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Code Gender Age Length of employment (years) Education attainment Specialist field 1 Woman 35 10 Bachelor's degree Nursing management 2 Man 42 15 Master's degree Clinical nursing 3 Woman 48 20 PhD degree Nursing education 4 Woman 38 10 Master's degree Clinical nursing 5 Man 56 25 Master's degree Nursing education 6 Woman 37 10 Bachelor's degree Nursing education 7 Woman 45 18 Master's degree Nursing management 8 Man 40 12 Bachelor's degree Nursing management 9 Woman 50 22 Master's degree Clinical nursing 10 Man 48 20 Master's degree Nursing management 11 Woman 40 12 PhD degree Medical oncology 12 Man 52 23 PhD degree Medical oncology 13 Woman 39 11 Bachelor's degree Clinical nursing 14 Woman 36 10 Bachelor's degree Nursing management 15 Man 44 16 Master's degree Nursing management Table 1.
The basic information of experts (n = 15).
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Characteristics EFA frequency (%)
n = 302CFA frequency (%)
n = 305Gender Man 180 (59.60%) 120 (39.34%) Woman 122 (40.40%) 185 (60.66%) Age Under 30 7 (2.32%) 11 (3.49%) 31−40 33 (10.93%) 77 (25.19%) 41−50 139 (46.02%) 143 (46.73%) Over 50 123 (40.73%) 74 (24.59%) Education Junior high school and below 128 (42.38%) 24 (7.87%) High school or specialized 102 (33.78%) 153 (50.16%) College and above 72 (23.84%) 128 (41.97%) Marital status Unmarried 8 (2.65%) 70 (22.95%) Married 294 (97.35%) 235 (77.05%) Experience of caring for cancer patients Have 249 (82.45%) 104 (34.10%) Haven't 53 (17.55%) 201 (65.90%) Table 2.
The basic information of participants for EFA and CFA.
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Code Age Specialist field Professional title Education attainment Length of employment 1 47 Clinical medicine Chief physician Master's degree 22 2 47 Clinical medicine Deputy chief physician PhD degree 20 3 49 Clinical nursing Chief nurse Master's degree 25 4 44 Clinical nursing Deputy chief nurse Bachelor's degree 20 5 45 Clinical nursing Deputy chief nurse Bachelor's degree 23 6 44 Clinical nursing Senior nurse Bachelor's degree 20 Table 3.
Basic information of experts (n = 6).
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ltem Expert number I-CVI S-CVI 1 2 3 4 5 6 1 3 3 4 3 4 4 1 0.96 2 4 4 4 4 3 4 1 3 4 3 2 4 3 3 0.83 4 3 4 4 4 3 4 1 5 4 4 4 2 3 3 0.83 6 4 3 4 2 4 3 0.83 7 3 3 3 4 4 4 1 8 3 3 3 4 3 4 1 9 3 3 3 3 3 4 1 10 3 4 3 4 3 4 1 11 3 4 3 3 4 4 1 12 3 3 3 4 3 3 1 13 3 3 3 4 3 3 1 14 4 4 3 3 3 4 1 15 3 3 4 3 3 3 1 16 3 3 4 4 4 4 1 17 4 3 3 4 3 3 1 18 4 3 4 4 3 3 1 19 4 2 3 3 4 4 0.83 20 3 4 3 3 4 4 1 21 4 4 3 3 3 4 1 22 2 4 3 3 3 4 0.83 23 4 4 3 3 4 3 1 24 3 3 3 3 4 3 1 25 4 3 4 4 4 3 1 26 4 4 4 3 4 3 1 27 3 4 4 4 4 4 1 28 4 4 4 3 3 3 1 Table 4.
Content validity of the questionnaire.
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ltem Factors 1 2 3 4 5 6 II1 0.119 0.116 0.092 0.788 0.022 0.075 II2 0.023 0.114 0.106 0.808 0.097 0.037 II3 0.058 0.173 0.091 0.794 -0.020 0.112 II4 0.078 0.114 0.167 0.789 0.131 0.073 II6 0.053 0.134 0.750 0.102 0.138 0.112 II7 0.129 0.064 0.805 0.099 0.148 0.098 II8 0.100 0.100 0.824 0.106 0.047 0.044 II9 0.134 0.137 0.786 0.153 0.039 0.039 II10 0.796 0.079 0.063 0.053 -0.007 0.021 II11 0.790 0.124 0.143 0.078 0.114 0.068 II12 0.790 0.065 0.110 0.032 0.113 0.041 II14 0.800 0.088 0.107 0.042 -0.035 0.092 II15 0.773 0.049 0.048 0.098 0.152 0.157 II16 0.774 0.140 0.013 0.034 0.040 0.038 II17 0.131 0.815 0.091 0.172 0.090 0.050 II18 0.094 0.801 0.151 0.043 0.071 0.132 II19 0.093 0.816 0.044 0.119 0.045 0.141 II20 0.133 0.806 0.049 0.112 0.063 0.120 II21 0.083 0.810 0.161 0.143 0.028 0.056 II23 0.094 0.126 0.184 0.050 0.833 0.085 II24 0.107 0.043 0.099 0.118 0.825 0.111 II25 0.082 0.071 0.063 0.039 0.848 0.066 II26 0.160 0.158 0.168 0.124 0.107 0.793 II27 0.094 0.152 0.094 0.111 0.092 0.815 II28 0.085 0.123 0.026 0.054 0.075 0.858 Bold values = item loadings (> 0.75). Table 5.
