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Background <p>While the stigmatizing tendencies of nurses towards patients have been the subject of frequent research, there is a notable lack of research evaluating the stigmatizing attitudes of patients towards nurses. This study aimed to adapt the Nurse Occupational Stigma Scale (NOSS), which was developed to assess occupational stigma towards the nursing profession, for use in Turkish culture and to examine its validity and reliability.</p> Methods <p>The study followed the COSMIN guidelines for scale adaptation and psychometric evaluation. Data were collected via social media using the snowball sampling method, yielding responses from 692 adults in Turkey. Of the sample, 55.4% were female, 45.4% were married, and 53.4% had higher education; the mean age was 31.9 ± 11.1&#xa0;years (range: 18–70). The adaptation process included forward–backward translation, expert review, and calculation of the content validity ratio (CVR) and content validity index (CVI). Construct validity and internal validity were assessed, and Cronbach’s α reliability coefficient, Guttman’s coefficient, and Spearman-Brown two-thirds test consistency were calculated to evaluate reliability.</p> Results <p>Ten experts participated in the content validity assessment, and the critical CVR value for 10 experts (.62) was exceeded by all items. The overall CVI value was 0.925 (CVI &gt; CVR). Construct validity was assessed using confirmatory factor analysis (CFA); as a result of the analysis, the structure of the scale, comprising three factors and 11 items, was confirmed. Model fit indices were found to be excellent (χ²/df = 2.923, RMSEA = 0.054, CFI = 0.97, GFI = 0.97, AGFI = 0.95, NFI = 0.95). Standardized factor loadings ranged between 0.47 to 0.84. In the internal validity analysis, 27% lower-upper group comparisons yielded significant results (p &lt; 0.001). In the reliability analysis, the Cronbach’s α coefficient of the scale was found to be 0.80, and between 0.61 and 0.87 for the sub-dimensions. Additionally, Spearman-Brown and Omega reliability coefficients fell within the limits recommended in the literature.</p> Conclusions <p>In line with the findings, it was determined that the NOSS-TR is a valid and reliable measurement tool for assessing occupational stigmatization towards the nursing profession in Turkish culture.</p> Clinical trial number <p>Not applicable.</p>

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Cross-cultural adaptation, validity, and reliability of the Turkish version of the Nurse Occupational Stigma Scale (NOSS-TR)

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年12月1日

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  • Burcu Arkan,
  • Işıl Alban,
  • Yalçın Kanbay

摘要

Background

While the stigmatizing tendencies of nurses towards patients have been the subject of frequent research, there is a notable lack of research evaluating the stigmatizing attitudes of patients towards nurses. This study aimed to adapt the Nurse Occupational Stigma Scale (NOSS), which was developed to assess occupational stigma towards the nursing profession, for use in Turkish culture and to examine its validity and reliability.

Methods

The study followed the COSMIN guidelines for scale adaptation and psychometric evaluation. Data were collected via social media using the snowball sampling method, yielding responses from 692 adults in Turkey. Of the sample, 55.4% were female, 45.4% were married, and 53.4% had higher education; the mean age was 31.9 ± 11.1 years (range: 18–70). The adaptation process included forward–backward translation, expert review, and calculation of the content validity ratio (CVR) and content validity index (CVI). Construct validity and internal validity were assessed, and Cronbach’s α reliability coefficient, Guttman’s coefficient, and Spearman-Brown two-thirds test consistency were calculated to evaluate reliability.

Results

Ten experts participated in the content validity assessment, and the critical CVR value for 10 experts (.62) was exceeded by all items. The overall CVI value was 0.925 (CVI > CVR). Construct validity was assessed using confirmatory factor analysis (CFA); as a result of the analysis, the structure of the scale, comprising three factors and 11 items, was confirmed. Model fit indices were found to be excellent (χ²/df = 2.923, RMSEA = 0.054, CFI = 0.97, GFI = 0.97, AGFI = 0.95, NFI = 0.95). Standardized factor loadings ranged between 0.47 to 0.84. In the internal validity analysis, 27% lower-upper group comparisons yielded significant results (p < 0.001). In the reliability analysis, the Cronbach’s α coefficient of the scale was found to be 0.80, and between 0.61 and 0.87 for the sub-dimensions. Additionally, Spearman-Brown and Omega reliability coefficients fell within the limits recommended in the literature.

Conclusions

In line with the findings, it was determined that the NOSS-TR is a valid and reliable measurement tool for assessing occupational stigmatization towards the nursing profession in Turkish culture.

Clinical trial number

Not applicable.