Cross-Cultural Adaptation and Psychometric Testing of the Spanish Version of Iceland Health Care Practitioner Illness Beliefs Questionnaire

Abstract

The beliefs of nursing professionals who care for families experiencing illness are fundamental to the quality of the nurse–family relationship and the level of the nurse’s involvement in the therapeutic process of Family Systems Nursing. It is essential to have valid and reliable instruments for assessing nurses’ illness beliefs, especially in the Spanish context where no instruments have been identified to date. The Iceland Health Care Practitioner Illness Beliefs Questionnaire (ICE-HCP-IBQ) is a reliable and valid measure of professionals’ beliefs about their understanding of the meaning of the illness experience of families. The purpose of this study was to adapt and psychometrically test the Spanish version of the ICE-HCP-IBQ ( N = 249 nurses). The exploratory factor analysis showed one-factor solution with good internal consistency (Cronbach’s α = .91) and test–retest reliability ( r = .72, p < .01). This questionnaire is a promising tool for mapping nurse’s illness beliefs and monitoring the effectiveness of family nursing educational interventions in the Spanish context.

Personal and Contextual Factors to the Successful Implementation of a Family Nursing Approach in Oncology Care

“…This is a relevant finding because as indicated by the evidence (Duhamel et al, 2015; Wright & Bell, 2009, 2021), maintaining a supportive attitude toward the family is a prerequisite for inviting and involving them in nursing care. In addition, consistent with the finding reported by Alfaro-Díaz et al (2020), the results reveal that the positive attitudes of nurses toward the importance of including the family in their clinical practice are positively correlated with greater confidence of the professional in their belief that they understand the meaning that the disease has for the family. These results provide empirical support for the Illness Beliefs Model (Wright & Bell, 2009, 2021), which emphasizes the synergy between holding facilitating beliefs when working with families and a positive attitude toward including families in clinical practice.…”

“…The ICE-HCP-IBQ, originally developed by Svavarsdottir, Looman, et al (2018) and later modified by Alfaro-Díaz et al (2020), evaluates the beliefs of health professionals about their understanding of the meaning that a disease has on a family. This questionnaire consists of one dimension (illness beliefs) and includes seven items and four open-ended questions: (a) What beliefs do you have about the health situation that your patients and their families are dealing with that may influence your practice?…”

“…All items were assessed using a Likert-type scale, with 5 response options, ranging from 1 = never to 5 = always . A higher score reflects greater confidence of the professional in his or her beliefs about understanding the meaning of the illness to the family (Alfaro-Díaz et al, 2020).…”

“…The ICE-HCP-IBQ has been validated in the Spanish context, showing good psychometric properties. Cronbach’s alpha for the total questionnaire was .83 (Alfaro-Díaz et al, 2020).…”

“…These findings suggest that the attitudes and beliefs of health care professionals, as well as factors within the context of the process of implementing knowledge of family nursing in clinical practice. In addition, evidence indicates that these variables are related to each other; that is, having a delilberate and clearly defined approach to the care of families in the workplace predicts more positive attitudes of nurses towards including the family in daily care (Alfaro-Díaz et al, 2020; Hagedoorn et al, 2021; Østergaard et al, 2020).…”