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Translation and validation of the Chinese version of Palliative Care Self-Efficacy Scale

Published online by Cambridge University Press:  08 April 2024

Junchen Guo Open the ORCID record for Junchen Guo [Opens in a new window] ,
Yongyi Chen ,
Boyong Shen ,
Wei Peng ,
Lianjun Wang  and
Yunyun Dai Open the ORCID record for Yunyun Dai [Opens in a new window]
Junchen Guo
Affiliation:
Department of Palliative Care, Hunan Cancer Hospital, Changsha, China School of Nursing, University of South China, Hengyang, China
Yongyi Chen
Affiliation:
Department of Palliative Care, Hunan Cancer Hospital, Changsha, China
Boyong Shen
Affiliation:
Department of Palliative Care, Hunan Cancer Hospital, Changsha, China
Wei Peng
Affiliation:
Department of Palliative Care, Hunan Cancer Hospital, Changsha, China
Lianjun Wang
Affiliation:
School of Nursing, Guilin Medical University, Guilin, China
Yunyun Dai*
Affiliation:
School of Nursing, Guilin Medical University, Guilin, China Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, NSW, Australia
*
Corresponding author: Yunyun Dai; Email: yd808@uowmail.edu.au
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Abstract

Objectives

Accurately assessing the self-efficacy levels of palliative care professionals’ is crucial, as low levels of self-efficacy may contribute to the suboptimal provision of palliative care. However, there is currently lacking a reliable and valid instrument for evaluating the self-efficacy of palliative care practitioners in China. Therefore, this study aimed to translate, adapt, and validate the Palliative Care Self-Efficacy Scale (PCSS) among Chinese palliative care professionals.

Methods

This study involved the translation and cross-cultural adaptation of the PCSS, and the evaluation of its psychometric properties through testing for homogeneity, content validity, construct validity, known-groups validity, and reliability.

Results

A total of 493 palliative care professionals participated in this study. The results showed the critical ratio value of each item was >3 (p < 0.01), and the corrected item-total correlation coefficients of all items ranged from 0.733 to 0.818, indicating a good homogeneity of the items with the scale. Additionally, the scale was shown to have good validity, with item-level content validity index ranged from 0.857 to 1.000, and scale-level content validity index/Ave was 0.956. The exploratory factor analysis and confirmatory factor analysis (CFA) confirmed the 2-factor structure of the Chinese version of PCSS (C-PCSS), explaining 74.19% of the variance. CFA verified that the 2-factor model had a satisfactory model fit, with χ2/df = 2.724, RMSEA = 0.084, GFI = 0.916, CFI = 0.967, and TLI = 0.952. The known-groups validity of C-PCSS was demonstrated good with its sensitive in differentiating levels of self-efficacy between professionals with less than 1 year of palliative care experience (p < 0.001) or without palliative care training (p = 0.014) and their counterparts. Furthermore, the C-PCSS also exhibited an excellent internal consistency, with the Cronbach’s α for the total scale of 0.943.

Significance of results

The findings from this study affirmed good validity and reliability of the C-PCSS. It can be emerged as a valuable and reliable instrument for assessing the self-efficacy levels of palliative care professionals in China.

Keywords

Palliative careself-efficacypsychometric propertiescross-cultural adaptationvalidation
Type
Original Article
Information
Palliative & Supportive Care , First View , pp. 1 - 7
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Copyright
© The Author(s), 2024. Published by Cambridge University Press.

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