Adapting, developing and validating the SGAPN -Derived Chinese pediatric nurses' genomic literacy scale (CPN-GLS)

To adapt and develop the Scale of Genetic/Genomic Awareness in Pediatric Nurses (SGAPN) and validate the resulting Chinese Pediatric Nurses' Genomic Literacy Scale.

Genomic literacy is essential for pediatric nurses to ensure high-quality care. However, China lacks a specialized assessment tool tailored to this need.

Based on the American Nurses Association-International Society of Nurses in Genetics competency framework and adapted for the pediatric context in China, we adapted and developed a scale through literature review, expert consultation and pilot testing. Content validity was established via a two-round Delphi process. A total of 474 pediatric nurses from seven hospitals in Zhejiang Province completed the survey. Construct validity, convergent and discriminant validity and reliability were comprehensively evaluated using item analysis, factor analyses, validity testing and measures of internal consistency and stability.

After item refinement, the final CPN-GLS contained 25 items across five dimensions. The scale demonstrated strong structural validity (χ²/df = 1.738, CFI = 0.938, RMSEA = 0.056) and excellent internal consistency (total Cronbach's α = 0.901). High test-retest reliability (0.886) confirmed stability. The tool effectively distinguishes varying competency levels among pediatric nurses.

The CPN-GLS is a brief, psychometrically robust instrument encompassing five competency domains-"Genetic Fundamentals", "Genetic Disease Risk Assessment", "Ethical Decision-Making", "Genetic Screening and Health Guidance" and "Family History and Nursing Practice"-and can guide targeted genomic education, competency monitoring and precision-medicine integration in Chinese pediatric nursing.