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The Journal of Nursing Research : JNR Dec 2020The concepts of "good nurse" and "better nursing" have changed over time and should be investigated from the perspective of nurses.
BACKGROUND
The concepts of "good nurse" and "better nursing" have changed over time and should be investigated from the perspective of nurses.
PURPOSE
The aim of this study was to develop and assess the psychometric properties of two questionnaires used to assess "good nurse" and "better nursing."
METHODS
The interview data of 30 registered nurses (RNs) from a previous study were reviewed to develop the questionnaire items, and content validity was examined. One hundred seventeen RNs participated in a pilot survey for pretesting the constructs, 469 RNs participated in a main survey to explore these constructs using exploratory factor analysis (EFA), and 468 RNs participated in model refining and validation using confirmatory factor analysis.
RESULTS
After a critical review of RN interview data and content validity evaluation, 73 of 124 statements on "good nurse" and 56 of 57 statements on "better nursing" were selected. In the pilot survey, the number of items was reduced to 45 for both questionnaires using an EFA. In the main survey, EFA was used to load 34 items on the five factors of the good nurse questionnaire and 26 items on the three factors of the better nursing questionnaire. In the confirmatory factor analysis, to obtain better fitting models, the good nurse questionnaire consisted of 17 items on the five factors of collaboration, professional competency, self-efficacy, a sense of achievement, and compassion, whereas the better nursing questionnaire consisted of 16 items on the three factors of person-centered nursing, proactive nursing, and expertise in caring. The construct reliability, convergent validity, and discriminant validity of the questionnaires were achieved.
CONCLUSIONS/IMPLICATIONS FOR PRACTICE
The concept of "good nurse" from the perspectives of the nurses in this study was similar with those of patients in previous studies, while including individual traits such as sense of achievement. Better nursing is conceptualized with the exemplary performance of nursing focusing on the nature of nursing and leading excellence and power in clinical practice. The study findings inform what nursing education and workforce development should focus on for nursing to continuously progress. Furthermore, it is recommended that the concepts of a good nurse and better nursing be compared across different countries using the questionnaires.
Topics: Humans; Nursing Care; Pilot Projects; Psychometrics; Quality Improvement; Reproducibility of Results; Republic of Korea; Surveys and Questionnaires
PubMed: 32604338
DOI: 10.1097/JNR.0000000000000393 -
Pain Management Nursing : Official... Oct 2019Enhancing pain patient's ability to function and cope is important, but assessing only intensity ignores those aspects of pain. The Functional Pain Scale (FPS),...
BACKGROUND
Enhancing pain patient's ability to function and cope is important, but assessing only intensity ignores those aspects of pain. The Functional Pain Scale (FPS), addresses these dimensions but lacked validation in hospitalized adults with chronic pain.
AIMS
This research was conducted to establish the FPS psychometric properties in hospitalized adults.
DESIGN
A prospective pilot study examined the reliability and validity of the FPS in two acute care hospitals.
SETTINGS
Adult inpatients from medical/surgical units at two hospitals.
PARTICIPANTS/SUBJECTS
A convenience sample of 93 subjects from an Academic Medical Center and 51 from a tertiary care hospital who were 21-81 years old and primarily Caucasian.
METHODS
Hospitalized adults with chronic pain at two facilities provided pain scores from the FPS, Numeric Rating Scale, Pain, Enjoyment of Life, and General Activities Scale, and Quality of Pain Care Scale. Test-retest reliability and construct validity were evaluated using standard correlation methods.
RESULTS
Hospitalized adults aged 21-88 years with chronic pain (N = 144) were evaluated. Data supported test-retest reliability of the FPS (r = .84; p < .001), which had strong, statistically significant correlations with the Numeric Rating Scale at different study sites (r = 0.75 and r = 0.45, respectively), indicating acceptable construct validity. Significant weak correlations between the FPS and other measures of mood and functioning failed to support discriminant validity.
