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Italian EBP Implementation Scales: A Psychometric Validation Study.

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Summary
This summary is machine-generated.

Validated Italian versions of the Evidence-Based Practice (EBP) Implementation Scale and its short form are reliable tools for assessing EBP behaviors. These scales can guide educational planning and interventions to improve evidence-based care.

Keywords:
evidence‐based practiceimplementationmeasurementnursingpsychometricsreliabilityvalidity

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Area of Science:

  • Nursing Research
  • Healthcare Quality Improvement
  • Psychometrics

Background:

  • Evidence-based practice (EBP) is crucial for high-quality patient care but faces inconsistent integration in clinical settings.
  • Challenges in cultural, educational, and organizational contexts hinder EBP implementation.
  • Validated tools are needed to measure EBP adoption and guide improvements.

Purpose of the Study:

  • To validate the Italian versions of the Evidence-Based Practice (EBP) Implementation Scale and its 3-item short form.
  • To ensure reliable and culturally relevant measurement of EBP behaviors in Italian healthcare professionals.

Main Methods:

  • Cross-sectional survey design with a national sample of 405 nurses.
  • Translation and cultural adaptation of the EBP Implementation Scale following international guidelines.
  • Psychometric evaluation including factor analyses, reliability testing (internal consistency, test-retest), and measurement invariance testing using R Studio.

Main Results:

  • Confirmatory factor analyses supported a single-construct model for both scale versions.
  • Both scales demonstrated high reliability (omega coefficients of 0.96 and 0.87).
  • Partial scalar invariance was established across educational groups, indicating consistent interpretation. Latent profile analysis identified distinct EBP implementer subgroups linked to prior EBP education.

Conclusions:

  • The Italian EBP Implementation Scales are valid and reliable instruments for measuring EBP implementation.
  • These scales can inform educational strategies, track practice changes, and support interventions to enhance evidence-based care.
  • Findings highlight the importance of prior education in shaping EBP implementation behaviors.