skip to main content

Psychometric Testing of the Technological Competency as Caring in Nursing Instrument – Revised (English Version Including a Practice Dimension)

Tomoya Yokotani orcid scopus  -  Graduate School of Health Sciences, Tokushima University, Japan
*Tetsuya Tanioka orcid scopus  -  Institute of Biomedical Sciences, Tokushima University, Japan
Feni Betriana orcid scopus  -  Graduate School of Health Sciences, Tokushima University, Japan
Yuko Yasuhara scopus  -  Institute of Biomedical Sciences, Tokushima University, Japan
Hirokazu Ito orcid scopus  -  Institute of Biomedical Sciences, Tokushima University, Japan
Gil P. Soriano orcid scopus  -  Graduate School of Health Sciences, Tokushima University, Philippines
Michael Joseph Dino orcid scopus  -  Our Lady of Fatima University, Philippines
Rozzano C Locsin orcid scopus  -  Institute of Biomedical Sciences, Tokushima University, Japan
Open Access Copyright (c) 2021 Nurse Media Journal of Nursing
Creative Commons License This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Citation Format:
Abstract

Background: The middle range theory Technological Competency as Caring in Nursing (TCCN) guides nursing practices. The TCCN Instrument (TCCNI) measures perception dimension of the theory and has been revised and translated into the Japanese language (TCCNI-R). Testing the translated version of the TCCNI-R to English language with the inclusion of a practice dimension is warranted.

Purpose: This study aims to determine the psychometric properties of the TCCNI-Revised English version with Practice dimension (TCCNI-RePract).

Methods: A web-based cross-sectional study was conducted with data from 202 valid questionnaire copies from professional nurses in selected hospitals and nurse educators in universities.   

Results: The suitability for factor analysis was determined using Kaiser-Meyer-Olkin index (0.93), Bartlett's sphericity test of 3256.93, p<0.001, the anti-image correlations ranged between 0.87 and 0.96, and an average value of communalities of 0.66. In the four rotations conducted with the maximum likelihood method with a Harris-Kaiser Orthoblique rotation, four items were excluded with factor loadings less than 0.40. These results determined the final scale with 21 items and four subscales, namely: (1) Knowing the person (8 items); (2) Technological competency as Caring (6 items); (3) Technology and caring (4 items); and (4) Expression of nursing as Caring (3 items). Cronbach’s alpha coefficient for the total scale was 0.94. With two dimensions of the TCCNI-RePract, the perception dimension had significantly higher scores than the practice dimension. When comparing mean factor point among the dimensions, the perception scores were significantly higher for Factor 1 and Factor 3.

Conclusion:The TCCNI-RePract is an acceptable tool that can reliably measure nurses’ perception and practice of TCCN. It is affirmed that with this tool, measuring perception and practice status of TCCN theory is possible. It is considered that the evaluation results can be used to plan in-hospital education.

 

Fulltext View|Download
Keywords: Perception; practice dimension; Technological Competency as Caring in Nursing; TCCNI-RePract

Article Metrics:

