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Adverse Childhood Experiences (ACEs): Development of an ACEs Knowledge Scale.
Lin Zhan1, Xichen Mou2, Marie Gill3
1Loewenberg College of Nursing, University of Memphis, TN lzhan@memphis.edu.
Journal of Nursing Measurement
|September 14, 2021
Summary
Nursing students
Area of Science:
- Nursing Education
- Childhood Health
- Psychometrics
Background:
- Adverse Childhood Experiences (ACEs) significantly impact child health and long-term well-being.
- Educating nursing students on ACEs is crucial for effective patient care.
- Understanding ACEs is vital for promoting resilience and trauma-informed care.
Purpose of the Study:
- To evaluate nursing students' understanding of Adverse Childhood Experiences (ACEs) using the ACEs Knowledge Scale (AKS).
- To assess the psychometric properties of the AKS for reliability and validity in educational settings.
Main Methods:
- A survey administered the AKS to 344 randomly selected nursing students.
- Content validity (CVI), reliability (Cronbach's alpha), and construct validity (factor analysis) of the AKS were empirically validated.
Main Results:
- Bachelor of Science in Nursing (BSN) students demonstrated greater ACEs knowledge than pre-nursing students.
- BSN graduating students showed improved knowledge in trauma-informed care and resilience building.
- The AKS exhibited excellent content validity (S-CVI/Ave=0.912) and good reliability (Cronbach's alpha=.84).
- Factor analysis supported a 5-factor model, aligning with the hypothesized structure of ACEs knowledge.
Conclusions:
- The ACEs Knowledge Scale (AKS) is a psychometrically sound instrument for assessing nursing students' understanding of ACEs.
- The AKS has significant potential for advancing research, nursing education, and clinical practice related to childhood adversity.
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