Cross-cultural Adaptation and Validation of the Italian Version of the Revised Perceived Perioperative Competence Scale.

Purpose: The nurse's role in the operating room requires essential competencies throughout the care process, such as theoretical knowledge, technical skills, and problem-solving abilities assessed by the Revised Perceived Perioperative Competence Scale (PPCS-R). The study aims to translate, cross-culturally adapt, and validate the Italian version of the scale.

Design: A cross-cultural adaptation and validation of the Italian version of PPCS-R.

Methods: The revised English version of the 40-item scale PPCS-R was translated into Italian according to Beaton's guidelines. The scale's internal consistency was assessed using Cronbach's α coefficient, ensuring the instrument's reliability. An exploratory factor analysis was conducted, preceded by the Kaiser-Meyer-Olkin test and Bartlett's sphericity test. Statistical analyses were performed using SPSS version 29.1 (IBM Corp.).

Findings: The exploratory factor analysis of the Revised Perceived Perioperative Competence Scale-Italian Version (PPCS-R ITA) (N = 509) confirmed the 6 factors served in the original version. The final Italian version of PPCS-R comprises 40 items grouped into 6 latent factors. Each latent component showed a high consistency per Cronbach's α. The statistical analyses of the study confirm the reliability and good consistency of the tool.

Conclusions: The statistical analyses of the study confirm the reliability and consistency of the tool (Revised Perceived Perioperative Competence Scale-Italian Version). By investigating the perception of Italian professionals working in the operating room through a translated and validated scale, specific training and professional development needs of a specific context can be better understood to identify appropriate learning and management strategies.