Accepted for/Published in: JMIR Formative Research
Date Submitted: Oct 30, 2024
Date Accepted: Mar 11, 2025
The Norwegian Version of the Self-Efficacy in Clinical Performance Scale (SECP): A Psychometric Validation Study
ABSTRACT
Background:
Research has shown associations between nursing students' self-efficacy and their clinical performance, competence, and behavior in clinical practice placements. Assessing students' self-efficacy in clinical performance could be a valuable method for identifying areas that need reinforcement, and for tracking students' who may require extra support during their clinical practice placements.
Objective:
This study aimed to translate the Self-Efficacy in Clinical Performance Scale (SECP) from English into Norwegian and to evaluate the psychometric properties of the Norwegian version.
Methods:
A cross-sectional study design was employed. The SECP was translated into the Norwegian language and evaluated following six steps: Forward translation, forward translation synthesis, backward translation, backward translation synthesis, cognitive debriefing and psychometric testing. Validity and reliability of the translated version was investigated using confirmatory factor analysis (CFA), Cronbach’s alpha, McDonald's omega, and Composite Reliability.
Results:
A total of 399 nursing students completed the SECP (Norwegian version). CFA goodness-of-fit indices (χ2/df. = 1.578, CFI = .98, TLI = 0.98, SRMR = .056 RMSEA = .038) demonstrated acceptable model fit, and Cronbach’s alpha, McDonald's omega, and Composite Reliability values by factor levels ranged from .94 to .98.
Conclusions:
The SECP (Norwegian version) demonstrated its potential as an instrument for assessing self-efficacy in current and required competencies of nursing students in clinical practice within nursing education. Future research should aim to confirm the factor structure of the SECP and evaluate its test-retest reliability.
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