The Turkish Version of the Leading a Culture of Quality for Infection Prevention (LCQ-IP) Scale: A Validity and Reliability Study

Objective:This study aims to conduct the Turkish validity-reliability study of the “Leading a Culture of Quality for Infection Prevention (LCQ-IP)” for nurses and nurse managers. Method:This methodological design study was conducted with nurses and nurse managers (n=210) in a university training-research hospital in Ankara between February-August 2024. The socio-demographic characteristics form and the Turkish version of the LCQ-IP scale were used to collect data. Validity (language, content, etc.) and reliability of LCQ-IP were evaluated. Results:The content validity index was determined as 0.96. The Kaiser-Meyer-Olkin value was found to be 0.944. The items numbered 4, 15, and 16 were removed from the scale because the distribution properties disrupted the structure, and the number of items decreased from 19 to 16. Items 13 and 14 were located under the sub-dimension of “psychological safety”; item 9 was located under the sub-dimension of improvement orientation, unlike the original scale. The supportive work environment sub-dimension was removed from the Turkish version. For the confirmatory factor analysis model of the scale, the fit index values were calculated as χ2/degrees of freedom=1.694, goodness-of-fit index=0.922, normed fit index=0.944, comparative fit index=0.976, root mean square error of approximation=0.058, and root mean square residual=0.050. The Cronbach alpha of the total scale was 0.952. Conclusion:The LCQ-IP-TR scale is a valid and reliable instrument with 16 items and 3 sub-dimensions, showing strong psychometric qualities. Its reliability and validity make it a helpful tool for assessing and developing infection prevention and control practices, which supports high-quality patient care and ensures optimal patient safety.