Developing Instruments to Assess Role Strain in Nursing Students

Wednesday, 24 July 2013: 1:50 PM

Jih-Yuan Chen, PhD, RN
School of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan

Learning Objective 1: Learners will know impact on confirmatory reliability and validity analysis during in developing instrument

Learning Objective 2: Learners will know analysis dimension of the expectation and threaten events in role strain of nursing students.


This study seeks to develop a reliable survey to assess role strain in nursing students. This study aims to examine the reliability and validity of a novel role strain assessment survey.


Feelings such as fear, sadness, anger, loneliness, hopefulness, happiness, shock, disgust, liking, and others were assessed, and participants were asked to describe the root cause of their feelings. The 44 feelings of role strain provided to 40 senior-year nursing college to select the top ten feelings they agreed with most. This survey was also provided to 58 nursing college students, 28 extended education students, and 17 night class students, all in their senior year, to assess their feelings immediately after beginning practicum in the spring semester. Completed surveys were collected from 103 students


Factor analysis revealed that threat events in role strain constitute the reality and ideal role dimension, these overall reliability was .95 and .93, respectively; subscales was .76 ~ .89 and .76 ~ .90, respectively, and the correlation between each item and the total score was .33 ~ .80 and .50 ~ .73, respectively.

Factors were respectively termed uncertainty stress, tension, exhaustion,  and conflict. Factors were respectively termed idealization includes confidence, competition, personal Status, and performance


The construct validity explained total variance of 66% and 76%, respectively, indicating excellent reliability of the sample data and high internal stability and uniformity. The factor loading values for all observed variables in this study reached .6 or above, exceeding the .5 standard established. Further analysis confirmed that results were significant, thus demonstrating that each observed variable had good convergent validity. The inner feelings of the reality role and the ideal role were suitably expressed, allowing explanations as to the root cause of actions and emotional reactions to be developed.