-
Worldviews on Evidence-based Nursing Oct 2019In recent years, there has been an increasing focus on the role of evidence-based practice (EBP) to increase the quality and safety of care. However, EBP implementation...
BACKGROUND
In recent years, there has been an increasing focus on the role of evidence-based practice (EBP) to increase the quality and safety of care. However, EBP implementation research has predominantly taken place in hospitals and hardly in nursing homes or home care. In these care settings, patients are attended by nursing assistants and registered vocationally trained nurses. A good EBP starting point is to assess their current attitude toward and use of EBP. However, current questionnaires are not valid for assistants and nurses with vocational education.
AIMS
To adapt the Evidence-Based Practice Attitude Scale (EBPAS) and the Evidence-Based Practice Questionnaire (EBPQ) to a Dutch questionnaire for nursing assistants and registered vocationally trained nurses European Qualification Framework level 3-4 employed in home care or nursing homes.
METHODS
Translation, adaptation through cross-cultural validation, pretesting, exploratory factor analysis, and evaluation of psychometric properties among a group of nursing assistants and registered vocationally trained nurses.
RESULTS
Cross-cultural validation led to modified items of EBPQ and EBPAS. The sample comprised 273 nurses. Analysis of both instruments showed a robust factor structure. EBPAS-ve: internal consistency: α = 0.76; intra-rater reliability: ICC = 0.52. EBPQ-ve: α = 0.75; ICC = 0.60. Convergent validity (correlation EBPAS-ve and EBPQ-ve's subscale Attitude): r = .300 (p < .01). Construct validity: significantly higher scores (p < .01) in the group with higher education.
LINKING EVIDENCE TO ACTION
Psychometric qualities of both instruments were satisfactory, although we recommend refinement of EBPAS-ve's subscale Divergence and extra instructions for the EBPQ's subscale Attitude. To our knowledge, this is the first adaptation of an EBP measurement instrument for nursing assistants and registered vocationally trained nurses. The questionnaires appeared to be feasible and showed multiple valid and reliable properties, including a satisfactory intra-rater reliability. Both questionnaires may facilitate the implementation of EBP as they contribute to a richer understanding of the attitude toward and use of EBP in nursing homes and home care.
Topics: Adult; Attitude of Health Personnel; Evidence-Based Practice; Female; Humans; Male; Middle Aged; Netherlands; Nurses; Nursing Assistants; Psychometrics; Reproducibility of Results; Surveys and Questionnaires; Translating; Vocational Education
PubMed: 31489765
DOI: 10.1111/wvn.12389 -
Psychiatric Rehabilitation Journal Jun 2020Young adults with serious mental illness (SMI) are reported to be socially excluded, but social inclusion measures are untested in this population. The aim of this study...
OBJECTIVE
Young adults with serious mental illness (SMI) are reported to be socially excluded, but social inclusion measures are untested in this population. The aim of this study was to test the Filia Social Inclusion Measure (F-SIM) in this population.
METHOD
Categorical principal components analysis of F-SIM data from N = 159 young adults with SMI aged 18-25 was conducted. Cronbach's alpha (α) examined internal consistency. Intraclass Correlation Coefficients (ICC3,2) examined 2-week test-retest reliability. Spearman's rho correlation coefficients (rs) examined construct validity.
RESULTS
Cronbach's alpha was .94 for Dimension 1 (Interpersonal Connections), .87 for Dimension 2 (Vocational and Financial Security), and .82 for Dimension 3 (Healthy Independent Lifestyle). ICC3,2 coefficients ranged from .20-.99. Dimension 1 scores correlated with measures of social inclusion (rs = .69, p < .01), Quality of Life (QoL [rs = .63, p < .01]), hours of social/leisure activities last week (rs = .32, p < .01), loneliness (rs = -.76, p < .01), and psychological distress (rs = -.42, p < .01). Dimension 2 scores correlated with measures of social inclusion (rs = .27, p < .01) and hours working (rs = .67, p < .01) and studying last week (rs = .47, p < .01). Dimension 3 scores correlated with measures of social inclusion (rs = .25, p < .01), QoL (rs = .40, p < .01), psychological distress (rs = -.33, p < .01), and loneliness (rs = -.26, p < .01).
