Celdrán-Navarro María Del Carmen, Jiménez-Ruiz Ismael, Seva-Llor A Myriam, Moore James R, Leal-Costa Cesar
Servicio Murciano de Salud, 30120 Murcia, Spain.
Faculty of Nursing, University of Murcia, El Palmar, 30120 Murcia, Spain.
Healthcare (Basel). 2024 Mar 7;12(6):606. doi: 10.3390/healthcare12060606.
How can we know the reality of the context of bullying in the field of primary health care? The aim of this study is to obtain a validated and reliable tool that allows measurement of the involvement of primary care professionals in addressing bullying through a systematic content validation process. A cross-cultural validation of the Healthcare Provider's Practices, Attitudes, Self-Confidence, and Knowledge Regarding Bullying Questionnaire was conducted for the Spanish perspective. This involved linguistic adaptation through translation-back-translation, content validity index (CVI) analysis, construct validity using confirmatory factor analysis (CFA), and internal consistency (Cronbach's α). The total CVI was 0.95, with individual item scores ≥ 0.78. CFA revealed a good fit for the three subscales, with discrimination indices (item-total correlation within the dimension) > 0.30. Cronbach's α for each dimension indicated a high level of reliability, with values of 0.735 for attitudes, 0.940 for self-confidence, and 0.895 for knowledge. The questionnaire is valid and reliable for evaluating the knowledge, attitudes, and self-confidence of primary care professionals in Spain regarding bullying. Its validity and reliability guarantee its potential use in other health settings and may lead to better training of professionals and school biopsychosocial health.
我们如何了解初级卫生保健领域中欺凌行为的实际情况？本研究的目的是获得一种经过验证且可靠的工具，通过系统的内容验证过程来衡量初级保健专业人员在应对欺凌行为方面的参与程度。针对西班牙的情况，对《医疗保健提供者关于欺凌行为的实践、态度、自信和知识问卷》进行了跨文化验证。这包括通过翻译-回译进行语言调整、内容效度指数（CVI）分析、使用验证性因素分析（CFA）进行结构效度分析以及内部一致性（克朗巴哈α系数）分析。总CVI为0.95，单个项目得分≥0.78。CFA显示三个子量表拟合良好，区分指数（维度内项目与总分的相关性）>0.30。每个维度的克朗巴哈α系数表明可靠性水平较高，态度维度为0.735，自信维度为0.940，知识维度为0.895。该问卷对于评估西班牙初级保健专业人员在欺凌行为方面的知识、态度和自信是有效且可靠的。其有效性和可靠性保证了它在其他卫生环境中的潜在用途，并可能带来对专业人员更好的培训以及学校生物心理社会健康状况的改善。
