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Journal of Evaluation in Clinical... Jun 2020The competence of nurses in anaesthesia care is important for the quality of anaesthesia nursing care and patient safety. However, there is a lack of psychometrically...
RATIONALE, AIMS, AND OBJECTIVES
The competence of nurses in anaesthesia care is important for the quality of anaesthesia nursing care and patient safety. However, there is a lack of psychometrically tested instruments to measure the competence. Therefore, this study aimed to develop and test the psychometric properties of an anaesthesia nursing competence scale (AnestComp) assessing nurses' competence in anaesthesia care.
METHOD
The scale development and psychometric testing had three phases: (1) based on literature reviews and the description of experts, competence areas were identified and items were created; (2) the content validity of the scale was tested by a content expert group, and the scale was pilot tested; and (3) psychometric testing of scale was tested by anaesthesia nurses' (n = 222) and nursing students' (n = 205) self-assessments. The psychometric testing assessed the reliability when using Cronbach's α and the construct validity using factor analyses (confirmatory and exploratory) and known-group technique. Nursing students were included for the purpose of construct validity testing.
RESULTS
The AnestComp has 39 items and consists of seven competence areas: (a) ethics of anaesthesia care, (b) patient's risk care, (c) patient engagement with technology, (d) collaboration within patient care, (e) anaesthesia patient care with medication, (f) peri-anaesthesia nursing intervention, and (g) knowledge of anaesthesia patient care. Cronbach's α values were high in all categories (0.83-0.95), and factor analyses and known-group technique supported a seven-factor model.
CONCLUSION
The initial results supported the reliability and construct validity of the AnestComp. The scale is considered a promising instrument for measuring anaesthesia nursing competence among anaesthesia nurses. Further research with larger and more diverse samples is suggested to refine the current psychometric evaluation.
Topics: Anesthesia; Clinical Competence; Factor Analysis, Statistical; Humans; Psychometrics; Reproducibility of Results; Surveys and Questionnaires
PubMed: 31264335
DOI: 10.1111/jep.13215 -
Journal of Community Psychology Sep 2022The Attitudes toward Homelessness Inventory (ATHI) was developed due to a lack of psychometrically sound instruments to measure the nature and change in attitudes toward...
The Attitudes toward Homelessness Inventory (ATHI) was developed due to a lack of psychometrically sound instruments to measure the nature and change in attitudes toward homelessness. Given inconsistencies in its use and internal reliability, this study evaluates the psychometric properties of the ATHI. Participants (n = 899) were selected using a random-digit-dial telephone survey to complete the ATHI. Results demonstrated that the four-factor solution suggested by the ATHI developers was the best fit for the data, but factor loadings and reliability coefficients were not sufficient for ensuring adequate measurement of attitudes toward homelessness. The poor psychometrics found in this study were likely the result of now outdated items. While the ATHI was developed using well-regarded and rigorous methods, results from this study suggest that it may be necessary to either make edits to the ATHI or to develop a new conceptually and psychometrically-sound measure.
Topics: Attitude; Ill-Housed Persons; Humans; Psychometrics; Reproducibility of Results; Surveys and Questionnaires
PubMed: 35122690
DOI: 10.1002/jcop.22804 -
Child and Adolescent Psychiatric... Oct 2020Measurement-based care involves the practice of systematically administrating rating scales to patients in order to use the collected information to enhance clinical... (Review)
Review
Measurement-based care involves the practice of systematically administrating rating scales to patients in order to use the collected information to enhance clinical evaluation, monitor treatment progress, and directly inform decisions relating to each patient's treatment. Rating scales must be psychometrically validated and efficiently administered within the practice setting. Brief rating scales that are available within the public domain may help to optimize workflows and prevent response fatigue. Clinicians should also have a sufficient understanding of the underlying psychometric properties of rating scales to accurately interpret changes in scores over time and use these results to appropriately direct care.
Topics: Adolescent; Adolescent Psychiatry; Child; Child Psychiatry; Humans; Psychiatric Status Rating Scales; Psychometrics; Self Report
PubMed: 32891365
DOI: 10.1016/j.chc.2020.06.002 -
Death Studies 2022Survivors of sudden death losses frequently experience vivid imagery associated with the events surrounding their loved one's death. This paper describes the development...