CONCLUSIONS AND IMPLICATIONS FOR PRACTICE
The F-SIM demonstrated excellent reliability and validity among young adults aged 18-25 with SMI. This represents a preliminary step toward evidence-based assessment and intervention to help increase social inclusion for this vulnerable population. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
Topics: Adolescent; Adult; Female; Humans; Male; Mental Disorders; Principal Component Analysis; Psychometrics; Reproducibility of Results; Social Inclusion; Young Adult
PubMed: 31219272
DOI: 10.1037/prj0000382 -
Body Image Sep 2020Body image flexibility and functionality appreciation are two facets of positive body image gaining significant research attention. The measures that assess these...
Examining the factor structure, sex invariance, and psychometric properties of the Body Image Acceptance and Action Questionnaire and the Functionality Appreciation Scale.
Body image flexibility and functionality appreciation are two facets of positive body image gaining significant research attention. The measures that assess these constructs- the Body Image Acceptance and Action Questionnaire (BI-AAQ) and Functionality Appreciation Scale (FAS), respectively-have produced a unidimensional structure with adequate psychometric properties. However, the cross-sex invariance of the BI-AAQ has yet to be established, and replicating the FAS' one-factor structure is needed. We examined the factor structure, cross-sex invariance, and psychometric properties of the BI-AAQ and FAS. Data were analyzed from 383 men and 631 women who completed questionnaires (participants were not restricted to a specific country). An unacceptable model fit for the BI-AAQ was found for men and women, indicating that the unidimensional structure was not replicated. The unidimensional structure of the FAS and an abbreviated 5-item BI-AAQ was replicated, and tests of measurement invariance between men and women were upheld. Evidence of internal consistency, convergent validity, and incremental validity for the abbreviated BI-AAQ and FAS was found. Overall, the abbreviated BI-AAQ and the FAS appear to be psychometrically sound measures of positive body image. Findings suggest that sex comparisons on the abbreviated BI-AAQ and FAS are permissible.
Topics: Adolescent; Adult; Aged; Body Image; Factor Analysis, Statistical; Female; Humans; Male; Middle Aged; Psychometrics; Reproducibility of Results; Surveys and Questionnaires
PubMed: 32512524
DOI: 10.1016/j.bodyim.2020.04.006 -
BMC Geriatrics Jun 2022The Dyspnoea-12 (D12) and Multidimensional dyspnea profile (MDP) are commonly used instruments for assessing multiple dimensions of breathlessness but have not been...
BACKGROUND
The Dyspnoea-12 (D12) and Multidimensional dyspnea profile (MDP) are commonly used instruments for assessing multiple dimensions of breathlessness but have not been validated in older people in the population. The aim of this study was to validate the D12 and MDP in 73-years old men in terms of the instruments' underlying factor structures, internal consistency, and validity.
METHODS
A postal survey was sent out to a population sample of 73-years old men (n = 1,193) in southern Sweden. The two-factor structures were evaluated with confirmatory factor analysis, internal consistency with Cronbach's alpha, and validity using Pearson´s correlations with validated scales of breathlessness, anxiety, depression, fatigue, physical/mental quality of life, body mass index (BMI), and cardiorespiratory disease.
RESULTS
A total 684 men were included. Respiratory and cardiovascular disease were reported by 17% and 38%, respectively. For D12 and MDP, the proposed two-factor structure was not fully confirmed in this population. Internal consistency was excellent for all D12 and MDP domain scores (Cronbach's alpha scores > 0.92), and the instruments' domains showed concurrent validity with other breathlessness scales, and discriminant validity with anxiety, depression, physical/mental quality of life, BMI, and cardiorespiratory disease.
