Journal of Advanced Biomedical Sciences
JABS
Wed, Sep 3, 2025
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Volume 15, Issue 3 (6-2025)
J Adv Biomed Sci. 2025, 15(3): 309-318 |
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Ethics code: IR.FUMS.REC.1402.059).
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Bijani M, Pourshahri E, Kouhpayeh S A, Taghinezhad A, Bae J. Translation, Cultural Adaptation, and Psychometric Validation of the Persian Version of the Clinical Reasoning Competency Scale (CRCS) for Nurses in Iran. J Adv Biomed Sci. 2025; 15 (3) :309-318
URL: http://jabs.fums.ac.ir/article-1-3163-en.html
URL: http://jabs.fums.ac.ir/article-1-3163-en.html
1- Department of Foreign Languages, Fasa University of Medical Sciences, Fasa, Iran , bizhani_mostafa@yahoo.com
2- Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3- Department of Pharmacology, School of Medicine, Fasa University of Medical Sciences, Fasa, Iran
4- Department of Foreign Languages, Fasa University of Medical Sciences, Fasa, Iran
5- Department of Nursing, Yeoju Institute of Technology, Sejong-ro 338, Yeoju-si, Gyeonggi-do 12652, South Korea
2- Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3- Department of Pharmacology, School of Medicine, Fasa University of Medical Sciences, Fasa, Iran
4- Department of Foreign Languages, Fasa University of Medical Sciences, Fasa, Iran
5- Department of Nursing, Yeoju Institute of Technology, Sejong-ro 338, Yeoju-si, Gyeonggi-do 12652, South Korea
Abstract: (34 Views)
Background & Objectives: Evaluating nurses’ clinical reasoning skills is essential for identifying areas in need of enhancement in professional competency and for informing targeted educational interventions. Accordingly, the present study aimed to translate and rigorously evaluate the psychometric properties of the Persian version of the Clinical Reasoning Competency Scale (CRCS).
Materials & Methods: A cross-sectional, multicenter design was employed in this methodological study. A total of 1100 nurses were recruited through convenience sampling from seven hospitals in Iran. Following the translation of the original CRCS into Persian, its psychometric properties were systematically assessed in accordance with the COSMIN guidelines.
Results: Exploratory factor analysis revealed that the factor loadings for all 22 items ranged from 0.62 to 0.88, with each loading achieving statistical significance. Moreover, the analysis identified three principal factors—plan setting, intervention strategy regulation, and self-instruction—which collectively accounted for 60.52% of the total variance. The analysis yielded an overall Cronbach's alpha of 0.89, demonstrating that the CRCS possesses strong internal reliability. At the subscale level, the Cronbach's alpha coefficients were notably robust: 0.97 for plan setting, 0.96 for intervention strategy regulation, and 0.94 for self-instruction
Conclusion: The Persian version of the Clinical Reasoning Competency Scale has been validated as a reliable and valid tool. Consequently, it represents a valuable instrument for nurse managers seeking to assess clinical reasoning competency, thereby facilitating the identification of developmental needs and guiding the implementation of targeted interventions to enhance clinical reasoning and overall professional performance.
Materials & Methods: A cross-sectional, multicenter design was employed in this methodological study. A total of 1100 nurses were recruited through convenience sampling from seven hospitals in Iran. Following the translation of the original CRCS into Persian, its psychometric properties were systematically assessed in accordance with the COSMIN guidelines.
Results: Exploratory factor analysis revealed that the factor loadings for all 22 items ranged from 0.62 to 0.88, with each loading achieving statistical significance. Moreover, the analysis identified three principal factors—plan setting, intervention strategy regulation, and self-instruction—which collectively accounted for 60.52% of the total variance. The analysis yielded an overall Cronbach's alpha of 0.89, demonstrating that the CRCS possesses strong internal reliability. At the subscale level, the Cronbach's alpha coefficients were notably robust: 0.97 for plan setting, 0.96 for intervention strategy regulation, and 0.94 for self-instruction
Conclusion: The Persian version of the Clinical Reasoning Competency Scale has been validated as a reliable and valid tool. Consequently, it represents a valuable instrument for nurse managers seeking to assess clinical reasoning competency, thereby facilitating the identification of developmental needs and guiding the implementation of targeted interventions to enhance clinical reasoning and overall professional performance.
Type of Study: Research |
Subject:
Medical Education
Received: 2025/07/31 | Accepted: 2025/08/17 | Published: 2025/06/10
Received: 2025/07/31 | Accepted: 2025/08/17 | Published: 2025/06/10
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This work is licensed under a Creative Commons — Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)