Uji validitas dan reliabiltas instrumen pengetahuan dan sikap tentang Nurturing Care pada ibu balita rawat inap

Suprihatiningsih, Dr. Fitri Haryanti, S.Kp., M.Kes; Ayyu Sandhi, S.Kep., Ns., M.Sc., Ph.D.

2026 | Tesis | S2 Magister Keperawatan

Latar belakang pengasuhan dengan pendekatan Nurturing Care untuk optimalisasi tumbuh kembang anak pada usia 0-6 bulan yang dipercaya sebagai masa emas. Instrumen pengetahuan dan sikap tentang Nurturing Care telah dikembangkan di komunitas, namun belum disesuaikan untuk kondisi rawatat inap. Penelitian ini bertujuan mengembangkan serta menguji validitas dan reliabilitas intrumen pengetahuan dan sikap inu tentang Nurturing Care pada balita rawat inap. Metode: Penelitian ini menggunakan rancangan group ibu balita rawat inap. Penelitian ini menggunakan tehnik consecutive sampling pada 105 ibu yang memiliki anak 6-59 bulan. Ibu balita diberikan kuesioner secara langsung menggunakan Google Form. Pengambilan data dilakukan Juli-Oktober 2025. Penelitian ini memodifikasi pada penelitian sebelumnya dengan panduang Nurturing Care pada anak sakit rawat inap. Hasil uji validitas isi menggunakan Content Validity Indek (CVI) dengan hasil I-CVI dan CVR 1. Validitas konstruk instrumen pengetahuan menggunakan korelasi point biseral dari 16 item terdapat 14 item dengan hasil yang memadai. Validitas konstruk instrumen sikap diuji menggunakan CVA menunjukkan kecocokan model yang memadai dengan indexs X2/df = 1,867; RMR = 0,048. Lima item dengan nilai factor loading < 0,50 sehingga diperoleh nilai loading  berkisar antara 0,542-0,855. Uji reliabiltas menunjukkan bahwa instrumen pengetahuan memiliki konsistensi internal yang baik (KR-20 = 0,646), sedangkan instrumen sikap memiliki reliabilitas yang sangat tinggi (Cronbach's alpha = 0,918). Kesimpulan: Berdasarkan hasil uji validitas dan reliabilitas, instrumen pengetahuan dan sikap mengenai Nurturing Care pada ibu balita rawat inap dinyatakan layak digunakan sebagai alat ukur awal, dengan tetap mempertimbangkan keterbatasan penelitian. 

Background: Nurturing care Is essential for optimizing child growth and development between the ages of 0 and 6, considered the golden age. 

Instrumens measuring mothers' knowledge and attitudes about Nurturing care have been developed in the community, but have not been adapted for inpatients care. This study aims to assess the validity and reliablity of instrumens measuring mothers' knowledge and attitude about Nurturing Care for hospitalized toddlers. Methods: This study used a cross sectional design, a group design, of mothers whose toddlers were hospitalized. Consecutive sampling was used in 105 mothers with children aged 6-59 months. Mothers of hospitalized toddlers were given a questionnaire directy using Google Forms. Data collection wa conducted from Juli to Oktober 2025. This study modified the instrument form a previous study with the Nurturing Care guidelines for hospitalized sick children. Result: Content validity was assessed using the Content Validity Index (CVI), yielding I-CVI = 1.00 and CVR = 1.00. Construct validity of the knowledge instrument wa using point biserial correlation, of 16 items, there were 14 items with adequate result. Construct validity of the attitude instrument was tested using Confirmatory Factor Analysis (CFA) and demonstrated and adequate model fit, with indices X2/df = 1.867; RMR = 0.048. Five items with factor loadings below 0.50, so that 15 attitude items were obtained with loading values ranging from 0.542–0.855. Reliability testing showed that the knowledge instrument had good internal consistency (KR-20 = 0.646), while the attitude instrument demonstrated very high reliability (Cronbach’s alpha = 0.885). Conclusion: Based on the validity and reliability testing, the knowledge and attitude instruments regarding Nurturing Care among mothers of hospitalized toddlers are considered appropriate for use as preliminary measurement tools, while acknowledging the study’s limitations.

Kata Kunci : Uji validitas, uji reliabilitas, Nurturing Care, balita, ibu, rawat inap, kuesoner pengetahuan dan sikap