  1. Ahtisham, Y., & Shannon, Q. (2019). The usefulness of nursing theory-guided practice: An integrative review. Scandinavian Journal of Caring Sciences, 33(3), 540-555
  2. Akansel, N., Watson, R., Vatansever, N., & Özdemir, A. (2020). Nurses’ perceptions of caring activities in nursing. Nursing Open, 8(1), 506–516. https://doi.org/10.1002/nop2.653
  3. Bagherian, B., Sabzevari, S., Mirzaei, T., & Ravari, A. (2017). Effects of technology on nursing care and caring attributes of a sample of Iranian critical care nurses. Intensive & Critical Care Nursing, 39, 18–27. https://doi.org/10.1016/j.iccn.2016.08.011
  4. Barnard, A. (1996). Technology and nursing: An anatomy of definition. International Journal of Nursing Studies, 33(4), 433–441
  5. Barnard, A., & Sandelowski, M. (2001). Technology and humane nursing care: (Ir)reconcilable or invented difference?. Journal of Advanced Nursing, 34(3), 367–375
  6. Biswas, S., Kongsuwan, W., & Matchim, Y. (2016). Technological competency as caring in nursing as perceived by ICU nurses in Bangladesh and its related factors. Songklanagarind Journal of Nursing, 36(1), 1–20
  7. Boykin, A., & Schoenhofer, S. O. (2001). A model for transforming practice. Jones Bartlet
  8. Child, D. (2006). The essentials of factor analysis. (3rd ed.). Continuum
  9. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Erlbaum
  10. Dyess, S., Boykin, A., & Rigg, C. (2010). Integrating caring theory with nursing practice and education: Connecting with what matters. The Journal of Nursing Administration, 40(11), 498-503
  11. Faul, F., Erdfelder, E., Lang, A.-G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39, 175-191
  12. Fenton, M. V. (1987). Development of the scale of humanistic nursing behaviors. Nursing Research, 36(2), 82–87
  13. Hsu, T. C., Chiang-Hanisko, L., Lee-Hsieh, J., Lee, G. Y., Turton, M. A., & Tseng, Y. J. (2015). Effectiveness of an online caring curriculum in enhancing nurses’ caring behavior. Journal of Continuing Education in Nursing, 46(9), 416–424. https://doi.org/10.3928/00220124-20150821-04
  14. Ito, H., Tanioka, T., Miyamoto, M., Miyagawa, M., Yasuhara, Y., & Locsin, R. C. (2019). Perceived Inventory of Technological Competency as Caring in Nursing (PITCCN): Psychometric evaluation. International Journal of Studies in Nursing, 4(2), 1–6
  15. Kato, M., Miyagawa, M., Yasuhara, Y., Osaka, K., Kataoka, M., Ito, H., Tanioka, T., Locsin, R. C., & Kongswan, W. (2017). Recognition and status of practicing technological competency as caring in nursing by nurses in ICU. International Journal of Nursing & Clinical Practice, 4(1), 4–11
  16. Kelley, T., Docherty, S., & Brandon, D. (2013). Information needed to support knowing the patient. Advances in Nursing Science, 36(4), 351–363. https://doi.org/10.1097/ANS.0000000000000006
  17. Locsin, R. C. (1999). Development of an instrument to measure technological caring in nursing. Nursing and Health Science, 1, 27–24
  18. Locsin, R. C. (2005). Technological competency as caring in nursing: A model for practice. Sigma Theta Tau International Press
  19. Locsin, R. C. (2009). Technological competency as caring in nursing: A model for practice. Translated by Tanioka, T., Ueno, S., Yasuhara, Y., Mano, M., Takahashi, M. Okayama Japan: Fukuro Shuppan Publishing. (In Japanese)
  20. Locsin, R.C. (2015). Rozzano Locsin’s technological competency as caring in nursing: Knowing as process and technological knowing as practice. In M. Smith, & M. Parker (Eds.), Nursing Theories and Nursing Practice (4th ed., pp. 451-462). F.A. Davis
  21. Locsin, R. C. (2017). The co-existence of technology and caring in the theory of Technological Competency as Caring in Nursing. Journal of Medical Investigation, 64(1–2), 160–164
  22. MacCallum, R. C., Widaman, K. F., Zhang, S., & Hong, S. (1999). Sample size in factor analysis. Psychological Methods, 4(1), pp. 84-99
  23. Masuda, S., Kitaoka, K., & Ogino, K. (2012). Effects of item wording direction and grouping on psychological measures. The Japanese Journal of Health Psychology, 25(1), 31-41. (In Japanese) https://doi.org/10.11560/jahp.25.1_31
  24. Miyamoto, M., Miyagawa, M., Tanioka, T., Yasuhara, Y., Locsin, R., Osaka, K., Ito, K., & Kongsuwan, W. (2017). Comparative Examination between the Perceived Inventory of Technological Competency as Caring in Nursing (PITCCN) and the Technological Competency as Caring in Nursing Instrument (TCCNI). International Journal of Nursing & Clinical Practices, 4(1), 267. doi: https://doi.org/10.15344/2394-4978/2017/267
