Background: Quality assessment in oncology nursing care has been a growing topic in the literature, gaining relevance as oncological nursing care becomes more complex as the science progresses. However, there are no instruments that assess the perception of the quality of oncology nursing care from the point of view of patients for the Portuguese population. Thus, the cross-cultural translation and validation of the Quality of Oncology Nursing Care Scale (QONCS) was performed for the Portuguese context. This instrument allows nurses to assess patients’ self-perception of the quality of nursing care provided in an oncological setting. It also allows researchers to compare the results obtained internationally with the application of this scale. Methods: This is a methodological study, with two distinct phases: the first corresponded to the translation and cultural adaptation of the scale to the Portuguese context, and the second consisted of the psychometric validation of the QONCS, which included factor analysis and the evaluation of the psychometric properties of the instrument. We obtained responses from 402 patients from a Portuguese oncology hospital. Results: The Portuguese version of the Quality of Oncology Nursing Care Scale (QONCS_PT) consists of 34 items inserted into a tetra-factorial model, which explains a total variance of the instrument of 69.8%. A Cronbach’s alpha of 0.93 was obtained for the complete instrument. Conclusions: QONCS_PT has a competent and reliable structure. The scale’s validity was assured and can be used in the Portuguese population, as it is useful for direct care provision but also for researchers and managers.
背景：随着肿瘤护理科学的发展，护理工作日趋复杂，肿瘤护理质量评估已成为文献中日益重要的议题。然而，目前尚无针对葡萄牙人群、从患者视角评估肿瘤护理质量感知的工具。为此，本研究对肿瘤护理质量量表进行了跨文化翻译与葡萄牙语情境下的验证。该工具可帮助护理人员评估肿瘤患者对护理质量的自我感知，并为研究者通过该量表进行国际间结果比较提供可能。 方法：本研究为方法学验证研究，包含两个阶段：第一阶段为量表的葡萄牙语翻译与文化调适；第二阶段为肿瘤护理质量量表的心理测量学验证，涵盖因子分析及工具心理测量学特性评估。研究共收集了葡萄牙某肿瘤医院402名患者的有效数据。 结果：葡萄牙语版肿瘤护理质量量表包含34个条目，形成四因子模型，可解释量表总变异的69.8%。完整量表的克朗巴赫α系数为0.93。 结论：葡萄牙语版肿瘤护理质量量表具有合理可靠的结构。其效度得到验证，适用于葡萄牙人群，不仅能为临床直接护理提供参考，也可服务于研究者与管理者的决策需求。
Cross-Cultural Validation of the Portuguese Version of the Quality of Oncology Nursing Care Scale
肿瘤(癌症)患者之家