Chinese Journal of Medical Education ›› 2019, Vol. 39 ›› Issue (7): 539-544.DOI: 10.3760/cma.j.issn.1673-677X.2019.07.014

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Reliability and validity of the Chinese version of Self-Assessment of Clinical Reasoning and Reflection in nursing undergraduates

Yu Jie1, Wang Jialin2, Wang Mingyu3, Guo Aimin4, Kang Xiaofeng5   

  1. 1Grade 2018, School of Nursing, Peking Union Medical College,A First-year Postgraduate Majoring in Nursing for Three Years, Beijing 100144, China;
    2Intensive Care Unit, the Fourth Affiliated Hospital of Zhejiang University School of Medicine, Jinhua 322000, China;
    3VIP Ward,Tianjin Cancer Hospital, Tianjin 300060, China;
    4Community Nursing Teaching and Research Department, School of Nursing,Peking Union Medical College,Beijing 100144, China;
    5Experiment Center of Nursing,School of Nursing, Peking Union Medical College, Beijing 100144, China
  • Received:2018-10-23 Published:2020-12-11
  • Contact: Kang Xiaofeng, Email: xfkangpumc@126.com, Tel: 0086-10-88771258
  • Supported by:
    Postgraduate Education Reform Project of Peking Union Medical College in 2017(10023201702502)

Abstract: Objective T o test the reliability and validity of Chinese version of Self-Assessment of Clinical Reasoning and Reflection (SACRR). Methods Totally 228 undergraduates majoring in four-year nursing from 2014 to 2016 in Peking Union Medical College were tested by Chinese version of SACRR. Two weeks later, 30 subjects were selected to fill in Chinese version of SACRR again and test the retest reliability. The data of reliability and validity were analyzed by SPSS 22.0 software. Results The Cronbach's α of the SACRR was 0.754, and the total scale retest reliability was 0.785.The content validity of the scale (S-CVI/Ave) was 0.98. Four factors were extracted by using Exploratory Factor Analysis: Information System, Analysis of Problems, Finding Truth and Reflective Ability, the cumulative variance contribution rate was 57.336%.In this study, the scores measured by Chinese Version of Critical Thinking Disposition Inventory (CTVI-CV) were used as the existing criteria for validity testing.The criterion-related validity test showed that the content of Chinese version of SACRR was significantly correlated with the three dimensions of CTDI-CV: truth-seeking, systematic ability and self-confidence, Pearson correlation coefficient was 0.215, 0.172, 0.343 (all P<0.05). Conclusions Chinese version of SACRR has good reliability and validity, which provides a reference for evaluating the clinical reasoning ability of nursing students in the future.

Key words: Chinese Version of Self-Assessment of Clinical Reasoning and Reflection, Clinical reasoning, Reliability, Validity, Nursing science

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