses in Saudi hospitals and explores its components' psychometric properties. The study adopted the DeVellis scale development framework. Initially, the study clarifies the concept by literature review and interviewing six experts. Then a pool of 103 items was generated as the first draft. Over two rounds of expert revisions, the experts accept 61 items with content validity index means ( I-CVIs) equal to 0.91 and scale content validity = 0.81. later, the reliability with alpha Cronbach was 0.98. Next, this survey was passed for construct validity. The author distributed it to 306 nurses in Saudi Arabia taking care of bedridden patients at hospitals for the exploratory factor analysis (EFA) and 323 nurses for confirmatory factor analysis (CFA).

The study shows findings as are followed:

1. The EFA presents four underlying factors with 50 items (preparing 13 items, posturing 18 items, evaluating 6 items, and documenting 13 items) explained around 80.637% of variance.

2. The CFA showed the statistical needs to modified the model to show fit parameters (Chi-square ratio = 1.82, CFI = 0.968, TLI = 0.959, RMSEA = 0.051, SRMR = 0.023). The tool shows Omega reliability = 0.89.

The Findings exhibited that the repositioning practice scale supports clinical and administrative nursing care in Saudi Arabia. The study found that repositioning practice measurement tools consist of four components: preparing (13 items), posturing (18 items), evaluating (6 items), and documenting ( 13 items).