Using the ARTIC-35 to Measure Nurses' Attitudes Related to Trauma-Informed Care.

Abstract

Trauma-informed care (TIC) acknowledges the lasting effects of trauma on individuals. The Attitudes Related to Trauma-Informed Care (ARTIC-35) scale was developed to examine healthcare providers' attitudes related to TIC. Here, we present an item-level analysis of the ARTIC-35 scale for use with nurses and compare our findings to the current ARTIC-35 structure. Principal components analysis, qualitative inter-item analysis, and qualitative intra-item analysis of the ARTIC-35. Our principal component analysis structure supported a nine-factor solution, inter-item qualitative analysis structure supported five subscales, and intra-item qualitative analysis identified 13 acceptable items and 22 items requiring revision for use with nurses. When used with nurses, there are important considerations regarding scale validity and challenges with the design of the original ARTIC-35 scale.