Development and validation of the nursing confidence in managing sedation complications scale

• Main Authors: Aaron Conway, Kristina Chang, Navpreet Kamboj, Joanna Sutherland
• Format: Article
• Language: English
• Published: Wiley 2021-05-01
• Series: Nursing Open
• Subjects: conscious sedation; deep sedation; item response theory; nursing; patient safety; scale development
• Online Access: https://doi.org/10.1002/nop2.725
• ISSN: 2054-1058

Abstract Aim To develop the Nursing Confidence in Managing Sedation Complications Scale. Design A multi‐phased approach was used. Methods An initial bank of items was created based on the authors' experience and clinical practice guidelines. An expert panel assessed content validity. Exploratory factor analysis was used for item reduction and regression was used to explore construct validity. Responsiveness was evaluated using a pre‐test post‐test design. Results Criteria for content validity was met for 34 items. An 18‐item, three‐factor solution was identified from exploratory factor analysis performed using Nursing Confidence in Managing Sedation Complications Scale scores from 228 nurses. Subscales accounted for 66% of the variance. Cronbach's alpha for the scale (0.95) and subscales was high (>0.85). There were differences (p < .001) in Nursing Confidence in Managing Sedation Complications Scale scores relative to years of experience and work environment. NC‐MSCS scores increased significantly from before to after sedation training (mean difference = 31.8; 95% CI = 24.4–39; N = 31).