Measuring Nurse Attitudes About Childbirth: Revision and Pilot Testing of the Nurse Attitudes and Beliefs Questionnaire

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Background and Purpose:

Labor/delivery nurse attitudes and beliefs may affect nursing care decisions and patient outcomes. This psychometric study was conducted to revise the Nurse Attitudes and Beliefs Questionnaire-Revised (NABQ-R).


The NABQ-R contains 42 items scored with a 4-point Likert scale from 1 (strongly disagree) to 4 (strongly agree). An online survey invitation was sent to Colorado intrapartum nurses with 84 complete surveys returned.


The NABQ-R scores ranged from 82 to 156 and the Cronbach's alpha was .90. An exploratory factor analysis was conducted, and all items loaded on at least 1 factor.


Our results support acceptable initial psychometric properties for the NABQ-R consistent with existing theory indicating that the NABQ-R shows promise for use in future studies.

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