Translation and Validity Content Testing of The Quality Clincial Placement Evaluation Instrument
Abstract
Clinical learning environments are fundamental to nursing education, and their quality must be systematically evaluated. The Quality Clinical Placement Evaluation (QCPE) instrument is widely used to assess clinical placements; however, an Indonesian version has not been previously available. This study aimed to translate, culturally adapt, and assess the content validity of the QCPE instrument in the Indonesian context. A methodological study was conducted using a structured translation process comprising forward translation, synthesis, backward translation, and developer review to ensure conceptual equivalence. Content validity was evaluated by three Nursing Professional Practice experts who assessed each item for relevance, clarity, and essentiality. Quantitative analysis was performed using the Item Content Validity Index (I-CVI), Scale Content Validity Index (S-CVI/UA and S-CVI/Ave), and Content Validity Ratio (CVR). The Indonesian QCPE demonstrated good content validity. Most items achieved an I-CVI of 1.00, indicating high relevance. S-CVI/ UA values ranged from 0.82 to 0.95, and S-CVI/Ave values ranged from 0.94 to 0.98, reflecting strong overall agreement among experts. CVR values ranged from 0.33 to 1.00. One item from each questionnaire was removed due to limited relevance to the Indonesian nursing education context, resulting in a final version with 20 items for the Professional Student Questionnaire and 16 items for the Supervisory Nurse Questionnaire. The Indonesian version of the QCPE instrument demonstrates strong content validity and is suitable for evaluating clinical learning environments. Further studies are recommended to establish construct validity and reliability prior to widespread use.
Keywords: Content Validity, Clinical Learning Environment, Cross-Cultural Adaptation, Nursing Education
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Alifah, M., Rochana, N. N., Kep, S., Keperawatan, M. J., Kedokteran, F., Pengajar, S., Keperawatan, D., & Bedah, M. (2017). Hubungan Persepsi Mengenai Pembimbing Klinik Terhadap Pencapaian Kompetensi Klinik Mahasiswa Keperawatan. Jurnal Jurusan Keperawatan, 000, 1–8.
Anderson, C., Moxham, L., & Broadbent, M. (2016). Providing support to nursing students in the clinical environment: a nursing standard requirement. Contemporary Nurse, 52(5), 636–642. https://doi.org/10.1080/10376178.2016.1215774
Arieli, D. (2013). Emotional work and diversity in clinical placements of nursing students. Journal of Nursing Scholarship : An Official Publication of Sigma Theta Tau International Honor Society of Nursing, 45(2), 192–201. https://doi.org/10.1111/jnu.12020
Courtney-Pratt, H. (2018). I was yelled at, intimidated and treated unfairly: nursing students’ experiences of being bullied in clinical and academic settings. J Clin Nurs, 27.
Courtney-Pratt, H., Fitzgerald, M., Ford, K., Johnson, C., & Wills, K. (2014). Development and reliability testing of the quality clinical placement evaluation tool. Journal of Clinical Nursing, 23(3–4), 504–514. https://doi.org/10.1111/jocn.12158
Cusack, L., Thornton, K., Drioli-Phillips, P. G., Cockburn, T., Jones, L., Whitehead, M., Prior, E., & Alderman, J. (2020). Are nurses recognised, prepared and supported to teach nursing students: Mixed methods study. Nurse Education Today, 90, 104434. https://doi.org/10.1016/j.nedt.2020.104434
Dalawi, I., Isa, M. R., Chen, X. W., Azhar, Z. I., & Aimran, N. (2023). Development of the Malay Language of understanding, attitude, practice and health literacy questionnaire on COVID-19 (MUAPHQ C-19): content validity & face validity analysis. BMC Public Health, 23(1), 1131. https://doi.org/10.1186/s12889-023-16044-5
DeVellis, R. F. (2017). Scale Development: Theory and Application. SAGE Publications Ltd.