CONCLUSIONS
In a population sample of 73-years old men, the D12 and MDP had good psychometrical properties in terms of reliability and validity, which supports that the instruments are valid for use in population studies of older men.
Topics: Aged; Dyspnea; Humans; Male; Psychometrics; Quality of Life; Reproducibility of Results; Sweden
PubMed: 35655151
DOI: 10.1186/s12877-022-03166-5 -
Midwifery Jul 2024The empowerment of pregnant women is a meaningful strategy that profoundly impacts the health of women and their children. Despite a significant increase in the... (Review)
Review
BACKGROUND
The empowerment of pregnant women is a meaningful strategy that profoundly impacts the health of women and their children. Despite a significant increase in the empowerment of pregnant women and its measurement, little attention was given to a consensus on the selection and application of assessment instruments used for pregnant women.
OBJECTIVE
To identify the available assessment instruments for measuring the empowerment of pregnant women and to describe the appraisal content and their psychometric properties.
METHODS
We searched nine bibliographic databases for original studies that focus on the measurement of empowerment in pregnant women. Arksey and O'Malley's methodology and PRISMA-ScR were selected to guide the implementation of this scoping review. The COSMIN criteria was employed to assess the methodological quality and the quality of psychometric properties.
RESULTS
A total of 23 studies were included and 13 instruments were extracted. Given comprehensive considerations, Kameda's prenatal empowerment scale may be deemed suitable. The included instruments comprehensively measured the attributes of empowerment, with a particular focus on facilitating women's choice and decision-making. Except for the four most recent self-designed questionnaires, the remaining instruments had been tested for reliability and/or validity.
CONCLUSION
There were heterogeneous results regarding the included instruments' appraisal content and psychometric properties. Future studies focusing on the development or validation of measurement instruments should be guided by influential and identical standards.
Topics: Humans; Female; Pregnancy; Pregnant Women; Psychometrics; Empowerment; Surveys and Questionnaires; Reproducibility of Results; Adult
PubMed: 38669756
DOI: 10.1016/j.midw.2024.104002 -
Schizophrenia Bulletin Jan 2021Negative symptoms are a critical, but poorly understood, aspect of schizophrenia. Measurement of negative symptoms primarily relies on clinician ratings, an endeavor...
Negative symptoms are a critical, but poorly understood, aspect of schizophrenia. Measurement of negative symptoms primarily relies on clinician ratings, an endeavor with established reliability and validity. There have been increasing attempts to digitally phenotype negative symptoms using objective biobehavioral technologies, eg, using computerized analysis of vocal, speech, facial, hand and other behaviors. Surprisingly, biobehavioral technologies and clinician ratings are only modestly inter-related, and findings from individual studies often do not replicate or are counterintuitive. In this article, we document and evaluate this lack of convergence in 4 case studies, in an archival dataset of 877 audio/video samples, and in the extant literature. We then explain this divergence in terms of "resolution"-a critical psychometric property in biomedical, engineering, and computational sciences defined as precision in distinguishing various aspects of a signal. We demonstrate how convergence between clinical ratings and biobehavioral data can be achieved by scaling data across various resolutions. Clinical ratings reflect an indispensable tool that integrates considerable information into actionable, yet "low resolution" ordinal ratings. This allows viewing of the "forest" of negative symptoms. Unfortunately, their resolution cannot be scaled or decomposed with sufficient precision to isolate the time, setting, and nature of negative symptoms for many purposes (ie, to see the "trees"). Biobehavioral measures afford precision for understanding when, where, and why negative symptoms emerge, though much work is needed to validate them. Digital phenotyping of negative symptoms can provide unprecedented opportunities for tracking, understanding, and treating them, but requires consideration of resolution.
