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Validation of the Spanish Short Version of the Perception of Humanized Care Behaviors Scale in Hospitalized Adults in Chile

Title: Validation of the Spanish Short Version of the Perception of Humanized Care Behaviors Scale in Hospitalized Adults in Chile
Authors: Cuadros Carlesi, Katya Marie; Henríquez Roldán, Carlos Felipe; Ruiz Araya, Paola Andrea; Alvarado San Román, Ximena Ruby; Oyarce Quiroz, María Rosa; Vásquez Osses, María Angélica
Source: Investigación y Educación en Enfermería; Vol. 44 No. 1 (2026) ; Investigación y Educación en Enfermería; Vol. 44 Núm. 1 (2026) ; Investigación y Educación en Enfermería; v. 44 n. 1 (2026) ; 2216-0280 ; 0120-5307
Publisher Information: Facultad de Enfermería - Universidad de Antioquia
Publication Year: 2026
Collection: Universidad de Antioquia: Sistema de Revistas
Subject Terms: nursing care; humanization of assistance; hospitals; reproducibility of results; perception
Description: Objective. To validate a new Spanish version of the Perception of Nursing Humanized Care Behaviors Scale (PCHE) in hospitalized adults in Chile. Methods. A descriptive, cross-sectional validation study of the PCHE scale was conducted with the participation of adults admitted to four hospitals in Chile. The research was carried out in three stages: (i) linguistic adaptation and content validation through expert judgment; (ii) assessment of internal consistency and preliminary construct validity of the adapted and revised instrument; and (iii) evaluation of the validity and reliability of a proposed abbreviated version of the scale. A total of 1720 patients were selected through non-probabilistic convenience sampling. Following linguistic adaptation and expert review, a pilot test was conducted with 40 patients; after revisions, the 32-item instrument with four response options was applied to a first sample of 344 patients. Subsequently, the response scale was expanded from four to seven options and administered to a second sample of 202 patients. Cognitive interviews and a preliminary Exploratory Factor Analysis (EFA) were also conducted, resulting in a reduction of the instrument from 32 to 15 items. Finally, in a third sample of 1,134 patients, an EFA and a Confirmatory Factor Analysis (CFA) were performed. Internal consistency was assessed using Cronbach’s alpha. Results. The original 32-item instrument with four Likert response options showed limitations in item comprehension, relevance, and factorial structure. After adjustments, a 15-item scale was obtained, from which a single dimension—humanized care—emerged, with a Cronbach’s alpha of 0.93. Conclusion. The abbreviated PCHE instrument, reduced from 32 to 15 items, is valid and reliable for use in hospitalized adult patients in Chile.
Document Type: article in journal/newspaper
File Description: application/pdf
Language: English
Relation: https://revistas.udea.edu.co/index.php/iee/article/view/364042/20820932; https://revistas.udea.edu.co/index.php/iee/article/view/364042
Availability: https://revistas.udea.edu.co/index.php/iee/article/view/364042
Rights: Derechos de autor 2026 Investigación y Educación en Enfermería ; https://creativecommons.org/licenses/by-nc-sa/4.0
Accession Number: edsbas.31F83962
Database: BASE