Cultural Adaptation and Evaluation of Selected Measurement Properties of Slovenian Version of Consumer Emergency Care Satisfaction Scale (CECSS-SLO).

Only selected measurement properties were evaluated; test-retest reliability, measurement error, responsiveness, criterion validity, cross-cultural validity or measurement invariance, and hypothesis testing for construct validity were not assessed. Structural validity was not fully evaluated because exploratory factor analysis and confirmatory factor analysis were not performed; principal component analysis was used only as data reduction. The dissatisfaction subscale was made entirely of negatively worded items, so its separate component may be a wording effect rather than a distinct construct. The response rate was 64.7%, and information about non-respondents was not available, so non-response bias cannot be excluded. The sample included only clinically stable, Slovenian-speaking adults discharged home, so it may not represent patients with greater acuity, language barriers, hospital admission, transfer, or those leaving before care was complete. Patients were not involved in structured face validity or cognitive interviewing; only experienced emergency nurses assessed clarity and cultural suitability. Data were collected from October 2025 to January 2026, during winter months, when emergency department attendance, crowding, waiting times, and workload may differ from other seasons. Psychometric analyses used 270 complete cases rather than all 288 returned questionnaires, because missing data were handled by listwise deletion.

The authors report nothing to report for funding and declare no conflicts of interest.

Do not conclude that the Slovenian scale is validated for every emergency department patient or can measure improvement over time. It was tested only in clinically stable Slovenian-speaking adults discharged home, and test-retest reliability and responsiveness were not assessed.