Reliability and validity of the Chinese version of Self-Assessment of Clinical Reasoning and Reflection in nursing undergraduates

Objective To test the reliability and validity of Chinese version of Self-Assessment of Clinical Reasoning and Reflection (SACRR). Methods Totally 228 undergraduates majoring in four-year nursing from 2014 to 2016 in Peking Union Medical College were tested by Chinese version of SACRR. Two weeks later, 30 subjects were selected to fill in Chinese version of SACRR again and test the retest reliability. The data of reliability and validity were analyzed by SPSS 22.0 software. Results The Cronbach's α of the SACRR was 0.754, and the total scale retest reliability was 0.785.The content validity of the scale (S-CVI/Ave) was 0.98. Four factors were extracted by using Exploratory Factor Analysis: Information System, Analysis of Problems, Finding Truth and Reflective Ability, the cumulative variance contribution rate was 57.336%.In this study, the scores measured by Chinese Version of Critical Thinking Disposition Inventory (CTVI-CV) were used as the existing criteria for validity testing.The criterion-related validity test showed that the content of Chinese version of SACRR was significantly correlated with the three dimensions of CTDI-CV: truth-seeking, systematic ability and self-confidence, Pearson correlation coefficient was 0.215, 0.172, 0.343 (all P<0.05). Conclutions Chinese version of SACRR has good reliability and validity, which provides a reference for evaluating the clinical reasoning ability of nursing students in the future. Key words: Chinese Version of Self-Assessment of Clinical Reasoning and Reflection; Clinical reasoning; Reliability; Validity; Nursing science