Background Novice nurses need to be better prepared to provide care in acute situations. There is currently no validated scale specifically measuring nurses' perception of their ability to provide care in acute situations. The aim of this study was to develop and examine the psychometric properties of a scale that measures novice nurses self-reported perception of ability to provide care in acute situations. Method Development and test of the psychometric properties of the Perception to Care in Acute Situations (PCAS) scale. Items were generated from interviews with novice nurses (n = 17) and validated using opinions of an expert panel and cognitive interviews with the target group.Two hundred nine novice nurses tested the final scale. Exploratory factor analysis (EFA) was used to test construct validity, item reduction and underlying dimensions between the measured variables and the latent construct. Result The PCAS scale contains 17 items grouped into three factors. EFA demonstrated a clean three factor logic construct solution with no cross-loadings, high correlation for the total scale in both Cronbach's alfa 0.90 and ordinal alpha 0.92. Conclusions The PCAS scale has proven to have acceptable validity. The factors," confidence in provision of care", "communication" and "patient perspective" are likely to be important aspects of providing care in acute situations. Additional testing of the PCAS is needed to conclude if it is sensitive enough to evaluate interventions aimed at improving novice nurses competence and suitable as a guide for reflection for novice nurses.

中文翻译：

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开发并初步验证一种工具，用于衡量新手护士在紧急情况下提供护理的感知能力 - PCAS。


背景 新手护士需要做好更好的准备，以便在紧急情况下提供护理。目前还没有经过验证的量表专门衡量护士对其在紧急情况下提供护理的能力的看法。本研究的目的是开发和检查一个量表的心理测量特性，该量表用于衡量新手护士自我报告的对在紧急情况下提供护理的能力的看法。方法开发和测试急性情况护理感知 (PCAS) 量表的心理测量特性。项目是通过对新手护士 (n = 17) 的访谈生成的，并使用专家小组的意见和对目标群体的认知访谈进行验证。209 名新手护士测试了最终量表。探索性因子分析（EFA）用于测试构建有效性、项目缩减以及测量变量和潜在构建之间的基础维度。结果 PCAS 量表包含 17 个项目，分为三个因素。 EFA 展示了一个干净的三因素逻辑构造解决方案，没有交叉加载，Cronbach's alfa 0.90 和序数 alpha 0.92 的总规模具有高度相关性。结论 PCAS 量表已被证明具有可接受的效度。 “对提供护理的信心”、“沟通”和“患者观点”等因素可能是在紧急情况下提供护理的重要方面。需要对 PCAS 进行额外测试，以确定其是否足够敏感，可以评估旨在提高新手护士能力的干预措施，并适合作为新手护士反思的指南。