Qin Qin, Zheng Luqing, Chen Le, Yang Yang, Li Huifang, Wang Jingjing, Cheng Linan, Mohd Shariff Noorsuzana
Department of Medical, Quzhou College of Technology, Quzhou, 324003, Zhejiang, China.
Advanced Medical and Dental Institute, Universiti Sains Malaysia, 13200, Penang, Malaysia.
BMC Nurs. 2024 Dec 18;23(1):915. doi: 10.1186/s12912-024-02612-6.
Nursing interns, the future nurses, often find it challenging to interact with trauma survivors due to their lack of experience and training. Assessing their attitudes and knowledge in trauma-informed care can improve their clinical performance.
To culturally adapt and assess the reliability and validity of the Attitudes Related to Trauma-Informed Care Scale in Chinese nursing interns.
Quantitative cross-sectional design.
The translation of Attitudes Related to the Trauma-Informed Care (ARTIC) Scale followed guidelines for the cross-cultural adaptation process. A survey was conducted with 490 nursing interns from two colleges in China in February and May 2024, and seven experts evaluated the content equivalence of each item. Reliability and validity were assessed using item analysis, exploratory factor analysis, confirmatory factor analysis, internal consistency reliability, and test-retest reliability.
The Chinese version of the ARTIC-C retained 35 items and demonstrated high content validity. Exploratory factor analysis revealed a 6-factor structure, explaining 61.887% of the total variance. Confirmatory factor analysis indicated that the 6-factor model adequately represented the scale structure: chi-square/degree of freedom (CMIN/DF) = 1.544, root mean square error of approximation (RMSEA) = 0.045, comparative fit index (CFI) = 0.969, incremental fit index (IFI) = 0.969, Tucker Lewis index (TLI) = 0.966, and standardized root mean square residual (SRMR) = 0.046. The scale had a Cronbach's alpha of 0.916 and test-retest reliability of 0.876.
The Chinese version of the ARTIC-C scale has demonstrated strong reliability and validity, making it an effective tool for measuring Chinese nursing interns' attitudes and knowledge regarding trauma-informed care.
护理实习生作为未来的护士，由于缺乏经验和培训，常常发现与创伤幸存者互动具有挑战性。评估他们在创伤知情护理方面的态度和知识可以提高他们的临床表现。
对中国护理实习生进行创伤知情护理相关态度量表的文化调适，并评估其信效度。
定量横断面设计。
创伤知情护理相关态度（ARTIC）量表的翻译遵循跨文化调适过程的指南。2024年2月和5月对中国两所院校的490名护理实习生进行了调查，7名专家对每个条目的内容等效性进行了评估。使用项目分析、探索性因素分析、验证性因素分析、内部一致性信度和重测信度来评估信效度。
ARTIC-C中文版保留了35个条目，并显示出较高的内容效度。探索性因素分析揭示了一个六因素结构，解释了总方差的61.887%。验证性因素分析表明，六因素模型充分代表了量表结构：卡方/自由度（CMIN/DF）=1.544，近似均方根误差（RMSEA）=0.045，比较拟合指数（CFI）=0.969，增值拟合指数（IFI）=0.969，塔克·刘易斯指数（TLI）=0.966，标准化均方根残差（SRMR）=0.046。该量表的克朗巴哈α系数为0.916，重测信度为0.876。
ARTIC-C中文版量表具有较强的信效度，是测量中国护理实习生对创伤知情护理的态度和知识的有效工具。
