Cross-cultural adaptation and psychometric evaluation of the factors influencing adherence to the standard precautions scale – Student version (FIASP-SV) for Saudi Arabian nursing students

Purpose: To evaluate the psychometric properties and cross-cultural adaptation of the 23-item FIASP-SV, covering four factors—Justification, Leadership, Contextual Cues, and Practice Culture. Background: Nursing students' adherence to Standard Precautions (SPs) is essential for preventing infec...

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Main Authors: Salwa Jadid Alanazi, Jung Yeon (Ellie) Park, Fadiyah Jadid Alanazi, Kyeung Mi Oh
Format: Article
Language:English
Published: Elsevier 2025-12-01
Series:International Journal of Nursing Studies Advances
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666142X25000657
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author Salwa Jadid Alanazi
Jung Yeon (Ellie) Park
Fadiyah Jadid Alanazi
Kyeung Mi Oh
author_facet Salwa Jadid Alanazi
Jung Yeon (Ellie) Park
Fadiyah Jadid Alanazi
Kyeung Mi Oh
author_sort Salwa Jadid Alanazi
collection DOAJ
description Purpose: To evaluate the psychometric properties and cross-cultural adaptation of the 23-item FIASP-SV, covering four factors—Justification, Leadership, Contextual Cues, and Practice Culture. Background: Nursing students' adherence to Standard Precautions (SPs) is essential for preventing infection transmission and ensuring patient safety. Factors influencing nursing students' adherence to SPs require further investigation through psychometrically validated tools. This study assessed the reliability and validity of the Factors Influencing Adherence to Standard Precautions Scale – Student Version (FIASP-SV), a tool developed in prior research among a sample of Australian students. Methods: The tool was translated into Arabic and adapted for the target population. Using a convenience sample, data were collected from 186 eligible nursing students engaged in patient care across multiple Saudi Arabian universities via an online Qualtrics survey from November 2023 to April 2024. Results: A confirmatory factor analysis (CFA) of the revised four-factor model indicated an acceptable fit (CFI = 0.964, TLI = 0.959, RMSEA = 0.086) and confirmed the scale's internal consistency. Measurement invariance was established between students with and without training, with those who received training demonstrating more leadership skills in adherence to standard precautions. These findings affirm the FIASP-SV as a reliable tool for assessing factors influencing SP practices among Arabic-speaking nursing students. Conclusion: The FIASP-SV is a reliable and valid tool for assessing factors influencing nursing students' adherence to SPs in Saudi Arabia. This tool has significant implications for developing targeted educational interventions to improve SP practices among nursing students in Arabic-speaking contexts.
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spelling doaj-art-e7043e31cdb34801a73a5f9ceb15c9762025-08-20T02:36:13ZengElsevierInternational Journal of Nursing Studies Advances2666-142X2025-12-01910035810.1016/j.ijnsa.2025.100358Cross-cultural adaptation and psychometric evaluation of the factors influencing adherence to the standard precautions scale – Student version (FIASP-SV) for Saudi Arabian nursing studentsSalwa Jadid Alanazi0Jung Yeon (Ellie) Park1Fadiyah Jadid Alanazi2Kyeung Mi Oh3Public Health Nursing Department, College of Nursing, Northern Border University 9289 Arar, North Border 73213, Saudi Arabia; School of Nursing, George Mason University, 4400 University Drive, Fairfax, VA 22030, United StatesSchool of Nursing, George Mason University, 4400 University Drive, Fairfax, VA 22030, United StatesPublic Health Nursing Department, College of Nursing, Northern Border University 9289 Arar, North Border 73213, Saudi Arabia; Center for Health Research Northern Border University, Arar, Saudi ArabiaSchool of Nursing, George Mason University, 4400 University Drive, Fairfax, VA 22030, United States; Corresponding author at: School of Nursing, George Mason University, Mail stop: 3C4, Office: Peterson Hall 3041, United States.Purpose: To evaluate the psychometric properties and cross-cultural adaptation of the 23-item FIASP-SV, covering four factors—Justification, Leadership, Contextual Cues, and Practice Culture. Background: Nursing students' adherence to Standard Precautions (SPs) is essential for preventing infection transmission and ensuring patient safety. Factors influencing nursing students' adherence to SPs require further investigation through psychometrically validated tools. This study assessed the reliability and validity of the Factors Influencing Adherence to Standard Precautions Scale – Student Version (FIASP-SV), a tool developed in prior research among a sample of Australian students. Methods: The tool was translated into Arabic and adapted for the target population. Using a convenience sample, data were collected from 186 eligible nursing students engaged in patient care across multiple Saudi Arabian universities via an online Qualtrics survey from November 2023 to April 2024. Results: A confirmatory factor analysis (CFA) of the revised four-factor model indicated an acceptable fit (CFI = 0.964, TLI = 0.959, RMSEA = 0.086) and confirmed the scale's internal consistency. Measurement invariance was established between students with and without training, with those who received training demonstrating more leadership skills in adherence to standard precautions. These findings affirm the FIASP-SV as a reliable tool for assessing factors influencing SP practices among Arabic-speaking nursing students. Conclusion: The FIASP-SV is a reliable and valid tool for assessing factors influencing nursing students' adherence to SPs in Saudi Arabia. This tool has significant implications for developing targeted educational interventions to improve SP practices among nursing students in Arabic-speaking contexts.http://www.sciencedirect.com/science/article/pii/S2666142X25000657AdherenceNursing studentsStandard precautionsPsychometricsValidation studies
spellingShingle Salwa Jadid Alanazi
Jung Yeon (Ellie) Park
Fadiyah Jadid Alanazi
Kyeung Mi Oh
Cross-cultural adaptation and psychometric evaluation of the factors influencing adherence to the standard precautions scale – Student version (FIASP-SV) for Saudi Arabian nursing students
International Journal of Nursing Studies Advances
Adherence
Nursing students
Standard precautions
Psychometrics
Validation studies
title Cross-cultural adaptation and psychometric evaluation of the factors influencing adherence to the standard precautions scale – Student version (FIASP-SV) for Saudi Arabian nursing students
title_full Cross-cultural adaptation and psychometric evaluation of the factors influencing adherence to the standard precautions scale – Student version (FIASP-SV) for Saudi Arabian nursing students
title_fullStr Cross-cultural adaptation and psychometric evaluation of the factors influencing adherence to the standard precautions scale – Student version (FIASP-SV) for Saudi Arabian nursing students
title_full_unstemmed Cross-cultural adaptation and psychometric evaluation of the factors influencing adherence to the standard precautions scale – Student version (FIASP-SV) for Saudi Arabian nursing students
title_short Cross-cultural adaptation and psychometric evaluation of the factors influencing adherence to the standard precautions scale – Student version (FIASP-SV) for Saudi Arabian nursing students
title_sort cross cultural adaptation and psychometric evaluation of the factors influencing adherence to the standard precautions scale student version fiasp sv for saudi arabian nursing students
topic Adherence
Nursing students
Standard precautions
Psychometrics
Validation studies
url http://www.sciencedirect.com/science/article/pii/S2666142X25000657
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