Evidence map›Paper›PMID 41674153›Full record

ArticleScandinavian journal of caring sciences2026

Cross-Cultural Adaptation of the EPICC Spiritual Care Education Standard Into European Portuguese.

Sara Sitefane, Ana Afonso, Willyane De Andrade Alvarenga, Wilfred Mcsherry, Linda Ross, Josephine Attard, Isabel Rabiais, Sílvia Caldeira

Abstract read
In one paragraph

Article in Scandinavian journal of caring sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Sara SitefaneFaculty of Health Sciences and Nursing, Center for Interdisciplinary Research in Health, Universidade Católica Portuguesa, Lisbon, Portugal.ORCID https://orcid.org/0000-0002-5329-0924
Ana AfonsoFaculty of Health Sciences and Nursing, Center for Interdisciplinary Research in Health, Universidade Católica Portuguesa, Lisbon, Portugal.ORCID https://orcid.org/0000-0001-8566-1331
Willyane De Andrade AlvarengaCentro Universitário Santo Agostinho in Teresina, Teresina, Brazil.ORCID https://orcid.org/0000-0001-6114-8293
Wilfred McsherryDepartment of Nursing and Midwifery, School of Health, Education, Policing and Sciences, University of Staffordshire, Stoke-on-Trent, UK.ORCID https://orcid.org/0000-0003-0932-5875
Linda RossFaculty of Life Sciences & Education, University of South Wales, Pontypridd, UK.ORCID https://orcid.org/0000-0003-3978-5952
Josephine AttardFaculty of Health Sciences, University of Malta, Msida, Malta.ORCID https://orcid.org/0000-0001-6538-893X
Isabel RabiaisCenter for Interdisciplinary Research in Health, Universidade Atlântica, Higher School of Health Atlântica, Barcarena, Portugal.ORCID https://orcid.org/0000-0002-8342-1171
Sílvia CaldeiraFaculty of Health Sciences and Nursing, Center for Interdisciplinary Research in Health, Universidade Católica Portuguesa, Lisbon, Portugal.ORCID https://orcid.org/0000-0002-9804-2297

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSpiritual care is a dynamic and multifaceted concept. The EPICC project, launched to improve nurses' competence in spiritual care through innovative education, supports this approach. The EPICC framework includes several tools and resources with the Spiritual Care Education Standard as the core tool.

aimTranslation, validation and cross-cultural adaptation of the EPICC Spiritual Care Education Standard into European Portuguese language and culture.

methodsValidation study using the Cross-Cultural Adaptation method. This method involves a six-step framework: translation, synthesis, back-translation, review by the expert panel (n = 6), pre-testing, and concluding with the submission and approval of all documents by the original instrument authors and the expert panel. EQUATOR checklist: GRRAS. ETHICAL ISSUES AND APPROVAL: Doctoral research project (approved by the Ethics Committee on 19 July 2023).

resultsThe data were collected between November 2023 and April 2024 and showed 100% agreement and a Content Validity Index (CVI) of 1 for all items among experts. The pre-test, collected in May 2024, with 39 nursing students showed 90% agreement and minimal response variability among the items.

conclusionsThe study successfully adapted the EPICC Spiritual Care Education Standard to European Portuguese, highlighting the need for ongoing investment in spiritual care education in nursing curricula. IMPLICATIONS: This study highlights the importance of students' spiritual care competencies in nursing education and practice, emphasising their integration into curricula and the ongoing relevance of healthcare policy in supporting this dimension of holistic care.

Indexed as

Cross-Cultural ComparisonSpiritualityHumansPortugalcompetency‐based educationEPICCnursingspiritual care educationspirituality

Identifiers

PMID41674153
PMCPMC12895138

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.