Cultural Adaptation, Translation and Psychometric Validation of a Technology and eHealth Literacy Questionnaire Among Albanian Undergraduate Nursing Students.

Background: Rapid technological progress has transformed healthcare systems through integrating electronic health (eHealth) into clinical practice. Consequently, nursing students, upcoming healthcare professionals, face new challenges arising from this digital transition. Adequate technological skil...

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Publicado en:Nursing Reports Vol. 16; no. 4; pp. 139 - 153
Autores principales: Fragkioudaki, Chrysi A., Mechili, Enkeleint A., Galanis, Petros, Patelarou, Evridiki, Giakoumidakis, Konstantinos, Patelarou, Athina E.
Formato: research tables/charts Journal Article
Publicado: MDPI Apr2026
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Cultural Adaptation, Translation and Psychometric Validation of a Technology and eHealth Literacy Questionnaire Among Albanian Undergraduate Nursing Students.
      aug:
        au:
          Fragkioudaki, Chrysi A.
          Mechili, Enkeleint A.
          Galanis, Petros
          Patelarou, Evridiki
          Giakoumidakis, Konstantinos
          Patelarou, Athina E.
        affil: Department of Nursing, School of Health Sciences, Hellenic Mediterranean University, 71410 Heraklion, Greece
      sug:
        subj:
          Telehealth
          Technology
          Information Literacy Evaluation
          Computer Literacy Evaluation
          Students, Nursing, Baccalaureate Albania
          Questionnaires
          Instrument Adaptation
          Translations
          Instrument Validation
          Attitude to Computers Evaluation
          Internet Access Evaluation
          Human
          Validation Studies
          Albania
          Psychometrics
          Convenience Sample
          Male
          Female
          Adolescence
          Young Adult
          Cross Sectional Studies
          Scales
          Face Validity
          Internal Consistency
          Coefficient alpha
          Factor Analysis
          Descriptive Statistics
          Data Analysis Software
          Construct Validity
          Structural Equation Modeling
          Culture
          Adolescent: 13-18 years
          Male
          Female
      ab: Background: Rapid technological progress has transformed healthcare systems through integrating electronic health (eHealth) into clinical practice. Consequently, nursing students, upcoming healthcare professionals, face new challenges arising from this digital transition. Adequate technological skills and eHealth literacy are essential to meet the requirements of contemporary healthcare environments. The aim of this study was to translate, culturally adapt, and validate a questionnaire measuring technophilia, Internet use, eHealth literacy, and nursing students' attitudes toward technology and eHealth. Methods: A cross-sectional validation study was conducted using a convenience sample of Albanian undergraduate nursing students. After forward and backward translation, the instrument's construct validity was examined using exploratory factor analysis (EFA). Cronbach's alpha assessed internal consistency, and the relationships among the four constructs were explored using structural equation modeling (SEM). Results: A total of 357 undergraduate nursing students participated in the survey. EFA identified a clear four-factor structure corresponding to Technophilia, Internet Use, eHealth Literacy, and Technology and Electronic Health in Nursing Education, with all items demonstrating satisfactory factor loadings. Internal consistency of the four scales ranged from 0.692 to 0.852, indicating generally satisfactory reliability. Although the SEM model fit was below the recommended thresholds, the results provide some evidence for relationships among the constructs. Conclusions: The findings provide preliminary evidence for the reliability and validity of the adapted instrument and set a baseline for assessing Albanian nursing students' knowledge, skills, and attitudes regarding technology and eHealth literacy. Several strategies can be developed based on this evidence to prepare nursing students for technologically advanced healthcare systems.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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