Translation, Cultural Adaptation and Psychometric Validation of the Italian Version of the Dignity in Care Scale for Nurses.

Authors

Simone Cosmai, Ercole Vellone, Diego Lopane, Matteo Torreano, Marco Di Nitto, Gianluca Catania, Daniela Cattani, Alessandra Dacomi, Milko Zanini, Loredana Sasso, Duilio Fiorenzo Manara, Debora Rosa, Rosaria Alvaro, Gennaro Rocco, Annamaria Bagnasco, Beatrice Mazzoleni

Published in

Journal of clinical nursing. Oct 02, 2026. Epub Oct 02, 2026.

Abstract

To translate, culturally adapt and validate the Dignity in Care Scale for Nurses (DISC-N) into the Italian language.
A national multicentre cross-sectional study.
Translation and cultural adaptation followed recognised guidelines for health measurement instruments. Content validity was assessed through expert review. Structural validity, item performance, reliability, construct validity and measurement invariance were examined in a national sample of registered nurses and nursing students.
A total of 1385 registered nurses and 905 nursing students from 14 regions and one Autonomous Province participated in this study. The Italian DISC-N showed excellent content validity, a coherent six-domain structure, and strong reliability for the total scale and its domains. Measurement invariance was supported across gender, age and professional role, indicating that comparisons across these groups are appropriate. Construct validity was supported by positive associations with ethical climate.
The Italian DISC-N is a culturally appropriate and psychometrically robust instrument for evaluating dignity-preserving nursing practice in Italian clinical and educational settings.
The scale can support professional development, undergraduate education and quality improvement by helping organisations assess, monitor and strengthen dignity-preserving care.
This study addressed the absence of an Italian instrument for assessing nurses' perceptions of dignity-preserving care. The main finding is that the Italian DISC-N provides a valid and reliable measure for nurses and nursing students. The findings will affect clinical educators, nurse managers, researchers and healthcare organisations seeking to promote person-centred and dignity-preserving care.
The study was reported according to the Consensus-based Standards for the selection of health Measurement Instruments reporting guideline.
No patient or public contribution.

PMID:
42825718
Bibliographic data and abstract were imported from PubMed on 02 Oct 2026.

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