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Development and preliminary testing of a self-rating instrument to measure


self-directed learning ability of nursing students

Article  in  International journal of nursing studies · March 2010


DOI: 10.1016/j.ijnurstu.2010.02.002 · Source: PubMed

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International Journal of Nursing Studies 47 (2010) 1152–1158

Contents lists available at ScienceDirect

International Journal of Nursing Studies


journal homepage: www.elsevier.com/ijns

Development and preliminary testing of a self-rating instrument to


measure self-directed learning ability of nursing students
Su-Fen Cheng a, Chien-Lin Kuo b, Kuan-Chia Lin a, Jane Lee-Hsieh a,*
a
School of Nursing, National Taipei College of Nursing, 365, Ming-Te Rd, Peitou District, Taipei 11219, Taiwan, ROC
b
Department of Nursing, Fooyin University, Kaohsiung, Taiwan, ROC

A R T I C L E I N F O A B S T R A C T

Article history: Background: With the growing trend of preparing students for lifelong learning, the theory
Received 21 August 2009 of self-directed learning (SDL) has been increasingly applied in the context of higher
Received in revised form 12 January 2010 education. In order to foster lifelong learning, abilities among nursing students, faculties
Accepted 7 February 2010 need to have an appropriate instrument to measure the SDL abilities of nursing students.
Objectives: The objectives of this study were to develop an instrument to measure the SDL
Keywords: abilities of nursing students and to test the validity and reliability of this instrument.
Confirmatory factor analysis Methods: This study was conducted in 4 phases. In Phase 1, based on a review of the
Delphi study
literature, the researchers developed an instrument to measure SDL. In Phase 2, two
Instrument development
rounds of the Delphi study were conducted, to determine the content validity of the
Nursing students
Self-directed learning
instrument. In Phase 3, a convenience sample of 1072 nursing students from two
representative schools across three different types of nursing programs were recruited to
test the construct validity of the Self-Directed Learning Instrument (SDLI). Finally, in Phase
4, the internal consistency and reliability of the instrument were tested.
Results: The resulting SDLI consists of 20 items across the following four domains:
learning motivation, planning and implementing, self-monitoring, and interpersonal,
communication. The final model in confirmatory factor analysis revealed that this 20-item
SDLI indicated a good fit of the model. The value of Cronbach’s a for the total scale was .916
and for the four domains were .801, .861, .785, and .765, respectively.
Conclusions: The SDLI is a valid and reliable instrument for identifying student SDL
abilities. It is available to students in nursing and similar medical programs to evaluate
their own SDL. This scale may also enable nursing faculty to assess students’ SDL status,
design better lesson plans and curricula, and, implement appropriate teaching strategies
for nursing students in order to foster the growth of lifelong learning abilities.
ß 2010 Elsevier Ltd. All rights reserved.

What is already known about the topic? have produced mixed findings. This is probably because
most of these instruments were developed using
 A key factor affecting lifelong learning abilities is exploratory analysis. Thus far, these instruments have
whether students have the ability to engage in self- only been analyzed for their content and factor domains,
directed learning (SDL). and have not been tested for their fit with the theory.
 There currently exist five instruments measuring SDL.
However, evaluations of their psychometric properties
What this paper adds

* Corresponding author. Tel.: +886 2 28227101x3199;


 A Self-Directed Learning Instrument (SDLI) specifically
fax: +886 2 28213233. developed and tested for nursing education, across
E-mail address: hsiehjane@ntcn.edu.tw (J. Lee-Hsieh). different programs and grades.

0020-7489/$ – see front matter ß 2010 Elsevier Ltd. All rights reserved.
doi:10.1016/j.ijnurstu.2010.02.002
S.-F. Cheng et al. / International Journal of Nursing Studies 47 (2010) 1152–1158 1153

