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Chinesization of Carter Assessment of Critical Thinking in Midwifery and its reliability and validity test
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Yang SHEN1, Qian SUN1, Kaiyi WU1, Lijia SHI1, Jiayi TAN1, Jing ZHANG1, 2
Chinese Nursing Research | 2026, 40(10) : 1718 - 1723
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Chinese Nursing Research | 2026, 40(10): 1718-1723
• Scale Study •
Chinesization of Carter Assessment of Critical Thinking in Midwifery and its reliability and validity test
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Yang SHEN1, Qian SUN1, Kaiyi WU1, Lijia SHI1, Jiayi TAN1, Jing ZHANG1, 2
Affiliations
  • 1School of Public Health and Nursing, Hangzhou Normal University, Zhejiang 310000 China
  • 2Zhejiang Provincial Philosophy and Social Sciences Cultivation Laboratory
Published: 2026-05-25 doi: 10.12102/j.issn.1009-6493.2026.10.015
Outline
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Objective

To translate Carter Assessment of Critical Thinking in Midwifery(CACTiM) into Chinese and to test its reliability and validity.

Methods

The original scale was translated based on the World Health Organization translation guidelines,and the Chinese version of CACTiM was formed through cross-cultural adaptation,cognitive interviews,and a preliminary survey.A total of 354 in-service midwives from 16 hospitals in Zhejiang province were selected as study subjects from February to March 2025.The reliability and validity of the scale were tested.

Results

The Chinese version of CACTiM consisted of 4 dimensions and 25 items.The scale-level content validity index was 0.96,and the item-level content validity indices ranged from 0.80 to 1.00.Exploratory factor analysis extracted 4 common factors,with a cumulative variance contribution rate of 62.897%.Confirmatory factor analysis results indicated a good model fit.The overall Cronbach's α coefficient for the scale was 0.938.The split-half reliability was 0.807.The test-retest reliability was 0.972.

Conclusions

The Chinese version of the CACTiM demonstrated good reliability and validity.It could be used as an assessment tool for evaluating critical thinking ability among midwives in China.

midwives  /  critical thinking  /  scale  /  Chinesization  /  reliability  /  validity
沈杨, 孙倩, 吴凯依, 施力嘉, 谭佳依, 张晶. 助产领域评判性思维量表的汉化及信效度检验. 护理研究, 2026 , 40 (10) : 1718 -1723 . DOI: 10.12102/j.issn.1009-6493.2026.10.015
Yang SHEN, Qian SUN, Kaiyi WU, Lijia SHI, Jiayi TAN, Jing ZHANG. Chinesization of Carter Assessment of Critical Thinking in Midwifery and its reliability and validity test[J]. Chinese Nursing Research, 2026 , 40 (10) : 1718 -1723 . DOI: 10.12102/j.issn.1009-6493.2026.10.015
Appendix
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Year 2026 volume 40 Issue 10
36
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Article Info
doi: 10.12102/j.issn.1009-6493.2026.10.015
  • Receive Date：2025-05-20
  • Online Date：2026-10-30
  • Published：2026-05-25
Article Data
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History
  • Received：2025-05-20
  • Revised：2026-03-10
Affiliations
    1School of Public Health and Nursing, Hangzhou Normal University, Zhejiang 310000 China
    2Zhejiang Provincial Philosophy and Social Sciences Cultivation Laboratory
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https://castjournals.cast.org.cn/joweb/hlyj/EN/10.12102/j.issn.1009-6493.2026.10.015
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