Validation and cross-cultural pilot testing of compliance with standard precautions scale: Self-administered instrument for clinical nurses

Simon C. Lam

Research output: Journal article publicationJournal articleAcademic researchpeer-review

27 Citations (Scopus)


Objective. To perform detailed psychometric testing of the compliance with standard precautions scale (CSPS)in measuring compliance with standard precautions of clinical nurses and to conduct cross-cultural pilot testing and assess the relevance of the CSPS on an international platform. design. A cross-sectional and correlational design with repeated measures. setting. Nursing students from a local registered nurse training university, nurses from different hospitals in Hong Kong, and experts in an international conference. methods. The psychometric properties of the CSPSwereevaluatedviainternalconsistency,2-weekand3-monthtest-retestreliability, concurrent validation, and construct validation. The cross-cultural pilot testing and relevance check was examined by experts on infection control from various developed and developing regions. results. Among 453 participants, 193 were nursing students, 165 were enrolled nurses, and 95 were registered nurses. The results showed that the CSPS had satisfactory reliability (Cronbach α = 0.73; intraclass correlation coefficient, 0.79 for 2-week test-retest and 0.74 for 3-month test-retest) and validity (optimum correlation with criterion measure; r = 0.76, P< 001; satisfactory results on knowngroup method and hypothesis testing). A total of 19 experts from 16 countries assured that most of the CSPS findings were relevant and globally applicable. conclusions. The CSPS demonstrated satisfactory results on the basis of the standard international criteria on psychometric testing, which ascertained the reliability and validity of this instrument in measuring the compliance of clinical nurses with standard precautions. The cross-cultural pilot testing further reinforced the instrument's relevance and applicability in most developed and developing regions.

Original languageEnglish
Pages (from-to)547-555
Number of pages9
JournalInfection Control and Hospital Epidemiology
Issue number5
Publication statusPublished - May 2014
Externally publishedYes

ASJC Scopus subject areas

  • Epidemiology
  • Microbiology (medical)
  • Infectious Diseases


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