 The SDLI is a reliable and valid instrument that measures ing appropriate learning strategies, and evaluating learn-
four domains of SDL: learning motivation, planning and ing outcomes’’ (p. 18). Brookfield (1986) provided a similar
implementing, self-monitoring, and interpersonal com- definition of SDL. Greg (1993) argued that self-directed
munication. learners should have the ability to collaborate with peers,
 This study provides new empirical evidence and verifies and see peers as learning resources. Cameron (1997) stated
the structure of the core concept of SDL. It matches that a comprehensive model for SDL should involve self-
empirical evidence to the theory. management, self-monitoring, and motivation. The Amer-
ican Association of Colleges of Nursing (2008) emphasizes
the importance of communication skills in developing
1. Introduction Baccalaureate programs and suggests that nursing faculty
should design learning activities that focus on practicing
There is a growing trend of preparing students for communication.
lifelong learning. In the field of nursing, students enter the Based on the above discussion, the process of SDL covers
field with extensive professional training, but must also be the following domains: learning needs or learning motiva-
able to constantly update their knowledge through self- tion, learning resources, learning goals, learning plans and
directed learning (SDL). Thus, teaching SDL skills to nursing activities, learning evaluation, and communication skills.
students helps to prepare them for success in their future
careers, and enables them to engage in lifelong learning. To 1.2. Overview of existing SDL instruments
facilitate the development of SDL skills in nursing students,
a valid and reliable tool should be made available to The researchers used the OVID databases, bibliogra-
nursing schools to enable them to measure the SDL phies, and article references to search for existing SDL
abilities of nursing students. Thus, the purposes of this instruments. Only five instruments that directly measured
study were (1) to develop an instrument to measure the SDL were found. These included Guglielmino’s (1977) SDL
SDL ability of nursing students and (2) to test the validity readiness scale, Deng’s (1995) Chinese version of Gugliel-
and reliability of this instrument. mino’s instrument, Ho’s (1998) SDL ability scale, Fisher,
King, and Tague’s (2001) SDL readiness scale, and William-
1.1. Concepts of SDL son’s (2007) self-rating scale of SDL. Descriptions and
psychometric indices are presented in Table 1. The
According to Knowles (1975), self-directed learning is components of these SDL tools include: effective learning,
‘‘a process in which individuals take the initiative, with or learning motivation, active learning, independent learning,
without the help of others, in diagnosing their learning creative learning, self-management, desire for learning,
needs, formulating learning goals, identifying human and self-control, evaluation, and interpersonal skills. The
material resources for learning, choosing and implement- number of items ranged from 14 to 65.

Table 1
Reliability and validity of existing SDL instruments.

Instrument Description Psychometric indices

Guglielmino (1977) Defined 8 components of SDL (openness to learning Content validity: Delphi study
Self-directed learning opportunities, self-concept as an effective learner, Construct validity: used Principle component
readiness scale initiative and independence in learning, informed factor analysis (PCFA), explained variance: 48%
acceptance of responsibility for one’s own learning,
love of learning, creativity, positive orientation to
the future, ability to use basic study skills, and
problem-solving skills); Total items: 58 items
Deng (1995) Adapted from Guglielmino’s instrument and Translate validity
Chinese version of categorized 6 components (effective learning, Construct validity: used PCFA varimax rotation,
Guglielmino’s love of learning, learning motivation, active explained variance: 89.75%
self-directed learning learning, independent learning, and creative Cronbach’s a .64–.85
readiness scale learning); Total items: 58 items (N = 286)
Ho (1998) 3 domains (planning: 6 items; self-assessment: Construct validity: used PCFA, explained variance: 35.79%
Self-directed ability 5 items; search for human resources: 3 items); Internal consistency
scale (in Chinese) Total items: 14 Total: .78
Planning: .73
Self-assessment: .64
Search for human resources .57
(N = 30)
Fisher et al. (2001) 3 components (self-management, desire Content validity: 2 rounds of Delphi study;
Self-directed learning for learning, and self-control); Total items: 40 Construct validity: used PCFA with varimax rotation,
readiness scale explained variance 36.4%
Cronbach’s a .924 (total), .857 (SM), .847 (DL),
.830 (SC) (N = 201)
Williamson (2007) 5 components (awareness, learning strategies, Content validity: 2 rounds of Delphi study;
Self-rating scale of learning activities, evaluation, and interpersonal Construct validity: used a known-groups technique.
self-directed learning skills); Total item: 65 Cronbach’s a coefficient .71–.79 (N = 30, 15 first
year and 15 final year students)
1154 S.-F. Cheng et al. / International Journal of Nursing Studies 47 (2010) 1152–1158

Table 2
Phases and steps of the Self-Directed Learning Instrument (SDLI) development process.

