Psychometric Testing of the Technological Competency as Caring in Nursing Instrument – Revised (English Version Including a Practice Dimension)

Abstract

Psychometric Testing of the Technological Competency as Caring in Nursing Instrument – Revised (English Version Including a Practice Dimension) Tomoya Yokotani1, Tetsuya Tanioka2, Feni Betriana1, Yuko Yasuhara2, Hirokazu Ito2, Gil P. Soriano1, 3, Michael Joseph Dino4, Rozzano C Locsin2,5 1Graduate School of Health Sciences, Tokushima University, Tokushima, Japan 2Institute of Biomedical Sciences, Tokushima University, Japan 3College of Nursing, San Beda University, Manila, Philippines 4Our Lady of Fatima University, Valenzuela, Philippines 5Florida Atlantic University, Boca Raton, Florida, USA Article Info Abstract Article History: Received: 15 September 2021 Revised: 30 November 2021 Accepted: 8 December 2021 Online: 27 December 2021 Keywords: Perception; practice dimension; Technological Competency as Caring in Nursing; TCCNI-RePract Corresponding Author: Tetsuya Tanioka Institute of Biomedical Sciences, Tokushima University, Japan Email: tanioka.tetsuya@tokushima-u.ac.jp Background: The middle range theory Technological Competency as Caring in Nursing (TCCN) guides nursing practices. The TCCN Instrument (TCCNI) measures perception dimension of the theory and has been revised and translated into the Japanese language (TCCNI-R). Testing the translated version of the TCCNI-R to English language with the inclusion of a practice dimension is warranted. Purpose: This study aims to determine the psychometric properties of the TCCNI-Revised English version with Practice dimension (TCCNI-RePract). Methods: A web-based cross-sectional study was conducted with data from 202 valid questionnaire copies from professional nurses in selected hospitals and nurse educators in universities. Results: The suitability for factor analysis was determined using Kaiser-Meyer-Olkin index (0.93), Bartlett's sphericity test of 3256.93, p<0.001, the anti-image correlations ranged between 0.87 and 0.96, and an average value of communalities of 0.66. In the four rotations conducted with the maximum likelihood method with a Harris-Kaiser Orthoblique rotation, four items were excluded with factor loadings less than 0.40. These results determined the final scale with 21 items and four subscales, namely: (1) Knowing the person (8 items); (2) Technological competency as Caring (6 items); (3) Technology and caring (4 items); and (4) Expression of nursing as Caring (3 items). Cronbach’s alpha coefficient for the total scale was 0.94. With two dimensions of the TCCNI-RePract, the perception dimension had significantly higher scores than the practice dimension. When comparing mean factor point among the dimensions, the perception scores were significantly higher for Factor 1 and Factor 3. Conclusion: The TCCNI-RePract is an acceptable tool that can reliably measure nurses’ perception and practice of TCCN. It is affirmed that with this tool, measuring perception and practice status of TCCN theory is possible. It is considered that the evaluation results can be used to plan in-hospital educatio