Evidence-Based Practice Competence Questionnaire for Nursing Students: A Validation Study in Albania
1Hellenic Mediterranean University
2University of Vlora
3National and Kapodistrian University of Athens, Greece
DOI: https://doi.org/10.63871/unvl.jsuv2.1.38
Keywords
- evidence-based practice
- nursing
- validation
- students
- validity
Abstract
Evidence-based practice (EBP) is a key element among nurses to ensure high-quality, advanced care in contemporary healthcare systems. Nursing students, as future healthcare professionals, must develop competence in EBP. However, in the Albanian context, there is a lack of instruments to assess EBP competence among undergraduate nursing stu-dents. This study aimed to translate, culturally adapt and validate the Evidence-Based Practice Competence Questionnaire (EBP-COQ) into Albanian, and to test its psychometric properties. A cross-sectional validation study was conducted using a convenience sample of undergraduate Albanian nursing students. The translated EBPCOQ was tested for reliability and construct validity. Construct validity was initially assessed using an exploratory factor analysis (EFA), and internal consistency was assessed using Cronbach’s alpha and McDonald’s omega.
A total of 357 nursing students participated, with a mean age of 22.25 years and 82.6% female. The internal consistency of the Albanian EBP-COQ was high (Cronbach’s alpha = 0.866; McDonald’s omega = 0.855). Exploratory factor analysis identi-fied three factors: Attitude toward EBP, Perceptions toward EBP, and Knowledge and Skills in EBP. The three factors together explained 44% of the total variance, comparable to values reported in previous validation studies of the EBP-COQ. All three factors showed statistically significant positive correlations with overall EBP competence. This study has some limitations, including data collection from a single university and the absence of test-retest reliability as-sessment, which may limit the generalizability of the findings. Conclusions: The Albanian EBP-COQ shows strong validity and reliability for assessing attitudes, skills, and knowledge in EBP among nursing populations in this geographic area. This scale can be used to assess baseline competence and guide educators and researchers in designing strategies to strengthen EBP. Additionally, it may be used to evaluate the effectiveness of EBPrelated courses or workshops, monitor changes in students’ competence over time, and identify factors associ-ated with EBP competence.
Declarations
Conflict of interest: The authors declare no conflict of interest.
Acknowledged: NA
AI use: NA
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