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Validation of Measurement Scales in Health Care | OMICS International
ISSN: 2167-1168
Journal of Nursing & Care
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Validation of Measurement Scales in Health Care

Anette Ekström* and Stina Thorstensson
School of Health and Learning, University of Skövde, Skövde, Sweden
Corresponding Author : Anette Ekström
Associate Professor, School of Health and Learning
University of Skövde, Skövde, Sweden
E-mail: [email protected]
Received February 09, 2015; Accepted March 11, 2015; Published March 18, 2015
Citation: Ekström A, Thorstensson S (2015) Validation of Measurement Scales in Health Care. J Nurs Care 4:236. doi:10.4172/2167-1168-1000236
Copyright: © 2015 Ekström A et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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In order to give professionals useful tools, it is important to develop easy-to-use measurement scales, both for research and for clinical practice in health care [1-3]. Validity testing of scales is an on-going process, and a variety of methodological approaches should be used in order to understand what inferences can be drawn from the scale [4]. Inspired by the “think aloud” method [5], a qualitative design using both inductive and deductive approaches can be used [6]. Individual interviews to capture the direct voices of the participant’s, is an important factor when aiming to measure abstract phenomena [4,7]. Interviews starting with open questions followed by questions based on scale items can be used to validate a scale. This data collection method aims to elucidate participant’s perceptions [5] of their experience in their own words before introducing them to the scale. The next step is then to analyze data using both inductive and deductive qualitative content analysis [8].
Participants and Data Collection Procedure
A purposive sampling strategy [9] should be adopted, aiming example for variation in age, education level and gender. Tentatively, each interview starts with one or two open questions. During the interviews, the participants will be encouraged to reflect on their experience. The participant’s then will complete the scale and describes their thoughts about each item, and why they answered as they did. The interviews will be recorded and transcribed verbatim.
Data Analysis
For the open questions, an inductive qualitative content analysis [8] can be used to explore the participant’s direct experience. Transcripts of the interviews should then be read through several times and discussed, compared and validated by the authors. Words and sentences relevant to the research questions are then identified as meaning units, which then will be condensed and coded, grouped under subcategories and organized into categories (Table 1). In the final step, data should be analyzed by reading across the categories, searching for new associations and meanings in this process, a theme could be identified.
For the scale items, a deductive qualitative content analysis could be used [8]. The participant’s answers will be read through and analyzed for each item, and the perceived meaning of each item should be identified. When the answers to the scale items were lower or higher the individual description of these scale items would be further analyzed (Table 2).
Finally findings from the inductive and deductive analysis could be compared to identify similarities and differences. This procedure allow for comparison in order to understand what inference could be drawn from the scale in relation to the participant’s experiences. Adding more items to the scale must then be balanced against diluting the inferences that can be drawn [4].

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