Adaptation and validation of the Compliance with Standard Precautions Scale amongst nurses in Turkey

• Published in: International journal of nursing practice 2020-06, Vol.26 (3), p.e12839-n/a
• Main Authors: Samur, Menevse, Seren Intepeler, Seyda, Lam, Simon Ching
• Format: Article
• Language: English
• Subjects: Adaptation; Best practice; Compliance; Cronbach's alpha; Health care; Hospitals; infection control; Measurement; Nurses; Nursing; Patient safety; Patients; Precautions; psychometric testing; Questionnaires; Rasch; Rasch model; Reliability; standard precautions; Teams; Translation; Validity
• ISSN: 1322-7114; 1440-172X
• DOI: 10.1111/ijn.12839

Aims To adapt and psychometrically test the Compliance with Standard Precautions Scale for use by Turkish nurses. Background Measurement of standard precautions compliance is important to manage the safety of both patients and health care teams. Methods This two‐phase methodological study employed a correlational design with repeated measures. In phase one, the scale's adaptation, including translation, semantic equivalence, content and face validity, was implemented. In phase two, internal consistency and stability were used to examine the reliability of the scale. Construct validity was tested using the Rasch rating scale model. This study was conducted by recruiting 411 nurses from three different hospitals between September 2015 and September 2016. Results Adaptation results showed that the Turkish version of the Compliance with Standard Precautions Scale (CSPS‐T) is adequate for linguistic and content validation. The content validity index and comprehensibility of the scale were similarly satisfactory. The reliability of the CSPS‐T was examined by Cronbach's alpha, corrected item‐total correlations and intraclass correlation coefficient, and good results were obtained. The Rasch model showed that all items were compatible with the model. Whereas Item 4 was the most difficult, Item 10 was the easiest. Conclusion The CSPS‐T is a reliable and valid tool for assessing compliance with standard precautions amongst Turkish nurses. SUMMARY STATEMENT What is already known about this topic? Standard precautions are an indispensable part of nursing practice and care. The Compliance with Standard Precautions Scale (CSPS) was developed on the basis of the recommendations of internationally recognized organizations. The target instrument has been translated and validated in several developing and developed countries with satisfactory reliability and validity, but not in Turkey. What is already known about this topic? This study provides a reliable, valid and comparable tool for assessing compliance with standard precautions amongst Turkish nurses. This study provides sufficient evidence to ensure the reliability and validity of the CSPS‐T. This study reveals that the CSPS‐T generally consists of easy items, presents a good fit with the model and is composed of a unidimensional scale. The implications of this paper: The implications of this study could be useful for globally improving infection control practices. The CSPS can be used to assess self‐compliance with s