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Table 1 Items in the M-NCAS

From: Psychometric performance of an assessment scale for strain in nursing care: The M-NCAS

  

Attitude

Strain

 

Description

Mean (SD)

Floor (N, %)

Ceiling (N, %)

Mean (SD)

Floor (N, %)

Ceiling (N, %)

Item 1R

Seems to behave in a completely aimless way

3.16 (1.08)

1 (45, 15.96%)

4 (144, 51.06%)

2.64 (0.93)

1 (39, 13.83%)

4 (50, 17.73%)

Item 2R

Is anxious

3.3 (0.97)

1 (28, 9.93%)

4 (160, 56.74%)

2.79 (0.88)

1 (26, 13.83%)

4 (59, 20.92)

Item 3R

Is unpredictable

3.2 (1.1)

1 (50, 50.0%)

4 (169, 59.9%)

2.86 (0.92)

1 (26, 9.22%)

4 (74, 26.24%)

Item 4

Does things for a reason

2.86 (1.19)

1 (56, 45.0%)

4 (127, 45.0%)

2.57 (0.96)

1 (49, 17.38%)

4 (47, 16.67%)

Item 5 1

Tries to influence others in order to maintain control of his/her own life

2.904 (1.3)

1 (74, 26.24%)

4 (154, 54.6%)

2.22 (1.06)

1 (92, 32.62%)

4 (41, 14.54%)

Item 6

Is calm

3.17 (1.04)

1 (13, 4.61%)

4 (165, 58.5%)

2.76 (0.92)

1 (28, 9.93%)

4 (64, 22.70%)

Item 7R

Is apathetic/seems to have limited emotions

2.54 (1.32)

1 (109, 38.65%)

4 (101, 35.82%)

2.48 (0.92)

1 (47, 16.67%)

4 (37, 13.12%)

Item 8R

Is selfish

2.40 (1.32)

1 (116, 41.41%)

4 (94, 33.33%)

2.32 (0.99)

1 (69, 24.47%)

4 (39, 13.83%)

Item 9

Is rewarding to work with

2.37 (1.20)

1 (87, 30.85%)

4 (82, 29.08%)

2.55 (0.97)

1 (46, 16.31%)

4 (51, 18.09%)

Item 10

Is grateful for what is done for him/her

2.49 (1.18)

1 (71, 25.18%)

4 (89, 31.56%)

2.30 (0.94)

1 (61, 21.63%)

4 (33, 11.70%)

Item 11R

Is paranoid

2.40 (1.29)

1 (111, 39.36%)

4 (89, 31.56%)

2.43 (1.04)

1 (65, 23.05%)

4 (52, 18.44%)

Item 12 R

Submissive/gives in to everything done to him/her

1.47 (0.93)

1 (222, 78.72%)

4 (15, 5.32%)

2.97 (0.89)

1 (20, 7.09%)

4 (88, 31.21%)

Item 13R

Is attention seeking

2.57 (1.31)

1 (101, 38.82%)

4 (105, 37.23)

2.48 (1.00)

1 (56, 19.86%)

4 49, 17.38%)

Item 14R

Is manipulative

1.97 (1.21)

1 (158, 56.03%)

4 (51, 18.09)

2.16 (0.96)

1 (82, 29.08%)

4 (29, 10.28%)

Item 15R

Is ungrateful for the care he/she receives

2.23 (1.18)

1 (113, 40.07%)

4 (57, 20.21%)

2.30 (0.96)

1 (66, 23.40%)

4 (35, 12.41%)

Item 16R

Is frightened/vulnerable

2.77 (1.18)

1 (72, 25.53%)

4 (109, 38.65%)

2.56 (0.90)

1 (38, 13.48%)

4 (41, 14.54%)

Item 17R

Is lonely

2.76 (1.20)

1 (65, 23.05%)

4 (112, 39.72%)

2.49 (0.87)

1 (40, 14.18%)

4 (32, 11.35%)

Item 18R

Has to concentrate exclusively on his/her needs in order to survive

2.36 (1.30)

1 (115, 40.93%)

4 (90, 32.03%)

2.40 (0.96)

1 (58, 20.64%)

4 (38, 13.52%)

Item 19 R

Has little control over his/her difficult behavior

3.59 (1.30)

1 (14, 4.97%)

4 (214, 75.89%)

3.16 (0.77)

1 (10, 3.55%)

4 (100, 35.46%)

Item 20R

Is deliberately difficult

2.06 (1.17)

1 (138, 48.94%)

4 (46, 16.31%)

2.58 (1.00)

1 (52, 18.44%)

4 (53, 18.79%)

Item 21

Tries to maintain some independence

2.33 (1.27)

1 (108, 38.30%)

4 (89, 31.56%)

2.56 (0.83)

1 (34, 12.06%)

4 (29, 10.28%)

Item 22

Knows what he/she wants and stands up for his/herself

2.30 (1.25)

1 (103, 36.53%)

4 (86, 30.50%)

2.79 (0.85)

1 (28, 9.93%)

4 (51, 18.09%)

Item 23

Seems to experience the normal range of emotions

2.83 (1.24)

1 (63, 22.34%)

4 (134, 47.52%)

2.59 (0.83)

1 (30, 10.64%)

4 (33, 11.70%)

Item 24

Friendly

2.05 (1.03)

1 (94, 33.33%)

4 (48, 17.02%)

2.21 (0.84)

1 (58, 20.57%)

4 (17, 6.03%)

Item 25R

Needs someone close by all the time/is demanding

2.57 (1.31)

1 (104, 36.88%)

4 (101, 35.82%)

2.58 (0.96)

1 (43, 15.25%)

4 (53, 18.79%)

Item 26R

Has an empty life

2.81 (1.17)

1 (60, 21.28%)

4 (110, 39.01%)

2.56 (0.92)

1 (41, 14.54%)

4 (42, 14.89%)

Item 27 R

Has patterns of behavior you can foresee

3.00 (1.12)

1 (53, 18.79%)

4 (125, 44.33%)

2.75 (0.85)

1 (24, 8.51%)

4 (50, 17.73%)

Item 28R

Is stubborn/resistive

3.68 (0.71)

1 (12, 4.26%)

4 (218, 77.31%)

3.22 (0.78)

1 (12, 4.26%)

4 (113, 40.07%)

Item 29R

Is aggressive/ hostile

3.44 (0.91)

1 (26, 9.22%)

4 (181, 64.18%)

3.18 (0.84)

1 (16, 5.67%)

4 (113, 40.07%)

Item 30

Has a meaningful life

3.17 (1.00)

1 (25, 8.87%)

4 (145, 53.19%)

2.59 (0.86)

1 (32, 11.35%)

4 (38, 13.48%)

Item 31

Compliant/voluntarily co-operative

3.10 (1.01)

1 (9, 3.19%)

4 (150, 53.19%)

2.87 (0.80)

1 (16, 5.67%)

4 (58, 20.57%)

Item 32R

Gives no job satisfaction

2.49 (0.91)

1 (43, 15.25%)

4 (37, 13.12%)

2.49 (0.91)

1 (43, 15.25%)

4 (37, 13.12%)

  1. 1 Italics indicate items deleted from instrument in subsequent analyses. R Item is reverse-coded for the attitude total and subscale scores. Attitude ranges from 1 (agree) to 4 (don't agree) and Strain ranges from 1 (very easy) to 4 (very difficult) Lower scores are considered better for both dimensions.