Validation of the Italian version of the Secondary Traumatic Stress Scale (STSS-I) within midwifery students

IF 3.3 3区医学 Q1 NURSING

Nurse Education in Practice Pub Date : 2025-03-29 DOI:10.1016/j.nepr.2025.104342

Simona Fumagalli , Gaia Torrenzano , Anna Adami , Maria Panzeri , Annalisa De Lucia , Laura Antolini , Emma Caliari , Sabrina Bassetti , Michelangela Danza , Elio Lopresti , Virginia Michelerio , Edda Pellegrini , Antonella Nespoli , Valeria Donisi

{"title":"Validation of the Italian version of the Secondary Traumatic Stress Scale (STSS-I) within midwifery students","authors":"Simona Fumagalli , Gaia Torrenzano , Anna Adami , Maria Panzeri , Annalisa De Lucia , Laura Antolini , Emma Caliari , Sabrina Bassetti , Michelangela Danza , Elio Lopresti , Virginia Michelerio , Edda Pellegrini , Antonella Nespoli , Valeria Donisi","doi":"10.1016/j.nepr.2025.104342","DOIUrl":null,"url":null,"abstract":"<div><h3>Aim</h3><div>to evaluate the psychometric properties of the Italian version of the Secondary Traumatic Stress Scale (STSS-I) specifically for midwifery students.</div></div><div><h3>Background</h3><div>midwives are at risk of developing Secondary Traumatic Stress (STS) which arises from witnessing or hearing about the trauma of others. Midwifery students are particularly vulnerable to STS due to the emotionally intense situations they encounter during their clinical training. This stress impacts their emotional well-being and their professional development. Despite the significant impact of STS on midwifery students, it remains underexplored in academic settings.</div></div><div><h3>Methods</h3><div>An observational study was conducted enrolling midwifery bachelor students of University of Milano Bicocca and Verona. Reliability and structural validity of STSS-I were studied using Confirmatory Factor Analysis and Cronbach's alpha. Moreover, the criterion concurrent validity was tested using the GHQ-12 as criterion standard through the ROC curve’s study. Analysis was performed using Stata/MP18.0 and R (version 4.3.2).</div></div><div><h3>Results</h3><div>confirming the two-dimension structure, within midwifery students the STSS-I had a good structural validity (RMSEA=0.079, CFI=0.992 and TLI=0.991) and reliability (Arousal subscale’s and Intrusion’s Cronbach alpha were respectively 0.90 and 0.84). The criterion validity demonstrated a moderate level of accuracy (AUC 0.75 ± 0.06). The total average STSS-I score was 24.44 (DS=9.91), ranging from 15 to 68. The average of Arousal and Intrusion subscales were respectively 17.70 and 9.73.</div></div><div><h3>Conclusions</h3><div>the STSS-I has good psychometric properties, representing a valid and reliable measure for assessing STS within midwifery students.</div></div>","PeriodicalId":48715,"journal":{"name":"Nurse Education in Practice","volume":"85 ","pages":"Article 104342"},"PeriodicalIF":3.3000,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nurse Education in Practice","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1471595325000988","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 0

Abstract

Aim

to evaluate the psychometric properties of the Italian version of the Secondary Traumatic Stress Scale (STSS-I) specifically for midwifery students.

Background

midwives are at risk of developing Secondary Traumatic Stress (STS) which arises from witnessing or hearing about the trauma of others. Midwifery students are particularly vulnerable to STS due to the emotionally intense situations they encounter during their clinical training. This stress impacts their emotional well-being and their professional development. Despite the significant impact of STS on midwifery students, it remains underexplored in academic settings.

Methods

An observational study was conducted enrolling midwifery bachelor students of University of Milano Bicocca and Verona. Reliability and structural validity of STSS-I were studied using Confirmatory Factor Analysis and Cronbach's alpha. Moreover, the criterion concurrent validity was tested using the GHQ-12 as criterion standard through the ROC curve’s study. Analysis was performed using Stata/MP18.0 and R (version 4.3.2).

Results

confirming the two-dimension structure, within midwifery students the STSS-I had a good structural validity (RMSEA=0.079, CFI=0.992 and TLI=0.991) and reliability (Arousal subscale’s and Intrusion’s Cronbach alpha were respectively 0.90 and 0.84). The criterion validity demonstrated a moderate level of accuracy (AUC 0.75 ± 0.06). The total average STSS-I score was 24.44 (DS=9.91), ranging from 15 to 68. The average of Arousal and Intrusion subscales were respectively 17.70 and 9.73.

Conclusions

the STSS-I has good psychometric properties, representing a valid and reliable measure for assessing STS within midwifery students.

查看原文本刊更多论文

求助全文

约1分钟内获得全文求助全文

来源期刊

Nurse Education in Practice NURSING-

CiteScore

5.40

自引率

9.40%

发文量

180

审稿时长

51 days

期刊介绍： Nurse Education in Practice enables lecturers and practitioners to both share and disseminate evidence that demonstrates the actual practice of education as it is experienced in the realities of their respective work environments. It is supportive of new authors and will be at the forefront in publishing individual and collaborative papers that demonstrate the link between education and practice.