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

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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.

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意大利语版继发创伤压力量表（STSS-I）在助产学学生中的验证

目的评估意大利版的次生创伤应激量表（STSS-I）的心理测量特性，特别是为助产学生。助产士有发展继发性创伤压力（STS）的风险，这是由于目睹或听到他人的创伤而产生的。助产学学生在临床训练中遇到情绪紧张的情况，因此特别容易受到STS的影响。这种压力会影响他们的情感健康和职业发展。尽管STS对助产学学生有重大影响，但在学术环境中仍未得到充分探索。方法对米兰比可卡大学和维罗纳大学助产学本科学生进行观察性研究。采用验证性因子分析和Cronbach's alpha对量表的信度和结构效度进行研究。并以GHQ-12为标准，通过ROC曲线的研究，对标准的并发效度进行检验。使用Stata/MP18.0和R（4.3.2版本）进行分析。结果在助产学学生中，量表具有较好的结构效度（RMSEA=0.079， CFI=0.992， TLI=0.991）和信度（觉醒子量表和入侵子量表的Cronbach α分别为0.90和0.84）。标准效度显示中等水平的准确性（AUC为0.75 ± 0.06）。总平均STSS-I评分为24.44分（DS=9.91），评分范围为15 ~ 68分。唤醒分量表和侵入分量表的平均值分别为17.70和9.73。结论STSS-I量表具有良好的心理测量性质，是一种有效、可靠的助产学学生STS测评方法。

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

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.