Fernández-Pascual M D, Reig-Ferrer A, Martínez-Rodríguez L, Quesada-Rico J A, Mcsherry W, Riquelme-Ros L
Department of Health Psychology, Faculty of Health Science, University of Alicante, Alicante, Spain.
Institute for Health and Biomedical Research (ISABIAL), Alicante, Spain.
Nurs Open. 2024 Dec;11(12):e70115. doi: 10.1002/nop2.70115.
To examine the reliability and construct validity of the Spanish adaptation of the Spirituality and Spiritual Care Rating Scale (SSCRS) within the nursing professionals' context.
Observational and descriptive cross-sectional study.
The sample consisted of N = 325 nursing professionals from various healthcare settings, including hospitals, clinics and community healthcare centres. Following translation and cultural adaption of the SSCRS, the scale underwent psychometric assessment of its construct validity through exploratory and confirmatory factor analysis. Internal consistency analysis was also performed using a McDonald's omega. The reporting in this investigation adhered to the STROBE checklist.
The exploratory factor analysis (EFA) revealed a two-factor structure, with one factor closely aligning with one religiosity dimension and the other factor combining the spirituality, spiritual care and personalised care dimensions. The results of the confirmatory factor analysis did not provide an adequate fit to the data for both the two-factor solution found in the EFA and the four-factor solution proposed by McSherry, Draper, and Kendrick (2002). Even though the four-factor solution showed a slightly better fit than the two-factor solution, neither model achieved a satisfactory fit. The lack of formal education and confusion between religion and spirituality among healthcare professionals could have influenced the responses and interpretation of the results.
The findings showed that the SSCRS-Sp demonstrated good internal consistency, indicating that the items in the scale are reliably measuring the targeted constructs. Further refinement and validation of the scale are needed to establish a robust factor structure in the target population.
The SSCRS-Sp can be used to assess the nurses' perceptions of spirituality and spiritual care. The availability of this tool represents a significant step towards greater integration of the spiritual dimension of care within a holistic nursing care framework in Spanish-speaking countries.
Nursing professionals responded to the research scale.
在护理专业人员的背景下，检验西班牙文版精神与精神护理评定量表（SSCRS）的信度和结构效度。
观察性描述性横断面研究。
样本包括来自医院、诊所和社区医疗中心等不同医疗机构的N = 325名护理专业人员。在对SSCRS进行翻译和文化调适后，通过探索性和验证性因素分析对该量表进行结构效度的心理测量评估。还使用麦克唐纳ω系数进行了内部一致性分析。本调查的报告遵循STROBE清单。
探索性因素分析（EFA）揭示了一个两因素结构，一个因素与一个宗教维度密切相关，另一个因素则将精神、精神护理和个性化护理维度结合在一起。验证性因素分析的结果对于EFA中发现的两因素解决方案以及McSherry、Draper和Kendrick（2002年）提出的四因素解决方案均未提供对数据的充分拟合。尽管四因素解决方案比两因素解决方案显示出稍好的拟合度，但两个模型均未达到令人满意的拟合度。医疗保健专业人员缺乏正规教育以及宗教与精神之间的混淆可能影响了结果的回答和解释。
研究结果表明，SSCRS-Sp具有良好的内部一致性，表明量表中的项目能够可靠地测量目标结构。需要对量表进行进一步完善和验证，以在目标人群中建立稳健的因素结构。
SSCRS-Sp可用于评估护士对精神和精神护理的认知。该工具的可用性代表了在西班牙语国家的整体护理框架内朝着更大程度地整合护理的精神维度迈出的重要一步。
护理专业人员对研究量表做出了回应。
