Nursing Students’ Clinical Confidence In Caring Tuberculosis: Indonesian Version Of The U.S Tuberculosis Curriculum Consortium Survey Using Rasch Analysis

Main Article Content

Theresia Theresia
Hsiu Mei Huang
Chieh Yu Liu
Tzu Ying Lee

Abstract

Background: Nursing students who are prepared in clinical practicums to comprehend the knowledge, reflect their beliefs about tuberculosis instruction, and perceive their abilities in caring for tuberculosis patients are also at risk. Nursing students’ clinical confidence in caring for tuberculosis patients is essential to be assessed. Knowledge, beliefs, and clinical confidence, as unidimensional constructs based on Bandura’s theory of self-efficacy, had been used in the US National Tuberculosis Curriculum Consortium (NTCC) survey for nursing students. This study's objective was to investigate the Indonesian version of the NTCC survey among nursing students' experiences caring for tuberculosis patients.


 


Methods: A quantitative study with cross-sectional using an online survey among 250 students 1st to 3rd-yearrd year students in one faculty of nursing in Banten, Indonesia. Prior to data collection, NTCC surveys were translated backward and forward, reviewed by experts, and tested in a pilot project.


 


Results: Internal consistency using Rasch analysis on each subscale showed good results and gave strong evidence that three subscales are unidimensional. There was an item separation index and reliability score, in that order: knowledge about tuberculosis (8.68 and 0.99), beliefs regarding tuberculosis instructions (6.50 and 0.98), and clinical confidence in caring for tuberculosis patients (6.29 and 0.98).


 


Conclusion: The Indonesian version of the NTCC survey has excellent internal consistency. This instrument might be improved since the original instrument is 13 years old and there is a cultural gap between the US and Indonesia. Moreover, this instrument might be needed for improving tuberculosis teaching in the nursing curriculum in Indonesia.

Article Details

How to Cite
Theresia, T., Mei Huang, H., Yu Liu, C., & Ying Lee, T. (2023). Nursing Students’ Clinical Confidence In Caring Tuberculosis: Indonesian Version Of The U.S Tuberculosis Curriculum Consortium Survey Using Rasch Analysis . (JKG) Jurnal Keperawatan Global, 8(1), 1–12. https://doi.org/10.37341/jkg.v8i1.639
Section
Articles

References

Benkert, R., Resnick, B., Brackley, M., Simpson, T., Fair, B., Esch, T., Field, K. (2009). Tuberculosis education for nurse practitioner students: where we are and where we need to go. The Journal of nursing education, 48(5), 255–265. https://doi.org/10.3928/01484834-20090416-04

Bradley KD, Peabody MR, Akers KS, Knutson N. Rating scales in survey research: using the Rasch model to illustrate the middle category measurement flaw. Survey Practice. 2015;8(1):1–14. doi:10.29115/SP-2015-0001

Carvalho, C. F., Ponce, M., Silva-Sobrinho, R., Mendez, R., Santos, M., Santos, E., Wysocki, A. D. (2019). Tuberculosis: knowledge among nursing undergraduate students. Revista brasileira de enfermagem, 72(5), 1279–1287. https://doi.org/10.1590/0034-7167-2018-0384

Chicas Blanco1, L. K. ., Hernández Rivera2, A. ., & Rodríguez3, Úrsula G. . (2021). Nursing student competencies in the promotion and detection of pediatric tuberculosis. Anuario De Investigación: Universidad Católica De El Salvador, 10, 77–85. https://doi.org/10.5377/aiunicaes.v10i1.12492

Christopher, D. J., Daley, P., Armstrong, L., James, P., Gupta, R., Premkumar, B., Michael, J. S., Radha, V., Zwerling, A., Schiller, I., Dendukuri, N., Pai, M. (2010). Tuberculosis infection among young nursing trainees in South India. PloS one, 5(4), e10408. https://doi.org/10.1371/journal.pone.0010408

Erawati, M., Andriany, M. (2020). The Prevalence and Demographic Risk Factors for Latent Tuberculosis Infection (LTBI) Among Healthcare Workers in Semarang, Indonesia. Journal of multidisciplinary healthcare, 13, 197–206. https://doi.org/10.2147/JMDH.S241972

Fair, B. S., Esch, T. J., Simpson, T., Field, K., Benkert, R., Brackley, M., Resnick, B. (2006). Educational competencies to strengthen tuberculosis curricula in undergraduate nursing programs. International journal of nursing education scholarship, 3, . https://doi.org/10.2202/1548-923X.1243

Harrity, S., Jackson, M., Hoffman, H., Catanzaro, A. (2007). The National Tuberculosis Curriculum Consortium: a model of multi-disciplinary educational collaboration. The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease, 11(3), 270–274.

Herzmann, C., Sotgiu, G., Bellinger, O., Diel, R., Gerdes, S., Goetsch, U., Heykes-Uden, H., Schaberg, T., Lange, C., TB or not TB consortium (2017). Risk for latent and active tuberculosis in Germany. Infection, 45(3), 283–290. https://doi.org/10.1007/s15010-016-0963-2

Jackson, M., Harrity, S., Hoffman, H. et al. (2007). A survey of health professions students for knowledge, attitudes, and confidence about tuberculosis, 2005. BMC Public Health 7, 219 (2007). https://doi.org/10.1186/1471-2458-7-219

Klassen, R. M., Klassen, J. (2018). Self-efficacy beliefs of medical students: a critical review. Perspectives on medical education, 7(2), 76–82. https://doi.org/10.1007/s40037-018-0411-3

Mekgoe, T. S., Lepedi, K., Makhutle, P. T., Makhado, L., Madiba, K., & Langa, N. S. N. (2019). Experience of nursing students regarding clinical support in the management of TB and HIV patients in a primary healthcare setting: a phenomenological study. The Pan African medical journal, 33, 209. https://doi.org/10.11604/pamj.2019.33.209.15819

Surya, A., Setyaningsih, B., Suryani Nasution, H., Gita Parwati, C., Yuzwar, Y. E., Osberg, M., Hanson, C. L., Hymoff, A., Mingkwan, P., Makayova, J., Gebhard, A., Waworuntu, W. (2017). Quality Tuberculosis Care in Indonesia: Using Patient Pathway Analysis to Optimize Public-Private Collaboration. The Journal of infectious diseases, 216(suppl_7), S724–S732. https://doi.org/10.1093/infdis/jix379

Wright BD., Mok MMC. An overview of the family of Rasch Measurement Models. In: E.V. Smith Jr. & R.M. Smith, Introduction Rasch Measurement: Theory, models and applications (pp. 1-24). Maple Grove, MN: JAM Press 2014