The Italian Organizational Culture and Readiness Scale for System‐Wide Integration of <scp>EBP</scp> ( <scp>OCRSIEP</scp> ) Scale: Psychometric Adaptation of an Existing Scale
BACKGROUND: Organizational culture and readiness are critical determinants of evidence-based practice (EBP) implementation. The Organizational Culture and Readiness Scale for System-Wide Integration of EBP (OCRSIEP), developed within the ARCC framework, is a validated tool to assess these dimensions, but no Italian version currently exists. AIM: To translate, culturally adapt, and psychometrically validate the OCRSIEP and its short form in Italian. METHODS: A validation study was conducted, using exploratory and confirmatory factor analyses to derive and test the underlying model, followed by reliability testing with multiple indices and measurement invariance analyses. RESULTS: Data were collected from 405 Italian nurses. Factor analyses supported a 19-item, six-factor structure explaining 59.5% of the variance, with a second-order factor indicating an overarching construct. The three-item short form showed strong model fit and explained 67% of the variance. Subscales demonstrated acceptable-to-excellent reliability, and partial scalar invariance was established across public and private facilities. LINKING EVIDENCE TO ACTION: The Italian OCRSIEP scales are valid and reliable tools to assess organizational readiness for EBP implementation. They can guide leaders, educators, and researchers in monitoring, benchmarking, and advancing EBP-oriented system transformation within the Italian healthcare context.
Authors
- Felice Curcio (ORCID: https://orcid.org/0000-0001-5759-1065)
- Daniele Napolitano (ORCID: https://orcid.org/0000-0003-2481-5354)
- Alessio Lo Cascio (ORCID: https://orcid.org/0000-0001-5581-4114)
- Alessandro Stievano (ORCID: https://orcid.org/0000-0003-3508-2352)
- Mattia Bozzetti (ORCID: https://orcid.org/0000-0002-1644-2108)
- Dhurata Ivziku (ORCID: https://orcid.org/0000-0003-0091-7524)
- Pasquale Iozzo
- Ippolito Notarnicola (ORCID: https://orcid.org/0000-0002-4828-8811)
- Roberta Guardione
- Daniela D'Angelo
- Daniela Tartaglini
Institutions
- University of Messina (IT)
- University of Rome Tor Vergata (IT)
- Università Campus Bio-Medico (IT)
- University of Sassari (IT)
- Università degli Studi di Enna Kore (IT)
- Istituto Superiore di Sanità (IT)
- AAB College (XK)
- CTO Hospital (IT)
- Agostino Gemelli University Polyclinic (IT)
- Azienda Ospedaliera San Camillo-Forlanini (IT)
- Campus Bio Medico University Hospital (IT)
- La Maddalena (IT)
- Istituti Ospitalieri di Cremona (IT)
Publication Details
- Journal
- Worldviews on Evidence-Based Nursing
- Published
- 2026-04-01
- DOI
- https://doi.org/10.1111/wvn.70133
- Primary Topic
- Health Policy Implementation Science
- Type
- article
- Field-Weighted Citation Impact
- 0.00