Cross-cultural adaptation, validity, and reliability of the Turkish version of the Nurse Occupational Stigma Scale (NOSS-TR)

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dc.authorid0000-0002-7285-6196
dc.authorid0009-0000-2895-3290
dc.authorid0000-0002-8025-9877
dc.contributor.authorArkan, Burcu
dc.contributor.authorAlban, Işıl
dc.contributor.authorKanbay, Yalçın
dc.date.accessioned2026-07-14T07:37:43Z
dc.date.available2026-07-14T07:37:43Z
dc.date.issued2025
dc.departmentAÇÜ, Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü
dc.description.abstractBackground While the stigmatizing tendencies of nurses towards patients have been the subject of frequent research, there is a notable lack of research evaluating the stigmatizing attitudes of patients towards nurses. This study aimed to adapt the Nurse Occupational Stigma Scale (NOSS), which was developed to assess occupational stigma towards the nursing profession, for use in Turkish culture and to examine its validity and reliability. Methods The study followed the COSMIN guidelines for scale adaptation and psychometric evaluation. Data were collected via social media using the snowball sampling method, yielding responses from 692 adults in Turkey. Of the sample, 55.4% were female, 45.4% were married, and 53.4% had higher education; the mean age was 31.9 +/- 11.1 years (range: 18-70). The adaptation process included forward-backward translation, expert review, and calculation of the content validity ratio (CVR) and content validity index (CVI). Construct validity and internal validity were assessed, and Cronbach's alpha reliability coefficient, Guttman's coefficient, and Spearman-Brown two-thirds test consistency were calculated to evaluate reliability. Results Ten experts participated in the content validity assessment, and the critical CVR value for 10 experts (.62) was exceeded by all items. The overall CVI value was 0.925 (CVI > CVR). Construct validity was assessed using confirmatory factor analysis (CFA); as a result of the analysis, the structure of the scale, comprising three factors and 11 items, was confirmed. Model fit indices were found to be excellent (chi(2)/df= 2.923, RMSEA= 0.054, CFI = 0.97, GFI = 0.97, AGFI = 0.95, NFI = 0.95). Standardized factor loadings ranged between 0.47 to 0.84. In the internal validity analysis, 27% lower-upper group comparisons yielded significant results (p < 0.001). In the reliability analysis, the Cronbach's alpha coefficient of the scale was found to be 0.80, and between 0.61 and 0.87 for the sub-dimensions. Additionally, Spearman-Brown and Omega reliability coefficients fell within the limits recommended in the literature. Conclusions In line with the findings, it was determined that the NOSS-TR is a valid and reliable measurement tool for assessing occupational stigmatization towards the nursing profession in Turkish culture.
dc.identifier.doi10.1186/s12912-025-04164-9
dc.identifier.issn1472-6955
dc.identifier.issue1
dc.identifier.urihttps://hdl.handle.net/11494/6323
dc.identifier.volume25
dc.identifier.wosWOS:001655306100002
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.institutionauthorKanbay, Yalçın
dc.institutionauthorid0000-0002-8025-9877
dc.language.isoen
dc.publisherBMC
dc.relation.ispartofBMC NURSING
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectNursing
dc.subjectOccupational stigmatization
dc.subjectNOSS
dc.subjectValidity
dc.subjectReliability
dc.titleCross-cultural adaptation, validity, and reliability of the Turkish version of the Nurse Occupational Stigma Scale (NOSS-TR)
dc.typeArticle

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