Jalali Amir, Merati Fashi Fatemeh, Karami Mohammad, Kalhory Parnia, Mardani Taghvostani Nazanin, Moradi Khalil
Substance Abuse Prevention Research Center, Research Institute for Health, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Department of Emergency and Critical Care Nursing, School of Nursing and Midwifery Kermanshah University of Medical Sciences, Kermanshah, Iran.
Palliat Support Care. 2025 Jan 21;23:e37. doi: 10.1017/S147895152400141X.
Spiritual care is essential for the health and well-being of patients and their families, so nursing and midwifery students should have professional competency in this field.
The present study aimed to translate the Spiritual Care Competency Self-Assessment Tool for nursing and midwifery students into Persian and evaluate its psychometric properties.
This study has a methodological study design.
The present study was conducted from July 4 to November 19, 2023, at the Faculty of Nursing and Midwifery in west of Iran. The tool was translated into Persian using the forward-backward translation method. The construct validity was examined using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) with a total of 536 nursing and midwifery students. The internal consistency was assessed using Cronbach's alpha coefficient. Also, the reliability of the tool was evaluated using the test-retest method. SPSS version 26 and Lisrel version 8 software were used in this study.
Face and content validity was confirmed quantitatively and qualitatively. The results of EFA and CFA confirmed the tool with 4 factors and 28 items. CFA results indicated a well-fitting model (comparative fit index [CFI] = .97, Non-Normed Fit Index (NNFI) = .92, goodness of fit index [GFI] = .91, root mean square error of approximation [RMSEA] = .05, Standardized Root Mean Square Residual (SRMR) = .046). Pearson's correlation coefficient confirmed a significant relationship between items, subscales, and the main scale. Also, Cronbach's alpha coefficient (.968) and test-retest (.867) confirmed the reliability of the Persian version of the tool.
The present study showed that the Persian version of the EPICC Spiritual Care, with 4 factors and 28 items, was suitable for validation and that its psychometric properties were acceptable according to COSMIN criteria. In general, the results showed that the Persian version of the EPICC Spiritual Care is a valid and reliable tool that students, preceptors, and educators can use in clinical settings as a practical way of discussing and evaluating spiritual care competency in Iran.
精神关怀对患者及其家属的健康和幸福至关重要，因此护理和助产专业的学生应具备该领域的专业能力。
本研究旨在将护理和助产专业学生的精神关怀能力自我评估工具翻译成波斯语，并评估其心理测量特性。
本研究采用方法学研究设计。
本研究于2023年7月4日至11月19日在伊朗西部的护理与助产学院进行。该工具采用前后翻译法翻译成波斯语。使用探索性因素分析（EFA）和验证性因素分析（CFA）对总共536名护理和助产专业学生进行结构效度检验。使用Cronbach's alpha系数评估内部一致性。此外，使用重测法评估该工具的信度。本研究使用SPSS 26版和Lisrel 8版软件。
从定量和定性两方面确认了表面效度和内容效度。EFA和CFA的结果证实该工具包含4个因素和28个项目。CFA结果表明模型拟合良好（比较拟合指数[CFI]=.97，非规范拟合指数[NNFI]=.92，拟合优度指数[GFI]=.91，近似均方根误差[RMSEA]=.05，标准化均方根残差[SRMR]=.046）。Pearson相关系数证实了各项目、子量表与主量表之间存在显著关系。此外，Cronbach's alpha系数（.968）和重测系数（.867）证实了该工具波斯语版本的信度。
本研究表明，包含4个因素和28个项目的波斯语版EPICC精神关怀工具适用于验证，并且根据COSMIN标准其心理测量特性是可接受的。总体而言，结果表明波斯语版EPICC精神关怀是一个有效且可靠的工具，学生、带教老师和教育工作者可以在临床环境中使用它，作为在伊朗讨论和评估精神关怀能力的一种实用方式。
