Turkish validity and reliability of the systems thinking scale

Abstract

Aim: The aim of the study is to evaluate the validity and reliability of the Turkish version of the System Thinking Scale. Materiel and Methods: The methodological study was conducted with 369 health professionals working in Istanbul between February - July 2024. The data were collected with descriptive information form and the Systems Thinking Scale. SPSS 24.0 program was used to evaluate the data, and the validity and reliability tests were conducted. Results: The Kaiser Meyer Olkin coefficient of the scale was found 0.87, and the scale was suitable for factor analysis. The factor loadings of the items varied between 0.50 and 0.89, and the total variance explained by the scale was 55.48%. The scale consisted of a single dimension. The fit indices of the scale were χ²/df = 4.68, RMSEA = 0.09, NFI = 0.90, NNFI = 0.90, SRMR = 0.08, and CFI = 0.95. The AVE was 0.535, CR was 0.957, ICC was 0.99, and α was 0.95. Conclusions: The Turkish version of the system thinking scale consists 20 items and a single dimension. The scale, which demonstrated good psychometric properties in Turkish, can be used to evaluate systems thinking within health systems. Implication for nursing practice/management or policy: It is thought that the use of the scale will create awareness for ensuring system security in health systems and contribute to the orientation of considering the system as a whole.