Research Article
AssessingtheValidityandReliabilityoftheRussianVersionofthe
Leading a Culture of Quality in Infection Prevention Scale among
Nurses in Kazakhstan
Jonas Preposi Cruz ,
1
Paolo Colet ,
1
Joseph Almazan,
1
Anargul Kuntuganova ,
2
Alma Syzdykova,
3
and Gaukhar Agazhayeva
4
1
Department of Medicine, School of Medicine, Nazarbayev University, Kerey and Zhanibek Khans St 5/1,
Astana City 010000, Kazakhstan
2
Department of Biomedical Sciences, Nazarbayev University, Kerey and Zhanibek Khans St 5/1, Astana City 010000, Kazakhstan
3
Education Department, Corporate Fund University Medical Center, Astana City, Kazakhstan
4
Department of Epidemiologic Control, Corporate Fund University Medical Center, Astana City, Kazakhstan
Correspondence should be addressed to Paolo Colet; paolo.colet@nu.edu.kz
Received 17 May 2023; Revised 20 August 2023; Accepted 25 August 2023; Published 7 September 2023
Academic Editor: Majed Alamri
Copyright©2023JonasPreposiCruzetal.TisisanopenaccessarticledistributedundertheCreativeCommonsAttribution
License,whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkisproperly
cited.
Background. Worldwide, hospitals are required to prioritize the culture of quality in infection prevention (CQIP) for patient safety.
AssessingCQIPiscrucial,butthereislimitedresearch,especiallyregardingnurses’perceptions.Insufcientinformationexistsdueto
scarcity of validated instruments in local languages to measure CQIP internationally. Purpose. Tis study assessed the “Leading
a Culture of Quality in Infection Prevention Scale” Russian version’s (LCQ-IPS-R) validity and reliability to assess the CQIP of
hospitalsinKazakhstanbasedonnurses’perceptions. Methods.Tisstudyutilizedamethodologicaldesignandanalyzeddatafrom
204nursesatthe“NationalResearchCenterforMaternalandChildHealth”inAstanaCity,Kazakhstan.Te“culturalandlinguistic
adaptation” process involved a “forward-backward translation” technique. Content validity and construct validity were examined.
Internalconsistencyreliabilitywasexploredforscalereliability. Results.Tescale’smeanitemrangewasfrom3.56(SD � 1.22)to4.40
(SD � 0.85;SD � 0.92).Tecorrecteditem-totalcorrelationrangedfrom0.321to0.707.SixexpertsratedtheI-CVIfrom0.83to1.00,
withanS-CVI/Aveof0.90.TeprincipalcomponentanalysiswithVarimaxrotationproducedfourdistinctcomponentsoftheLCQ-
IPS-R,explaining69.8%ofthetotalvariance.TetestsofcorrelationbetweentheLCQ-IPS-R’sfourcomponentsrevealedmediumto
largepositiveassociationsamongthecomponents(r � 0.25–0.55, p < 0.001).Tecomputed α fortheLCQ-IPS-Rwas0.909while α
values from four subscales ranged from 0.809 to 0.921. Conclusions/Implications for Practice. Tis study provides evidence of the
LCQ-IP-R’s reliability and validity in evaluating Russian-speaking nurses’ perception of their hospital’s CQIP. Tese fndings open
thedoorforfurtherresearchonCQIPinhealthcaresettingsinKazakhstan,CentralAsia,andotherRussian-speakingcountries.Te
scaleprovidesessentialbaselineinformationtodesignefectiveinterventions forachievinghospitals’infectionpreventionobjectives.
1. Introduction
Healthcare administrators and policymakers are continu-
ouslyengagingindevelopinganinfectionpreventionculture
that is very extensive, convenient, and economical in
healthcare settings. According to Cruz ([1]; p. 3), a “culture
of quality in infection prevention” (CQIP) is defned as the
“shared perception among healthcare professionals towards
hospital infection prevention.” Hospitals worldwide are
expectedtohavethehighestlevelofCQIPtoensurepatient
safety and better patient outcomes. Te World Health Or-
ganization [2] reported that routine infection prevention
practicesinKazakhstanarewelldocumented,includingrisk
assessment for infectious diseases, patient safety, and
establishing primary healthcare coordination centers stafed
by healthcare professionals.
Hindawi
Journal of Nursing Management
Volume 2023, Article ID 5309218, 10 pages
https://doi.org/10.1155/2023/5309218