J Korean Acad Nurs.  2019 Oct;49(5):526-537. 10.4040/jkan.2019.49.5.526.

Validity and Reliability of the Clinical Teaching Behavior Inventory (CTBI) for Nurse Preceptors in Korea

Affiliations
  • 1College of Nursing · Research Institute of Health Sciences, Gyeongsang National University, Jinju, Korea.
  • 2Department of Nursing, Chungbuk National University, Cheongju, Korea. kyung11@cbnu.ac.kr
  • 3Department of Nursing, Changwon National University, Changwon, Korea.
  • 4College of Nursing, Dankook University, Cheonan, Korea.
  • 5Department of Nursing, Mokpo National University, Muan, Korea.

Abstract

PURPOSE
The aim of this study was to evaluate the validity and reliability of the Korean version of the Clinical Teaching Behavior Inventory (CTBI).
METHODS
The English CTBI-23 was translated into Korean with forward and backward translation. Survey data were collected from 280 nurses' preceptors at five acute-care hospitals in Korea. Content validity, construct validity, and criterion-related validity were evaluated. Cronbach's α was used to assess reliability. SPSS 24.0 and AMOS 22.0 software was used for data analysis.
RESULTS
The CTBI Korean version consists of 22 items in six domains, including being committed to teaching, building a learning atmosphere, using appropriate teaching strategies, guiding inter-professional communication, providing feedback and evaluation, and showing concern and support. One of the items in the CTBI was excluded with a standardized factor loading of less than .05. The confirmatory factor analysis supported good fit and reliable scores for the Korean version of the CTBI model. A six-factor structure was validated (χ²=366.30, p<.001, CMIN/df=2.0, RMSEA=.06, RMR=.03, SRMR=.05, GFI=.90, IFI=.94, TLI=.92, CFI=.94). The criterion validity of the core competency evaluation tool for preceptors was .77 (p<.001). The Cronbach's α for the overall scale was .93, and the six subscales ranged from .72 to .85.
CONCLUSION
The Korean version CTBI-22 is a valid and reliable instrument for identifying the clinical teaching behaviors of preceptors in Korea. The CTBI-22 also could be used as a guide for the effective teaching behavior of preceptors, which can help new nurses adapt to the practicalities of nursing.

Keyword

Preceptorship; Reliability and Validity; Nursing Education; Nurses; Scales

MeSH Terms

Atmosphere
Education, Nursing
Korea*
Learning
Nursing
Preceptorship
Reproducibility of Results*
Statistics as Topic
Weights and Measures

Figure

  • Figure 1. Measurement model of the Korean version clinical teaching behavior inventory (CTBI-22).


