Nurses’ adaptation instrument in the oncology wards: Development and psychometric testing

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چکیده

INTRODUCTION: Understanding adaptation is strongly influenced by the culture and beliefs of everysociety. By increasing knowledge about the different dimensions which require the adaptation indifferent aspects requiring the nurse adaptation in oncology, a clear definition of the problem can bestated. Because of the lack of a standard and appropriate tool for the culture of the Iranian society,this aimed at developing and validating the nurse adaptation tool in the oncology departments.METHODS: This research is a methodological study and an exploratory mixed method beingconducted in three main steps of conceptualization, production of items, and field test. Inductiveconceptualization was performed through qualitative methodology and conventional content analysisapproach; in the second step, developed instrument was evaluated in terms of face validity, contentvalidity, and construct validity. In the third step, sampling of oncology nurses was done and exploratoryfactor analysis was performed for evaluating the construct validity, adequacy of sampling, anddimensioning. Cronbach’s alpha was calculated for checking the reliability of the instrument.RESULTS: The oncology nurse adaptation questionnaire was formed with twenty items in four maindimensions, including “emotional factors,” “supportive factors,” “work‑related factors in the ward,”and “factors related to job conditions.” The reliability of the tool was confirmed by evaluating theinternal consistency with Cronbach’s alpha, which was above 0.7 for each dimension and 0.82 forthe whole instrument.CONCLUSION: This instrument can be used as a practical tool for determining the adaptation ofoncology nurses for providing evidence to improve the work conditions of nurses by improving theworking conditions in the workplace and providing facilities with individual intervention, and theoutcome will be care of patients with high quality.