Measuring the readiness to screen and manage intimate partner violence: Cross-cultural adaptation and psychometric evaluation of the PREMIS tool for perinatal care providers

Chinese nurses' preparedness and opinions in responding to intimate partner violence: An adaptation and validation study

AIM

To adapt and psychometrically test two scales from The Physician Readiness to Manage Intimate Partner Violence Survey (PREMIS) for measuring nurses' preparedness to manage intimate partner violence (IPV) and opinions on IPV in China.

DESIGN

A cross-sectional study for cross-cultural adaptation and validation of instruments.

METHODS

The study was conducted in two tertiary hospitals in northeastern and southwestern China in 2020: (Step 1) translation and back-translation by four translators; (Step 2) expert consultation to assess content validity by a five-person panel; (Step 3) cognitive debriefing to evaluate the online survey with six nurses; (Step 4) pilot testing to finalize the survey with 79 nurses; and (Step 5) psychometric evaluation of construct validity and internal consistency reliability including post hoc analysis with 1071 nurses.

RESULTS

The Chinese scales of Perceived Preparation and Opinions demonstrated generally acceptable content validity, construct validity and internal consistency reliability; some factor analysis results were uninterpretable, and socially desirable responses existed. A post hoc inspection of item and score distributions assisted the item classification into Confident, Cautious and Concerned regarding the authenticity of nurses' responses.

CONCLUSION

Reliability and construct validity of the Chinese versions of Perceived Preparation and Opinions were supported in this sample. The instrument measures nurses' preparedness and opinions towards IPV. Item classification into Confident, Cautious and Concerned categories is a pragmatic way to interpret the results.

IMPACT

The Chinese scales can be used to measure nurses' preparedness and opinions towards IPV in China. The study also provides an approach for interpretation of results and identification of socially desirable responses in validation and survey studies in other contexts. The adaptation and use of the Chinese scales serve as a primary step in responding to IPV in China's health sector and can be used as a template for adapting the instrument in other low- and middle-income countries.

Psychometric properties of the Turkish version of the Readiness to Encounter Partner Abuse Patients Scale

AIM

Partner abuse is a global public health issue with both short- and long-term health effects. Healthcare professionals frequently encounter patients who experience partner abuse and should be knowledgeable about how to respond to these individuals. The aim of this study was to examine the validity and reliability of the Turkish version of The Readiness to Encounter Partner Abuse Patients (READI) Scale.

DESIGN

A descriptive, methodological and cross-sectional design was used.

METHODS

Data were collected with a sociodemographics form and the READI-T Scale between 13 December 2021 and 5 January 2022. The study sample comprised nursing students (n = 323) at or over the age of 18 years and accepting to take part in the study. The linguistic and content validity and confirmatory factor analysis were used to assess the validity of the scale. The reliability of the scale was achieved using Cronbach's alpha, item-total correlations and test-retest.

RESULTS

The READI-T Scale had a content validity index of 0.99 and adequate sensitivity. The factor loadings ranged from 0.63 to 0.84 for the self-efficacy sub-dimension, from 0.82 to 0.91 for the emotional readiness sub-dimension, from 0.47 to 0.81 for the motivational readiness sub-dimension and from 0.28 to 0.64 for the partner abuse knowledge sub-dimension. The CFA showed that the model had a good fit (x² /df = 1.792; GFI = 0.88; CFI = 0.94; RMSEA = 0.050). Cronbach's alpha was found to be 0.92 for the scale.

CONCLUSION

The READI-T Scale is a valid and reliable tool to determine whether Turkish nursing students are knowledgeable enough to encounter partner abuse patients.

IMPACT

This scale can be used to determine the training needs of healthcare professionals on partner abuse and may be useful as a pre-and posttest to determine the effects of partner abuse education programs. Thus, this scale may also assist early identification of persons who have a risk for partner abuse.