Translation and psychometric evaluation of the Chinese version of the arterial puncture self-efficacy scale

Abstract Background Arterial blood gases (ABG) analysis is an indispensable yet difficult-to-perform skill in nursing practice. In the acquisition of this skill, nurses’ self-efficacy plays a crucial role. Nevertheless, there is presently a shortage of a dependable tool for assessing the self-effica...

Full description

Saved in:
Bibliographic Details
Main Authors: Qiuyan Li, Dian Wang, Wenjun Luo, Xiaoling He, Hongjuan Huang
Format: Article
Language:English
Published: BMC 2025-07-01
Series:BMC Nursing
Subjects:
Online Access:https://doi.org/10.1186/s12912-025-03514-x
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849766793288089600
author Qiuyan Li
Dian Wang
Wenjun Luo
Xiaoling He
Hongjuan Huang
author_facet Qiuyan Li
Dian Wang
Wenjun Luo
Xiaoling He
Hongjuan Huang
author_sort Qiuyan Li
collection DOAJ
description Abstract Background Arterial blood gases (ABG) analysis is an indispensable yet difficult-to-perform skill in nursing practice. In the acquisition of this skill, nurses’ self-efficacy plays a crucial role. Nevertheless, there is presently a shortage of a dependable tool for assessing the self-efficacy of Chinese nurses when it comes to performing arterial punctures for ABG analysis. Objectives To translate and psychometrically validate the Arterial Puncture Self-Efficacy Scale (APSES) for health professionals in China. Methods A cross-sectional methodological study was employed. From January 2022 to September 2022, a convenience sample of 304 nurses was recruited from Sun Yat-sen Memorial Hospital through an online questionnaire. Internal consistency reliability, test-retest reliability, split-half reliability, construct validity, and content validity of the APSES-C were analyzed using psychometric testing. Results The APSES-C retained 16 items after modification and comprises two components: preparation of patient and material, and arterial puncture and sample management. Overall, the APSES-C indicated acceptable internal consistency coefficients (Cronbach’s α: 0.86), a good test-retest reliability within a 4-week interval (intraclass correlation coefficient: 0.75), and satisfactory content validity (I-CVI = 0.8-1.0, S-CVI = 0.95). Confirmatory factor analysis revealed that the modified two-factor structure of the 16-item APSES-C presented a good model fit to the data analysis revealed that the modified two-factor structure of the APSES-C presented a good model fit to the data. Conclusions This study suggested that the 16-item APSES-C is a reliable tool for assessing Chinese health professionals’ self-efficacy toward arterial punctures for ABG analysis, which may help enhance arterial puncture skills in the context of Chinese nursing practice. The APSES-C may serve as a practical tool for nursing educators to identify skill gaps in arterial puncture training and develop targeted interventions to enhance clinical competence among Chinese nurses.
format Article
id doaj-art-14bf2c15a98a49ea9edd2e8a2c5ef95d
institution DOAJ
issn 1472-6955
language English
publishDate 2025-07-01
publisher BMC
record_format Article
series BMC Nursing
spelling doaj-art-14bf2c15a98a49ea9edd2e8a2c5ef95d2025-08-20T03:04:27ZengBMCBMC Nursing1472-69552025-07-0124111210.1186/s12912-025-03514-xTranslation and psychometric evaluation of the Chinese version of the arterial puncture self-efficacy scaleQiuyan Li0Dian Wang1Wenjun Luo2Xiaoling He3Hongjuan Huang4Department of Pediatrics, Sun Yat-sen Memorial Hospital, Sun Yat-sen UniversityNursing Department, The Third Affiliated Hospital, Sun Yat-sen UniversityDepartment of Pediatrics, Sun Yat-sen Memorial Hospital, Sun Yat-sen UniversityDepartment of Cardiology, Sun Yat-sen Memorial Hospital, Sun Yat-sen UniversityDepartment of Pediatrics, Sun Yat-sen Memorial Hospital, Sun Yat-sen UniversityAbstract Background Arterial blood gases (ABG) analysis is an indispensable yet difficult-to-perform skill in nursing practice. In the acquisition of this skill, nurses’ self-efficacy plays a crucial role. Nevertheless, there is presently a shortage of a dependable tool for assessing the self-efficacy of Chinese nurses when it comes to performing arterial punctures for ABG analysis. Objectives To translate and psychometrically validate the Arterial Puncture Self-Efficacy Scale (APSES) for health professionals in China. Methods A cross-sectional methodological study was employed. From January 2022 to September 2022, a convenience sample of 304 nurses was recruited from Sun Yat-sen Memorial Hospital through an online questionnaire. Internal consistency reliability, test-retest reliability, split-half reliability, construct validity, and content validity of the APSES-C were analyzed using psychometric testing. Results The APSES-C retained 16 items after modification and comprises two components: preparation of patient and material, and arterial puncture and sample management. Overall, the APSES-C indicated acceptable internal consistency coefficients (Cronbach’s α: 0.86), a good test-retest reliability within a 4-week interval (intraclass correlation coefficient: 0.75), and satisfactory content validity (I-CVI = 0.8-1.0, S-CVI = 0.95). Confirmatory factor analysis revealed that the modified two-factor structure of the 16-item APSES-C presented a good model fit to the data analysis revealed that the modified two-factor structure of the APSES-C presented a good model fit to the data. Conclusions This study suggested that the 16-item APSES-C is a reliable tool for assessing Chinese health professionals’ self-efficacy toward arterial punctures for ABG analysis, which may help enhance arterial puncture skills in the context of Chinese nursing practice. The APSES-C may serve as a practical tool for nursing educators to identify skill gaps in arterial puncture training and develop targeted interventions to enhance clinical competence among Chinese nurses.https://doi.org/10.1186/s12912-025-03514-xArterial blood gases (ABG)Psychometric propertiesNurses
spellingShingle Qiuyan Li
Dian Wang
Wenjun Luo
Xiaoling He
Hongjuan Huang
Translation and psychometric evaluation of the Chinese version of the arterial puncture self-efficacy scale
BMC Nursing
Arterial blood gases (ABG)
Psychometric properties
Nurses
title Translation and psychometric evaluation of the Chinese version of the arterial puncture self-efficacy scale
title_full Translation and psychometric evaluation of the Chinese version of the arterial puncture self-efficacy scale
title_fullStr Translation and psychometric evaluation of the Chinese version of the arterial puncture self-efficacy scale
title_full_unstemmed Translation and psychometric evaluation of the Chinese version of the arterial puncture self-efficacy scale
title_short Translation and psychometric evaluation of the Chinese version of the arterial puncture self-efficacy scale
title_sort translation and psychometric evaluation of the chinese version of the arterial puncture self efficacy scale
topic Arterial blood gases (ABG)
Psychometric properties
Nurses
url https://doi.org/10.1186/s12912-025-03514-x
work_keys_str_mv AT qiuyanli translationandpsychometricevaluationofthechineseversionofthearterialpunctureselfefficacyscale
AT dianwang translationandpsychometricevaluationofthechineseversionofthearterialpunctureselfefficacyscale
AT wenjunluo translationandpsychometricevaluationofthechineseversionofthearterialpunctureselfefficacyscale
AT xiaolinghe translationandpsychometricevaluationofthechineseversionofthearterialpunctureselfefficacyscale
AT hongjuanhuang translationandpsychometricevaluationofthechineseversionofthearterialpunctureselfefficacyscale