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Development and Validation of a New Self-Care Scale: Self-Care Assessment for Employees (SAFE)

Year: 2026
Type: article
Abstract: Objective: This study aimed to develop and psychometrically validate the Self-Care Assessment for Employees (SAFE), a multidimensional instrument assessing physical, psychosocial, occupational, and mental self-care. Method: A total of 979 healthcare professionals completed an online survey. After excluding 11 responses due to random response patterns, 968 participants were included in the analyses and randomly divided into two subsamples for exploratory factor analysis (EFA; n =484) and confirmatory factor analysis (CFA; n =484). Results: The Kaiser–Meyer–Olkin value was .927, and Bartlett’s test of sphericity was significant, indicating sampling adequacy. EFA revealed a four-factor structure explaining 51.52% of the total variance. During CFA, one item with a standardized loading below .40 was removed, resulting in a final 23-item scale. The four-factor model demonstrated acceptable fit (χ²/df = 2.86, CFI = .918, TLI = .906, RMSEA = .062). Standardized factor loadings ranged from .51 to .79. Composite reliability values exceeded .70 for all factors, and convergent and discriminant validity were generally supported. Conclusion: The SAFE demonstrated satisfactory psychometric properties and provides a comprehensive framework for assessing multidimensional self-care and motivational readiness among employees.
Language: Turkish
Field: Nursing
Open Access status: diamond
OpenAlex ID: W7134251968
FWCI:
Cites: 18
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Related to: 10