Translation and validation of the Chinese version of the Attitudes Related to Trauma-Informed Care (ARTIC-C) scale in nursing inters: a psychometric analysis
Abstract Background 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. Objective To culturally adapt and...
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2024-12-01
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| Online Access: | https://doi.org/10.1186/s12912-024-02612-6 |
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| author | Qin Qin Luqing Zheng Le Chen Yang Yang Huifang Li Jingjing Wang Linan Cheng Noorsuzana Mohd Shariff |
| author_facet | Qin Qin Luqing Zheng Le Chen Yang Yang Huifang Li Jingjing Wang Linan Cheng Noorsuzana Mohd Shariff |
| author_sort | Qin Qin |
| collection | DOAJ |
| description | Abstract Background 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. Objective To culturally adapt and assess the reliability and validity of the Attitudes Related to Trauma-Informed Care Scale in Chinese nursing interns. Design Quantitative cross-sectional design. Methods 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. Results 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. Conclusions 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. |
| format | Article |
| id | doaj-art-6ca4b4d07b284cd1ae65896b5beb9506 |
| institution | DOAJ |
| issn | 1472-6955 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nursing |
| spelling | doaj-art-6ca4b4d07b284cd1ae65896b5beb95062025-08-20T02:40:14ZengBMCBMC Nursing1472-69552024-12-0123111310.1186/s12912-024-02612-6Translation and validation of the Chinese version of the Attitudes Related to Trauma-Informed Care (ARTIC-C) scale in nursing inters: a psychometric analysisQin Qin0Luqing Zheng1Le Chen2Yang Yang3Huifang Li4Jingjing Wang5Linan Cheng6Noorsuzana Mohd Shariff7Department of Medical, Quzhou College of TechnologySchool of Nursing, Hunan Traditional Chinese Medical CollegeSchool of Health Sciences, Health Campus, Universiti Sains MalaysiaDepartment of Medical, Quzhou College of TechnologyDepartment of Medical, Quzhou College of TechnologyAdvanced Medical and Dental Institute, Universiti Sains MalaysiaSchool of Nursing, Wenzhou Medical UniversityAdvanced Medical and Dental Institute, Universiti Sains MalaysiaAbstract Background 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. Objective To culturally adapt and assess the reliability and validity of the Attitudes Related to Trauma-Informed Care Scale in Chinese nursing interns. Design Quantitative cross-sectional design. Methods 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. Results 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. Conclusions 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.https://doi.org/10.1186/s12912-024-02612-6Trauma-informed careNursing internsPsychometricReliabilityValidity |
| spellingShingle | Qin Qin Luqing Zheng Le Chen Yang Yang Huifang Li Jingjing Wang Linan Cheng Noorsuzana Mohd Shariff Translation and validation of the Chinese version of the Attitudes Related to Trauma-Informed Care (ARTIC-C) scale in nursing inters: a psychometric analysis BMC Nursing Trauma-informed care Nursing interns Psychometric Reliability Validity |
| title | Translation and validation of the Chinese version of the Attitudes Related to Trauma-Informed Care (ARTIC-C) scale in nursing inters: a psychometric analysis |
| title_full | Translation and validation of the Chinese version of the Attitudes Related to Trauma-Informed Care (ARTIC-C) scale in nursing inters: a psychometric analysis |
| title_fullStr | Translation and validation of the Chinese version of the Attitudes Related to Trauma-Informed Care (ARTIC-C) scale in nursing inters: a psychometric analysis |
| title_full_unstemmed | Translation and validation of the Chinese version of the Attitudes Related to Trauma-Informed Care (ARTIC-C) scale in nursing inters: a psychometric analysis |
| title_short | Translation and validation of the Chinese version of the Attitudes Related to Trauma-Informed Care (ARTIC-C) scale in nursing inters: a psychometric analysis |
| title_sort | translation and validation of the chinese version of the attitudes related to trauma informed care artic c scale in nursing inters a psychometric analysis |
| topic | Trauma-informed care Nursing interns Psychometric Reliability Validity |
| url | https://doi.org/10.1186/s12912-024-02612-6 |
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