Psychometric testing of the Persian version of the nurse caring behavior scale
Abstract Background The patient’s perception of nurses’ caring behaviors predicts the quality of care they receive. Existing measurement tools have either not undergone psychometric evaluation or contain too many items, leading to participant fatigue. This study tested the psychometric properties of...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-07-01
|
| Series: | BMC Nursing |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12912-025-03486-y |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849334854030721024 |
|---|---|
| author | Mojtaba Jafari Reza Ghanei Gheshlagh Abbas Ebadi Asra Nassehi Alessandro Sili Michela Piredda |
| author_facet | Mojtaba Jafari Reza Ghanei Gheshlagh Abbas Ebadi Asra Nassehi Alessandro Sili Michela Piredda |
| author_sort | Mojtaba Jafari |
| collection | DOAJ |
| description | Abstract Background The patient’s perception of nurses’ caring behaviors predicts the quality of care they receive. Existing measurement tools have either not undergone psychometric evaluation or contain too many items, leading to participant fatigue. This study tested the psychometric properties of the 14-item Persian version of the nurse caring behavior scale (P-NCBS). Methods This cross-sectional study involved 327 hospitalized patients in Bam, Iran. The Nurse Caring Behavior Scale (NCBS) was translated into Persian using a forward-backward translation method. Psychometric evaluation included face validity, content validity, construct validity, and reliability testing. Confirmatory factor analysis was conducted to assess the scale dimensionality using multiple fit indices such as the root mean square error of approximation (RMSEA), the comparative fit index (CFI), the Tucker-Lewis index (TLI), and the standardized root mean square residual (SRMR). Cronbach’s alpha and McDonald’s omega coefficients were used to evaluate internal consistency. Data analysis was performed using Mplus version 8.1.8 and Jamovi version 2.4.14. Results The unidimensional model of the original scale was tested and confirmed confirmatory factor analysis with suitable fit indices: χ² (74, N = 327) = 344.752, p < 0.001; RMSEA = 0.106, CFI = 0.977, TLI = 0.972, and SRMR = 0.033. Both Cronbach’s alpha (0.942) and McDonald’s omega coefficient (0.943) indicated excellent internal consistency. Item factor loadings ranged from 0.620 to 0.907. The known-groups validity analysis revealed no significant association between demographic variables such as age, gender, education, or occupation and the total score of the Nurse Caring Behavior Scale. Conclusion The Persian version of NCBS can effectively evaluate care behaviors with strong psychometric properties and is applicable in quality audits, practice development, nursing education, and related research. |
| format | Article |
| id | doaj-art-9aefad0859924304b193ffaca0c3f379 |
| institution | Kabale University |
| issn | 1472-6955 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nursing |
| spelling | doaj-art-9aefad0859924304b193ffaca0c3f3792025-08-20T03:45:27ZengBMCBMC Nursing1472-69552025-07-012411810.1186/s12912-025-03486-yPsychometric testing of the Persian version of the nurse caring behavior scaleMojtaba Jafari0Reza Ghanei Gheshlagh1Abbas Ebadi2Asra Nassehi3Alessandro Sili4Michela Piredda5Department of Nursing, Bam University of Medical SciencesLahore School of Nursing, The University of LahoreNursing Care Research Center, Clinical Sciences Institute, Baqiyatallah University of Medical SciencesDepartment of Nursing, Bam University of Medical SciencesNursing Department, University Hospital Tor VergataDepartment of Medicine and Surgery, Research Unit Nursing Science, Campus Bio-Medico di Roma UniversityAbstract Background The patient’s perception of nurses’ caring behaviors predicts the quality of care they receive. Existing measurement tools have either not undergone psychometric evaluation or contain too many items, leading to participant fatigue. This study tested the psychometric properties of the 14-item Persian version of the nurse caring behavior scale (P-NCBS). Methods This cross-sectional study involved 327 hospitalized patients in Bam, Iran. The Nurse Caring Behavior Scale (NCBS) was translated into Persian using a forward-backward translation method. Psychometric evaluation included face validity, content validity, construct validity, and reliability testing. Confirmatory factor analysis was conducted to assess the scale dimensionality using multiple fit indices such as the root mean square error of approximation (RMSEA), the comparative fit index (CFI), the Tucker-Lewis index (TLI), and the standardized root mean square residual (SRMR). Cronbach’s alpha and McDonald’s omega coefficients were used to evaluate internal consistency. Data analysis was performed using Mplus version 8.1.8 and Jamovi version 2.4.14. Results The unidimensional model of the original scale was tested and confirmed confirmatory factor analysis with suitable fit indices: χ² (74, N = 327) = 344.752, p < 0.001; RMSEA = 0.106, CFI = 0.977, TLI = 0.972, and SRMR = 0.033. Both Cronbach’s alpha (0.942) and McDonald’s omega coefficient (0.943) indicated excellent internal consistency. Item factor loadings ranged from 0.620 to 0.907. The known-groups validity analysis revealed no significant association between demographic variables such as age, gender, education, or occupation and the total score of the Nurse Caring Behavior Scale. Conclusion The Persian version of NCBS can effectively evaluate care behaviors with strong psychometric properties and is applicable in quality audits, practice development, nursing education, and related research.https://doi.org/10.1186/s12912-025-03486-yNurse care behavior scalePsychometricsValidityReliability |
| spellingShingle | Mojtaba Jafari Reza Ghanei Gheshlagh Abbas Ebadi Asra Nassehi Alessandro Sili Michela Piredda Psychometric testing of the Persian version of the nurse caring behavior scale BMC Nursing Nurse care behavior scale Psychometrics Validity Reliability |
| title | Psychometric testing of the Persian version of the nurse caring behavior scale |
| title_full | Psychometric testing of the Persian version of the nurse caring behavior scale |
| title_fullStr | Psychometric testing of the Persian version of the nurse caring behavior scale |
| title_full_unstemmed | Psychometric testing of the Persian version of the nurse caring behavior scale |
| title_short | Psychometric testing of the Persian version of the nurse caring behavior scale |
| title_sort | psychometric testing of the persian version of the nurse caring behavior scale |
| topic | Nurse care behavior scale Psychometrics Validity Reliability |
| url | https://doi.org/10.1186/s12912-025-03486-y |
| work_keys_str_mv | AT mojtabajafari psychometrictestingofthepersianversionofthenursecaringbehaviorscale AT rezaghaneigheshlagh psychometrictestingofthepersianversionofthenursecaringbehaviorscale AT abbasebadi psychometrictestingofthepersianversionofthenursecaringbehaviorscale AT asranassehi psychometrictestingofthepersianversionofthenursecaringbehaviorscale AT alessandrosili psychometrictestingofthepersianversionofthenursecaringbehaviorscale AT michelapiredda psychometrictestingofthepersianversionofthenursecaringbehaviorscale |