Reference

References

1. Sin KM, Kwon JO, Kim EY. Factors associated with new graduate nurses’ reality shock. Journal of Korean Academy of Nursing Administration. 2014; 20(3):292–301. https://doi.org/10.11111/jkana.2014.20.3.292.
Article
2. National Council of State Boards of Nursing (NCSBN). NCSBN’s transition to practice® study: Implications for boards of nursing [Internet]. Chicago (IL): NCSBN;c2014. [cited 2018 Sep 10]. Available from:. https://www.ncsbn.org/TTP_ImplicationsPaper_Dec2014.pdf.
3. Hospital Nurses Association. Hospital nurses association work report: Hospital nurses staffing state survey [Internet]. Seoul: Hospital Nurses Association;c2017. [cited 2018 Sep 2]. Avail- able from:. http://www.khna.or.kr/bbs/bbs/board.php?bo_table=news&wr_id=11486&page=5.
4. Ministry of Employment and Labor. A survey of business workforce: Statistics for employment [Internet]. Daejeon: Statistics Korea;c2019. [cited 2019 July 3]. Available from:. http://kosis.kr/statHtml/statHtml.do?orgId=118&t-blId=DT_118N_MONA31&conn_path=I2.
5. NSI Nursing Solutions, Inc. 2018 national health care retention & RN staffing report [Internet]. Petersburg (PA): NSI Nursing Solutions, Inc.;c2018. [cited 2018 Sep 10]. Available from:. https://bishopkingdom.com/wp-content/uploads/2019/02/Nu-j30XwlNRFGf8Gk7v3U.pdf.
6. Lee TY, Tzeng WC, Lin CH, Yeh ML. Effects of a preceptorship programme on turnover rate, cost, quality and professional development. Journal of Clinical Nursing. 2009; 18(8):1217–1225. https://doi.org/10.1111/j.1365-2702.2008.02662.x.
Article
7. Aiken LH, Sermeus W, Van den Heede K, Sloane DM, Busse R, McKee M, et al. Patient safety, satisfaction, and quality of hospital care: Cross sectional surveys of nurses and patients in 12 countries in Europe and the United States. British Medical Journal. 2012; 344:e1717. https://doi.org/10.1136/bmj.e1717.
Article
8. Craven HL, Broyles JG. Professional development through preceptorship. Journal of Nursing Staff Development. 1996; 12(6):294–299.
9. Cho YM. The effects of preceptors’ teaching style on nursing performance and job & education satisfaction of new nurses [master’s thesis]. Incheon: Gachon University;2008. p. 1–51.
10. Yang NY, Han SS, Yoo IJ. Affecting factors on performance of preceptors and preceptees. The Journal of Korean Academic Society of Nursing Education. 2005; 11(2):135–141.
11. Kang YA, Seol ME, Yi MS. Focus group study on hospital nurses’ lived experience of being a preceptor. Perspectives in Nursing Science. 2013; 10(1):77–86.
12. Kim SY, Kim JK, Park KO. The role experience of preceptor nurses in hospitals. Journal of Korean Academy of Nursing Administration. 2012; 18(1):33–45.
Article
13. Yun HM, Kim JS. An analysis of the factors affecting turnover intention of new nurses. Global Health & Nursing. 2012; 2(2):52–61.
14. Kim GL, Lee H, Cho Y, Kim MH. The experience of turnover decision making in new graduate nurses. Journal of Qualitative Research. 2013; 14(1):23–33.
15. Cho YS, Sohn SK, Han MY, Kim MS, Bang BK, Lee KM. Nurses’ lived experience of preceptorship for newly graduated nurses in hospital. Journal of East-West Nursing Research. 2014; 20(1):37–47.
Article
16. Jeon WS. A study on relationship between preceptors’ role-awareness and their burnout [master’s thesis]. Seoul: Yonsei University;2007. p. 1–56.
17. Kim CK. A comparative study between self evaluation and preceptor evaluation in new graduate nurses on nursing performance [master’s thesis]. Seoul: Yonsei University;2008. p. 1–66.
18. Kwon IG, Jung KH, Cho HS, Hwang JW, Kim JY, Jeon KO, et al. Development and validation of the core competency evaluation tool for new graduate nurse’s preceptor. Journal of Korean Academy of Nursing Administration. 2002; 8(4):535–549.
19. Lee EJ. A development of nursing competency and behavioral indicators for nurse preceptors [master’s thesis]. Ulsan: University of Ulsan;2005. p. 1–53.
20. Ali WG. Caring and effective teaching behavior of clinical nursing instructors in clinical area as perceived by their students. Journal of Education and Practice. 2012; 3(7):15–26.
21. Lee-Hsieh J, O’Brien A, Liu CY, Cheng SF, Lee YW, Kao YH. The development and validation of the Clinical Teaching Behavior Inventory (CTBI-23): Nurse preceptors’ and new graduate nurses’ perceptions of precepting. Nurse Education Today. 2016; 38:107–114. https://doi.org/10.1016/j.nedt.2015.12.005.
Article
22. Costello AB, Osborne JW. Best practices in exploratory factor analysis: Four recommendations for getting the most from your analysis. Practical Assessment, Research & Evaluation. 2005; 10(7):1–9.
23. Comrey AL, Lee HB. A first course in factor analysis. 2nd ed. Hillsdale (NJ): Lawrence Erlbaum Associates;1992. p. 217.
24. World Health Organization (WHO). Process of translation and adaptation of instruments [Internet]. Geneva: WHO;c2015. [cited 2017 Mar 7]. Available from:. http://www.who.int/sub-stance_abuse/research_tools/translation/en/.
25. Yu JP. Structural equation modeling concepts and understanding. Seoul: Hannarae;2012. p. 361.
26. Noh KS. Statistical analysis of the thesis: SPSS & AMOS 21. Seoul: Hanbit Academy Inc.;2014. p. 258–367.
27. Feng MC, Chen YM, Wu LK, Wu LC. Perceived stress and coping strategies of newly graduated nurses. Journal of Nursing and Healthcare Research. 2011; 7(2):98–107. https://doi.org/10.6225/JNHR.7.2.98.
28. Jeoung YO, Park SC, Jin JK, Kim JY, Lee JU, Park SY, et al. Content analysis of communication between nurses during preceptorship. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2014; 23(2):82–92. https://doi.org/10.12934/jkpmhn.2014.23.2.82.
Article
29. Choi JS, Yang NY. Nursing performance and organizational socialization of new nurses according to teaching style of preceptors and personality of new nurses. Journal of Korean Academy of Nursing Administration. 2012; 18(3):281–289. https://doi.org/10.11111/jkana.2012.18.3.281.
Article
30. Geldhof GJ, Preacher KJ, Zyphur MJ. Reliability estimation in a multilevel confirmatory factor analysis framework. Psychological Methods. 2014; 19(1):72–91. https://doi.org/10.1037/a0032138.
Article
31. Kim JY, Kim YS, Kim CS, Park HS, Sin MY, Yun YS, et al. A comparison of preceptors’ and new graduate nurses’ perception of teaching effectiveness. Journal of Korean Academy of Nursing Administration. 2009; 15(2):193–202.
32. Burns C, Beauchesne M, Ryan-Krause P, Sawin K. Mastering the preceptor role: Challenges of clinical teaching. Journal of Pediatric Health Care. 2006; 20(3):172–183. https://doi.org/10.1016/j.pedhc.2005.10.012.
Article
33. Sung MH, Kim HW, Kim JW. A comparative study on job stress and job satisfaction between preceptors and preceptees. Korean Journal of Health Promotion and Disease Prevention. 2007; 7(2):131–138.
34. Raines DA. Nurse preceptors’ views of precepting undergraduate nursing students. Nursing Education Perspectives. 2012; 33(2):76–79.
Article
35. Bourbonnais FF, Kerr E. Preceptoring a student in the final clinical placement: Reflections from nurses in a Canadian hospital. Journal of Clinical Nursing. 2007; 16(8):1543–1549. https://doi.org/10.1111/j.1365-2702.2006.01828.x.
Article
36. Ministry of Health and Welfare (MOHW). A pilot project for education nurses in hospitals [internet]. Sejong: MOHW;c2019. [cited 2019 May 22]. Available from:. http://www.mohw.go.kr/react/al/sal0101vw.jsp?PAR_MENU_ID=04&MENU_ID=040102&CONT_SEQ=349301.
Full Text Links
  • JKAN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr