Validation of the Spanish version of the EPICC spiritual care competency self-assessment tool for student nurses

IF 3.3 3区医学 Q1 NURSING

Nurse Education in Practice Pub Date : 2025-05-13 DOI:10.1016/j.nepr.2025.104395

Tamara Suquet García-Inés , M. Lara Martínez-Gimeno , Rafael Jódar , Wilfred Mc Sherry , Ana SF Ribeiro , Mar Zulueta-Egea

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Abstract

Aim

To cross-culturally adapt and psychometrically test the Spanish version of the EPICC Spiritual Care Competency Tool for student nurses and midwives (EPICC_ spa)

Background

Spiritual care is an essential component of holistic nursing and specific training on its competencies and their evaluation should be mandatory in nursing degree studies. However, assessment instruments of spiritual care competencies among student nurses in Spanish contexts are presently insufficient.

Design

This was a multicentre, descriptive, cross-sectional study in two phases.

Method

Phase 1 involved the translation and linguistic adaptation of the scale through a panel of experts and a pilot test. Phase 2 involved the evaluation of structural content, internal reliability and construct validity. Data were collected between January and June 2024.

Results

Twelve of thirteen nursing schools in Madrid, Spain participated, with 642 first- or fourth-year nursing students as the final sample population. In the content validity analysis based on an expert panel, 28 items showed good or excellent validity indices. Exploratory and confirmatory factor analyses revealed a bifactor model of the EPICC_ spa, with two dimensions and 16 items: attitudes towards spiritual care (ten items) and knowledge and skills to provide spiritual care (six items). Very good reliability and evidence of construct validity (convergent and differentiation in known groups) were also shown.

Conclusions

The EPICC_spa can be a reliable and valid self-assessment tool for spiritual-care competence among nursing students in Spain and Spanish-speaking countries.

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验证西班牙版的EPICC精神护理能力自我评估工具的学生护士

目的跨文化适应和心理计量学测试西班牙语版的EPICC精神护理能力工具（EPICC_ spa）背景精神护理是整体护理的重要组成部分，对其能力的专门培训和评估应该是护理学位学习的强制性内容。然而，评估工具的精神护理能力的学生护士在西班牙上下文目前是不足的。这是一项多中心、描述性、横断面研究，分为两个阶段。方法第一阶段通过专家小组和试点测试对量表进行翻译和语言适应。第二阶段包括结构内容、内部信度和构念效度的评估。数据收集于2024年1月至6月。结果西班牙马德里市13所护理学校中的12所参与，最终样本人口为642名一年级或四年级护理学生。在专家小组的内容效度分析中，有28个项目的效度指标为优或良。探索性因素分析和验证性因素分析显示，EPICC_ spa的双因素模型包含两个维度和16个项目：对精神护理的态度（10个项目）和提供精神护理的知识和技能（6个项目）。非常好的信度和结构效度证据（在已知群体中趋同和分化）也被证明。结论EPICC_spa可作为西班牙及西语国家护生精神护理能力的一种可靠、有效的自我评价工具。

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.