The scale adaptation process demonstrated that the Turkish version of the instrument has satisfactory validity and reliability and can be confidently used among health sciences students and highlight a clear need to strengthen educational curricula on rational antibiotic use and resistance mechanisms to foster greater awareness among students.
Abstract
This study aims to adapt the "Knowledge and Attitudes Regarding Antibiotic Resistance Scale" developed by Alshehri and Khawagi (2025) into Turkish culture and language, evaluating its validity and reliability. It also utilizes this adapted Turkish version to assess the antibiotic resistance knowledge and attitudes of health sciences faculty students, examining how these variables differ across various sociodemographic factors.
Designed as a methodological and cross-sectional study, the research sample consisted of 505 undergraduate students studying at Gümüşhane University Faculty of Health Sciences. During the adaptation phase, language, content, and construct validity were established alongside reliability analyses. To test construct validity, Confirmatory Factor Analysis (CFA) was conducted, while internal consistency was determined through Cronbach's Alpha and Composite Reliability (CR) coefficients. Additionally, item difficulty and discrimination indices were calculated for the knowledge test, and descriptive as well as comparative statistical methods were employed to analyze the collected data.
In conclusion, the scale adaptation process demonstrated that the Turkish version of the instrument has satisfactory validity and reliability and can be confidently used among health sciences students. Furthermore, the field data highlight a clear need to strengthen educational curricula on rational antibiotic use and resistance mechanisms to foster greater awareness among students.
Inappropriate antibiotic use in children constitutes a global challenge for patient safety, being influenced by caregivers’ perceptions, knowledge, and behaviors. The objective of the present study was to assess the content validity and reliability of the Brazilian version of the Parental Perception on Antibiotics Scale (PAPA Scale). This is a methodological study to obtain evidence of content validity and reliability of the Brazilian version of the PAPA Scale. In the content validity stage, 24 healthcare judges assessed the items regarding clarity of language, practical pertinence, and theoretical relevance. After the suggested adjustments, the scale was applied to 209 parents of children who used antibiotics at home. Content validity was analyzed using the Content Validity Coefficient. Reliability was assessed through internal consistency, using Cronbach’s alpha and McDonald’s omega, and through temporal stability, using the test-retest method via weighted Kappa and Intraclass Correlation Coefficient (ICC). The total content validity coefficients were 0.94 for clarity of language, 0.97 for practical pertinence, and 0.97 for theoretical relevance. Internal consistency indices by factor ranged from 0.597 to 0.864 for alpha and 0.603 to 0.862 for omega. Temporal stability presented ICC values between 0.337 and 0.648, indicating weak to moderate reliability. The Brazilian version of the PAPA Scale, comprising 36 items distributed across six factors, presented evidence of content validity and reliability, demonstrating potential for use in assessing parental perception of antibiotic use in children at home.
Glaubervania Alves Lima, Francisca Elisângela Teixeira Lima, B. DeOliveira et al.· O Mundo da Saúde· 0 citations
OBJECTIVE
This methodological study was conducted to evaluate the Turkish validity and reliability of the "Instrument of Self-care for Prevention of Diabetic Foot" developed by Herrera-Guerra and Bautista-Arellano.
MATERIALS AND METHODS
This research is of methodological type. The study was conducted with 202 diabetic individuals followed up at a university hospital in Türkiye. Translation-back translation was used to assess linguistic validity, and the opinions of 11 experts were consulted for content validity. Confirmatory Factor Analysis (CFA) was applied to assess construct validity, and the Diagonally Weighted Least Squares (DWLS) estimator was used in the analyses. For reliability analysis, internal consistency coefficients (Cronbach's alpha and McDonald's omega) were calculated, and a test-retest reliability test was performed on 26 patients at four-week intervals.
RESULTS
The content validity index was found to be 0.98. CFA results showed that the three-factor structure of the scale (Self-Care Monitoring, Self-Care Maintenance, and Self-Care Management) is suitable for the Turkish sample and that the model fit indices are at an excellent level (GFI = 0.989, CFI = 0.995, RMSEA = 0.055, SRMR = 0.061). Cronbach's alpha coefficients for the sub-dimensions of the scale were found to be in the range of 0.859-0.885, and McDonald's omega coefficients were in the range of 0.869-0.887. In the test-retest analysis, it was determined that there was no systematic deviation between the measurements in the Bland-Altman plots and that there was a very high level of positive correlation between test and retest scores (r = 0.992-0.994).
CONCLUSION
As a result of the research, it was determined that the Instrument of Self-care for Prevention of Diabetic Foot is a valid and reliable scale in Turkish. This tool can be used as a guide in nursing care in terms of preventing diabetic foot ulcers and monitoring self-care of patients with diabetes in the Turkish population.
Çagla Avcu, Tulin Yildiz, S. Gurkan et al.· Journal of Tissue Viability· 0 citations
The Turkish version of the FtAIS is a valid and reliable instrument for assessing fear of AI among nursing students and demonstrates acceptable content and construct validity and good internal consistency.
Şebnem Bilgiç, İdi̇l Şahi̇n· Journal of Nursing Measureme...· 0 citations
ABSTRACT Objectives: to assess the internal structure validity of the Brazilian version of the Health Professional Education in Patient Safety Survey among nursing students. Methods: a psychometric study was conducted with 402 final-year nursing students from 17 universities. Measurement properties were tested using Exploratory Factor Analysis and Item Response Theory, combined with cross-validation. Reliability was assessed using Cronbach’s Alpha and McDonald’s Omega indicators. Data analysis was performed using IBM® SPSS Statistics 20.0 and Factor® software. Results: the unidimensional 16-item model explained 60.76% of the variance in clinical practice and 55.25% in classroom settings. Factor loadings, communalities, and item discrimination were adequate, with stability and replicability maintained in cross-validation. Conclusions: the Brazilian version of the instrument demonstrated evidence of internal structure validity among nursing students, contributing to the identification of gaps in patient safety education.
Ana Carolina Simões Pereira, Maria do Carmo Fernandez Lourenço Haddad, S. Marcon et al.· Revista Brasileira de Enferm...· 0 citations
Background Nurses’ spiritual sensitivity refers to the ability to identify the spiritual needs of patients and their families and to address these needs through ethical decision‐making in clinical practice. However, there are currently no validated instruments to measure the spiritual sensitivity of Chinese nurses. Aims This study aimed to adapt the Nurses’ Spiritual Sensitivity Scale (NSSS) into Chinese and to evaluate its reliability and validity among Chinese nurses. Methods After forward translation, back‐translation, cross‐cultural adaptation, and expert consultation, a Chinese version of the NSSS was developed. In a cross‐sectional study, a total of 508 nurses were recruited from two hospitals to evaluate the instrument’s psychometric properties. Content validity was assessed using the content validity index (CVI), and structural validity was evaluated using exploratory factor analysis (EFA) (n = 303) and confirmatory factor analysis (CFA) (n = 205). Reliability was examined using Cronbach’s α coefficient for internal consistency and the intraclass correlation coefficient (ICC) for test–retest reliability. Results The Chinese version of the NSSS comprises 20 items across two dimensions: professional spiritual sensitivity and inner spiritual sensitivity. The item‐level CVI (I‐CVI) ranged from 0.833 to 1.000; the scale‐level CVI (S‐CVI) was 0.900, and the average S‐CVI was 0.983. EFA (n = 303) extracted two factors, with a cumulative variance explained of 61.658%. CFA (n = 205) supported a two‐dimensional structure. The overall Cronbach’s α coefficient of the scale was 0.927, and the test–retest reliability coefficient was 0.911. For the two dimensions, the Cronbach’s α coefficients were 0.943 and 0.914, and the test–retest reliability coefficients were 0.867 and 0.935. Conclusions The Chinese version of the NSSS is a reliable and valid instrument for assessing the spiritual sensitivity of Chinese nurses. Implications for Nursing Management The validated Chinese NSSS offers potential utility for screening training needs, evaluating educational interventions, and guiding clinical supervision in spiritual care.
Zifeng Li, Xiao-Jing Zhou, Luhuan Yang et al.· Journal of Nursing Managemen...· 0 citations
The K-MAIRS can be a valid and reliable instrument for assessing artificial intelligence readiness among Korean nursing students and supports global initiatives to incorporate artificial intelligence competencies into nursing education using culturally tailored assessment tools.
Minjae Lee, Nayeon Yi, Seunghyeon Lee et al.· Nursing and Health Sciences· 0 citations