  25. Miyamoto, M., Ito, H., Miyagawa, M., Yasuhara, Y., Tanioka, T., & Locsin, R. C. (2019). Criterion-related validity of the Perceived Inventory of Technological Competency as Caring in Nursing (PITCCN) in acute care settings, The Journal of Medical Investigation, 66(1,2), 42-45
  26. Nakano, Y., Tanioka, T., Locsin, R. C., Miyagawa, M., Yokotani, T., Yasuhara, Y., Ito, H., & Catangui, E. (2019). A novel in-service nursing education optimizing theory of technological competency as caring in nursing. Journal of Nursing Education and Practice, 9(11), 85-91
  27. Nakano, Y., Yokotani, T., Tanioka, T., Locsin, R. C., Miyagawa, M., Yasuhara, Y., Ito, H., Betriana, F., & Catangui, E. (2021). The effect of in-service educational programs on nurse managers understanding of the Theory of Technological Competency as Caring in Nursing. International Journal for Human Caring, 25(1), 5-15
  28. Neighbors, M., & Eldred, E.E. (1993). Technology and nursing education. Nursing & Health Care, 14(2), 96–99
  29. Neto, J. M. R., Marques, D. K. A., Fernandes, M. D. G. M., & Nóbrega, M. M. L. D. (2016). Meleis’ nursing theories evaluation: Integrative review. Revista Brasileira de Enfermagem, 69(1), 162-168
  30. Parcells, D. A., & Locsin, R. C. (2011). Development and psychometric testing of the Technological Competency as Caring in Nursing instrument. International Journal of Human Caring, 15(4), 8–13
  31. Paulhus, D. L. (1991). Measurement and control of response bias. In J. P. Robinson, P. R. Shaver, & L. S. Writghtsman Eds.). Measures of personality and social psychological attitudes (pp. 17-59). Academic Press
  32. Pepito, J. A. T., & Locsin, R. C. (2018). Can nursing drive technological advances in healthcare in the Asia- Pacific? Asian/Pacific Island Nursing Journal, 3(4), 184–192
  33. R Core Team (2018). R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria. https://www.R-project.org/
  34. Rincón-Álvarez, D. A., & Chaparro-Díaz, L. (2017). Validity and reliability of the Spanish version of the Technological Competency as Caring in Nursing instrument. Investigación y Educación en Enfermería, 35(2), 154–164. https://doi.org/10.17533/udea.iee.v35n1a04
  35. Sandelowski, M. (1997a). The debate concerning nursing and technology. Journal of Nursing Scholarship, 29(2), 169–174
  36. Sandelowski, M. (1997b). Exploring the gender-technology relation in nursing. Nursing Inquiry, 4(4), 219–228
  37. Sawatzky, J. A., Enns, C. L., Ashcroft, T. J., Davis, P. L., & Harder, B. N. (2009). Teaching excellence in nursing education: A caring framework. Journal of Professional Nursing, 25(5), 260–266. https://doi.org/10.1016/j.profnurs.2009.01.017
  38. Sinclair, M., & Gardner, J. (2001). Midwives' perceptions of the use of technology in assisting childbirth in Northern Ireland. Journal of Advanced Nursing, 36(2), 229–236. https://doi.org/10.1046/j.1365-2648.2001.01963.x
  39. Stavropoulou, A., Rovithis, M., Sigala, E., Pantou, S., & Koukouli, S. (2020). Greek nurses’ perceptions on empathy and empathic care in the Intensive Care Unit. Intensive & Critical Care Nursing, 58, 102814. https://doi.org/10.1016/j.iccn.2020.102814
  40. Tanioka, T. (2018). The theory of technological competency as caring in nursing, and its instruments (TCCNI) within the Japanese nursing system: Futurist developments and utilization. In R. Locsin, & W. Kongsuwan, The evolution of the theory of technological competency as caring in nursing: A middle-range theory of nursing. Changmuang Press
  41. Wiechula, R., Conroy, T., Kitson, A. L., Marshall, R. J., Whitaker, N., & Rasmussen, P. (2016). Umbrella review of the evidence: what factors influence the caring relationship between a nurse and patient? Journal of Advanced Nursing, 72(4), 723–734. https://doi.org/10.1111/jan.12862
  42. Yokotani, T., Tanioka, T., Yasuhara, Y., Ito, H., Nakano, Y., Miyagawa, M., Betriana, F., & Locsin, R. C. (2021). Assessing the psychometric properties of the Technological Competency as Caring in Nursing Instrument-Revised. International Journal for Human Caring, 25(1), 30–44
  43. Yuliati, I., Purnama, N. L. A., & Winarni, S. (2019). Content validity and the reliability of Technological Competency as Caring in the Nursing Instrument_Indonesian Version (TCCNI_IV). Jurnal Ners, 14(2), 187-192

Last update:

No citation recorded.

Last update: 2024-11-20 06:42:25

No citation recorded.