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http://dx.doi.org/10.5762/KAIS.2017.18.3.345

The Validity and Reliability of Communication Skills Attitude Scale (CSAS) for Nursing Students  

Song, Mi-Ok (Chosun Nursing College)
Yun, So-Young (College of Nursing, Chonnam National University)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.18, no.3, 2017 , pp. 345-355 More about this Journal
Abstract
The purpose of this study was to examine the validity and reliability of the Communication Skills Attitude Scale, which is used to examine communication learning attitudes for domestic nursing students. Study subjects were 401 nursing students at two nursing college who completed the CSAS scale consisting of 26 items from June 1 to 15. Data were analyzed using exploratory factor analysis, confirmatory factor analysis, internal consistency with IBM Statistics SPSS 21.0, and the IBM Statistics AMOS 21.0 program. To verify the construction factor of the scale, exploratory factor analysis with varimax rotation was performed, resulting in four factors but confirmed positive and negative attitudes two factors with 19 items considering the construct of theory and interpretability. The internal structure of the scale was schematized using confirmatory factor analysis, and goodness of fit of the final research model was very appropriate as shown by ${\chi}^2=446.475$ (df=148, p<0.001), TLI=.90, CFI=.91, RMSEA=.07, SRMR=.05. The final scale consisted of 19 items and two factors based on the confirmatory factor analysis. Cronbach's ${\alpha}$ for final scale was .90, showing internal consistency. The CSAS is expected to be useful to monitor the effectiveness of multiple teaching strategies about communication for domestic nursing students.
Keywords
Attitude; Communication; Nursing Students; Reliability; Scale; Validity;
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1 M. O. Kim, "Study on self-efficacy, communication competency, Critical thinking disposition and clinical performance ability of nursing students", Journal of the Korea Academia-Industrial Cooperation Society, vol. 17, no. 6, pp. 609-617, 2016. DOI: http://dx.doi.org/10.5762/KAIS.2016.17.6.609   DOI
2 Y. J. Choi, G. W. Lee, C. H. Jung, A. R. Lee, "The effects of self-disclosure and rational-emotive training on communication ability, stress coping behavior, and self-efficacy of nursing students", Journal of Korean Academy of Psychiatric Mental Health Nursing, vol. 18, no. 2, pp. 186-196, 2009.
3 S. J. Lim, E. Y. Park, "Changes in communication and relationship pattern for undergraduate nursing students after 'Satir Communication Education", The Journal of Korean Academic Society of Nursing Education, vol. 19, no. 2, pp. 151-162, 2013. DOI: http:// dx.doi.org/10.5977/jkasne.2013.19.2.151   DOI
4 D. Webster, "Using standardized patients to teach therapeutic communication in psychiatric nursing", Clinical Simulation in Nursing, vol. 10, no. 2, pp. e81- e86, 2014. DOI: http://dx.doi.org/10.1016/j.ecns.2013.08.005   DOI
5 K. Kameg, V. M. Howard, J. Clochesy, A. M. Mitchel, J. M. Suresky, "The impact of high fidelity human simulation on self-efficacy of communication skills". Issues in mental health nursing, vol. 31, no. 5, pp. 315-323, 2010. DOI: https://doi.org/10.3109/01612840903420331   DOI
6 Kurtz S. M., Silverman J, Draper J. Teaching and learning communication skills in medicine. Abingdon: Radcliffe Medical Press; 1998.
7 Fazio R. H. Multiple processes by which attitudes guide behavior: The MODE model as an integrative framework. In M. P. Zanna (Ed.), Advances in experimental social psychology (vol. 23, pp. 75-109), 1995. San Diego, CA: Academic Press. Available From http://www2.psych.ubc.ca/-schaller/Psyc590Readings/Faz io1990.pdf (accessed Oct. 2015)