Survivors of sudden death losses frequently experience vivid imagery associated with the events surrounding their loved one's death. This paper describes the development and psychometric validation of the Dying Imagery Scale-Revised (DIS-R), a 15-item measure assessing three forms of death imagery, including Reenactment, Remorse, and Revenge imagery. The first study details the development of the DIS-R in a sample of suddenly bereaved college students. The second study examines the validity and reliability of the DIS-R among suddenly bereaved adults. Results suggest that the measure is psychometrically sound and may provide clinically useful information for bereavement counselors.
Topics: Adult; Bereavement; Humans; Psychometrics; Reproducibility of Results; Students; Surveys and Questionnaires; Survivors
PubMed: 32866083
DOI: 10.1080/07481187.2020.1812135 -
Journal of Advanced Nursing Jul 2024The aim of the study was to identify and synthesize the contents and the psychometric properties of the existing instruments measuring home-based care (HBC) nurses'... (Review)
Review
AIM
The aim of the study was to identify and synthesize the contents and the psychometric properties of the existing instruments measuring home-based care (HBC) nurses' competencies.
DESIGN
A hybrid systematic narrative review was performed.
REVIEW METHODS
The eligible studies were reviewed to identify the competencies measured by the instruments for HBC nurses. The psychometric properties of instruments in development and psychometric testing design studies were also examined. The methodological quality of the studies was evaluated using the Medical Education Research Study Quality Instrument and COSMIN checklist accordingly.
DATA SOURCES
Relevant studies were searched on CINAHL, MEDLINE (via PubMed), EMBASE, PsychINFO and Scopus from 2000 to 2022. The search was limited to full-text items in the English language.
RESULTS
A total of 23 studies reporting 24 instruments were included. 12 instruments were adopted or modified by the studies while the other 12 were developed and psychometrically tested by the studies. None of the instruments encompassed all of the 10 home-based nursing care competencies identified in an earlier study. The two most frequently measured competencies were the management of health conditions, and critical thinking and problem-solving skills, while the two least measured competencies were quality and safety, and technological literacy. The content and structural validity of most instruments were inadequate since the adopted instruments were not initially designed or tested among HBC nurses.
CONCLUSION
This review provides a consolidation of existing instruments that were used to assess HBC nurses' competencies. The instruments were generally not comprehensive, and the content and structural validity were limited. Nonetheless, the domains, items and approaches to instrument development could be adopted to develop and test a comprehensive competency instrument for home-based nursing care practice in the future.
IMPACT
This review consolidated instruments used to measure home-based care nurses' competency. The instruments were often designed for ward-based care nurses hence a comprehensive and validated home-based nursing care competency instrument is needed. Nurses, researchers and nursing leaders could consider the competency instruments identified in this review to measure nurses' competencies, while a home-based nursing care competency scale is being developed.
PATIENT OR PUBLIC CONTRIBUTION
No patient or public contribution was required in this review.
Topics: Humans; Clinical Competence; Home Care Services; Psychometrics
PubMed: 37849066
DOI: 10.1111/jan.15904 -
Schizophrenia Bulletin Mar 2022Anhedonia, the reduced capacity to experience pleasure, has long been considered a prominent feature of schizophrenia spectrum disorders. Many domain-specific... (Meta-Analysis)
Meta-Analysis
Anhedonia, the reduced capacity to experience pleasure, has long been considered a prominent feature of schizophrenia spectrum disorders. Many domain-specific conceptualizations of anhedonia and pleasure capacity have been developed, and there currently exist a variety of self-report assessment tools that purport to assess these various domains. The current systematic review and meta-analysis (PROSPERO: CRD42020156169) aimed to quantify overall and domain-specific self-reported anhedonia in people with schizophrenia compared to nonpsychiatric controls. We performed a literature search of PsycINFO, MEDLINE, and Embase databases for dissertations and peer-reviewed articles published in English prior to June 2021. Studies employing a psychometrically validated self-report measure of anhedonia, pleasure experience or affect in people with schizophrenia, schizoaffective, or schizophreniform disorders; studies utilizing at least one clearly defined healthy or community control group for comparison; and studies providing sufficient data to calculate effect sizes were included in this review. Random and mixed effects meta-analyses, meta-regressions, and subgroup comparisons were run across domains of anhedonia to explore weighted mean effect sizes and their associated moderators. In total, 146 studies met inclusion criteria, yielding 390 Hedges' g effect sizes from the included comparisons. People with schizophrenia reported moderate-to-large elevations in overall and domain-specific anhedonia. A sensitivity analysis accounting for high risk of bias studies did not significantly impact results. Lastly, patient sex, education, negative symptom severity, antipsychotic class, and trait negative affect differentially moderated effect sizes across domains of anhedonia. Despite the heterogeneity inherent in schizophrenia spectrum disorders, self-reported anhedonia is ubiquitously reported across self-report measures in this population.