Topics: Behavior Rating Scale; Female; Humans; Interview, Psychological; Male; Middle Aged; Phenotype; Psychiatric Status Rating Scales; Psychometrics; Schizophrenia
PubMed: 32467967
DOI: 10.1093/schbul/sbaa065 -
Nursing Ethics Aug 2020Considering the extensive debate that is currently taking place in Spain regarding euthanasia, it is important to examine the attitude of professionals who perform most...
BACKGROUND
Considering the extensive debate that is currently taking place in Spain regarding euthanasia, it is important to examine the attitude of professionals who perform most of their duties at the bedside of these patients and their families.
OBJECTIVES
The aim of the present study was to present an adaptation and validation of the Euthanasia Attitude Scale and to evaluate its psychometric properties among a sample of nursing students in Spain.
RESEARCH DESIGN
A cross-sectional study design was conducted.
PARTICIPANTS AND RESEARCH CONTEXT
Non-probabilistic sampling was used to recruit 396 Spanish nursing students.
METHODS
A self-report questionnaire, including socio-demographic data and the Euthanasia Attitude Scale, were used for data collection. The psychometric properties of the Euthanasia Attitude Scale were assessed, including reliability and validity. Fit indices of the overall model were computed.
ETHICAL CONSIDERATIONS
This study was approved by the Hospital Ethical Committee. Students were informed of the aims and procedures and provided written informed consent prior to data collection.
RESULTS
The factorial solution comprised four domains and the scale demonstrated adequate internal consistency (Cronbach's alpha = .878). For the exploratory factor analysis, the Kaiser-Meyer-Olkin index of sampling adequacy was .905 and the Bartlett's Test of Sphericity was 2972.79 (p < .001). The initial factorial solution revealed four factors with eigenvalues of 6.78 for the first factor, 1.90 for the second one, 1.29 for the third, and 1.10 for the fourth factor. Moreover, there was a significant relationship between religiosity and the domains of the Euthanasia Attitude Scale.
DISCUSSION
This study obtained a Cronbach's alpha coefficient of .88 which is in consonance with the findings reported by other studies whereby none of the items were removed and the initial structure based on four domains was conserved, with a factorial solution that explains 52.79% of the total variance. The displacement of some items of the domain may be explained by certain religious and/or cultural components as, in accordance with other studies, people with firm religious beliefs are more inclined to refuse euthanasia.
CONCLUSION
According to the findings of this study, the Euthanasia Attitude Scale is a reliable and valid instrument to measure the attitudes toward euthanasia in a sample of Spanish nursing students. This Spanish adaptation will be valuable in future studies examining the attitude and implication of nurses, understanding that nurses are key figures in the euthanasia debate.
Topics: Adolescent; Adult; Attitude to Death; Cross-Sectional Studies; Euthanasia; Female; Humans; Male; Middle Aged; Psychometrics; Reproducibility of Results; Self Report; Spain; Surveys and Questionnaires; Translating
PubMed: 31448684
DOI: 10.1177/0969733019864162 -
The Spanish Journal of Psychology Jul 2020Gestational stress is associated with many maternal and child complications, however, this association must be taken with care, since there are studies that find...
Gestational stress is associated with many maternal and child complications, however, this association must be taken with care, since there are studies that find inconsistent results between stress measures and maternal complications. It is believed that the lack of convergence is due to the way in which gestational stress is evaluated.The aim of the present study was to design and validate an instrument based on a bio-psycho-social model of gestational stress. The design and validation process of the inventory was divided into four phases: (a) Construction of the items bank and content validity, (b) construct validity, (c) inventory reliability and (d) convergent and discriminant validity with psychometric instruments that have been used in other investigations to evaluate gestational stress.A valid and reliable Stressors and Modulators of Gestational Stress Inventory (SMGSI) conformed by two scales was developed: (a) Gestational stressors, which is formed by two factors, the psychological stressors and social stressors with a variance of 48.5% and 51.8% and a reliability of .79 and .67, respectively; and (b) gestational stress modulators integrated by 8 items that explain 55.2% of the variance and with a reliability of .92. In conclusion, a valid and reliable tool was obtained that measures gestational stress from a bio-psycho-social perspective. This inventory allows for the identification of allostatic and pantostatic stress, making it useful as a diagnostic tool to prevent maternal and childhood complications that are associated with chronic gestational stress.
