Volume 34, Issue 2 (Spring 2026)
Avicenna J Nurs Midwifery Care 2026, 34(2): 94-105 |
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Veisi Y, Dehvan F, Sharif-Nia H, Ghanei Gheshlagh R, Bull C. Psychometric Evaluation of the Persian Version of the Emergency Department Patient Experience Measure. Avicenna J Nurs Midwifery Care 2026; 34 (2) :94-105
URL: http://nmj.umsha.ac.ir/article-1-3481-en.html
URL: http://nmj.umsha.ac.ir/article-1-3481-en.html
1- Kurdistan University of Medical Sciences, Sanandaj, Iran
2- Clinical Care Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
3- Psychosomatic Research Center, Mazandaran University of Medical Sciences, Sari, Iran & Department of Nursing, Amol Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
4- Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran & Nursing Department, Faculty of Health Sciences, Biruni University, Istanbul, Turkey ,rezaghanei30@gmail.com
5- Queensland Centre for Mental Health Research, The University of Queensland, Brisbane, Queensland, 4100, Australia
2- Clinical Care Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
3- Psychosomatic Research Center, Mazandaran University of Medical Sciences, Sari, Iran & Department of Nursing, Amol Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
4- Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran & Nursing Department, Faculty of Health Sciences, Biruni University, Istanbul, Turkey ,
5- Queensland Centre for Mental Health Research, The University of Queensland, Brisbane, Queensland, 4100, Australia
Abstract: (609 Views)
Background and Objective: Patient experience is a key indicator of healthcare quality, particularly in emergency departments. Due to the lack of a culturally validated instrument for Persian‑speaking patients, this study aimed to psychometrically evaluate the Persian version of the Emergency Department Patient‑Reported Experience Measure (ED PREM).
Materials and Methods: This psychometric study included 416 patients selected through convenience sampling from teaching hospitals in Sanandaj. Data were collected using a demographic form and the 26‑item Persian ED PREM. Following translation and cultural adaptation, face, content, and construct validity were assessed using exploratory and confirmatory factor analyses, and internal consistency was evaluated using Cronbach’s alpha.
Results: The instrument showed excellent content validity (S‑CVI/Ave = 0.94), with item‑level CVI values ranging from 0.80 to 1.00. After removal of two items, a three‑factor structure (including compassionate and respectful care, patient participation and comfort, and feelings of safety and reassurance) was identified, explaining 53.6% of the total variance. Confirmatory factor analysis indicated good model fit (RMSEA = 0.048; CFI = 0.954), and all factors demonstrated high internal consistency reliability.
Conclusion: The final 24‑item Persian ED PREM demonstrates satisfactory validity and reliability. Its culturally adapted three‑factor structure provides a practical and reliable tool for assessment and improvement of patient experiences in Iranian Emergency Departments. Future studies are recommended to apply this instrument in more diverse populations and healthcare settings for national‑level comparisons and quality monitoring.
Materials and Methods: This psychometric study included 416 patients selected through convenience sampling from teaching hospitals in Sanandaj. Data were collected using a demographic form and the 26‑item Persian ED PREM. Following translation and cultural adaptation, face, content, and construct validity were assessed using exploratory and confirmatory factor analyses, and internal consistency was evaluated using Cronbach’s alpha.
Results: The instrument showed excellent content validity (S‑CVI/Ave = 0.94), with item‑level CVI values ranging from 0.80 to 1.00. After removal of two items, a three‑factor structure (including compassionate and respectful care, patient participation and comfort, and feelings of safety and reassurance) was identified, explaining 53.6% of the total variance. Confirmatory factor analysis indicated good model fit (RMSEA = 0.048; CFI = 0.954), and all factors demonstrated high internal consistency reliability.
Conclusion: The final 24‑item Persian ED PREM demonstrates satisfactory validity and reliability. Its culturally adapted three‑factor structure provides a practical and reliable tool for assessment and improvement of patient experiences in Iranian Emergency Departments. Future studies are recommended to apply this instrument in more diverse populations and healthcare settings for national‑level comparisons and quality monitoring.
Keywords: Emergency Department, Patient Experience, Psychometrics, Patient-Reported Experience Measure
Type of Study: Original Research |
Subject:
Nursing
Received: 2026/02/11 | Accepted: 2026/04/27 | Published: 2026/05/31
Received: 2026/02/11 | Accepted: 2026/04/27 | Published: 2026/05/31
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