Abstract
Aim
To cross-culturally adapt the Person-Centred Practice Inventory-Student (PCPI-ST) into Spanish and to evaluate its psychometric properties in healthcare students.
Background
Person-centred practice (PCP) is a cornerstone of global healthcare emphasising patient empowerment, communication skills and self-management. However, preparation approaches for healthcare students vary and assessment methods often fail to capture its multidimensional nature. The PCPI-ST, grounded in an internationally recognised mid-range theory, provides a comprehensive measure of students’ self-reported PCP
Design
Cross-cultural adaptation and psychometric validation study design.
Methods
A two-stage approach: (1) translation and cultural adaptation following ‘the Translation and Cultural Adaptation of Patient Reported Outcomes Measures-Principles of Good Practice guidelines’; (2) cross-sectional survey assessing the instrument psychometric properties (internal consistency, test-retest reliability and factor analysis).
Results
A total of 337 Spanish university students (180 medicine and 157 nursing) were included. The process ensured cultural equivalence and accurate assessment of clarity (scale content validity index average [S-CVI/Ave] = 0.94) and relevance (S-CVI/Ave = 0.96), achieving excellent results in the content validity. The expert panel deemed the questionnaire to be easy to understand and comprehensive. Psychometric evaluation revealed acceptable internal consistency (Cronbach’s alpha = 0.64–0.89). Test-retest reliability confirmed temporal stability. Exploratory and confirmatory factor analyses supported a three-dimensional structure consistent with the PCP framework. Fit indices improved after model refinements, achieving CFI= 0.87 and RMSEA= 0.052.
Conclusions
This Spanish version of the PCPI-ST, transculturally adapted and validated in healthcare students, promotes its integration into undergraduate curricula to assess PCP readiness and evaluate the efficacy of person-centred educational strategies.
| Original language | English |
|---|---|
| Article number | 104619 |
| Pages (from-to) | 1-12 |
| Number of pages | 12 |
| Journal | Nurse Education in Practice |
| Volume | 89 |
| Early online date | 6 Nov 2025 |
| DOIs | |
| Publication status | Published (in print/issue) - 30 Nov 2025 |
Bibliographical note
1471-5953/© 2025 The Author(s). Published by Elsevier Ltd.Funding
This research received funding from the State Plan for I+D+I 2017–2020, with co-financing provided by the ISCIII-General Sub directorate for Research Evaluation and Promotion and the European Regional Development Fund (FEDER) (PI20/01644). The funding entity played no part in shaping the study’s design, execution, data analysis, interpretation, or manuscript composition
Keywords
- Person-centred practice
- Healthcare students
- Instrument
- Cross-cultural adaptation
- psychometric properties
- Psychometric properties