Jpn J Nurs Sci. 2025 Oct;22(4):e70013. doi: 10.1111/jjns.70013.
ABSTRACT
AIM: Currently, there is no Japanese tool to measure organizational context factors that influence nurses’ implementation of evidence-based practices. This study aimed to translate, culturally adapt, and psychometrically evaluate the Alberta Context Tool (ACT) for nurses in Japan.
METHODS: We completed forward translations with reconciliation, expert discussions, back translations with reconciliation, back translation review by tool developers, and semi-structured cognitive interviews with verbal probing. A convenience sample of nurses from five hospitals completed the translated tool. Item descriptives (including missing data), internal structure (confirmatory factor analyses [CFA]), criterion validity (correlations with Team Climate Inventory [TCI] items “support for innovative ideas”), internal consistency reliability (Cronbach’s alpha, item-concept correlations), and test-retest reliability (intraclass correlation) were examined.
RESULTS: Cognitive debriefing with nine nurses led to modifying 10 ACT items. A total of 508 nurses completed the survey. CFA showed an acceptable model fit for the seven scale-based concepts ( x 2 $$ {x}^2 $$ = 1037.28, root mean square error of approximation = 0.054, Comparative Fit Index = 0.913, Tucker-Lewis Index = 0.902, standardized root mean square residual = 0.053). Correlations between the 10 ACT concepts and TCI ranged from .08 to .43, with nine statistically significant (p < .05). Cronbach’s alpha ranged from .22 to .91 (exceeding 0.70 for 8/10 concepts), and item-concept correlations ranged from .15 to .96 (exceeding 0.70 for 26/56 items). Retest reliability (N = 65) ranged from 0.45 to 0.81.
CONCLUSIONS: The ACT Japanese version demonstrated initial evidence of acceptable validity and reliability for most concepts and items, supporting its use in assessing organizational context.
PMID:40747563 | DOI:10.1111/jjns.70013
