Development and psychometric testing of blended learning for nursing clinical practice

Abstract
A Blended lesson evaluation is used to assess blended lessons preparing the nursing students for clinical practice. The objectives of this study were to develop a blended learning for nursing clinical practice (BNCP) instrument and test its psychometric properties. This study makes use of a mixed-method sequential explanatory design. Twenty-two items were developed from the review literature. The BNCP instrument was examined by five experts in terms of content validity. A quantitative study was conducted using exploratory factor analysis and confirmatory factor analysis (CFA). The sample consisted of 220 nursing students. The results showed that BNCP was composed of three factors, namely the learning process, convenience in terms of learning and ability to perform. The indicators had a range of communality, i.e., from 0.274 to 0.752. Three factors accounted for 60.29% of the variance. The remaining 16 items were analysed by CFA in secondary order in another group. The measurement model fitted the empirical data (p > 0.05). The most important indicator revealed by the BCNP model was ‘ability to perform’. Finally, the instrument retained 3 subscales of 15 items that had construct validity. BNCP has good construct validity and reliability. BNCP is a tool that can be used to assess the learning of nursing students. Keywords: Blended learning; nursing clinical practice tool; psychometric test