Topics: Adult; Anhedonia; Female; Humans; Male; Psychometrics; Schizophrenia; Self Report
PubMed: 34891171
DOI: 10.1093/schbul/sbab136 -
The British Journal of Mathematical and... Nov 2023When developing and evaluating psychometric measures, a key concern is to ensure that they accurately capture individual differences on the intended construct across the... (Review)
Review
When developing and evaluating psychometric measures, a key concern is to ensure that they accurately capture individual differences on the intended construct across the entire population of interest. Inaccurate assessments of individual differences can occur when responses to some items reflect not only the intended construct but also construct-irrelevant characteristics, like a person's race or sex. Unaccounted for, this item bias can lead to apparent differences on the scores that do not reflect true differences, invalidating comparisons between people with different backgrounds. Accordingly, empirically identifying which items manifest bias through the evaluation of differential item functioning (DIF) has been a longstanding focus of much psychometric research. The majority of this work has focused on evaluating DIF across two (or a few) groups. Modern conceptualizations of identity, however, emphasize its multi-determined and intersectional nature, with some aspects better represented as dimensional than categorical. Fortunately, many model-based approaches to modelling DIF now exist that allow for simultaneous evaluation of multiple background variables, including both continuous and categorical variables, and potential interactions among background variables. This paper provides a comparative, integrative review of these new approaches to modelling DIF and clarifies both the opportunities and challenges associated with their application in psychometric research.
Topics: Humans; Psychometrics; Bias
PubMed: 37431154
DOI: 10.1111/bmsp.12316 -
Public Health Nursing (Boston, Mass.) Jan 2022To translate, cross-cultural adapt and psychometrically validate the Children's Environmental Health Knowledge Questionnaire (ChEHK-Q) and the Children's Environmental... (Observational Study)
Observational Study
OBJECTIVES
To translate, cross-cultural adapt and psychometrically validate the Children's Environmental Health Knowledge Questionnaire (ChEHK-Q) and the Children's Environmental Health Skills Questionnaire (ChEHS-Q) for community nurses in China.
DESIGN
This was an observational, cross-sectional study undertaken in two phases: (1) translation and cultural adaptation process; (2) psychometric evaluation.
SAMPLE
A total of 294 nurses from 23 community health service centers in cities of Henan province participated in the study.
METHODS
These two questionnaires were analysed psychometrically based on IRT. ChEHK-Q was analyzed based on basic Rasch Model, and ChEHS-Q based on Rating Scale Model (RSM). EFA, expert validity, threshold analysis, retest reliability, item and individual reliability were used to evaluate the psychometric attributes of these two questionnaires.
RESULTS
The Infit and Outfit values for most items are within reasonable limits. The person reliability of ChEHK-Q was 0.85 and the item reliability was 0.97. The person reliability of ChEHS-Q was 0.94 and the item reliability was 0.93. The test-retest reliability of the ChEHK-Q was 0.85 and the ChEHS-Q was 0.87.
CONCLUSIONS
ChEHK-Q and ChEHS-Q are reliable and valid instruments with satisfactory psychometric properties for nurses in China. Future studies should recruit a more representative sample to verify the applicability of these two questionnaires.
