Psychometric validation and cultural adaptation of the Italian version of the ambulance nurse competence scale

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing Pub Date : 2025-03-03 DOI:10.1016/j.ienj.2025.101589

Notarnicola Ippolito , Rocco Gennaro , Duka Blerina , Romano Daniela , Da Fre Alessandro , Tesone Luca , Stievano Alessandro

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Abstract

Introduction

This study aimed to examine the validity and reliability of the Italian translation of the Ambulance Nurse Competence Scale (I-ANC) through a rigorous psychometric validation process. Ambulance nurses play a critical role in delivering emergency care, making a reliable, culturally adapted tool to assess their competencies essential. In Italy, where nursing practice in pre-hospital settings is expanding, there was a need for a validated tool reflecting the specific competencies of ambulance nurses.

Methods

The validation process used a three-phase approach. First, linguistic and cultural adaptation involved forward and backward translation to align with the Italian healthcare context. Second, a panel of experts assessed content and face validity. Finally, construct validity was tested through confirmatory factor analysis (CFA) with a sample of 212 nurses, and reliability was evaluated using Cronbach’s alpha.

Results

The I-ANC demonstrated strong performance in linguistic translation and cultural adaptation. Content and face validity assessments showed high levels of agreement among experts, confirming the tool’s relevance. CFA supported the original four-component structure: (1) professional value-based nursing care, (2) professional development and research, (3) management of community events, and (4) management of serious events. These components explained a significant portion of the variance in the data, and Cronbach’s alpha values for each factor exceeded 0.70, confirming internal consistency.

Conclusions

The I-ANC is a valid and reliable tool for assessing the competencies of Italian ambulance nurses. Its use can enhance self-assessment, professional development, and the quality of pre-hospital emergency care.

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意大利版救护车护士能力量表的心理测量验证与文化适应

本研究旨在通过严格的心理测量验证过程来检验救护车护士能力量表（I-ANC）意大利语翻译的效度和信度。救护车护士在提供紧急护理方面发挥着关键作用，因此需要一种可靠的、适应文化的工具来评估他们的能力。在意大利，院前护理实践正在扩大，因此需要一种反映救护车护士具体能力的有效工具。方法采用三阶段验证法。首先，语言和文化适应涉及向前和向后翻译，以配合意大利医疗保健背景。其次，一个专家小组评估内容和面孔效度。最后，以212名护士为样本，采用验证性因子分析（CFA）检验结构效度，并采用Cronbach’s alpha评价信度。结果I-ANC具有较强的语言翻译和文化适应能力。内容和面部有效性评估显示专家之间的高度一致，确认了该工具的相关性。CFA支持最初的四部分结构：(1)专业价值护理，(2)专业发展和研究，(3)社区事件管理，(4)严重事件管理。这些成分解释了数据中很大一部分的方差，每个因素的Cronbach’s alpha值都超过0.70，证实了内部一致性。结论I-ANC是评估意大利救护车护士能力的有效和可靠的工具。它的使用可以提高自我评估、专业发展和院前急救质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Emergency Nursing NURSING-

CiteScore

3.20

自引率

11.10%

发文量

期刊介绍： International Emergency Nursing is a peer-reviewed journal devoted to nurses and other professionals involved in emergency care. It aims to promote excellence through dissemination of high quality research findings, specialist knowledge and discussion of professional issues that reflect the diversity of this field. With an international readership and authorship, it provides a platform for practitioners worldwide to communicate and enhance the evidence-base of emergency care. The journal publishes a broad range of papers, from personal reflection to primary research findings, created by first-time through to reputable authors from a number of disciplines. It brings together research from practice, education, theory, and operational management, relevant to all levels of staff working in emergency care settings worldwide.