{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T14:54:39Z","timestamp":1790952879511,"version":"4.1.0"},"reference-count":33,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T00:00:00Z","timestamp":1790899200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T00:00:00Z","timestamp":1790899200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To translate, culturally adapt and validate the Dignity in Care Scale for Nurses (DISC\u2010N) into the Italian language.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A national multicentre cross\u2010sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 1385 registered nurses and 905 nursing students from 14 regions and one Autonomous Province participated in this study. The Italian DISC\u2010N showed excellent content validity, a coherent six\u2010domain 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The Italian DISC\u2010N is a culturally appropriate and psychometrically robust instrument for evaluating dignity\u2010preserving nursing practice in Italian clinical and educational settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for the Profession and Patient Care<\/jats:title>\n                    <jats:p>The scale can support professional development, undergraduate education and quality improvement by helping organisations assess, monitor and strengthen dignity\u2010preserving care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>This study addressed the absence of an Italian instrument for assessing nurses' perceptions of dignity\u2010preserving care. The main finding is that the Italian DISC\u2010N 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\u2010centred and dignity\u2010preserving care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>The study was reported according to the Consensus\u2010based Standards for the selection of health Measurement Instruments reporting guideline.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>No patient or public contribution.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocn.70566","type":"journal-article","created":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T14:15:25Z","timestamp":1790950525000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Translation, Cultural Adaptation and Psychometric Validation of the Italian Version of the Dignity in Care Scale for Nurses"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-5101-0207","authenticated-orcid":false,"given":"Simone","family":"Cosmai","sequence":"first","affiliation":[{"name":"Department of Biomedical Sciences Humanitas University  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4673-7473","authenticated-orcid":false,"given":"Ercole","family":"Vellone","sequence":"additional","affiliation":[{"name":"Department of Biomedicine and Prevention Tor Vergata University of Rome  Rome Italy"},{"name":"Department of 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