Cross-cultural adaptation and validation of the Chinese Comfort, Afford, Respect, and Expect scale of caring nurse–patient interaction competence

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Abstract

Aims and objectives:

To investigate the construct validity and reliability of the Chinese Comfort, Afford, Respect, and Expect scale, which can be used to determine clinical nurses’ competence. The results can also serve to promote nursing competence and improve patient satisfaction.

Background:

Nurse–patient interaction is critical for improving nursing care quality. However, to date, no relevant validated instrument has been proposed for assessing caring nurse–patient interaction competence in clinical practice. This study adapted and validated the Chinese version of the caring nurse–patient interaction scale.

Design:

A cross-cultural adaptation and validation study.

Methods:

A psychometric analysis of the four major constructs of the Chinese Comfort, Afford, Respect, and Expect scale was conducted on a sample of 356 nurses from a medical centre in China. Item analysis and exploratory factor analysis were adopted to extract the main components, both the internal consistency and correlation coefficients were used to examine reliability and a confirmatory factor analysis was adopted to verify the construct validity.

Results:

The goodness-of-fit results of the model were strong. The standardised factor loadings of the Chinese Comfort, Afford, Respect, and Expect scale ranged from 0.73–0.95, indicating that the validity and reliability of this instrument were favourable. Moreover, the 12 extracted items explained 95.9% of the measured content of the Chinese Comfort, Afford, Respect, and Expect scale.

Conclusions:

The results serve as empirical evidence regarding the validity and reliability of the Chinese Comfort, Afford, Respect, and Expect scale.

Relevance to clinical practice:

Hospital nurses increasingly demand help from patients and their family members in identifying health problems and assisting with medical decision-making. Therefore, enhancing nurses’ competence in nurse–patient interactions is crucial for nursing and hospital managers to improve nursing care quality. The Chinese caring nurse–patient interaction scale can serve as an effective tool for nursing and hospital managers to evaluate the caring nurse–patient interaction confidence of nurses and improve inpatient satisfaction and quality of care.

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