CONCLUSIONS
Although statistically significant, the reliability and validity of FPS were not as strong in hospitalized chronic pain patients as reported for older adults in other settings.
Topics: Academic Medical Centers; Adult; Aged; Aged, 80 and over; Chronic Pain; Cross-Sectional Studies; Female; Hospitalization; Humans; Male; Middle Aged; Pain Measurement; Psychometrics; Reproducibility of Results; Surveys and Questionnaires
PubMed: 31101560
DOI: 10.1016/j.pmn.2019.03.006 -
GMS Journal For Medical Education 2020The implementation of obstetric hybrid simulation and interprofessional collaboration between midwives and anesthetists in labor emergencies fostered the need to...
The implementation of obstetric hybrid simulation and interprofessional collaboration between midwives and anesthetists in labor emergencies fostered the need to evaluate the impact of such a program. The original Interprofessional Attitude Scale (IPAS) assesses interprofessional attitudes among health professional students and includes the 2011 and 2016 Interprofessional Collaborative Practice report competency domains. The purpose of this study was to create a German version of the IPAS (G-IPAS) to use for the education of healthcare students. We performed the translation and validation of the IPAS in five steps: translation to German according to the International Society of Pharmaeconomics and Outcome Research guidelines; nine cognitive interviews with healthcare professionals and students;calculation of the Content Validity Index (CVI) by expert opinion; exploratory factor analysis (EFA); and internal consistency by Cronbach's alpha. All study participants gave written informed consent and the cantonal ethics committee waived further ethical approval. The cognitive interviews led to replacement of single-item wording. We retained 27 items for CVI analysis. The averaged overall CVI was 0.79, with 15 items ≥0.89. 185 students (70 medicine, 51 nursing, 48 physiotherapy, and 16 midwifery) contributed with data for the EFA and it produced three subscales. with factor loadings ≥0.49, with factor loadings ≥0.31, and with factor loadings ≥0.57. Two items of the total scale were deleted, and four items were redistributed to another subscale. Cronbach's alpha for the overall G-IPAS scale was 0.87. After deleting and redistributing items in subscales, a new Scale-CVI/Average was calculated and was 0.82. Based on a rigorous validation process, the G-IPAS provides a reliable tool to assess attitudes towards interprofessional education among different healthcare professions in German-speaking countries.
Topics: Attitude of Health Personnel; Culturally Competent Care; Germany; Health Personnel; Humans; Interprofessional Relations; Psychometrics; Reproducibility of Results; Surveys and Questionnaires; Translating
PubMed: 32566734
DOI: 10.3205/zma001325 -
Worldviews on Evidence-based Nursing Feb 2021Homelessness is an increasing problem worldwide, and the origins of homelessness in high-income countries are multifaceted. Due to stigma and discrimination, persons in...
BACKGROUND
Homelessness is an increasing problem worldwide, and the origins of homelessness in high-income countries are multifaceted. Due to stigma and discrimination, persons in homelessness delay seeking health care, resulting in avoidable illness and death. The Attitudes Towards Homelessness Inventory (ATHI) was developed to cover multiple dimensions of attitudes toward persons in homelessness and to detect changes in multiple segments of populations. It has, however, not previously been translated to Swedish.
AIMS
The aim of the present study was to translate, cross-culturally adapt, and psychometrically test the ATHI for use in a Swedish healthcare context.
METHODS
The project used a traditional forward- and back-translation process in six stages: (1) two simultaneous translations by bilingual experts; (2) expert review committee synthesis; (3) blind back-translation; (4) expert review committee deliberations; (5) pre-testing with cognitive interviews including registered nurses (n = 5), nursing students (n = 5), and women in homelessness (n = 5); and (6) psychometric evaluations. The final ATHI questionnaire was answered by 228 registered nurses and nursing students in the year 2019.
RESULTS
The translation process was systematically conducted and entailed discussions regarding semantic, idiomatic, experiential, and conceptual equivalence. Confirmatory factor analysis was used to examine if the collected data fitted the hypothesized four-factor structure of the ATHI. Overall, it was found that the model had an acceptable fit and that the Swedish version of ATHI may be used in a Swedish healthcare context.