Gjersing, L., Caplehorn, J. R. M., & Clausen, T. (2010). Cross-cultural adaptation of research instruments: language, setting, time and statistical considerations. BMC Medical Research Methodology, 10(1), 13. https://doi.org/10.1186/1471-2288-10-13
Halek, M., Holle, D., & Bartholomeyczik, S. (2017). Development and evaluation of the content validity, practicability and feasibility of the Innovative dementia-oriented Assessment system for challenging behaviour in residents with dementia. BMC Health Services Research, 17(1), 554. https://doi.org/10.1186/s12913-017-2469-8
Hasnawati. (2023). PERSEPSI MAHASISWA PENDIDIKAN PROFESI NERS TERHADAP CLINICAL INSTRUCTUR (CI) DENGAN PENCAPAIAN KOMPETENSI PRAKTIK KLINIK DI RSUD dr. ZAINOEL ABIDIN. Getsempena Health Science Journal, 2(2), 93–107. https://doi.org/10.46244/ghsj.v2i2.2255
Kalfoss, M. (2019). Translation and Adaption of Questionnaires: A Nursing Challenge. SAGE Open Nursing, 5, 2377960818816810. https://doi.org/10.1177/2377960818816810
Lekalakala-Mokgele, E., & Caka, E. M. (2015). Facilitative and obstructive factors in the clinical learning environment: Experiences of pupil enrolled nurses. Curationis, 38(1). https://doi.org/10.4102/curationis.v38i1.1263
Mathisen, C., Bjørk, I. T., Heyn, L. G., Jacobsen, T.-I., & Hansen, E. H. (2023). Practice education facilitators perceptions and experiences of their role in the clinical learning environment for nursing students: a qualitative study. BMC Nursing, 22(1), 165. https://doi.org/10.1186/s12912-023-01328-3
McKenna, L., Cant, R., Bogossian, F., Cooper, S., Levett-Jones, T., & Seaton, P. (2019). Clinical placements in contemporary nursing education: Where is the evidence? In Nurse education today (Vol. 83, p. 104202). https://doi.org/10.1016/j.nedt.2019.104202
Novrianda, D., Malini, H., Sarfika, R., Rusana, R., Hayati, M., & Truong, P. Van. (2024). Translation, Cultural Adaptation, and Validation of the Indonesian Version of the Quality of Oncology Nursing Care Scale (QONCS). Jurnal Keperawatan Soedirman;
Oktorullah, Pratiwi, S. H., Setyorini, D., & Permana, R. H. (2020). Persepsi Mahasiswa tentang efektivitas Pembimbing Klinik. NURSCOPE: Jurnal Penelitian Dan Pemikiran Ilmiah Keperawatan, 6(2), 66. https://doi.org/10.30659/nurscope.6.2.66-73
Pedoman Umum Ejaan Bahasa Indonesia (4th ed.). (2016). Badan Pengembangan dan Pembinaan Bahasa Kementerian Pendidikan dan Kebudayaan.
Polit, D. F., Beck, C. T., & Owen, S. V. (2007). Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Research in Nursing & Health, 30(4), 459–467. https://doi.org/10.1002/nur.20199
Rodrigues, I. B., Adachi, J. D., Beattie, K. A., & MacDermid, J. C. (2017). Development and validation of a new tool to measure the facilitators, barriers and preferences to exercise in people with osteoporosis. BMC Musculoskeletal Disorders, 18(1), 540. https://doi.org/10.1186/s12891-017-1914-5
Simpson, M.-C. G., & Sawatzky, J.-A. V. (2020). Clinical placement anxiety in undergraduate nursing students: A concept analysis. Nurse Education Today, 87, 104329. https://doi.org/10.1016/j.nedt.2019.104329
Sweet, L., & Broadbent, J. (2017). Nursing students’ perceptions of the qualities of a clinical facilitator that enhance learning. Nurse Education in Practice, 22, 30–36. https://doi.org/10.1016/j.nepr.2016.11.007
University of Notre Dame Australia. (2024). Program Requirements : Bachelor of Nursing. Kalfoss, M. (2019). Translation and Adaptation of Questionnaires : A Nursing Challenge. SAGE Open Nursing, 5. https://doi.org/10.1177/2377960818816810
DOI: https://doi.org/10.24198/jnc.v8i3.64563
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