This study was conducted with the approval of the Institutional Review Board of C University (1041566-202103-HR-001-01). The participants were nursing students. The inclusion criteria were as follows: ( 1) those who had experienced at least two semesters of clinical nursing practice and ( 2) those who understood the purpose of the study and voluntarily agreed to participate. It was explained to the students who did not consent to participate in the study that there would be no personal disadvantages or additional risk factors (see Supplementary Material). The sample for the study used convenience sampling. The number of participants was based on the criterion that at least 150-200 participants are required for exploratory factor analysis (EFA) [[39]] and 150 or more participants are required for confirmatory factor analysis (CFA) [[40]]. A total of 352 nursing students participated in the study; therefore, the sample size was considered sufficient. After assigning a number to the collected questionnaires, they were randomly assigned using the random selection method in the SPSS Win 23.0 program, with the allocation ratio set to 50.0%. Participants were assigned to the EFA and CFA: 176 were used for the item analysis and EFA (Group 1), and 176 were used for the CFA (Group 2). The motivation for choosing a major, communication level, and satisfaction with the major of the two groups of participants were identified