8 Kim G. S. "Amos 18.0 Analysis of Structural Equation Modelling", Hanare Academy, 2010.
9 A-K. Bush, K. Rockenbauch, G. Schmutzer, E. Brahler, "Do medical students like communication? Validation of the German CSAS", GMS Journal for Medical Education, vol. 32, no. 1, pp. 1-21, 2015. DOI: http://dx.doi.org/10.3205/zma000953   DOI
10 J. Cleland, K. Foster, M. Moffat, "Undergraduate students' attitudes to communication skills learning differ depending on year of study and gender", Medical Teacher, vol. 27, no. 3, pp. 246-251, 2005. DOI: https://doi.org/10.1080/01421590400029541   DOI
11 H. Harlak, C. Dereboy, A. Gemalmaz, "Validation of a Turkish translations of the Communication Skills Attitude Scale with Turkish medical students", Education for Health, vol. 21, no. 1, p. 55, 2008.
12 J. W. Van Prooijen, W. A. Van der Kloot, "Confirmatory analysis of exploratively obtained factor structures", Educational and Psychological Measurement, vol. 61, no. 5, pp. 777-792, 2001. DOI: https://doi.org/10.1177/00131640121971518   DOI
13 M. R. Song, "An analysis of the nursing research on communication in Korea", Journal of Korean Academy of Fundamentals of Nursing, vol. 13, no. 3, pp. 474-484, 2006.
14 A. K. Lee, J. Y. Yeo, S. Jung, S. S. Byun, "Relations on communication competence, job-stress and job-satisf action of clinical nurse", The Journal of the Korea Contents Association, vol. 13, no. 12, pp. 299-308, 2013. DOI:http://dx.doi.org/10.5392/jkca.2013.13.12.299   DOI
15 H. Son, H. S. Kim, M. Koh, S. J. Yu, "Analysis of the communication education in the undergraduate nursing curriculum of Korea", The Journal of Korean Academic Society of Nursing Education, vol. 17, no. 3, pp. 424-432, 2011. DOI: http://dx.doi.org/10.5977/JKASN E.2011.17.3.424   DOI
16 H. S. Kim, "Outcome-based curriculum development and student evaluation in nursing education", Journal of Korean Academy of Nursing, vol. 42, no. 7, pp. 917- 927, 2012. DOI: http://dx.doi.org/10.4040/jkan.2012.42.7. 917   DOI
17 M. Yu, S. H. Park, K. Park, "A review literature on communication in nurses", The Official Journal of Korean Academy on Communication in Healthcare, vol. 9, no. 2, pp. 99-108, 2014. DOI: http://dx.doi.org/10. 15715/kjhcom.2014.9.2.99   DOI
18 J. W. Park, M .Choi, "A study on self consciousness, communication competence, and interpersonal relation dispositions of nursing students", Journal of Korean Academy of Psychiatric Mental Health Nursing, vol. 18, no. 4, pp. 351-360, 2009.
19 E. J. Ji, M. R. Bang, H. J. Jeon, "Ego resilience, communication ability and problem-solving ability in nursing students", The Journal of Korean Academic Society of Nursing Education, vol. 19, no. 4, pp. 571- 579, 2013. DOI: http://dx.doi.org/10.5977/jkasne.2013.19.4.571   DOI
20 B. T. Power, S. C. Lennie, "Pre-registration dietetic students' attitudes to learning communication skills", Journal of Human Nutrition and Dietetics, vol. 25, no. 2, pp. 189-197, 2012. DOI: http://doi.org/10.1111/j.1365-277X.2012.01226.x   DOI
21 Munro B. H. "Statistical methods for health care & Wilkins, 2001.
22 B. Molinuevo, R. Torrubia, "Validation of the Catalan version of the communication skills attitude scale (CSAS) in a cohort of south European medical and nursing students", Education for Health, vol. 24, no. 1, pp. 499, 2011.