Process Purpose Methods/data Resulting Domains and Items

Phase I Develop a new instrument for measurement of SDL Literature review


Step 1 Assemble 5 published SDL tools Incorporate items from 20 domains, 238 items
5 existing SDL tools
Step 2 Develop preliminary items for the new instrument Assess and identify items 1st version: 6 domains,
55 items

Phase II Test content validity


Step 1 Conduct Delphi study Form an expert panel
Step 2 Assess the appropriateness, representativeness 1st round of Delphi study (N = 16) 2nd version: 4 domains,
and explicitness of the SDLI’s (1st version) 31 items (retained 18 items,
items and content deleted 30 items, modified
7 items, added 6 items)
Step 3 Assess the appropriateness, representativeness, The 2nd round of Delphi study (N = 16) 3rd version: 4 domains,
explicitness of the revised SDLI’s (2nd version) 32 items (retained 30 items,
items and content split one item into 2)

Phase III Test the construct validity of the SDLI (3rd version) Confirmatory factor analysis (CFA) 4 domains, 32 items
Step 1 Model 1 Domains not correlated (N = 1072) Model poor fit
Step 2 Model 2 Domains correlated Model fair fit
Step 3 Model 3 Item deleted and domains correlated 4th version: 4 domains,
20 items (deleted 12 items)
Model better fit
Step 4 Test the construct validity of the 4th version, model 4 Added 2 error covariances (N = 1072) 4 domains, 20 items
Model good fit

Phase IV Test the internal consistency and reliability of the Cronbach’s a Total scale: .916
4th version of SDLI (the final version) N = 1072 Domain 1: .801
Domain 2: .861
Domain 3: .785
Domain 4: .765

All five tools used an exploratory analysis method, scale revision required; 3 = relevant but in need of small
principle component factor analysis and a known-group adjustments; and 4 = relevant, but needs rewording;
technique, to support the construct validity of the tool; 5 = relevant, clear and precise). Items with a mean score
therefore, different findings were expected. Only the of 4.0 or above were retained. The decision to delete items
instruments of Fisher et al. (2001) and Williamson scoring below 4.0 was made by the researchers based on
(2007) have been tested in nursing students. the experts’ opinions.

2. Methodology 2.3. Phase III

This project of developing a Self-Directed Learning The factor structure of the instrument was tested with
Instrument (SDLI) was conducted in four phases (Table 2). confirmatory factor analysis (CFA). Two universities with
three nursing programs (5-year ADN program, 4-year BSN
2.1. Phase I program and 2-year RN-to-BSN program) in Taiwan were
asked to participate in this study. The use of human
The authors searched for SDL-related instruments in subjects was approved by the Institutional Review Board
the OVID databases, bibliographies, and article references, (IRB) of the universities. A convenience sample of 1072
and compiled a list of SDL items. nursing students was recruited. All subjects were full time
students. Students in the ADN program enter at the age of
2.2. Phase II 15, after graduating from junior high school. Students in
the 4-year BSN program enter at age 18, after graduating
A Delphi study was conducted in two rounds. Sixteen from senior high school. Students in the RN-to-BSN
experts were invited to participate in the Delphi study, program enter at age 20–22, after graduating from the
including 6 experts in adult/higher education and 10 ADN program. The majority of the students were female
experts in nursing education. Each expert was asked to (92%). CFA was performed to assess the structure of the
individually and independently evaluate and score each instrument and identify the optimal model. Statistical
SDL item from Phase I for its appropriateness (the item can analyses were performed using STATISTICA software,
be used to measure student’s SDL), representativeness (the version 7.0.
item expresses a core concept of SDL, according to the
expert’s own understanding and interpretation of SDL) and 2.4. Phase IV
explicitness (the item is clearly stated and easy to
understand) using a 5-point Likert scale (1 = irrelevant Finally, the internal consistency and reliability of the
and should be deleted; 2 = seemingly relevant but large- instrument were tested.
S.-F. Cheng et al. / International Journal of Nursing Studies 47 (2010) 1152–1158 1155

Table 3
Goodness of fit statistics for comparative models of the SDLI.

X2 df p RMSEA RMS GFI AGFI NNFI NFI AIC

Model 1 4262.06 464 .00 .098 .23 .77 .73 .68 .67 4.484
Model 2 2624.39 458 .00 .075 .06 .84 .81 .81 .80 2.824
Model 3 778.10 164 .00 .061 .04 .93 .91 .91 .91 .852
Model 4 695.88 161 .00 .057 .04 .94 .92 .92 .93 .763

Model 1: 4 factors.
Model 2: 4 factors, correlated factors.
Model 3: 4 factors, deleted items, correlated factors.
(Items deleted: 2, 3, 6, 7, 17, 18, 22, 24, 25, 26, 28, 30).
Model 4: 4 factors, deleted items, correlated factors, 2 error covariances (I4 & I5, I31 and I32).
Note. RMSEA = Root Mean Squared Error of Approximation; RMS = standardized residual, GFI = the Goodness of Fit Index; AGFI = Adjusted Goodness of Fit
Index; NNFI = Non-Normed Fit Index; NFI = Normed Fit Index; AIC = the Akaike Information Criterion.

