Validation of Chinese version of Patient Participation Culture Tool for Healthcare Workers and its application in clinical nurses
Objective The purpose of this study was to translate and revise Patient Participation Culture Tool for Healthcare Workers(PaCT-HCW)in Chinese background,so as to provide a reliable tool for evaluating the level of patient engagement.Methods The translation and back-translation of PaCT-HCW were followed by the Brislin translation model.The Chinese version was culturally adjusted and refined through expert consultations and pre-investigation.Content validity of the Chinese version was evaluated by seven experts.A questionnaire survey was conducted among 812 nurses.Fifty clinical nurses were selected to investigate again after two weeks.Results The Chinese version of PaCT-HCW consisted of 44 items into six dimensions:competence,support,perceived lack of time,information sharing and dialogue,response to questions,and acceptance of a new role.Exploratory factor analysis revealed six common factors,accounting for a cumulative variance contribution rate of 69.829%.The item content validity index(I-CVI)of the scale rangedfrom 0.710 to 1.000,and average content validity(S-CVI/Ave)reached 0.970.The Cronbach's α for the whole scale was 0.962,while varied from 0.748 to 0.956 for dimensions.The test-retest reliability of the scale was 0.980,andranged from 0.690 to 0.977 for dimensions.Conclusion The Chinese version of PaCT-HCW has good reliability and validity,and can be used as a valid tool in evaluating the level of patients'participation cultural for nurses.