RESUMO
There is no valid scale to measure health related procrastination, especially in nurses. This study was conducted to design and assess the psychometric properties of the health-related procrastination scale in nurses. This exploratory mixed method study was conducted between April 2017 and May 2019. The design and psychometric assessment of the nurses' health-related procrastination scale (NHRPS) was carried out through quantitative and qualitative phases. In the qualitative phase, nurses were interviewed and a review of literature was carried out to generate the items. In the quantitative phase, the scale validity was evaluated using the face, content and construct validity and its reliability was evaluated through the Cronbach's alpha, McDonald's omega, intra-class correlation coefficient, standard error of measurement, minimal detectable changes. The results of the exploratory factor analysis showed that, with 29 items and five factors, the NHRPS explains 54.81% of the variance in NHRPS. The results of confirmatory factor analysis also confirmed the final fit of model with five factors (RAMSEA: 0.08, CMIN/DF: 2.42, NFI: 0.92, PNFI: 0.83, CFI: 0.95, IFI: 0.95, RFI: 0.91, SRMR: 0.074). The Cronbach's alpha of the scale was 0.947, its intra-class correlation coefficient was 0.944, the Half-fold consistency coefficient was 0.970 and Omega internal consistency coefficient was 0.96. The NHRPS has good psychometric properties. This scale is suitable for research purposes, especially to plan for nurses' health promotion.
RESUMO
INTRODUCTION: nurses are responsible for taking care of the health of the general public. Nurses´ own health is among the important factors affecting the quality of patient care. Self-Rated Health (SRH) is one of the indicators used extensively in health research for the assessment of the health status of individuals. The present study was conducted to evaluate self-rated health and its relationship with general procrastination in nurses. METHODS: the present cross-sectional study was conducted in 2019 on 305 Iranian nurses selected by stratified random sampling. The relationship of self-rated health with procrastination was determined using an ordinal logistic regression analysis after adjustments for personal and occupational factors. RESULTS: self-rated health was poor/bad in 11.3% of the nurses, fair in 23.7%, good in 34.3% and excellent in 30.7%. After adjustments for personal and occupational factors, a significant relationship was observed between procrastination and self-rated health (OR=0.95; 95%CI 0.92, 0.98). CONCLUSION: the results showed an unfavorable health status in nurses. Given the significant relationship between procrastination and poor self-rated health in nurses, it is essential to consider this relationship for improving nurses´ health.
