Development and psychometric validation of the comfort scale for injection

Abstract Background Patients’ comfort level during the injection procedure affects the quality of care. However, the literature does not provide a valid, reliable, and specific measurement tool to measure this level. Objective The present study aimed to develop a valid and reliable measurement tool...

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Main Authors: Güzel Nur Yildiz, Meltem Şirin Gök, Bahar Çiftçi
Format: Article
Language:English
Published: BMC 2024-12-01
Series:BMC Nursing
Subjects:
Online Access:https://doi.org/10.1186/s12912-024-02566-9
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author Güzel Nur Yildiz
Meltem Şirin Gök
Bahar Çiftçi
author_facet Güzel Nur Yildiz
Meltem Şirin Gök
Bahar Çiftçi
author_sort Güzel Nur Yildiz
collection DOAJ
description Abstract Background Patients’ comfort level during the injection procedure affects the quality of care. However, the literature does not provide a valid, reliable, and specific measurement tool to measure this level. Objective The present study aimed to develop a valid and reliable measurement tool to determine patients’ comfort levels during the injection procedure. Method The study was designed methodologically. The study data were collected at two Hospitals. The sample consisted of 102 patients in the pilot application stage and 186 patients in the main application stage. The study’s data collection tools were the “Personal Information Form,” “VAS for Comfort,” and the “Comfort Scale for Injection” draft. The obtained data were used for validity and reliability analyses. Validity analyses involved content validity, Exploratory Factor Analysis (EFA), Confirmatory Factor Analysis (CFA), and criterion validity. Reliability was assessed using Cronbach's Alpha and split-half tests. Statistical analyses were performed with SPSS 22 and AMOS. EFA used the KMO test and Bartlett’s Test (KMO = 0.878; p < 0.001), with Varimax rotation, while CFA confirmed the factor structure. Pearson correlation evaluated criterion validity. Results The scale consisted of 10 items and two sub-scales: “Comfort during the Injection Procedure” and “Environmental Comfort.” The “VAS for Comfort” and the scale and its sub-scales showed a positive correlation. The Cronbach Alpha Value of the entire scale was found to be 0.899. Conclusion The data showed that the “Comfort Scale for Injection” is an adequate, valid, and reliable measurement tool for determining patients’ comfort level during the injection procedure. Measuring patients’ comfort levels during injection at regular intervals is recommended, as new studies are planned to increase injection comfort and adapt the “Comfort Scale for Injection” for different languages and cultures.
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spelling doaj-art-489e06486b5f474b9dd45bfb1a4130062025-08-20T02:31:46ZengBMCBMC Nursing1472-69552024-12-0123111210.1186/s12912-024-02566-9Development and psychometric validation of the comfort scale for injectionGüzel Nur Yildiz0Meltem Şirin Gök1Bahar Çiftçi2Muş Alparaslan UniversityAtatürk UniversityAtatürk UniversityAbstract Background Patients’ comfort level during the injection procedure affects the quality of care. However, the literature does not provide a valid, reliable, and specific measurement tool to measure this level. Objective The present study aimed to develop a valid and reliable measurement tool to determine patients’ comfort levels during the injection procedure. Method The study was designed methodologically. The study data were collected at two Hospitals. The sample consisted of 102 patients in the pilot application stage and 186 patients in the main application stage. The study’s data collection tools were the “Personal Information Form,” “VAS for Comfort,” and the “Comfort Scale for Injection” draft. The obtained data were used for validity and reliability analyses. Validity analyses involved content validity, Exploratory Factor Analysis (EFA), Confirmatory Factor Analysis (CFA), and criterion validity. Reliability was assessed using Cronbach's Alpha and split-half tests. Statistical analyses were performed with SPSS 22 and AMOS. EFA used the KMO test and Bartlett’s Test (KMO = 0.878; p < 0.001), with Varimax rotation, while CFA confirmed the factor structure. Pearson correlation evaluated criterion validity. Results The scale consisted of 10 items and two sub-scales: “Comfort during the Injection Procedure” and “Environmental Comfort.” The “VAS for Comfort” and the scale and its sub-scales showed a positive correlation. The Cronbach Alpha Value of the entire scale was found to be 0.899. Conclusion The data showed that the “Comfort Scale for Injection” is an adequate, valid, and reliable measurement tool for determining patients’ comfort level during the injection procedure. Measuring patients’ comfort levels during injection at regular intervals is recommended, as new studies are planned to increase injection comfort and adapt the “Comfort Scale for Injection” for different languages and cultures.https://doi.org/10.1186/s12912-024-02566-9InjectionPatient comfortValidity and reliabilityScale development
spellingShingle Güzel Nur Yildiz
Meltem Şirin Gök
Bahar Çiftçi
Development and psychometric validation of the comfort scale for injection
BMC Nursing
Injection
Patient comfort
Validity and reliability
Scale development
title Development and psychometric validation of the comfort scale for injection
title_full Development and psychometric validation of the comfort scale for injection
title_fullStr Development and psychometric validation of the comfort scale for injection
title_full_unstemmed Development and psychometric validation of the comfort scale for injection
title_short Development and psychometric validation of the comfort scale for injection
title_sort development and psychometric validation of the comfort scale for injection
topic Injection
Patient comfort
Validity and reliability
Scale development
url https://doi.org/10.1186/s12912-024-02566-9
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