Nurses' self-efficacy and outcome expectancy in evidence-based practice: Translation, construct validity and internal consistency of the Dutch scales
Background: Evidence-based practice (EBP) is crucial for appropriate, effective, and affordable care. Despite EBP education, barriers like low self-efficacy and outcome expectancy limit nurses’ engagement in EBP. Reliable scales are essential to evaluate interventions aimed at improving self-efficac...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-06-01
|
| Series: | International Journal of Nursing Studies Advances |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666142X24001139 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841555690705911808 |
|---|---|
| author | Peter Hoegen Michael Echteld Cindy de Bot Annemarie de Vos Derya Demirçay Mary-Anne Ramis Lidwine Mokkink Hester Vermeulen |
| author_facet | Peter Hoegen Michael Echteld Cindy de Bot Annemarie de Vos Derya Demirçay Mary-Anne Ramis Lidwine Mokkink Hester Vermeulen |
| author_sort | Peter Hoegen |
| collection | DOAJ |
| description | Background: Evidence-based practice (EBP) is crucial for appropriate, effective, and affordable care. Despite EBP education, barriers like low self-efficacy and outcome expectancy limit nurses’ engagement in EBP. Reliable scales are essential to evaluate interventions aimed at improving self-efficacy and outcome expectancy in EBP. The English Self-efficacy and Outcome Expectancy in EBP scales are psychometrically sound. Objectives: To describe the translation, construct validity and internal consistency of the Dutch Self-efficacy and Outcome Expectancy in EBP Scales. Method: The scales were translated forward and backward, piloted for comprehensibility and completeness and then administered among Dutch nurses and nursing students. Results: Pilot testing confirmed comprehensibility, completeness, and relevance of the items. Confirmatory factor analysis (CFA) (n = 769) tested a second-order model for the Self-efficacy scale (Comparative Fit Index (CFI)=0.96, Tucker-Lewis Index (TLI)=0.95, Root Mean Square Error of Approximation (RMSEA)=0.06, Standardized Root Mean Residual (SRMR)=0.04) and a single-factor model for the Outcome Expectancy Scale (CFI=0.99, TLI=0.99, RMSEA=0.06, SRMR=0.01). Chi-squared tests remained significant. Hypothesis testing confirmed construct validity of the Self-efficacy (r = 0.77) and Outcome Expectancy Scale (r = 0.74). Both scales exhibited high internal consistency with McDonald's Omega and Cronbach's Alpha values above 0.95. Discussion: Both scales exhibit theoretical soundness and positive fit indices. Significant chi-square tests and high correlations between weighted and unweighted scores support using unweighted scores over utilizing the estimated model to calculate weighted scores. Conclusions: Construct validity and internal consistency of the Dutch Self-efficacy and Outcome Expectancy in EBP Scales are good. Future research should prioritize responsiveness and test-retest reliability. |
| format | Article |
| id | doaj-art-9854badff9bb4caa8f6b9d0c1c5724fb |
| institution | Kabale University |
| issn | 2666-142X |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Nursing Studies Advances |
| spelling | doaj-art-9854badff9bb4caa8f6b9d0c1c5724fb2025-01-08T04:53:28ZengElsevierInternational Journal of Nursing Studies Advances2666-142X2025-06-018100286Nurses' self-efficacy and outcome expectancy in evidence-based practice: Translation, construct validity and internal consistency of the Dutch scalesPeter Hoegen0Michael Echteld1Cindy de Bot2Annemarie de Vos3Derya Demirçay4Mary-Anne Ramis5Lidwine Mokkink6Hester Vermeulen7School of Health and Social Care, Avans University of Applied Science, Hogeschoollaan 1, 4818 CR Breda, The Netherlands; Centre of Expertise Perspective in Health, Care and Wellbeing, Avans University of Applied Sciences, Breda, The Netherlands; Radboud Institute for Health Sciences, Scientific Center for Quality of Healthcare (IQ Health), Radboud University Medical Center, Kapittelweg 54, 6525 EP Nijmegen, The Netherlands; Corresponding authoAvans University of Applied Science, Academy of Part-time Studies: School of Health, Social Care and Education, P.O. box 90116, 4800 RA Breda, The Netherlands.Centre of Expertise Perspective in Health, Care and Wellbeing, Avans University of Applied Sciences, Breda, The NetherlandsCentre of Expertise Perspective in Health, Care and Wellbeing, Avans University of Applied Sciences, Breda, The NetherlandsCentre of Expertise Perspective in Health, Care and Wellbeing, Avans University of Applied Sciences, Breda, The Netherlands; Fontys School of People and Health Studies, Fontys University of Applied Sciences, Tilburg, The Netherlands; Academy of Nursing Science and Education, Elisabeth-TweeSteden Hospital, Tilburg, The Netherlands; Research and Education in Nursing Consortium (RENurse), Hilvarenbeekseweg 6, 5022 GC Tilburg, The NetherlandsCentre of Expertise Perspective in Health, Care and Wellbeing, Avans University of Applied Sciences, Breda, The NetherlandsMater Health and Queensland Centre for Evidence Based Nursing and Midwifery: A JBI Centre of Excellence, Brisbane, Queensland AustraliaDepartment of Epidemiology and Data Science, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands; Amsterdam Public Health research institute, Methodology, Amsterdam