# Italian Version of the Fundamentals of Care Framework and the Fundamentals of Care Practice Process: A Comprehensive Validation Study

## TL;DR

This study validates the Italian version of two nursing frameworks to ensure they are clear and applicable in local clinical and educational settings.

## Contribution

The study provides a culturally adapted and validated Italian version of the Fundamentals of Care Framework and Practice Process.

## Key findings

- The Italian versions were found to be clear, appropriate, and applicable in clinical and educational settings.
- Cultural and linguistic adaptations improved the contextual relevance of the frameworks.
- The validated tools can support curriculum reform and clinical implementation in Italian nursing.

## Abstract

To translate, culturally adapt and validate the Italian version of Fundamentals of Care Framework and the Fundamentals of Care Practice Process.

Qualitative tool validation study.

The study followed internationally recommended procedures, including forward–backward translation, expert committee review, content validation through cognitive interviews and face validity testing with nurses and nursing students. Data were collected between January and October 2023.

Key terms were culturally and linguistically adapted to enhance clarity and contextual relevance, with changes informed by expert feedback. Content validation confirmed conceptual equivalence, and face validity testing demonstrated that Italian versions were perceived as clear, appropriate and applicable across clinical and educational settings.

Cultural adaptation of theoretical frameworks is essential for ensuring their relevance and usability in local contexts. The Italian versions of the Fundamentals of Care Framework and the Fundamentals of Care Practice Process will provide a robust, evidence‐based foundation for person‐centred care across education, research and clinical practice.

By making these tools accessible in Italian, this study supports the integration of fundamentals of care into national nursing education and practice, promoting international consistency in person‐centred care. It lays the groundwork for curriculum reform, clinical implementation and global collaboration in nursing.

Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist.

This study did not involve any patient or public contribution.

ClinicalTrials.gov identifier: NCT05177627