23 R. Steckler, Improving communication skills among nursing students: assessing the comfort curriculum as an intervention. Theses and Dissertations- Communicati on, 2012. [cited 2015 September 19]. Available from: http://uknowledge.uky.edu/comm_etds/7
24 S. I. Ahn, Y. H. Yi, D. S. Ahn, "Developing a Korean communication skills attitude scale: comparing attitudes between Korea and the West", Medical Education, vol. 43, no. 3, pp. 246-253, 2009. DOI: http://dx.doi.org/10.1111/j.1365-2923.2008.03271.x   DOI
25 D. L. Jackson, "Revisiting sample size and number of parameter estimates: Some support for the N:q hypothesis", Structural Equation Modeling, vol. 10, no. 1, pp. 128-141, 2003. DOI: http://dx.doi.org/10.1207/S15328007 SEM1001_6   DOI
26 Y. H. Jung, "Theory: The development and statistics of measurement tool", Journal of Nursing Query, vol. 14, no. 1, pp. 88-103, 2005.
27 R. J. Vallerand, "Vers une methodologie de valida tion trans-culturelle de questionnaires psychologiques: Implications pour la recherche en langue francaise. /Toward a methodology for the transcultural validatio n of psychological questionnaires: Implications for research in the French language", Canadian Psychology, vol. 30, no. 4, pp. 662-680, 1989. DOI: https://doi.org/10.1037/h0079856   DOI
28 S. S. Han, S. C. Lee, J. C. Ku, "Health and medical Statistical analysis", Fornurse publication, 2008.
29 H. J. Hwang, S. L. Yu, "Effects of interpersonal relation skill program Interpersonal relation skills and self-esteem", Research Works of the Graduate School, vol. 30, no. 1, pp. 75-93.
30 I. Ajzen, "The influence of attitudes on behavior attitude-behavior relations: A theoretical analysis and review of empirical research", Psychological Bulletin, vol. 84, no. 5, pp. 888-918, 1977. DOI: https://doi.org/10.1037/0033-2909.84.5.888   DOI
31 S. Kim, N. Han, J. H. Park, M. Kim, H. L. Kim, "Application and evaluation of small group and music activity in a communication course". Journal of Korean Academy of Psychiatric Mental Health Nursing, vol. 19, no. 3, pp. 307-317, 2010. DOI: https://doi.org/10.12934/jkpmhn.2010.19.3.307   DOI
32 Y. J. Oh, The development and effectiveness of the communication empowerment program for nursing students: Based on the theory of transfer of learning, Unpublished doctoral dissertation, Korea University, Seoul, 2008.
33 M. von Fragstein, J. Silverman, A. Cushing, S. Quilligan, H. Salisbury, C. Wiskin, "UK consensus statement on the content of communication curricula in undergraduate medical education", Medical Education, vol. 42, no. 11, pp. 1100-1107, 2008. DOI: http://dx.doi.org/10.1111/j.1365-2923.2008.03137.x   DOI
34 C. S. Kim, J. J. Hong, "Nursing students' learning experience in communications course", Health Service Management Review, vol. 8, no. 4, pp. 19-29, 2014. DOI: https://doi.org/10.18014/hsmr.2014.8.4.19   DOI
35 C. Rees, C. Sheard, S. Davies, "The development of a scale to measure medical students' attitudes towards communication skills learning: the Communication Skills Attitude Scale (CSAS)", Medical Education, vol. 36, no. 2, pp. 141-147, 2002. DOI: https://doi.org/10.1046/j.1365-2923.2002.01072.x   DOI
36 B. Laurence, E. M. Bertera, T. Feimster, R. Hollander, C. Stroman, "Adaptation of the Communication Skills Attitude Scale (CSAS) to Dental Students", Journal of Dental Education, vol. 72, no. 12, 2012.
37 American Association of Colleges of Nursing (2008). The essentials of baccalaureate education for professio nal nursing practice. Washington, DC.[cited 2015 Sem tember 16]. Available from: http://www.aacn.nche.edu/education-resources/ BaccEssentials08.pdf.
38 A. D. Boykins, "Core communication competencies in patient-centered care", The ABNF Journal, vol. 20, no. 2, pp. 40-45, 2012.
39 Korean Accreditation Board of Nursing. Accreditation of nursing education: Nurse's Core Competencies, 2012. Available from: http://www.kabon.or.kr/HyAdmin/upload /goodFile/ 120121127132143.pdf (Accessed Oct. 2015)