UMC. Amsterdam, The NetherlandsRadboud Institute for Health Sciences, Scientific Center for Quality of Healthcare (IQ Health), Radboud University Medical Center, Kapittelweg 54, 6525 EP Nijmegen, The Netherlands; Research and Education in Nursing Consortium (RENurse), Hilvarenbeekseweg 6, 5022 GC Tilburg, The Netherlands; HAN University of Applied Sciences, School of Health Studies Nijmegen, Nijmegen, The NetherlandsBackground: Evidence-based practice (EBP) is crucial for appropriate, effective, and affordable care. Despite EBP education, barriers like low self-efficacy and outcome expectancy limit nurses’ engagement in EBP. Reliable scales are essential to evaluate interventions aimed at improving self-efficacy and outcome expectancy in EBP. The English Self-efficacy and Outcome Expectancy in EBP scales are psychometrically sound. Objectives: To describe the translation, construct validity and internal consistency of the Dutch Self-efficacy and Outcome Expectancy in EBP Scales. Method: The scales were translated forward and backward, piloted for comprehensibility and completeness and then administered among Dutch nurses and nursing students. Results: Pilot testing confirmed comprehensibility, completeness, and relevance of the items. Confirmatory factor analysis (CFA) (n = 769) tested a second-order model for the Self-efficacy scale (Comparative Fit Index (CFI)=0.96, Tucker-Lewis Index (TLI)=0.95, Root Mean Square Error of Approximation (RMSEA)=0.06, Standardized Root Mean Residual (SRMR)=0.04) and a single-factor model for the Outcome Expectancy Scale (CFI=0.99, TLI=0.99, RMSEA=0.06, SRMR=0.01). Chi-squared tests remained significant. Hypothesis testing confirmed construct validity of the Self-efficacy (r = 0.77) and Outcome Expectancy Scale (r = 0.74). Both scales exhibited high internal consistency with McDonald's Omega and Cronbach's Alpha values above 0.95. Discussion: Both scales exhibit theoretical soundness and positive fit indices. Significant chi-square tests and high correlations between weighted and unweighted scores support using unweighted scores over utilizing the estimated model to calculate weighted scores. Conclusions: Construct validity and internal consistency of the Dutch Self-efficacy and Outcome Expectancy in EBP Scales are good. Future research should prioritize responsiveness and test-retest reliability.http://www.sciencedirect.com/science/article/pii/S2666142X24001139Evidence-based practiceNursesOutcome expectancyPsychometricsSelf-efficacySurveys and Questionnaires |
| spellingShingle | Peter Hoegen Michael Echteld Cindy de Bot Annemarie de Vos Derya Demirçay Mary-Anne Ramis Lidwine Mokkink Hester Vermeulen Nurses' self-efficacy and outcome expectancy in evidence-based practice: Translation, construct validity and internal consistency of the Dutch scales International Journal of Nursing Studies Advances Evidence-based practice Nurses Outcome expectancy Psychometrics Self-efficacy Surveys and Questionnaires |
| title | Nurses' self-efficacy and outcome expectancy in evidence-based practice: Translation, construct validity and internal consistency of the Dutch scales |
| title_full | Nurses' self-efficacy and outcome expectancy in evidence-based practice: Translation, construct validity and internal consistency of the Dutch scales |
| title_fullStr | Nurses' self-efficacy and outcome expectancy in evidence-based practice: Translation, construct validity and internal consistency of the Dutch scales |
| title_full_unstemmed | Nurses' self-efficacy and outcome expectancy in evidence-based practice: Translation, construct validity and internal consistency of the Dutch scales |
| title_short | Nurses' self-efficacy and outcome expectancy in evidence-based practice: Translation, construct validity and internal consistency of the Dutch scales |
| title_sort | nurses self efficacy and outcome expectancy in evidence based practice translation construct validity and internal consistency of the dutch scales |
| topic | Evidence-based practice Nurses Outcome expectancy Psychometrics Self-efficacy Surveys and Questionnaires |
| url | http://www.sciencedirect.com/science/article/pii/S2666142X24001139 |
| work_keys_str_mv | AT peterhoegen nursesselfefficacyandoutcomeexpectancyinevidencebasedpracticetranslationconstructvalidityandinternalconsistencyofthedutchscales AT michaelechteld nursesselfefficacyandoutcomeexpectancyinevidencebasedpracticetranslationconstructvalidityandinternalconsistencyofthedutchscales AT cindydebot nursesselfefficacyandoutcomeexpectancyinevidencebasedpracticetranslationconstructvalidityandinternalconsistencyofthedutchscales AT annemariedevos nursesselfefficacyandoutcomeexpectancyinevidencebasedpracticetranslationconstructvalidityandinternalconsistencyofthedutchscales AT deryademircay nursesselfefficacyandoutcomeexpectancyinevidencebasedpracticetranslationconstructvalidityandinternalconsistencyofthedutchscales AT maryanneramis nursesselfefficacyandoutcomeexpectancyinevidencebasedpracticetranslationconstructvalidityandinternalconsistencyofthedutchscales AT lidwinemokkink nursesselfefficacyandoutcomeexpectancyinevidencebasedpracticetranslationconstructvalidityandinternalconsistencyofthedutchscales AT hestervermeulen nursesselfefficacyandoutcomeexpectancyinevidencebasedpracticetranslationconstructvalidityandinternalconsistencyofthedutchscales |