Cross-Cultural Adaptation and Psychometric Evaluation of the Arabic Clinical Reasoning Scale Among Nursing Students.
Background: Clinical reasoning is a vital competency for safe nursing practice, yet no validated Arabic instrument exists to assess this skill among nursing students in Saudi Arabia. Aim: This study aimed to translate, culturally adapt, and psychometrically evaluate the Arabic version of the Clinica...
| Published in: | Nursing Reports Vol. 16; no. 7; pp. 214 - 235 |
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| Main Authors: | , , , |
| Format: | research tables/charts Journal Article |
| Published: |
MDPI
Jul2026
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=195804732&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 195804732 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 2039439X EGNT jtl: Nursing Reports issn: 2039439X maglogo: N pubinfo: dt: Jul2026 vid: 16 iid: 7 pid: 97109 pub: MDPI artinfo: ui: 195804732 195804732 195804732 10.3390/nursrep16070214 195804732 ppf: 214 ppct: 21 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Cross-Cultural Adaptation and Psychometric Evaluation of the Arabic Clinical Reasoning Scale Among Nursing Students. aug: au: Kunjan, Minimole Kalarickal Seethalakshmi, Avudaippan Arulanantham, Zechariah Jebakumar Nagalakshmi, Sethuraman affil: Department of Nursing Foundation, Sri Ramachandra Institute of Higher Education and Research, Porur, Chennai 600116, India sug: subj: Instrument Adaptation Instrument Validation Psychometrics Evaluation Cultural Competence Clinical Reasoning Evaluation Students, Nursing Human Validation Studies Saudi Arabia Construct Validity Exploratory Research Factor Analysis Test-Retest Reliability Intraclass Correlation Coefficient T-Tests Content Validity Internal Consistency Student Attitudes Self Report Descriptive Statistics Male Female Cross Sectional Studies One-Way Analysis of Variance Data Analysis Software Young Adult Scales Male Female ab: Background: Clinical reasoning is a vital competency for safe nursing practice, yet no validated Arabic instrument exists to assess this skill among nursing students in Saudi Arabia. Aim: This study aimed to translate, culturally adapt, and psychometrically evaluate the Arabic version of the Clinical Reasoning Scale (CRS) and to investigate clinical reasoning among Saudi nursing students. Methods: This methodological instrument validation study with a cross-sectional survey component was conducted in Saudi Arabia between January 2024 and May 2025 among nursing students. The Arabic Clinical Reasoning Scale (CRS-A) was translated and culturally adapted in accordance with the WHOQOL Group guidelines for instrument translation. Content validity was assessed by 10 experts, and construct validity was evaluated using exploratory factor analysis (n = 365). The response rate was 98.65%. Internal consistency was evaluated using Cronbach's alpha (n = 365), and test–retest reliability (n = 30) was measured with the Intraclass Correlation Coefficient (ICC) over a two-week period. Descriptive statistics, one-way analysis of variance (ANOVA), and independent sample t-tests were also performed. Results: The tool's content validity (S-CVI = 0.98) was confirmed by a panel of experts. The CRS-A demonstrated excellent temporal stability (ICC = 0.95, p < 0.001) and internal consistency (Cronbach's α = 0.935). The exploratory factor analysis showed that the 16 items' factor loadings ranged from 0.542 to 0.807, and three factors accounted for 64.33% of the total variance. Students self-reported agreement with clinical reasoning abilities (mean scores: 3.81–4.18). No significant differences in clinical reasoning were found by age (p = 0.102) or gender (p = 0.226), but significant differences were found by Cumulative Grade Point Average (CGPA) (p < 0.001). Conclusions: The Arabic Clinical Reasoning Scale demonstrated preliminary psychometric performance for measuring clinical reasoning among Arabic-speaking student nurses. It provides educators with a valuable tool for identifying learning needs and evaluating educational interventions. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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