3. Results The findings of model 4 represented a good fit to the


model as indicated by the Root Mean Squared Error of
3.1. Phase I Approximation (RMSEA), the RMS (standardized residual),
the Goodness of Fit Index (GFI), Adjusted Goodness of Fit
In the first phase of developing a Self-Directed Learning
Index (AGFI), Non-Normed Fit Index (NNFI), Normed Fit
Instrument, the researchers reviewed the content of the
Index (NFI) and the Akaike Information Criterion (AIC). The
five existing SDL instruments in the literature, counting a
X2 values for these models remained significant, probably
total of 238 items across 20 domains. Items with similar
due to the large sample size and small discrepancies. The
meanings and items deemed irrelevant to SDL were then
values of RMSEA, RMS, GFI, AGFI, NNFI, and NFI in model 4
deleted, resulting in 55 retained items across the following
supported the acceptable fit of the model. Thus, model 4
6 domains: learning needs, learning motivation, learning
was the final model tested for the SDLI.
skills, learning action, self-management, and self evalua-
Using maximum likelihood estimation, the factor load-
tion.
ings for each item were demonstrated to be greater than .40,
with the exception of one item (.39). This also indicated that
3.2. Phase II the latent variable can be measured by the items. The
correlation coefficients among the four latent variables (four
Phase II began with a 55-item preliminary instrument domains) ranged from .50 to .80 (Fig. 1). The error variances
and ended with a 32-item instrument after a two-round of the items were between .24 and .41, and no negative error
Delphi study. In the first round, 30 items were deleted variance or large error variances appeared.
because of redundant or similar meanings; agreement was
reached for 18 items; and 7 items were modified. One 3.4. Phase IV
expert strongly recommended adding items related to
interpersonal communication skills to the SDLI, arguing The last phase involved testing the internal consistency
that the ability to interact with others is an important part of each domain. The value of Cronbach’s a for the total item
of nursing students’ lifelong learning ability. Thus, six pool (N = 1072) was .916, and for the four domains were
items related to interpersonal communication were added. .801, .861, .785, and .765, respectively.
After this initial critical review, the SDLI now contained 4 The final SDLI contains 20 items across the 4 domains
domains with 31 items. The researchers renamed these 4 of learning motivation, planning and implementing,
domains as follows: learning motivation, planning and self-monitoring, and interpersonal communication
implementing, self-monitoring, and interpersonal commu- (Appendix A). Learning motivation is defined as the inner
nication. The SDLI was then provided to the same panel of drive of the learner as well as external stimuli that drive the
experts for the 2nd round of Delphi study. The results desire to learn and to take responsibility for one’s learning.
showed agreement among the experts for 4 domains and 30 Planning and implementing is defined as the ability to
items. One item was identified as containing two meanings, independently set learning objectives, and to use appro-
so the researchers split it into two items. Thus, by now the priate learning strategies and resources in order to
SDLI had 4 domains with 32 items, and this version was used effectively achieve learning goals. Self-monitoring is defined
in the next phase for testing construct validity. as the ability to evaluate one’s learning process and
outcomes, and to make progress. Interpersonal commu-
3.3. Phase III nication is defined as the ability of learners to interact with
others to promote their own learning. This pencil–paper
A 32-item SDLI was assessed using CFA. Four models instrument takes around 10 min to complete. All items of
were tested (Table 3). In model 2, the results showed SDLI are positively stated. The respondent is asked to rate
model misfit. Examination of the wording and meaning of each item on a 5-point Likert scale ranging from 1 for
items was reviewed. Twelve items, including 5 negative ‘‘strongly disagree’’ to 5 for ‘‘strongly agree’’. Thus, the total
statements, were discarded due to redundancy or vague- possible score on the SDLI ranges from 20 to 100.
ness. The remaining 20 items with a four-factor framework In this study, the students’ overall mean score as
were tested in models 3 and 4. measured by the SDLI was 3.60, which implied that their
1156 S.-F. Cheng et al. / International Journal of Nursing Studies 47 (2010) 1152–1158

Fig. 1. Measurement model of the SDLI.

