Turkish adaptation of the catheter assessment, management and performance scale for nurses: Validity, measurement invariance and reliability study

Abstract

Background: Indwelling urinary catheter use is common in hospital settings, and its proper management is essential to prevent complications. Aim: To evaluate the Turkish cultural and psychometric properties of the Catheter Assessment, Management, and Performance (CAMP) Scale for Nurses. Methods: This methodological study was conducted in two stages: (1) translation and cultural adaptation of the original scale into Turkish; and (2) evaluation of validity, reliability, and measurement invariance. Data were collected from 460 nurses in two state hospitals in eastern Turkiye (January-April 2025). Psychometric testing included exploratory and confirmatory factor analyses, internal consistency, and test-retest reliability. Results: The four-factor structure was confirmed with factor loadings >0.40 and a total explained variance of 65.27 %. The Kaiser-Meyer-Olkin value was 0.902. Confirmatory factor analysis showed all item t-values >1.96, indicating acceptable model fit. Cronbach's alpha was 0.927, item-total correlations were >0.30, and test-retest correlation was 0.783 (p < 0.001). Conclusions: The Turkish version of the scale is valid and reliable for assessing nurses' performance in urinary catheter care. Practice implications: This tool can be used in clinical practice and nursing education to evaluate and improve nurses' knowledge and skills in urinary catheter care, contributing to enhanced patient safety and reduced catheter-related complications. (c) 2025 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.