Saba Aslam, Zahid Mahmood.
Psychosocial problems in nurses: a psychometric approach.
Rawal Med J Jan ;45(4):910-4.

Objective: To develop a Psychosocial Problems scale for nurses in Pakistan. Methodology: This study was conducted by exploring the construct of psychosocial problems from 300 nurses from government hospitals through semi structured interview. List of 40 items were finalized by excluding the repetition which were further validated by the experts. Content validity indexed was applied to finalize the list after expert validation so the 40 items were retained which further piloted on 30 nurses for assessing the user friendliness of scale. Sample of 300 nurses for exploratory and 700 nurses for confirmatory factor analysis was selected with mean age 30.34+-2.90 years. They were given the psychosocial problems scale (PSPS), DASS-21 (Depression, Anxiety, Stress Scale), Self-esteem scale along with a demographic form. Results: Exploratory factor analysis with varimax rotation yielded three factors solution named as intrapersonal, work related and exhaustion which were further validated through confirmatory factor analysis and found to be the best fit model as the x2/DF=4.33 , CFI=0.93, NFI=.91, TLI= .90 and RMSEA=.06. The PSPS found the sound psychometrics as test retest reliability was .95, split half reliability was .97 also have sound concurrent and discriminant validity. Conclusion: PSPS was found to have sound psychometrics as well as having the best representation of the psychosocial problems among nurses. Further, it discussed in terms of counseling services and improving mental health among nurses.

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