SDL abilities were moderate. The mean scores of the schools, a public college in the north and a private
students in the 5-year AND program, 4-year BSN program, university in southern Taiwan. Hence, this study’s SDLI
and 2-year RN to BSN program were 3.52, 3.59 and 3.7, appears to have greater generalizability and validity than
respectively. The highest mean score (X = 3.74) of the four currently available measurement tools.
domains was ‘‘interpersonal communication’’ and the It is hoped that the instrument developed in this study
lowest score (X = 3.45) was ‘‘planning and implementing’’. can eventually help nursing educators better understand
The students’ SDL ability in the 2-year RN to BSN program students’ SDL abilities and implement appropriate teaching
was significantly higher than the other two programs strategies, such as problem-based learning. In the literature,
(F = 10.47, p = .000). the application of problem-based learning in pedagogy has
been shown to enhance the SDL ability of nursing students,
4. Discussion and conclusion and thereby develop their capacity to engage in lifelong
learning (Kocaman et al., 2009). Both teachers and students
As shown in the literature, evaluating the psychometric can use the SDLI in every year of nursing training to identify
properties of existing SDL tools has produced mixed learning obstacles and seek relevant counseling and support.
findings. This is probably because those instruments were This instrument reflects the situation of two univer-
developed using exploratory analysis method. By contrast, sities in Taiwan. Future studies may use the SDLI to explore
the SDLI in this study was developed using confirmatory the SDL abilities of students across different programs,
factor analysis, which verified the framework of SDL. In schools, regions and cultures. The data collected from this
addition, this study is unique because the sample is taken study may also be used to develop a pedagogy and
from three different types of nursing programs from two curriculum aimed at enhancing students’ SDL abilities.
S.-F. Cheng et al. / International Journal of Nursing Studies 47 (2010) 1152–1158 1157

Acknowledgements Conflict of interest: None declared.


Funding: The research funding (NT$ 730,000) was
The researchers would like to thank Taiwan National sponsored by Taiwan National Science Council.
Science Council for the grant NSC97-2511-S-227-006 that Ethical Approval: National Taipei College of Nursing. The
enabled this study, and our students for their unfailing reference number is 98A208.
patience and openness.

Appendix A. Self-Directed Learning Instrument (SDLI) for Nursing Students

Directions: Please read each statement and circle the number that best describes your thoughts and feelings about your own
learning. There is no right or wrong answer.
5 = Strongly agree, 4 = Agree, 3 = Neutral, 2 = Disagree, 1 = Strongly disagree
1 I know what I need to learn. 5 4 3 2 1
2 Regardless of the results or effectiveness of my learning, I still like learning. 5 4 3 2 1
3 I strongly hope to constantly improve and excel in my learning. 5 4 3 2 1
4 My successes and failures inspire me to continue learning. 5 4 3 2 1
5 I enjoy finding answers to questions. 5 4 3 2 1
6 I will not give up learning because I face some difficulties. 5 4 3 2 1
7 I can pro-actively establish my learning goals. 5 4 3 2 1
8 I know what learning strategies are appropriate for me in reaching my learning goals. 5 4 3 2 1
9 I set the priorities of my learning. 5 4 3 2 1
10 Whether in the clinical practicum, classroom or on my own, I am able to follow my own plan of learning. 5 4 3 2 1
11 I am good at arranging and controlling my learning time. 5 4 3 2 1
12 I know how to find resources for my learning. 5 4 3 2 1
13 I can connect new knowledge with my own personal experiences. 5 4 3 2 1
14 I understand the strengths and weakness of my learning. 5 4 3 2 1
15 I can monitor my learning progress. 5 4 3 2 1
16 I can evaluate on my own my learning outcomes. 5 4 3 2 1
17 My interaction with others helps me plan for further learning. 5 4 3 2 1
18 I would like to learn the language and culture of those whom I frequently interact with. 5 4 3 2 1
19 I am able to express messages effectively in oral presentations. 5 4 3 2 1
20 I am able to communicate messages effectively in writing. 5 4 3 2 1

Original SDLI in Chinese version.

1 5 4 3 2 1
2 5 4 3 2 1
3 5 4 3 2 1
4 5 4 3 2 1
5 5 4 3 2 1
6 5 4 3 2 1
7 5 4 3 2 1
8 5 4 3 2 1
9 5 4 3 2 1
10 5 4 3 2 1
11 5 4 3 2 1
12 5 4 3 2 1
1158 S.-F. Cheng et al. / International Journal of Nursing Studies 47 (2010) 1152–1158

13 5 4 3 2 1
14 5 4 3 2 1
15 5 4 3 2 1
16 5 4 3 2 1
17 5 4 3 2 1
18 5 4 3 2 1
19 5 4 3 2 1
20 5 4 3 2 1

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