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Updated: Feb 9, 2026

Qualitative and Quantitative Validation of Tools with Rating Scales Aimed at Assessing the Quality of University Service-Learning
Published on: August 29, 2025
Cross-cultural reliability and validity of the factors influencing adherence to standard precautions scale - Student
Li Yang1, Chunchun Deng2, Jialun Xie3
1Hospital Infection Control Department, The Fifth Affiliated Hospital, Southern Medical University, Guangzhou, Guangdong 510900, China.
Objective:
To translate the FIASP-SV into Chinese, evaluate its validity and reliability among Chinese nursing students.
Background:
Healthcare-associated infections seriously threaten patient safety and care quality worldwide. Although standard precautions are key to preventing HAIs, nursing students often lack both compliance and the necessary knowledge. Existing tools are not tailored to Chinese nursing education, and the internationally developed FIASP-SV has yet to be localized or psychometrically tested in China.
Design:
A cross-sectional study.
Methods:
A 23-item Chinese FIASP-SV was developed via forward/back translation, cross-cultural adaptation, expert consultation and pilot testing. Content validity was confirmed by a nursing expert panel. Using data from 586 students across 14 Guangdong nursing schools (July-September 2024), internal consistency (Cronbach's α = 0.895), exploratory factor analysis and confirmatory factor analysis (good fit) were conducted to evaluate reliability and structural validity.
Results:
Item analysis confirmed satisfactory discrimination and homogeneity for retaining all 23 items across four dimensions (Justification, Leadership, Contextual Cues, Practice Culture). EFA supported a four-factor solution explaining 66.6 % of variance and CFA indicated good model fit. The overall Cronbach's alpha was 0.895 (subscales 0.819-0.911), the Guttman split-half coefficient was 0.735 and the test-retest ICC was 0.650. CFA indices supported the proposed four-factor structure and convergent and discriminant validity indices met commonly used criteria.
Conclusion:
The Chinese FIASP-SV demonstrates satisfactory validity and reliability for assessing factors influencing SP adherence among nursing students and can be used as a reference to guide interventions to strengthen infection-control education and clinical safety.
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