Suquet García-Inés Tamara, Martínez-Gimeno M Lara, Jódar Rafael, Mc Sherry Wilfred, Ribeiro Ana Sf, Zulueta-Egea Mar
San Juan de Dios Foundation, Madrid, Spain; Comillas Pontifical University, Health Sciences, Department, San Juan de Dios School of Nursing and Physical Therapy, Madrid, Spain.
Clinical Psychology Unit (UNINPSI), Psychology Department, Comillas Pontifical University, Madrid, Spain.
Nurse Educ Pract. 2025 Jul;86:104395. doi: 10.1016/j.nepr.2025.104395. Epub 2025 May 13.
To cross-culturally adapt and psychometrically test the Spanish version of the EPICC Spiritual Care Competency Tool for student nurses and midwives (EPICC_ spa) BACKGROUND: Spiritual care is an essential component of holistic nursing and specific training on its competencies and their evaluation should be mandatory in nursing degree studies. However, assessment instruments of spiritual care competencies among student nurses in Spanish contexts are presently insufficient.
This was a multicentre, descriptive, cross-sectional study in two phases.
Phase 1 involved the translation and linguistic adaptation of the scale through a panel of experts and a pilot test. Phase 2 involved the evaluation of structural content, internal reliability and construct validity. Data were collected between January and June 2024.
Twelve of thirteen nursing schools in Madrid, Spain participated, with 642 first- or fourth-year nursing students as the final sample population. In the content validity analysis based on an expert panel, 28 items showed good or excellent validity indices. Exploratory and confirmatory factor analyses revealed a bifactor model of the EPICC_ spa, with two dimensions and 16 items: attitudes towards spiritual care (ten items) and knowledge and skills to provide spiritual care (six items). Very good reliability and evidence of construct validity (convergent and differentiation in known groups) were also shown.
The EPICC_spa can be a reliable and valid self-assessment tool for spiritual-care competence among nursing students in Spain and Spanish-speaking countries.
对面向护理学学生和助产士的西班牙文版EPICC精神护理能力工具（EPICC_spa）进行跨文化调适和心理测量学测试。背景：精神护理是整体护理的重要组成部分，护理学位课程中应对其能力及评估进行专项培训。然而，目前西班牙语环境下护理学学生精神护理能力的评估工具不足。
这是一项分两个阶段进行的多中心、描述性横断面研究。
第一阶段通过专家小组对量表进行翻译和语言调适，并进行预测试。第二阶段对结构内容、内部信度和结构效度进行评估。数据收集于2024年1月至6月。
西班牙马德里的13所护理院校中有12所参与研究，642名一年级或四年级护理专业学生作为最终样本群体。在基于专家小组的内容效度分析中，28个条目显示出良好或优秀的效度指标。探索性和验证性因素分析揭示了EPICC_spa的双因素模型，包括两个维度和16个条目：对精神护理的态度（10个条目）以及提供精神护理的知识和技能（6个条目）。还显示出非常好的信度以及结构效度证据（已知群体中的收敛效度和区分效度）。
EPICC_spa可以成为西班牙及西班牙语国家护理专业学生精神护理能力可靠且有效的自我评估工具。
