RNCohortRevista latino-americana de enfermagem2018

Cross-cultural adaptation and validation of Pamela Reed's Self-Transcendence Scale for the Spanish context.

Alberto Pena-Gayo, Víctor Manuel González-Chordá, Águeda Cervera-Gasch and 1 others

PMID 30540116

WHAT IT FOUND

The Spanish version of the Self-Transcendence Scale was adapted for use in Spain, but it does not measure one single ability, so a total score is misleading.

Nurses should use it only for research, not to judge individual patient well-being.

Key findings

01The adapted scale showed acceptable agreement with experts on item relevance and correlated moderately with established well-being measures.

02The scale does not measure one single ability, as the data fit a three-factor model better than the intended one-factor structure.

03Scores were unstable when the same people completed the scale again two weeks later, limiting its use for tracking individual change.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

Participants were mostly healthy, university-educated adults recruited online, not patients receiving nursing care, so results do not apply to clinical populations. Only 65 people completed the second test, which is too few to trust the stability results. The scale measures three different concepts, not one overall ability, so a single total score does not mean what it appears to. Recruitment through social media and universities likely selected for people already interested in well-being research.

Declared interests

The authors declared no conflicts of interest.

The easy way to misread this

Do not assume this validated Spanish scale can assess an individual patient's self-transcendence or well-being. Scores were unstable when the same people completed it twice, and the scale measures three separate concepts rather than one overall ability, making any single patient score unreliable.

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