Cross-cultural adaptation of a patient-based tool for evaluating the implementation of patient education in acute care settings

Abstract

Objective: The purpose was cross-cultural adaptation, validation, and psychometric analysis of an originally Norwegian patient-based tool measuring the patient education practices of the nurses.

Methods: Systematic translation and validation of the Patient Information and Nurse Interaction (PINI) scale was performed. Exploratory factor analysis of the modified Persian version was conducted using a sample consisting of 163 Persian-speaking patients discharging from a neurosurgery unit.

Results: The scale included three factors, cumulatively accounting for 61% of the variance. The first factor with seven items reflected "providing information on treatment and care plans". The second and the third factors each contained four items and reflected "nurses' interactions with the clients" and "providing advice on care after discharge", respectively. Alpha coefficients were 0.90 for the overall scale, 0.87 for the first, 0.77 for the second, and 0.88 for the third subscale.

Conclusion: The study supported that the modified scale had good psychometric properties measuring three major components including providing information, interaction with the client, and providing advice about post-discharge care.

Practice implications: It seems that the modified version of the PINI scale can provide sound assessment of the implementation of patient education in a different acute care setting with a new language and culture.

Keywords: Cross-cultural adaptation; Factor analysis; Patient education; Scale validation.