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Italian Version of the Fundamentals of Care Framework and the Fundamentals of Care Practice Process: A Comprehensive Validation Study

  • Annamaria Bagnasco
  • , Maura Lusignani
  • , Nicola Pagnucci
  • , Talita Sallai
  • , Gianluca Catania
  • , Francesca Napolitano
  • , Alberto Dal Molin
  • , Beatrice Mazzoleni
  • , Simone Cosmai
  • , Daniela Cattani
  • , Laura Mansi
  • , Doriana Montani
  • , Andreina Zavaglio
  • , Paola Sanvito
  • , Chiara Cartabia
  • , Letteria Consolo
  • , Luca Giuseppe
  • , Milko Zanini
  • , Loredana Sasso

Research output: Contribution to journalArticlepeer-review

Abstract

Aims: To translate, culturally adapt and validate the Italian version of Fundamentals of Care Framework and the Fundamentals of Care Practice Process. Design: Qualitative tool validation study. Methods: The study followed internationally recommended procedures, including forward–backward translation, expert committee review, content validation through cognitive interviews and face validity testing with nurses and nursing students. Data were collected between January and October 2023. Results: Key terms were culturally and linguistically adapted to enhance clarity and contextual relevance, with changes informed by expert feedback. Content validation confirmed conceptual equivalence, and face validity testing demonstrated that Italian versions were perceived as clear, appropriate and applicable across clinical and educational settings. Conclusion: Cultural adaptation of theoretical frameworks is essential for ensuring their relevance and usability in local contexts. The Italian versions of the Fundamentals of Care Framework and the Fundamentals of Care Practice Process will provide a robust, evidence-based foundation for person-centred care across education, research and clinical practice. Impact: By making these tools accessible in Italian, this study supports the integration of fundamentals of care into national nursing education and practice, promoting international consistency in person-centred care. It lays the groundwork for curriculum reform, clinical implementation and global collaboration in nursing. Reporting Method: Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist. Patient or Public Contribution: This study did not involve any patient or public contribution. Trial Registration: ClinicalTrials.gov identifier: NCT05177627.

Original languageEnglish
Pages (from-to)3449-3463
Number of pages15
JournalJournal of Advanced Nursing
Volume82
Issue number4
DOIs
Publication statusPublished - Apr 2026

Keywords

  • clinical practice
  • cultural adaptation
  • fundamentals of care
  • health systems
  • nursing education
  • person-centred care
  • qualitative research
  • theoretical framework
  • translation

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