Topics: Child; Environmental Health; Humans; Psychometrics; Reproducibility of Results; Surveys and Questionnaires; Translations
PubMed: 34862653
DOI: 10.1111/phn.13024 -
Psychological Reports Oct 2022The Proactive Personality Scale (PPS) is used widely to measure proactive personality. Previous research has evaluated the psychometric properties of the 6-item PPS...
The Proactive Personality Scale (PPS) is used widely to measure proactive personality. Previous research has evaluated the psychometric properties of the 6-item PPS (hereafter called PPS-6) using classical test theory. There is a need to provide further validity evidence for the PPS-6 using modern test theory. This study evaluated the psychometric properties of the PPS-6 using Rasch analysis. A total of 429 participants completed the PPS-6. Rasch rating scale model (RSM) was used to analyse the data. RSM showed that the PPS-6 fitted the Rasch model well. RSM demonstrated that the PPS-6 functioned as a unidimensional measure with good internal consistency reliability. Items on the PPS-6 did not show any noticeable differential item functioning across gender. RSM showed that the response rating scale of the PPS-6 is suitable. Results suggest that the PPS-6 is a reliable measure for the assessment of proactive personality.
Topics: Humans; Personality; Personality Disorders; Psychometrics; Reproducibility of Results
PubMed: 34187235
DOI: 10.1177/00332941211028110 -
Journal of Advanced Nursing Aug 2023The aim of the study was to develop and psychometrically test the Nurse-Patient Mutuality in Chronic Illness (NPM-CI) scale in two versions, one for nurses and one for...
AIMS
The aim of the study was to develop and psychometrically test the Nurse-Patient Mutuality in Chronic Illness (NPM-CI) scale in two versions, one for nurses and one for patients.
METHOD
A multiphase methodological study was conducted. In the first phase, a qualitative investigation was conducted through interviews and an analysis of the content; inductively, the items of two instruments were generated, one for nurses and one for patients. In the second phase, the content and face validity were assessed through the expert consensus method. In the third phase, exploratory factor analysis (EFA), Cronbach's alpha test, intraclass correlation and Pearson correlation coefficients were conducted to estimate construct, criterion validity and instrument reliability. For each phase, the sample included nurses and patients recruited from a large hospital in Northern Italy. Data collection was conducted between June and September 2021.
RESULTS
Nurse and patient versions of the NPM-CI scale were developed. Two rounds of consensus reduced the items from 39 to 20; content validity index ranged between 0.78 and 1, content validity ratio was 0.94. Face validity indicated clarity and comprehensibility of the items. EFA identified three latent factors for both the scales. Internal consistency was satisfactory, with Cronbach's alphas ranging between .80 and .90. Test-retest stability was suggested, with an intraclass correlation coefficient of .96 (nurse scale) and .97 (patient scale). Predictive validity was established, with a Pearson correlation coefficient of .43 (nurse scale) and 0.55 (patient scale) between the mutuality scales and satisfaction in providing and receiving care.
CONCLUSION
The results suggest that the NPM-CI scales are sufficiently valid and reliable for the clinical practice among chronic illness patients and the nurses caring for them. A more in-depth exploration of this construct in the context of nursing and patient outcomes is warranted.
PATIENT OR PUBLIC CONTRIBUTION
Patients were involved in all study phases.
IMPACT
Mutuality is fundamental in the relationship between nurse and patient, based on trust, equality, reciprocity, and mutual respect. The NPM-CI scale was developed and psychometric estimated through a multiphase study in both nurse and patient versions. The NPM-CI scale measures the factors of 'developing and going beyond', 'being the point of reference' and 'deciding and sharing care'. The NPM-CI scale allows us to measure mutuality in clinical practice and research. Expected outcomes and influencing factors for patients and nurses could be associated.
Topics: Humans; Reproducibility of Results; Trust; Nurse-Patient Relations; Personal Satisfaction; Psychometrics; Chronic Disease; Surveys and Questionnaires
PubMed: 36794730
DOI: 10.1111/jan.15594