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Vol. 36. Issue 1.
Pages 34-41 (January - February 2021)
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Vol. 36. Issue 1.
Pages 34-41 (January - February 2021)
Original article
DOI: 10.1016/j.jhqr.2020.07.004
Translation and validation of the Arabic version of the quality of oncology nursing care scale (QONCS): Psychometric testing in three Arabic countries
Traducción y validación de la versión árabe de la escala QONCS (Quality of Oncology Nursing Care Scale): prueba psicométrica en tres países árabes
L. Abu Sharoura,
Corresponding author

Corresponding author.
, S. Al Sabeib, M. Al Harrasib, S. Anwarc, A.B. Salamehd
a Faculty of nursing, Al-Zaytoonah University of Jordan, Jordan
b College of Nursing, Sultan Qaboos University (SQU), Oman
c College of Nursing, Alexandria University, Egypt
d School of Nursing – Al-Zaytoonah University of Jordan (ZUJ), Amman, Jordan

  • Oncology nurses play a significant and increasingly important role in providing optimal, high quality, safe, evidence-based and appropriate care to cancer patients.

  • Regardless of the large number of cancer patients in the Arab world, little is known about their satisfaction with the care provided by the oncology nurses.

  • Arabic version of QONCS (QONCS-Ar) is a valid, reliable, easy to use and practical instrument for measuring the quality of oncology nursing care from the patient's perception.

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Tables (4)
Table 1. Sociodemographic characteristics by country (N=517).
Table 2. Pearson correlation coefficients between the QONCS-Ar and PSNCQQ-Ar and FACT-G (N=571).
Table 3. Pearson correlation coefficients for the five domains of the QONCS-Ar (N=517).
Table 4. Factor loadings of the exploratory factor analysis results for QONCS-Ar (N=517).
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In the Arab world, little is known about cancer patient's satisfaction with the care provided by the oncology nurses. The only explanation for this dearth of knowledge is lack of a specified, valid and reliable tool that can be utilized with all types of cancer. This regional study was conducted to translate and validate the Arabic version of quality of oncology nursing care scale (QONCS).


Brislin's model of translation was used with a cross-sectional, cross-cultural and psychometric design. A convenience sample of 517 from three countries (Jordan, Oman and Egypt) completed the study's surveys.


The results indicated that the total QONCS-Ar was reliable with Cronbach's alpha 0.88 and 0.84, 0.87, 0.83, 0.89 and 0.86 for being supported and confirmed, with the religious and spiritual care, belonging, being valued and being respected domains respectively. Exploratory factor analysis supported the dimensional structure of the 34-item scale with five domains with Kaiser–Meyer–Oklin (KMO) measuring 0.872 and Bartlett's Test of Sphericity being significant (significant p<0.001)


QONCS-Ar is a relatively short, valid, reliable and easy to use instrument that can be applied with all types of cancer, research and educational institutions in the Arabic region.

Exploratory factor analysis

En el mundo árabe se sabe poco acerca de la satisfacción de las pacientes de cáncer con los cuidados prestados por las enfermeras de oncología. La única explicación para esta escasez de conocimiento es la carencia de una herramienta específica, válida y fiable que pueda utilizarse con todos los tipos de cáncer. Se realizó este estudio regional para traducir y validar la versión árabe de la escala QONCS (Quality of Oncology Nursing Care Scale).


Se utilizó el modelo de traducción de Brislin, con un diseño transversal, transcultural y psicométrico. Una muestra de conveniencia que incluyó a 517 personas procedentes de tres países (Jordania, Omán y Egipto) completó las encuestas del estudio.


Los resultados indicaron que la escala QONCS-Ar total era fiable, con un valor de alfa de Cronbach de 0,88, y de 0,84, 0,87, 0,83, 0,89 y 0,86 para respaldo y confirmación de los dominios de cuidados religiosos y espirituales, pertenencia, ser valorada y ser respetada, respectivamente. El Análisis de factor exploratorio respaldó la estructura dimensional de la escala de 34 ítems, con un valor de 0,872 en la escala de cinco dominios KMO (Kaiser–Meyer–Oklin), siendo significativa la Prueba de Esfericidad de Bartlett (significación p<0,001).


QONCS-Ar es un instrumento relativamente breve, válido, fiable y fácil de utilizar, que puede aplicarse a todos los tipos de instituciones de cáncer, investigación y formación en la región arábiga.

Palabras clave:
Análisis de Factor Exploratorio


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