Developing Student Evidence‐Based Practice Questionnaire (S‐EBPQ) for undergraduate nursing students: Reliability and validity of a Chinese adaptation

• Published in: Journal of evaluation in clinical practice 2019-08, Vol.25 (4), p.536-542
• Main Authors: Zhang, Yin‐Ping, Liu, Wen‐Hui, Yan, Yi‐Tian, Zhang, Yao, Wei, Huan‐Huan, Porr, Caroline
• Format: Article
• Language: English
• Subjects: Adaptation; Adult; China; Cross-Cultural Comparison; Discriminant analysis; Education, Nursing, Baccalaureate - methods; Evidence-Based Practice - education; evidence‐based practice; Female; Health Knowledge, Attitudes, Practice; Humans; Male; nursing; Nursing education; Pilot Projects; Principal components analysis; Psychometrics - methods; Psychometrics - standards; questionnaire; Questionnaires; Reproducibility of Results; Students; Students, Nursing - psychology; Students, Nursing - statistics & numerical data; Surveys and Questionnaires; Translations; undergraduate; validation; Validity
• ISSN: 1356-1294; 1365-2753
• DOI: 10.1111/jep.12897

Rationale, aims, and objectives The assessment of evaluating undergraduate nursing students' evidence‐based practice engagement is an important issue, yet few tools have been developed specifically in Mainland China. The purpose of this study was to adapt the Student Evidence‐based Practice Questionnaire (S‐EBPQ) to Mainland China's cultural context and to evaluate the psychometric properties of the newly adapted Chinese S‐EBPQ. Methods Cross‐cultural adaptation, including translation of the original S‐EBPQ into Mandarin Chinese language, was performed according to published guidelines. A pilot study was conducted in Mainland China with 25 Chinese undergraduate nursing students. A subsequent validation study was conducted with 400 undergraduate nursing students from Mainland China. Construct validity was assessed by exploratory factor analysis (n = 190) and confirmatory factor analysis (n = 210). Reliability was determined using internal consistency and test‐retest reliability. Results The split‐half coefficient for the overall Chinese S‐EBPQ was 0.858. A content validity index of 0.986 was achieved. Principal component analysis resulted in a 4‐factor structure explaining 68.285% of the total variance. The comparative fit index was 0.927, and the root mean squared error of approximation was 0.072 from the confirmatory factor analysis. Known‐group validity was supported by the significant differences according to various characteristics of participants. Internal consistency was high for the Chinese S‐EBPQ reaching a Cronbach α value of 0.934. Test‐retest reliability was 0.821. Conclusion The newly cross‐culturally adapted S‐EBPQ possesses adequate validity, test‐retest reliability, and internal consistency and therefore may be utilized in nursing education to assess EBP of undergraduate nursing students in Mainland China.