The Performance of the Health Communication Assessment Tool© (HCAT-f) in Calibrating Different Levels of Nurse Communication Skills in a French-Speaking Context
Evidence and Clinical Implications
Keywords:healthcare, communication skills, cognitive fluency, scale validation
Communication skills training is essential in nurse education. Miscommunication may lead to adverse events and unsafe healthcare. To date, valid and reliable instruments to serve both communication training and assessment purposes across different cultural contexts are scarce. The present study empirically tested a French-language version of the Health Communication Assessment Tool© (HCAT-f) across different levels of communication skills performance to establish its reliability and validity through a cognitive fluency framework. Ten experts in communication and 52 nurse educators rated three videos simulating conversations between a nurse and a patient scheduled for lumpectomy. Each video captured a different level of communication skills performed by the nurse: High, medium, and low. Three distinct constructs were identified, i.e., professional presentation, empathy, and trust building. At absolute single-measure, an ICC = .43 suggested adequate interrater reliability of the whole scale for the medium-performed scenario, which decreased in low-performed (ICC = .35) and high-performed (ICC = .18) scenarios. The HCAT-f fulfils the criteria of linguistic equivalence, contextual relevance, and demonstrates acceptable construct validity. It can be used as a summative assessment tool after prior training on scale calibration is in place because interrater agreement was difficult to be established in high and low performance scenarios.
How to Cite
Copyright (c) 2022 Anh Nguyet Diep, Jean-Christophe Servotte, Nadia Dardenne, Sophie Vanbelle, Vanessa Wauthier, Méryl Paquay, Suzanne Hetzel Campbell, Jonathan Goffoy, Anne-Françoise Donneau, Alexandre Ghuysen
This work is licensed under a Creative Commons Attribution 4.0 International License.
The authors agree to the following license and copyright agreement:
a. Authors retain copyright in their work.
b. Authors grant the European Journal of Health Communication the right of first publication online on the internet (on the publication platform HOPE of the Main Library of the University of Zurich).
c. The electronic contributions on the internet are distributed under the „Creative Commons Attribution 4.0 International“- License (CC BY 4.0). This license allows others to copy and redistribute the work in any medium or format, to remix, transform and build upon the material with an acknowledgement of the work's authorship and initial publication in the European Journal of Health Communication . These conditions are irrevocable. The full text of the license may be read under http://creativecommons.org/licenses/by/4.0/.
d. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of their work, as long as the conditions of the CC BY 4.0 License are fulfilled and initial publication in the European Journal of Health Communication is acknowledged.
e. Authors grant the Editors commercial rights, using a publishing house, to produce hardcopy volumes of the journal for sale to libraries and individuals, as well as to integrate the manuscript, its title, and its abstract in databases, abstracting and indexing services, and other similar information services.
f. This agreement is subject to possible legal disclosure obligations.
g. This agreement is governed by Swiss law. Court of jurisdiction is Zürich.