Using the Rasch model in nursing research: An introduction and illustrative example

作者:Hagquist Curt*; Bruce Malin; Gustavsson J Petter
来源:International Journal of Nursing Studies, 2009, 46(3): 380-393.
DOI:10.1016/j.ijnurstu.2008.10.007

摘要

Objective: The purpose was to introduce the Rasch model by showing an application in nursing research. Methods: The Rasch model was used to examine the psychometric properties of the nursing self-efficacy (NSE) scale. Data were collected among nursing students ill Sweden. Two sets of items were analysed more thoroughly: an original set of nine items with eleven response categories and a revised set of seven items with seven response categories. Invariance, of the item functioning and the categorisation of the items were analysed. Targeting was examined by comparisons of the items and persons locations. Differential Item Functioning across sample groups such as gender was examined using analysis of variance. The final set of seven items was also analysed more closely with respect to possible multidimensionality and response dependence. Results: The Rasch analysis of the original set of mile items showed high reliability measured by a person separation index, but it also indicated severe problems with the targeting, the categorisation of the items as well as lack of invariance. Although the revised set comprising seven items with seven categories performed better than the original item set some items showed misfit according to formal test statistics. Graphical examination showed, however, that the items operated in the right direction. The formal test of local independence of the items indicated minor signs of multidimensionality, alternatively response dependence. Conclusions: The Rasch model is useful for rigorous examination and development of measurement instruments ill nursing research. The Rasch model facilitates disclosure of lack of invariance and other measurement problems that may not be easily detected by traditional analyses. Hence, the NSE-scale would probably have performed much better if the developmental work had been guided by Rasch analyses. In future work on the scale.

  • 出版日期2009-3