<p dir="ltr">Nurse managers recognize clinical judgment as a core competency of practice readiness (Boyer et al., 2019; Harrisona et al., 2020). Reflection is vital for novice nurses’ clinical judgment development (Tanner, 2006), enhancing their ability to deliver safe care. Despite its importance, nurse educators lack the ability to measure reflection in simulation debriefings. To address this gap, the Student-Centered Reflection Scale (SCRS) was created to assess reflection during simulation debriefings. This study aimed to conduct item testing and evaluate the psychometric properties of the SCRS to measure the presence of reflection during simulation debriefings.</p><p dir="ltr">Four sequential psychometric studies conducted initial item testing and evaluated the SCRS’s reliability and validity. The first two studies, a content validity study with 11 experts and pretesting study with 16 undergraduate nursing students, provided feedback for item revision and evidence of validity. Then an exploratory factor analysis (EFA) and item analysis study, involving 92 undergraduate nursing students from a Midwest public baccalaureate nursing school, was completed. Finally, a confirmatory factor analysis (CFA) and convergent validity study were completed using the SCRS and Groningen Reflective Ability Scale (GRAS; Aukes et al., 2007) in a convenience sample of 218 nonoverlapping undergraduate nursing students from the same educational institution.</p><p dir="ltr">The EFA revealed 20 items with four factors or subscales: (a) comparison of previous knowledge (four items); (b) analysis of biases, beliefs, and consideration of moral and ethical criteria (five items); (c) analyzing the scenario (eight items); and (d) challenging assumptions and considering a change in practice (three items). These subscales explained 82.78% of the variance and demonstrated acceptable item loadings ranging from .50–.83 and inter-item reliability ranging from .219–.664. The CFA demonstrated acceptable global fit (RMSEA = .071, CFI = .914, TLI = .900) and component fit. The SCRS also demonstrated reliability (α = .92) and convergent validity (<i>r </i>= .496) with the GRAS.</p><p dir="ltr">In conclusion, the SCRS demonstrated adequate reliability and validity with this sample. The SCRS is a resource for educators to evaluate and foster reflective skills in undergraduate nursing students during simulation debriefings, thereby promoting nursing students’ overall practice preparedness.<br></p>
| Identifer | oai:union.ndltd.org:purdue.edu/oai:figshare.com:article/25601196 |
| Date | 15 April 2024 |
| Creators | Amy M Nagle (18363828) |
| Source Sets | Purdue University |
| Detected Language | English |
| Type | Text, Thesis |
| Rights | CC BY 4.0 |
| Relation | https://figshare.com/articles/thesis/_b_Development_and_Testing_of_the_Student-Centered_Reflection_Scale_b_/25601196 |
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