LINKING EVIDENCE TO ACTION
The ATHI has been shown to be a psychometrically acceptable research instrument for use in a Swedish healthcare context. The systematic and rigorous process applied in this study, including experts with diverse competencies in translation proceedings and testing, improved the reliability and validity of the final Swedish version of the ATHI. The instrument may be used to investigate attitudes toward women in homelessness among nursing students and RNs in Sweden.
Topics: Adult; Attitude of Health Personnel; Female; Ill-Housed Persons; Humans; Male; Middle Aged; Psychometrics; Reproducibility of Results; Students, Nursing; Surveys and Questionnaires; Sweden; Translating
PubMed: 33280243
DOI: 10.1111/wvn.12477 -
Journal of Nursing Measurement Nov 2023This study aims to develop a task performance scale and a contextual performance scale for clinical nurses and to test the scales psychometrically. This study was...
This study aims to develop a task performance scale and a contextual performance scale for clinical nurses and to test the scales psychometrically. This study was carried out in two phases in a private hospital group. During the first phase, the initial scales were developed, and then the validity and reliability of the scales were analyzed; 154 nurses participated in the second phase. The task performance scale consisted of two factors (total variance explained: 75.87%); the contextual performance scale consisted of three factors (total variance explained: 74.05%). The content validity indexes of both scales were 0.99. The Cronbach's alpha coefficients of both scales were 0.98. The test-retest reliability and inter-rater agreement of the scales were also good. The scales can contribute to nursing literature and hospital managers in assessing the performance of clinical nurses.
Topics: Humans; Psychometrics; Reproducibility of Results; Surveys and Questionnaires
PubMed: 37558250
DOI: 10.1891/JNM-2021-0080 -
Advances in Experimental Medicine and... 2020Cognitive assessment is an essential element of the screening process of Alzheimer's disease. The prevalence of dementia is increasing and so are the numbers of...
BACKGROUND
Cognitive assessment is an essential element of the screening process of Alzheimer's disease. The prevalence of dementia is increasing and so are the numbers of immigrants and elderly population relocating and in need for health diagnosis and treatment. However, most of the psychometric tools used in psychological assessments are time-consuming and suffer from biases of language and cultural restrictions.
OBJECTIVES
Our objective was to create a computerized version of a multicultural cognitive screening test, which would simplify cognitive assessment of elderly multicultural population, as routine part of health check-up procedures.
METHODS
The application was implemented in Android Studio and was written in Java code with the use of a home PC and a tablet. Rowland Universal Dementia Assessment Scale (RUDAS) was chosen. RUDAS is a cognitive screening tool with good psychological characteristics, which was created for multicultural and bilingual populations and was free to download. The collaboration with an authorized psychologist was essential for the ethics of the psychometric science.
RESULTS
The complete computerized version of RUDAS will include the six-item questionnaire, assessing specific cognitive domains which are in high correlation with Alzheimer's screening process, such as registration, visuospatial orientation, praxis, visuo-constructional drawing, judgment, memory recall and language.
CONCLUSION
The utilization of informatics in making cognitive assessment a user-friendly, validated, not time- or cost-consuming procedure would add value to psychometric tools which still are administered with "pen and paper", when this proceeds with respect to the ethics of the science.
Topics: Aged; Alzheimer Disease; Cognition; Cultural Diversity; Dementia; Humans; Neuropsychological Tests; Psychometrics; Software; Surveys and Questionnaires
PubMed: 32468544
DOI: 10.1007/978-3-030-32622-7_26 -
Journal of Intellectual Disability... May 2023Multiple measures of mental health problems and mental wellbeing for adults with intellectual disabilities are available, but investigations into their reliability and... (Review)
Review
BACKGROUND
Multiple measures of mental health problems and mental wellbeing for adults with intellectual disabilities are available, but investigations into their reliability and validity are still in the early stages. The aim of this systematic review was to provide an update to previous evaluations of measures of common mental health problems and wellbeing in adults with mild to moderate intellectual disabilities (ID).
