Validation and cross-cultural adaptation of the six-dimension scale of nursing performance- arabic version

Wafa'a F Ta'an; Jehad A Rababah; Mohammed M Al-Hammouri; Jumana Yousef; Tareq Lewis Mukattash; Brett Williams

doi:10.1186/s12912-024-01740-3

Validation and cross-cultural adaptation of the six-dimension scale of nursing performance- arabic version

BMC Nurs. 2024 Jan 19;23(1):55. doi: 10.1186/s12912-024-01740-3.

Authors

Wafa'a F Ta'an¹, Jehad A Rababah², Mohammed M Al-Hammouri³, Jumana Yousef³, Tareq Lewis Mukattash⁴, Brett Williams⁵

Affiliations

¹ Community and Mental Health Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, P.O. Box 3030, Irbid, 22110, Jordan. wftaan@just.edu.jo.
² Department of Adult Health Nursing, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan.
³ Community and Mental Health Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, P.O. Box 3030, Irbid, 22110, Jordan.
⁴ Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, Jordan.
⁵ Department of Paramedicine, Monash University, Clayton, VIC, Australia.

Abstract

Background: Nursing performance is a key indicator of patients' care quality and safety. Most healthcare research tools are available in the English language; however, nurses around the world can employ these tools if rigorously adapted and cross-culturally validated.

Aims and objectives: This study aims to provide a cross-cultural adaptation and validation of the six-dimension scale of nursing performance to be used among Arabic-speaking nurses.

Design: The study employed a descriptive, correlational design with a cross-sectional approach.

Methods: A five-step cross-cultural adaptation process was adopted. The scale was administered to 216 Jordanian nurses between January 2022 to April 2022. SPSS and AMOS were used for descriptive and correlation analyses and testing the six-dimension model through structural equation modeling (SEM).

Results: The current study produced a valid, reliable, culturally adapted Arabic language version of the six-dimension scale of nursing performance. The internal consistency of the tool was supported by a Cronbach Alpha's value of 0.99. The model's goodness of fit indices were: CFI = 0.96, RMSEA = 0.048, and CMIN/df = 1.49. The exploratory factor analysis (EFA) of the scale identified three factors with eigenvalues greater than 1.00., explaining 75.22% of the variance. A subsequent EFA, specifying six factors, yielded 79.79% explained variance. All item factor loadings exceeded 0.30, confirming the scale's robust factor structure.

Conclusions: This study proved that following a robust cross-cultural adaptation process results in a reliable and valid measure of nursing performance to be used among Arabic-speaking nurses. The study supports the dimensionality of nursing performance as evidenced by the SEM results. Therefore, the findings have the potential to considerably enhance studying nursing performance in healthcare fields in Arabic-speaking nurses.

Relevance to clinical practice: The validation and cross-cultural adaptation of the Arabic version of the Six-Dimension Scale of Nursing Performance have direct implications for improving the quality of nursing services, enhancing patient safety, promoting cultural competence, and supporting the professional growth of Arabic-speaking nurses.

Keywords: Arabic Version; Job performance; Nursing; Psychometric Properties; Six-dimension scale.

Grants and funding

20220455/Deanship of Research, Jordan University of Science and Technology