Cross-cultural adaptation and validation of the Jefferson Scale of Attitudes Toward Physician-Nurse Collaboration (JSATPNC) in the Spanish context

Interprofessional collaboration between physicians and nurses is a critical aspect of healthcare. The Jefferson Scale of Attitudes Toward Physician-Nurse Collaboration (JSATPNC) is the most widely used instrument for assessing attitudes toward such collaboration. However, this scale has not been validated in Spain. This study aimed to translate and adapt the JSATPNC to the Spanish context and evaluate its psychometric properties. Following its translation and adaptation, the scale was administered to a sample of 205 primary care physicians and nurses. Construct validity was assessed using confirmatory factor analysis (CFA) and Rasch analysis. The CFA based on the original four-dimensional model demonstrated good fit indices (RMSEA = 0.053, RMSR = 0.037, CFI = 0.974, NNFI = 0.947) and suggested the possibility of a unidimensional model (MIREAL = 0.211). Rasch analysis indicated good fit, except for items 1 and 5. Internal consistency reliability was acceptable (Omega = 0.801 [95% CI: 0.734–0.823]). The Spanish version of the JSATPNC (JSATPNC-e) exhibits adequate psychometric properties in terms of construct validity and internal consistency reliability. This study provides the Spanish-speaking population with an adaptation of the most widely used instrument for evaluating interprofessional collaboration between nurses and physicians.

医师与护士之间的跨专业协作是医疗保健工作的关键组成部分。杰斐逊医师-护士协作态度量表（Jefferson Scale of Attitudes Toward Physician-Nurse Collaboration, JSATPNC）是目前评估此类协作态度最广泛使用的测评工具。然而，该量表尚未在西班牙地区完成效度验证。本研究旨在将JSATPNC翻译并调适至西班牙语境，并评估其心理测量学特性。完成翻译与调适后，研究团队向205名初级保健医师与护士组成的样本施测了该量表。本研究采用验证性因子分析（Confirmatory Factor Analysis, CFA）与拉希分析（Rasch analysis）评估结构效度：基于原始四维模型的验证性因子分析显示出良好的拟合指标（近似误差均方根RMSEA=0.053、残差均方根RMSR=0.037、比较拟合指数CFI=0.974、非规范拟合指数NNFI=0.947），且提示存在单维模型的可能性（MIREAL=0.211）；拉希分析结果显示整体拟合良好，仅第1、5题除外。内部一致性信度表现良好（欧米伽系数Ω=0.801，95%置信区间CI：0.734~0.823）。杰斐逊医师-护士协作态度量表西班牙版（JSATPNC-e）在结构效度与内部一致性信度方面均具备良好的心理测量学特性。本研究为西班牙语人群提供了一款经过调适的、目前应用最广泛的医师与护士跨专业协作态度测评工具。