Evidence map›Paper›PMID 41935291›Full record

ArticleBMC nursing2026

Validity and reliability of the Chinese version of the Watson Caritas Patient Score.

Yen-Fang Chou, Shu-Fen Chi, Chiu-Tzu Lin, Shu-Ling Yeh, Hsing-Ju Lu, Mei-Chu Tsai, Yi-Ping Tseng, Wen-Pin Yu, Ming-Chu Chiang, Chin-Yen Han

Abstract read
In one paragraph

Article in BMC nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Yen-Fang ChouDepartment of Nursing, New Taipei Municipal TuCheng Hospital (Built and Operated by Chang Gung Medical Foundation), New Taipei, Taiwan.ORCID http://orcid.org/0000-0002-4132-0444
Shu-Fen ChiDepartment of Nursing, Taoyuan Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Chiu-Tzu LinDepartment of Nursing, New Taipei Municipal TuCheng Hospital (Built and Operated by Chang Gung Medical Foundation), New Taipei, Taiwan.ORCID http://orcid.org/0009-0004-6517-2003
Shu-Ling YehDepartment of Nursing, Keelung Chang Gung Memorial Hospital, Keelung City, Taiwan.ORCID http://orcid.org/0000-0003-3371-4037
Hsing-Ju LuDepartment of Nursing, Chiayi Chang Gung Memorial Hospital, Chiayi, Taiwan.ORCID http://orcid.org/0000-0002-0664-4048
Mei-Chu TsaiDepartment of Nursing, Taoyuan Chang Gung Memorial Hospital, Taoyuan, Taiwan.ORCID http://orcid.org/0009-0004-5018-1046
Yi-Ping TsengDepartment of Nursing, Taoyuan Chang Gung Memorial Hospital, Taoyuan, Taiwan.ORCID http://orcid.org/0009-0000-4651-0979
Wen-Pin YuDepartment of Nursing, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Ming-Chu ChiangDepartment of Nursing, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan.
Chin-Yen HanSchool of Nursing, Chang Gung University, Taoyuan City, Taiwan. cyhan@gw.cgust.edu.tw.ORCID http://orcid.org/0000-0002-7464-7507

Funding

Chang Gung Medical Foundation BMRPB93
6 · The paper itself

Abstract

backgroundWatson’s Theory of Human Caring emphasizes ten Caritas Processes®, providing a theoretical foundation for holistic nursing care. The Watson Caritas Patient Score (WCPS) has been validated internationally. However, to date, no culturally adapted Chinese version exists. The aim of this study was to translate and culturally adapt the WCPS into a Chinese version (WCPS-C), and examine its psychometric properties and convergent validity using the Patient Satisfaction with Nursing Care Scale.

methodsA cross-sectional study was conducted in two phases: (1) translation and cultural adaptation of the WCPS into Chinese, and (2) psychometric testing using two independent samples. Exploratory factor analysis (EFA, n = 104) and confirmatory factor analysis (CFA, n = 221) were also performed. Data were collected from March 1 to September 8, 2025, at five hospitals in Taiwan. Descriptive statistics, Cronbach’s α for reliability, Pearson correlation for convergent validity, EFA with principal axis factoring and Promax rotation, and CFA using AMOS were conducted to evaluate construct validity and model fit.

resultsThe participants’ demographics did not differ significantly between the EFA and CFA samples. EFA supported a one-factor structure (KMO = 0.813, Bartlett’s p < 0.001), explaining 82.34% of variance, with factor loadings ranging from 0.825 to 0.937. CFA confirmed good fit indices: χ²/df = 0.50, CFI = 1.000, RMSEA = 0.000, SRMR = 0.004; standardized factor loadings ranged from 0.825 to 0.937. Internal consistency was high (Cronbach’s α = 0.935). The WCPS-C scores showed a positive correlation with patient satisfaction (Spearman’s rho = 0.628–0.764, p < 0.001).

conclusionsThe WCPS-C is a culturally relevant psychometric tool for assessing patients’ perceptions of nursing care in Taiwan. It captures the holistic dimensions of nursing care beyond traditional satisfaction measures. It can be applied in clinical settings to evaluate nurses’ caring behaviors, enhance caring competence, and guide quality improvement in nursing practice. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Confirmatory factor analysisExploratory factor analysisInternal consistencyWatson Caritas Patient Score

Identifiers

PMID41935291
PMCPMC13188598

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.