Topics: Adult; Allostasis; Female; Humans; Pregnancy; Pregnancy Complications; Psychiatric Status Rating Scales; Psychometrics; Stress, Psychological; Young Adult
PubMed: 32662375
DOI: 10.1017/sjp.2020.28 -
Neurological Sciences : Official... Jul 2022The aim of the study was to present the systematic review and meta-analysis of the psychometrical analysis of Facial Disability Index (FDI) studies. (Meta-Analysis)
Meta-Analysis Review
PURPOSE
The aim of the study was to present the systematic review and meta-analysis of the psychometrical analysis of Facial Disability Index (FDI) studies.
METHODS
A literature search was conducted in the relevant electronic databases "PubMed, Scopus, Web of Science (WoS), and Cochrane Library." A total of 621 articles were obtained by searching the relevant keywords (PubMed: 384, Cochrane Library: 14, Web of Science: 132, Scopus: 91). A total of 8 papers were included. The four-point classification and rating-based "COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN)" tools were used to evaluate the bias risk and evidence levels.
RESULTS
Cronbach's alpha pooling of FDI total score was (ES): 0.803 (95% CI: 0.73-0.86). Heterogeneity for the Facial Disability Index-Physical Function (FDI-PF) and Facial Disability Index-Social Function (FDI-SF) subscore based on intraclass correlation coefficient (ICC) were I = 84.2% (ICC: 0.88, 95% CI: 0.81-0.92) and I = 73.7% (ICC: 0.87, 95% CI: 0.81-0.90), respectively. Correlational results between Sunnybrook Facial Grading System (SFGS) with FDI-PF and FDI-SF were 0.38 and 0.22, respectively. The correlations of FDI-PF with Short Form-12 Physical Component Summary (SF-12-PCS) and Short Form-12 Mental Health Component Summary (SF-12-MCS) were 0.43 and 0.28, respectively. Correlation results of FDI-SF with SF-12-PCS and SF-12-MCS were 0.23 and 0.57. The relationship results of Facial Clinimetric Evaluation with FDI-PF and FDI-SF were 0.71 and 0.57, respectively.
CONCLUSION
FDI is a psychometrically valuable questionnaire, especially for the internal consistency, reliability, and validity. In clinical practice, the use of FDI would be valuable, in addition to clinician-based grading, to see more of patients' social influences precisely.
Topics: Disability Evaluation; Facial Paralysis; Humans; Psychometrics; Quality of Life; Reproducibility of Results; Surveys and Questionnaires
PubMed: 35415807
DOI: 10.1007/s10072-022-06066-z -
Death Studies 2022This study explores the psychometric properties of the Cuban version of Coronavirus Anxiety Scale (CAS). The sample comprised 376 Cuban participants. Concurrent validity...
This study explores the psychometric properties of the Cuban version of Coronavirus Anxiety Scale (CAS). The sample comprised 376 Cuban participants. Concurrent validity and reliability were examined. A confirmatory factor analysis was performed. The CAS showed excellent psychometric characteristics. The internal consistency was very good ( = 0.88). There was a positive correlation between the CAS and the FCV-19S and an inverse association between anxiety and self-perceived quality of health. The results confirmed the presence of a single factor. The CAS is a valid and reliable instrument to explore the experience of anxiety in the Cuban population.
Topics: Anxiety; Anxiety Disorders; COVID-19; Humans; Psychometrics; Reproducibility of Results
PubMed: 33276708
DOI: 10.1080/07481187.2020.1855610