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Cross-cultural Adaptation and Validation of the Hess Index of Professional Nursing Governance for Chinese Nurses
Junyao Fan1, Xiaoyun Zhang, Yinfen Xiao
1Research Nurse of Infectious Diseases Department (Fan), Chief Head Nurse of Infectious Diseases Department (Zhang), Head Nurse of the Infectious Diseases Ward (Xiao; Yang; Yanmei Liu), Head Nurse pf the Orthopedics Ward (Hu), Deputy Director of Nursing Department (Yu Liu), Department of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Objective:
To culturally adapt and assess the psychometric properties of the Hess Index of Professional Nursing Governance 3.0 (IPNG) among nurses in China.
Background:
Shared governance is a structural professional practice model beneficial to both nurses and patients. The IPNG is a widely recognized tool for measuring professional nursing governance, but no psychometrically validated version currently exists for China.
Methods:
This cross-sectional study employed a rigorous 5-stage adaptation process. A convenience sample of 1,023 Chinese nurses was recruited. Exploratory factor analysis, confirmatory factor analysis, and other psychometric properties were assessed.
Results:
The exploratory factor analysis revealed a new 6-factor structure for the Chinese version of the IPNG (C-IPNG), which differed from the original. This new model was confirmed by confirmatory factor analysis with an acceptable fit. The C-IPNG demonstrated strong reliability, with a Cronbach α of 0.976, a scale-level CVI/Ave of 0.960, and a test-retest correlation coefficient of 0.856.
Conclusions:
The C-IPNG is a reliable and valid instrument for assessing professional nursing governance in the Chinese context.
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