METHODS
A systematic search was performed across three databases (MEDLINE, PsycINFO and SCOPUS). The literature search was limited to the years from 2009 to 2021 and to the original English versions. Ten papers evaluating nine measures were reviewed, and the psychometric properties of these measures were discussed using the Characteristics of Assessment Instructions for Psychiatric Disorders in Persons with Intellectual Developmental Disorders as a framework.
RESULTS
Four measures had at least one rating of 'good' across both dimensions of reliability and at least one dimension of validity and were deemed to have promising psychometric properties: the Clinical Outcomes in Routine Evaluation-Learning Disabilities, Impact of Events Scale-Intellectual Disabilities, Lancaster and Northgate Trauma Scales and Self-Assessment and Intervention (self-report section). Additionally, these measures were developed through consultations with mental health professionals and/or people with IDs and thus were deemed to have good content validity.
CONCLUSIONS
This review informs measurement choice for researchers and clinicians while highlighting a need for continued research efforts into the quality of measures available for people with IDs. The results were limited by incomplete psychometric evaluations of measures available. A paucity of psychometrically robust measures of mental wellbeing was observed.
Topics: Adult; Humans; Mental Health; Psychometrics; Intellectual Disability; Reproducibility of Results; Learning Disabilities
PubMed: 36808653
DOI: 10.1111/jir.13018 -
Epilepsy & Behavior : E&B Jan 2020The objective of the study was to identify functioning and quality-of-life (QOL) patient-reported outcome measurements (PROMs) feasible for use in the waiting room of...
OBJECTIVE
The objective of the study was to identify functioning and quality-of-life (QOL) patient-reported outcome measurements (PROMs) feasible for use in the waiting room of adult epilepsy clinics.
MATERIAL AND METHODS
We searched PubMed and Web of Science for articles on in English, Spanish, Portuguese, Italian, and French published by the end of February 15th, 2019. We screened retrieved titles and abstracts looking for publications that reported the use of PROMs to measure functioning and QOL in epilepsy. The authors, clinical experts, and patient advocates from the Epilepsy Foundation of America conceptualized a set of desirable feasibility attributes for PROMs implementation in the waiting room of adult epilepsy clinics. These attributes included brief time for completion (i.e., ≤3 min), free cost, coverage of four minimum QOL domains and respective facets, and good evidence of psychometric properties. We defined QOL domains according to the World Health Organization's classification and created psychometric appraisal criteria based on the Food and Drug Administration's (FDA) Guidance.
RESULTS
Eighteen candidate instruments were identified and compared with respect to desirable attributes for use in adult epilepsy clinics. We found that the Quality-of-life in epilepsy (QOLIE)-10 and Patient-Reported Outcome Measurement Information System-10 (PROMIS-10) were the most feasible PROMs for implementation in adult epilepsy clinics based on our criteria. The QOLIE-10 and PROMIS-10 still lack ideal evidence of responsiveness in people with epilepsy.
CONCLUSION
This is the first systematic review that aimed to assess feasibility properties of available functioning and QOL PROMs. The QOLIE-10 and PROMIS-10 are potentially feasible instruments for implementation in the waiting room of adult epilepsy clinics. Further studies assessing the responsiveness of these PROMs are needed and will contribute to the selection of the most appropriate instrument for longitudinal use in adult epilepsy clinical practice.
Topics: Adult; Epilepsy; Humans; Patient Reported Outcome Measures; Psychometrics; Quality of Life
PubMed: 31816482
DOI: 10.1016/j.yebeh.2019.106704 -
The Neonatal Palliative Care Attitude Scale: Psychometric properties for Portuguese neonatal nurses.Palliative & Supportive Care Jun 2024This study is aimed to perform the translation and cultural adaptation of the Neonatal Palliative Care Attitude Scale (NiPCAS) and evaluation of its psychometric...
