title: Psychometric properties of the Chinese version of the attitudes towards cardiopulmonary resuscitation with defibrillation (ACPRD-C) among female hospital nurses in Taiwan.
abstract: BACKGROUND
  Nurses are often the first responders to in-hospital cardiac emergencies. A positive attitude towards cardiopulmonary resuscitation with defibrillation may contribute to early cardiopulmonary resuscitation and rapid defibrillation, which are associated with enhanced long-term survival. The aim of this study was to translate and adapt the 31-item attitudes towards cardiopulmonary resuscitation with defibrillation and the national resuscitation guidelines (ACPRD) instrument into Chinese and to evaluate its psychometric properties in a sample of Taiwanese hospital nurses.
  
  
  METHODS
  The ACPRD instrument was translated into Chinese using professional translation services. Content validity index based on five experts to refine the translated instrument. The final instrument was applied to a sample of 290 female nurses, recruited from a regional hospital in southern Taiwan, to assess its internal consistency, factor structure, and discriminative validity.
  
  
  RESULTS
  The Chinese ACPRD instrument showed good internal consistency (Cronbach's alpha=0.87). Seven factors emerged from the factor analysis. The instrument showed good discriminative validity and were able to differentiate the attitudes of nurses with more experience of defibrillation or cardiopulmonary resuscitation from those with less experience. Nurses working in emergency ward or intensive care unit also showed significantly higher overall scores compared to those working in other units.
  
  
  CONCLUSIONS
  The Chinese ACPRD demonstrated adequate content validity, internal consistency, sensible factor structure, and good discriminative validity. Among Chinese-speaking nurses, it may be used as a tool for assessing the effectiveness of educational programs that aim to improve their confidence in performing cardiopulmonary resuscitation with defibrillation.
authors.affiliation: Department of Nursing, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Dalin, Chiayi, Taiwan, ROC.
authors.forename: Hsing-Long
authors.initials: HL
authors.lastname: Lin
authors.affiliation: School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei City, Taiwan, ROC.
authors.forename: Mei-Hsiang
authors.initials: MH
authors.lastname: Lin
authors.affiliation: Department of Nursing, Cardinal Tien Junior College of Healthcare and Management, New Taipei City, Taiwan, ROC.
authors.forename: Chao-Chung
authors.initials: CC
authors.lastname: Ho
authors.affiliation: Department of Neurology, Asia University Hospital, Taichung City, Taiwan, ROC.
authors.forename: Chin-Hua
authors.initials: CH
authors.lastname: Fu
authors.affiliation: Department of Medical Research, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Dalin, Chiayi, Taiwan, ROC; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada. Electronic address: m.koo@utoronto.ca.
authors.forename: Malcolm
authors.initials: M
authors.lastname: Koo
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D016887:Cardiopulmonary Resuscitation / Q000523:psychology* / Q000592:standards / Q000706:statistics & numerical data; D047548:Defibrillators / Q000523:psychology* / Q000592:standards / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D009726:Nurses / Q000523:psychology* / Q000706:statistics & numerical data; D011594:Psychometrics / Q000379:methods / Q000592:standards*; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires; D013624:Taiwan
keywords: Attitude; Basic cardiac life support; Cardiopulmonary resuscitation; Electric defibrillation; Emergency; Nurses