Evidence map›Paper›PMID 41185000›Full record

ArticleBMC oral health2025

Psychometric properties of the Chinese version of the attitude and confidence with oral healthcare among nursing students (ACORN) scale: a cross-sectional study.

Xuancheng Chen, Yangyi Chen, Yuhuan Xie, Xuejiao Zhu, Linan Cheng

Abstract readValidation Study
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Article in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Xuancheng ChenSchool of Nursing, Soochow University, 215006, Suzhou, China.
Yangyi ChenSchool of Nursing, Soochow University, 215006, Suzhou, China.
Yuhuan XieSchool of Nursing, Lanzhou University, 730000, Lanzhou, China.
Xuejiao ZhuSchool of Public Health and Nursing, Hangzhou Normal University, 311121, Hangzhou, China.
Linan ChengSchool of Nursing, Soochow University, 215006, Suzhou, China. lncheng2024@wmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNursing students’ attitudes and confidence in oral healthcare are essential for service improvement. While the Attitude and Confidence with Oral Healthcare among Nursing Students (ACORN) scale is a validated assessment tool, its reliability and validity in China remain unverified. This study aims to translate the ACORN scale into Chinese and evaluate its validity and reliability among nursing students.

methodsThis cross-sectional methodological study involved the translation and validation of the ACORN scale into Chinese. A total of 474 nursing students from two universities in China were surveyed between February and April 2024 using the finalized Chinese version of the scale. Eight nursing education experts verified the content validity by assessing the relevance and clarity of the items. The exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) samples comprised 237 students, respectively, to test the structural validity of the inventory. Internal consistency was assessed using Cronbach’s α and Spearman-Brown split-half reliability, test-retest reliability was evaluated to determine the stability of the scale.

resultsA total of 474 students were included. The Chinese ACORN scale consists of 24 items organized into four factors. The item-level and scale-level content validity index was 0.891 and 0.906, respectively. EFA identified four factors, accounting for 72.626% of the cumulative variance; CFA supported a good model fit. The scale demonstrated strong internal consistency (0.938). Additionally, the test-retest and Spearman-Brown split-half reliability were 0.906 and 0.729, respectively.

conclusionsThe Chinese ACORN scale demonstrated strong validity and reliability, making it a suitable tool for assessing nursing students’ attitudes and confidence in oral healthcare. Its application can inform targeted nursing curriculum enhancements and training interventions and guide clinical training to better integrate oral healthcare into nursing practice.

Indexed as

Attitude of Health PersonnelOral HealthStudents, NursingAdultChinaCross-Sectional StudiesFemaleHumansMalePsychometricsReproducibility of ResultsSurveys and QuestionnairesYoung AdultAttitudeConfidenceNursing studentsOral health careScale

Identifiers

PMID41185000
PMCPMC12581508

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