BACKGROUND
This study is aimed to perform the translation and cultural adaptation of the Neonatal Palliative Care Attitude Scale (NiPCAS) and evaluation of its psychometric properties with Portuguese neonatal nurses.
METHODS
The research started with a scoping review that allowed the identification of the NiPCAS. It was a methodological study with a quantitative approach. The semantic equivalence of the items was adjusted with the participation of 20 neonatal nurse experts. They performed facial and quantitative content validation. Psychometric validation of the NiPCAS was performed on a nonprobability nurses sample ( = 283) in 13 level 3 neonatal units between July 2021 and February 2022. Confirmatory factor analysis using the polychoric correlation matrix was performed to estimate factor validity using the "lavaan" package for R statistical software. Internal consistency was estimated using Cronbach's alpha coefficient, and item sensitivity was assessed using the asymmetry and kurtosis coefficients. Empirical indices were considered: chi-square over degrees of freedom; comparative fit index; normed fit index; Tucker-Lewis index, and root mean square error of approximation; average extracted variance and composite reliability were used to assess convergent validity.
RESULTS
Asymmetry and kurtosis were <|3| and <|7|, respectively, suggesting psychometric sensitivity. The convergent validity of the factors was: F1, FCF1 = 0.90 and for F2, FCF2 = 0.80, and a lower value for F3, FCF3 = 0.40. According to the squared correlation criterion average variance extracted (AVE) between the factors, there was no discriminant validity for F1 and F2, but there was discriminant validity for F1, F3, F2, and F3.
SIGNIFICANCE OF RESULTS
This instrument has implications for providing end-of-life care to newborns and their families. The use of this instrument reveals several barriers and facilitating elements inherent in the organization and culture of the facility and nursing education.
Topics: Humans; Psychometrics; Portugal; Surveys and Questionnaires; Palliative Care; Female; Reproducibility of Results; Adult; Male; Nurses, Neonatal; Attitude of Health Personnel; Infant, Newborn; Translating; Middle Aged
PubMed: 35818713
DOI: 10.1017/S1478951522000797 -
International Wound Journal Apr 2020The Patient Knowledge of, and Attitude and Behaviour towards Pressure Ulcer Prevention Instrument (KPUP) was developed and validated using a two-stage prospective...
The Patient Knowledge of, and Attitude and Behaviour towards Pressure Ulcer Prevention Instrument (KPUP) was developed and validated using a two-stage prospective psychometric instrument validation study design. In Stage 1, the instrument was designed, and it is psychometrically evaluated in Stage 2. To establish content validity, two expert panels independently reviewed each item for appropriateness and relevance. Psychometric evaluation included construct validity and stability testing of the instrument. The questionnaire was administered to a convenience sample of 200 people aged more than 65 years, living independently in the community; reliability and stability were assessed by test/retest procedures, with a 1-week interval. Mean knowledge scores at 'test' were 11.54/20 (95% CI = 11.10-11.99, SD: 3.07), and 'retest' was 12.24 (95% CI = 11.81-12.66, SD: 2.93). For knowledge, correlation between the test/retest score was positive (r=. 60), attitude section-inter-item correlations ranged from r = -.31 to r = .57 (mean intraclass correlation coefficient of r = .42), and internal consistency for the retest was the same as the test (α = .41 for the eight items). For health behaviours, individual inter-item correlations for test items ranged from r = -.21 to r = .41 for the 13 standardised items. Psychometric testing of the KPUP in a sample of older persons in the community provided moderate internal consistency and general high test-retest stability.
Topics: Aged; Aged, 80 and over; Attitude to Health; Behavior; Female; Health Knowledge, Attitudes, Practice; Humans; Male; Pilot Projects; Pressure Ulcer; Prospective Studies; Psychometrics; Surveys and Questionnaires
PubMed: 31820563
DOI: 10.1111/iwj.13278