Evaluation of the Psychometric Properties of Relational Insights 360 Among Baccalaureate Nursing Students With the Use of Standardized Patients

J Nurs Meas. 2020 Dec 1;28(3):615-632. doi: 10.1891/JNM-D-19-00085. Epub 2020 Nov 16.

Abstract

Background and purpose: The purpose of this study was to evaluate reliability and validity of the relational competency assessment instrument, Relational Insights 360 (RI-360) (Koloroutis & Trout, 2012), among 104 baccalaureate nursing students and 10 standardized patients (SPs) upon completion of a communication simulation.

Methods: The reliability of the RI-360 was determined by Cronbach's alpha coefficient. Interrater reliability of the RI-360 was measured between the SPs and the primary investigator with percentages. Factor analysis was run to evaluate the construct validity.

Results: The RI-360 was internally consistent with an alpha coefficient of 0.93. Interrater reliability for all items on the RI-360 was 42% between students' scores and SPs' scores and 38.9% between the Primary Investigator's scores and SPs' scores. Exploratory factor analysis showed that factor loadings ranged from 0.29 to 0.84.

Conclusions: The RI-360 appears to be a valid and reliable scale for use in measuring relational competency among nursing students and SPs.

Keywords: nursing students; relational competency; standardized patients; therapeutic communication.

MeSH terms

  • Adult
  • Clinical Competence / standards*
  • Clinical Competence / statistics & numerical data*
  • Communication
  • Education, Nursing, Baccalaureate / statistics & numerical data*
  • Educational Measurement / standards*
  • Educational Measurement / statistics & numerical data*
  • Factor Analysis, Statistical
  • Female
  • Humans
  • Male
  • Nurse-Patient Relations
  • Psychometrics / standards
  • Reproducibility of Results
  • Students, Nursing / psychology*
  • Students, Nursing / statistics & numerical data*
  • Surveys and Questionnaires / standards
  • Young Adult