Table 2 Confirmatory factor analysis by dimensions and items (*Spanish version NASC-CDM-S©)

D1

Using resources to collect information and listening carefully

α = 0.888 λ2 = 0.890

α = 0.903 λ2 = 0.904

Discuss your findings with the instructor.

0.63

0.880

0.56

4.72 ± 1.08

0.70

0.903

0.62

2.56 ± 1.32

Active listening in the interview.

0.66

0.907

0.64

4.89 ± 0.98

0.79

0.932

0.73

2.34 ± 1.21

Assess non-verbal language.

0.62

0.890

0.56

4.48 ± 1.08

0.71

0.925

0.63

2.48 ± 1.16

Review protocols or clinical literature.

0.57

0.909

0.51

4.40 ± 1.16

0.63

0.946

0.31

2.76 ± 2.14

Take into account the information of your partner or family.

0.70

0.932

0.62

4.52 ± 1.02

0.75

0.938

0.68

2.44 ± 1.10

Shift change report information.

0.62

0.946

0.52

4.42 ± 1.00

0.76

0.973

0.65

2.66 ± 1.18

Ask questions for additional information.

0.68

0.921

0.57

4.58 ± 1.12

0.75

0.953

0.67

2.56 ± 1.26

Assess coincidences between physical examination and non-verbal signals.

0.69

0.954

0.53

4.17 ± 1.04

0.74

0.960

0.66

2.82 ± 1.16

Discuss with the instructor the interventions that I consider.

0.64

0.861

0.57

4.76 ± 1.08

0.75

0.909

0.66

2.51 ± 1.31

Think about other possible causes of the problem.

0.67

0.922

0.62

4.50 ± 1.12

0.78

0.959

0.72

2.56 ± 1.24

Ask third parties for information.

0.73

0.901

0.66

4.74 ± 1.01

0.80

0.953

0.73

2.41 ± 1.18

Measure whether the decision is satisfactory.

0.79

0.916

0.65

4.29 ± 1.04

0.77

0.964

0.65

2.80 ± 1.24

Adapt decisions to the preferences of each patient.

0.62

0.910

0.52

4.36 ± 1.10

0.73

0.938

0.65

2.65 ± 1.25

D2

Using information to see the big picture

α = 0.817 λ2 = 0.820

α = 0.885 λ2 = 0.887

Identify patterns

0.75

0.905

0.62

3.98 ± 1.02

0.75

0.914

0.68

3.11 ± 1.21

Relate relevant clinical information to the problem.

0.76

0.895

0.68

3.91 ± 1.00

0.84

0.881

0.77

3.21 ± 1.23

Assess the clinical picture in general.

0.76

0.883

0.67

3.59 ± 1.12

0.83

0.903

0.76

3.36 ± 1.26

Remember past knowledge and apply it.

0.60

0.922

0.47

4.13 ± 1.05

0.76

0.950

0.62

3.04 ± 1.26

Identify findings and relate them to the problem.

0.73

0.919

0.62

3.80 ± 1.03

0.79

0.947

0.71

3.26 ± 1.11

My decision improves laboratory parameters.

0.70

0.919

0.55

3.86 ± 1.18

0.77

0.940

0.64

3.19 ± 1.29

Anatomy and physiology to evaluate.

0.66

0.931

0.42

3.77 ± 1.55

0.71

0.956

0.56

3.32 ± 1.26

D3

Knowing and acting

α = 0.795 λ2 = 0.811

α = 0.839 λ2 = 0.857

Implement the best option.

0.23

0.801

0.22

3.43 ± 0.74

0.23

0.790

0.11

3.35 ± 0.88

Use intuition to act.

0.66

0.916

0.57

3.79 ± 1.15

0.78

0.941

0.73

3.52 ± 1.31

Analyze the risks.

0.71

0.943

0.49

4.00 ± 0.99

0.81

0.963

0.68

3.28 ± 1.24

Independently decide the solution.

0.76

0.908

0.68

3.58 ± 1.28

0.84

0.934

0.76

3.74 ± 1.40

Act on an urgent problem.

0.73

0.930

0.65

3.65 ± 1.29

0.72

0.932

0.65

3.73 ± 1.45

Use knowledge in complementary tests to decide.

0.66

0.929

0.54

3.57 ± 1.29

0.72

0.960

0.58

3.37 ± 1.38

Consider interventions that only “seem” correct.

0.54

0.901

0.49

3.50 ± 1.21

0.67

0.950

0.58

3.43 ± 1.29