Adaptation and validation of Spanish version of the Inpatient Dignity Scale in hospitalized patients : a psychometric study
Roldán Merino, Juan Francisco 
(Universitat de Vic)
Jerez-Molina, Carmen (Universitat de Vic)
Mestres Soler, Olga 
(Vall d'Hebron Institut de Recerca (VHIR))
Muñoz-Narbona, Lucia 
(Universitat Autònoma de Barcelona)
Gutiérrez-Juarez, Montserrat (Parc Sanitari Sant Joan de Déu)
Biurrun-Garrido, Ainoa 
(Universitat de Vic)
Gutiérrez-Martínez, Jéssica (Parc Sanitari Sant Joan de Déu)
Lopez-Monreal, Jurema (Vall d'Hebron Institut de Recerca (VHIR))
Expósito-Guanter, Clara (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Boix-Coll, Martí (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Peñarrubia-San-Florencio, Lucia (Hospital San Juan de Dios (Barcelona))
Mir-Abellan, Ramon (Parc Sanitari Sant Joan de Déu)
| Date: |
2025 |
| Abstract: |
Maintaining dignity in hospitalized patients is fundamental in nursing care and healthcare quality. In Spain, there is no validated tool to quantitatively assess patient dignity during hospitalization. The Inpatient Dignity Scale has been developed and validated in other countries, but its cross-cultural adaptation and psychometric evaluation in Spanish have not yet been conducted. To perform cross-cultural adaptation and psychometric validation of the Inpatient Dignity Scale in Spanish, evaluating its factorial structure, reliability, and validity. A methodological study was conducted in two phases: (1) translation and cross-cultural adaptation following international standards, and (2) psychometric validation through confirmatory factor analysis and assessment of internal consistency using Cronbach's alpha (α) and McDonald's omega (Ω) coefficients. The sample included 553 hospitalized patients from four hospitals in Barcelona, Spain. The confirmatory factor analysis confirmed the original four-factor structure of the Inpatient Dignity Scale, maintaining the dimensions of respect as a human being, respect for personal feelings and time, respect for privacy, and respect for autonomy. Model fit indices were adequate (χ²/df = 5. 7 for expectations, 4. 3 for satisfaction; CFI ≥ 0. 90; RMSEA ≤ 0. 08). Internal consistency was high across all dimensions (α ≥ 0. 88, Ω ≥ 0. 92), indicating robust reliability. The Spanish version of the Inpatient Dignity Scale in Spanish is a valid and reliable instrument for assessing expectations and satisfaction with dignity in hospitalized patients. Its use can facilitate research on dignity in healthcare and contribute to improving patient-centered care. |
| Rights: |
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| Language: |
Anglès |
| Document: |
Article ; recerca ; Versió publicada |
| Subject: |
Respect ;
Hospitalization ;
Psychometrics ;
Reproducibility of results ;
Nursing care ;
Patient-centered care |
| Published in: |
International Journal of Nursing Studies Advances, Vol. 9 (september 2025) , ISSN 2666-142X |
DOI: 10.1016/j.ijnsa.2025.100423
PMID: 41048588
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Record created 2025-10-24, last modified 2026-02-22