Nursing Department, Shanghai General Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Education and Scientific Research Department of Clinical Nursing, Changhai Hospital Affiliated to Naval Medical University, Shanghai, China.
PLoS One. 2022 Jul 22;17(7):e0271800. doi: 10.1371/journal.pone.0271800. eCollection 2022.
In recent years, oral care for older people has received extensive attention in long-term care facilities. The Self-Efficacy for Providing Mouth Care (SE-PMC) and Attitudes for Providing Mouth Care (A-PMC) scale evaluated the self-efficacy and attitude of nursing staff while providing oral care. However, whether this scale is valid and reliable for Chinese nursing staff in China remains unverified. This study aims to translate the English version of SE-PMC and A-PMC into Chinese and determine their reliability and validity.
After obtaining the author's consent, the procedure for a double-back translation and cross-cultural adaptation was conducted to develop the Chinese version of SE-PMC and A-PMC. The validity and reliability of the Chinese version of SE-PMC and A-PMC were evaluated in a cross-sectional observational study with 852 nurses from 42 Geriatric Care Facilities (GCFs). Exploratory factor analysis (EFA) (n = 427) and confirmatory factor analysis (CFA) (n = 425) were conducted to test the construct validity and quality of the factor structures. We applied the item discrimination test and homogeneity test for item analysis. Cronbach's alpha coefficient and split-half coefficient were adopted to evaluate internal consistency.
The Chinese version of SE-PMC (11 items, 3 factors) and A-PMC (11 items, 2 factors) included 22 items, reflecting adequate construct validity and reliability. In addition, test-retest reliability was 0.809 for SE-PMC and 0.811 for A-PMC, evincing good stability. The Cronbach's α coefficient of SE-PMC was 0.831, with each factor ranging from 0.7930.906. The Cronbach's α coefficient of the A-PMC was 0.768, with each factor ranging from 0.8140.824. Item-Content Validity Index (I-CVI) of SE-PMC and A-PMC ranged from 0.84 1.00 and 0.821.00, respectively.
The Chinese version of SE-PMC and A-PMC was validated as a reliable assessment tool to evaluate the self-efficacy and attitude of nursing staff in GCFs for providing oral care in China.
近年来，老年人的口腔护理在长期护理机构中受到广泛关注。自我口腔护理效能感量表（SE-PMC）和口腔护理态度量表（A-PMC）用于评估护理人员提供口腔护理时的自我效能感和态度。然而，该量表在中国的护理人员中是否有效和可靠仍未得到验证。本研究旨在将 SE-PMC 和 A-PMC 的英文版翻译成中文，并确定其信度和效度。
在获得作者同意后，采用双回译和跨文化调适程序，开发了 SE-PMC 和 A-PMC 的中文版。通过对来自 42 家老年护理机构的 852 名护士进行横断面观察研究，评估 SE-PMC 和 A-PMC 中文版的信度和效度。采用探索性因子分析（EFA）（n=427）和验证性因子分析（CFA）（n=425）检验量表的结构效度和质量。进行项目区分度和同质性检验进行项目分析。采用克朗巴赫α系数和分半系数评价内部一致性。
SE-PMC（11 个项目，3 个因子）和 A-PMC（11 个项目，2 个因子）的中文版包括 22 个项目，具有较好的结构效度和信度。此外，SE-PMC 和 A-PMC 的重测信度分别为 0.809 和 0.811，稳定性较好。SE-PMC 的克朗巴赫α系数为 0.831，各因子范围为 0.7930.906。A-PMC 的克朗巴赫α系数为 0.768，各因子范围为 0.8140.824。SE-PMC 和 A-PMC 的项目内容效度指数（I-CVI）分别为 0.841.00 和 0.821.00。
SE-PMC 和 A-PMC 的中文版是一种可靠的评估工具，可用于评估中国老年护理机构护理人员提供口腔护理的自我效能感和态度。