Rotated component matrix for exploratory factor analysis
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ltem /df$\chi^2 $ RMSEA SRMR IFI TLI CFI GFI Unmodified 4.518 0.108 0.134 0.650 0.590 0.644 0.697 Modified 1.617 0.045 0.030 0.961 0.954 0.960 0.904 Range < 3.00 < 0.05 < 0.05 > 0.90 > 0.90 > 0.90 > 0.90 /df is the chi-square to degrees of freedom ratio; RMSEA is the root mean square error of approximation; SRMR is the standardised root mean square residuum; IFI is the incremental fit index; TLI is the Tucker-Lewis index; CFI is the comparative fit index; GFI is the goodness of fit index.$\chi^2 $ Table 6.
Fit indices of the confirmatory factor analysis model.
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Code ltem Load values 1 Cancer survivors not fully competent 0.652 2 Cancer survivors less able to work than normal 0.774 3 Cancer survivors can gradually return to work 0.794 4 Cancer survivors should go back to an easy job 0.895 5 Cancer survivors are prone to depression, which interferes with work 0.786 6 Harmonious Colleague Relationships Help Cancer Survivors Stay Physically and Mentally Healthy 0.773 7 Returning to work can lead to a worsening of the condition 0.912 8 Survivors who are less ill and in better health should return to work 0.906 9 Lack of policies and experience in social support for cancer survivors to return to work 0.734 10 Managers don't know how to meet the needs of cancer survivors who want to maintain a balance between health and work
(weighing work and health)0.776 11 Managers don't know how to keep the workload and performance of cancer survivors balanced 0.794 12 Cancer survivors get more time off 0.737 13 Colleagues should give more care to cancer survivors 0.757 14 Managers should refrain from scheduling night shifts for cancer survivors whenever possible 0.762 15 Cancer survivors should rely more on family than work 0.724 16 Family love helps them recover physically and mentally 0.761 17 Returning to the family allows for more care in terms of food, living, etc. 0.776 18 Cancer survivors returning to work helps physical and mental health 0.890 19 Returning to work for cancer survivors can ease the financial burden on families 0.816 20 Survivors returning to work can realize their self-worth and increase their sense of achievement 0.840 21 Working with cancer survivors can be stressful 0.624 22 Working with cancer survivors can be emotionally draining 0.773 23 Communicating with cancer survivors can be stressful for fear of hurting them by saying the wrong thing. 0.730 24 Family love helps them recover physically and mentally 0.750 25 Returning to the family allows for more care in terms of food, living, etc. 0.741 Item codes are consistent with the Cancer Survivors Return to Work Public Attitudes Questionnaire; factor loading values reflect the importance of the entry in the dimension. Table 7.
Factor loadings from confirmatory factor analysis.
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Dimension 1 2 3 4 5 6 Dimension 1 0.784 Dimension 2 0.070 0.847 Dimension 3 0.288*** 0.235*** 0.76 Dimension 4 0.408*** 0.231*** 0.347*** 0.795 Dimension 5 0.272*** 0.213** 0.346*** 0.309*** 0.751 Dimension 6 0.295*** 0.231** 0.295*** 0.431*** 0.224* 0.74 CR 0.863 0.910 0.891 0.895 0.793 0.784 AVE 0.614 0.717 0.578 0.633 0.564 0.548 Dimension 1: Working ability; Dimension 2: Health status; Dimension 3: Support system; Dimension 4: Returning to family; Dimension 5: Self-realisation; Dimension 6: Colleagues' and leaders' stress. CR: Composite reliability; AVE: Average variance extraction; * p < 0.05; ** p < 0.01; *** p < 0.001. Table 8.
AVE and CR values for PAQ-CSRTW.
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Invariance $\chi^2 $ DF CFI RMSEA $\Delta \chi^2 $ ∆DF ∆CFI ∆RMSEA Gender Configurational 753.822 543 0.948 0.036 29.553 19 −0.003 0.000 Metric 771.697 564 0.949 0.035 47.407 40 0.001 −0.001 Scalar 810.748 585 0.945 0.036 86.458 61 −0.004 0.001 Educational levels Configurational 774.056 543 0.944 0.037 24.481 19 −0.001 −0.001 Metric 792.255 564 0.944 0.037 42.68 40 0.000 0.000 Scalar 814.554 585 0.944 0.036 64.979 61 0.000 −0.001 DF: Degree of Freedom; CFI: Comparative Fit Index; RSMEA: Root Mean Squared Error of Approximation. Table 9.
Measurement invariance test for gender and educational levels.
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Dimension name Cronbach's α coefficient Retest reliability coefficient Split-half reliability coefficient Working ability 0.866 0.917 Health status 0.823 0.920 Support system 0.896 0.906 Returning to family 0.892 0.955 Self-realization 0.821 0.931 Colleagues' and leaders' stress 0.828 0.890 Scale 0.888 0.904 0.716 Table 10.
Reliability coefficients of the questionnaire.
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