Department of Cardiovascular, Endocrine-metabolic Diseases and Aging, Istituto Superiore di Sanità, Via Giano della Bella 34, 00162 Rome, Italy.
Psychiatry and Clinical Psychology Unit, Fondazione Policlinico Tor Vergata, Viale Oxford 81, 00133 Rome, Italy.
Appl Nurs Res. 2023 Oct;73:151728. doi: 10.1016/j.apnr.2023.151728. Epub 2023 Aug 12.
Incivility in nursing education is present worldwide and impacts all those involved and the teacher-student relationship. The revised Incivility in Nursing Education (INE-R) is a validated and reliable instrument to measure academic incivility, but it is not available in Italian language. The aim of the study was to translate and validate the INE-R tool with an Italian sample.
The INE-R was translated from English into Italian, culturally adapted and piloted for content and linguistic clarity. The questionnaire was administered online to Nursing Faculty (NF) and Nursing Students (NS) of Sapienza University of Rome to assess uncivil behaviors and their frequency of occurrence. The psychometric properties of the Italian version were investigated.
79 Italians participated, of which 63.3 % were NS. Four-factor models provided the best fit for NF and NS scales. The models explained 78.2 % (NF) and 73.2 % (NS) of the variance of the scales. The Root Mean Square Error of Approximation for both models was 0.07, indicating an acceptable fit. INE-R reliability for all 48 NF and NS incivility items was 0.962 and 0.954, respectively. Measuring the degree of incivility and establishing codes of conduct were recommended.
Incivility in nursing education negatively impacts the teaching-learning environment and could cause emotional or physical distress for those involved. Zero-tolerance policy regarding incivility, routine evaluation, and raising awareness among students and faculty could improve the quality of academic settings. The Italian INE-R is a valid and reliable tool that can be used to evaluate incivility in Italian nursing programs.
在护理教育中，不文明行为在世界范围内普遍存在，影响着所有相关人员和师生关系。修订后的《护理教育不文明行为量表》（INE-R）是一种经过验证和可靠的测量学术不文明行为的工具，但它没有意大利语版本。本研究旨在用意大利语样本翻译和验证 INE-R 工具。
将 INE-R 从英语翻译成意大利语，进行文化适应性调整，并进行内容和语言清晰度的试点研究。问卷通过网络向罗马萨皮恩扎大学的护理教师（NF）和护理学生（NS）发放，以评估不文明行为及其发生频率。研究了意大利语版本的心理测量特性。
共有 79 名意大利人参与了研究，其中 63.3%是 NS。四因素模型为 NF 和 NS 量表提供了最佳拟合。这两个模型分别解释了量表方差的 78.2%（NF）和 73.2%（NS）。两个模型的均方根误差估计值均为 0.07，表明拟合度可接受。所有 48 个 NF 和 NS 不文明行为项目的 INE-R 信度分别为 0.962 和 0.954。建议对不文明行为进行度量并制定行为准则。
护理教育中的不文明行为会对教学环境产生负面影响，并可能给相关人员带来情绪或身体上的困扰。对不文明行为采取零容忍政策、常规评估以及提高学生和教师的意识，可提高学术环境的质量。意大利语版的 INE-R 是一种有效且可靠的工具，可用于评估意大利护理项目中的不文明行为。
