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Preliminary Evidence of Internal Structure Validity of the Ease Measure Among Bahamians Exposed to the Trauma Cluster of Hurricane Dorian and COVID-19

Levarity B, Adenmosun E, Liehr P

Journal of nursing measurement, 2026

208 participants

Abstract

Background and Purpose: Ease is recognized in nursing as a sense of calm, understanding, and contentment, yet it remains underexplored and rarely measured. Existing reliance on indirect indicators highlights the need for a tool that captures the holistic lived experience of ease. This study evaluated the construct validity of the 20-item Ease Measure. Methods: A secondary analysis was conducted using cross-sectional data collected from 208 adults on Grand Bahama Island after Hurricane Dorian and the COVID-19 pandemic, with analyses conducted on complete cases. Exploratory factor analysis using parallel analysis and principal axis factoring in SPSS was performed, with internal reliability assessed with coefficient alpha and McDonald's omega. Results: A two-factor structure explained 49.6% of the variance with strong reliability (α = .89), though the solution largely aligned with the direction of item wording (positive vs. negative). Conclusions: The findings provide preliminary evidence of the internal structure validity of the Ease Measure and suggest a need for further validation and future application.

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