Abstract:

Objective The purpose of this study was to translate and revise Patient Participation Culture Tool for Healthcare Workers（PaCT-HCW） in Chinese background，so as to provide a reliable tool for evaluating the level of patient engagement. Methods The translation and back-translation of PaCT-HCW were followed by the Brislin translation model. The Chinese version was culturally adjusted and refined through expert consultations and pre-investigation. Content validity of the Chinese version was evaluated by seven experts. A questionnaire survey was conducted among 812 nurses. Fifty clinical nurses were selected to investigate again after two weeks. Results The Chinese version of PaCT-HCW consisted of 44 items into six dimensions：competence，support，perceived lack of time，information sharing and dialogue，response to questions，and acceptance of a new role. Exploratory factor analysis revealed six common factors，accounting for a cumulative variance contribution rate of 69.829%. The item content validity index（I-CVI） of the scale rangedfrom 0.710 to 1.000，and average content validity（S-CVI/Ave） reached 0.970. The Cronbach’s α for the whole scale was 0.962，while varied from 0.748 to 0.956 for dimensions. The test-retest reliability of the scale was 0.980，andranged from 0.690 to 0.977 for dimensions. Conclusion The Chinese version of PaCT-HCW has good reliability and validity，and can be used as a valid tool in evaluating the level of patients’ participation cultural for nurses.

Key words: Patients Participation, Culture, Nurses, Questionnaires