Ensuring safety in psychiatry is crucial, but practices vary widely. This study aimed to validate the Italian version of the Ward Safety and Security Rules Survey (WSSRS-I). The validation process included cultural-linguistic adaptation, followed by content and face validation. Fifteen experts assessed content validity using the content validity ratio (CVR) and content validity index (item level [I-CVI] and scale level [S-CVI]), adjusted for chance agreement (k*). Five psychiatric nurses evaluated face validity. The WSSRS-I achieved substantial agreement on cultural-linguistic adaptation (Fleiss's kappa = .85) and item relevance (CVRs = .60-1; I-CVIs = .73-1; k* = .72-1; S-CVI = 0.90). Psychiatric nurses confirmed WSSRS-I appropriateness. The WSSRS-I demonstrated adequate content and face validity. It provides a tool to assess safety measures in Italian psychiatric settings, enhancing psychiatric nursing practices and research.

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http://dx.doi.org/10.1891/JNM-2024-0076DOI Listing

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