Psychometric evaluation of the United States-adapted perceived perioperative competence scale-revised: A national survey

Shannon Maio , James X. Stobinski , Brigid M. Gillespie
{"title":"Psychometric evaluation of the United States-adapted perceived perioperative competence scale-revised: A national survey","authors":"Shannon Maio ,&nbsp;James X. Stobinski ,&nbsp;Brigid M. Gillespie","doi":"10.1016/j.ijnsa.2023.100173","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Nursing competence is integral to ensuring patient safety, especially in high-risk environments such as the operating room. Instruments which facilitate self-assessment of specialty specific nursing competence allow nurses to gain important insights into their practice to facilitate continuous growth in their professional practice. Currently, there are no psychometrically tested tools to assess perioperative competence applicable to the United States context.</p></div><div><h3>Objective</h3><p>Test the psychometric properties of the Perceived Perioperative Competence Scale-Revised in the United States context.</p></div><div><h3>Methods</h3><p>A cross-sectional survey design was used. Perioperative nurses were recruited via four professional associations and the survey was administered online. Construct validity of the six-dimensional Perceived Perioperative Competence Scale-Revised was tested using a multidimensional item response theory model known as the graded response model. Measurement invariance was assessed relative to years of perioperative experience. Internal consistency was estimated using McDonald's Omega and Cronbach's alpha reliability coefficients.</p></div><div><h3>Results</h3><p>Responses from a total of 1,581 participants were analyzed in the psychometric analysis. The six-dimensional graded response model of the Perceived Perioperative Competence Scale-Revised displayed satisfactory model fit for the sample (Chi-square(df) = 5,699.09(725); root mean square error of approximation = 0.066, 90% confidence interval: 0.064, 0.067; comparative fit index = 0.955; Tucker-Lewis index = 0.952; standardized root mean squared residual = 0.045). Scalar invariance was established when assessing the psychometric equivalence of the scale across years of perioperative experience (&lt;10 years, ≥ 10 years) (Chi-square(df) = 5,785.29(1,573); root mean square error of approximation = 0.058, 90% confidence interval: 0.057, 0.060; comparative fit index = 0.959; Tucker–Lewis index = 0.959). Reliability across the six subscales ranged from alpha = 0.87 - 0.94 and Omega = 0.93 - 0.97.</p></div><div><h3>Conclusions</h3><p>Results suggest that the Perceived Perioperative Competence Scale-Revised is suitable to use with perioperative nurses practicing in clinical settings in the United States. Measurement invariance testing indicates the scale is measuring the same construct and is being interpreted in a conceptually similar manner across groups based on years of perioperative experience.</p></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":null,"pages":null},"PeriodicalIF":3.1000,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X23000577/pdfft?md5=18f275fceeea465c48e7ee56aa2f4ae3&pid=1-s2.0-S2666142X23000577-main.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Nursing Studies Advances","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2666142X23000577","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0

Abstract

Background

Nursing competence is integral to ensuring patient safety, especially in high-risk environments such as the operating room. Instruments which facilitate self-assessment of specialty specific nursing competence allow nurses to gain important insights into their practice to facilitate continuous growth in their professional practice. Currently, there are no psychometrically tested tools to assess perioperative competence applicable to the United States context.

Objective

Test the psychometric properties of the Perceived Perioperative Competence Scale-Revised in the United States context.

Methods

A cross-sectional survey design was used. Perioperative nurses were recruited via four professional associations and the survey was administered online. Construct validity of the six-dimensional Perceived Perioperative Competence Scale-Revised was tested using a multidimensional item response theory model known as the graded response model. Measurement invariance was assessed relative to years of perioperative experience. Internal consistency was estimated using McDonald's Omega and Cronbach's alpha reliability coefficients.

Results

Responses from a total of 1,581 participants were analyzed in the psychometric analysis. The six-dimensional graded response model of the Perceived Perioperative Competence Scale-Revised displayed satisfactory model fit for the sample (Chi-square(df) = 5,699.09(725); root mean square error of approximation = 0.066, 90% confidence interval: 0.064, 0.067; comparative fit index = 0.955; Tucker-Lewis index = 0.952; standardized root mean squared residual = 0.045). Scalar invariance was established when assessing the psychometric equivalence of the scale across years of perioperative experience (<10 years, ≥ 10 years) (Chi-square(df) = 5,785.29(1,573); root mean square error of approximation = 0.058, 90% confidence interval: 0.057, 0.060; comparative fit index = 0.959; Tucker–Lewis index = 0.959). Reliability across the six subscales ranged from alpha = 0.87 - 0.94 and Omega = 0.93 - 0.97.

Conclusions

Results suggest that the Perceived Perioperative Competence Scale-Revised is suitable to use with perioperative nurses practicing in clinical settings in the United States. Measurement invariance testing indicates the scale is measuring the same construct and is being interpreted in a conceptually similar manner across groups based on years of perioperative experience.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
美国修订版围手术期能力认知量表的心理计量学评估:全国调查
背景护理能力是确保患者安全不可或缺的因素,尤其是在手术室等高风险环境中。有助于对专科护理能力进行自我评估的工具可以让护士对自己的实践有重要的了解,从而促进其专业实践的不断发展。目前,还没有经过心理测试的评估围手术期能力的工具适用于美国的情况。通过四个专业协会招募围手术期护士,并在线进行调查。采用多维项目反应理论模型(即分级反应模型)对六维围手术期能力感知量表-修订版的结构效度进行了测试。根据围手术期的年限对测量不变性进行了评估。采用麦克唐纳Ω和克朗巴赫α信度系数对内部一致性进行了估计。结果心理测量分析共分析了 1,581 名参与者的回答。围手术期能力感知量表-修订版的六维分级反应模型在样本中显示出令人满意的模型拟合度(Chi-square(df) = 5,699.09(725);均方根近似误差 = 0.066,90% 置信区间:0.064, 0.067;比较拟合指数 = 0.955;Tucker-Lewis 指数 = 0.952;标准化均方根残差 = 0.045)。在评估不同围手术期年限(<10 年,≥ 10 年)的量表心理测量等效性时,确定了量表的标度不变性(Chi-square(df) = 5,785.29(1,573); 均方根近似误差 = 0.058, 90% 置信区间:0.057, 0.060; 比较拟合指数 = 0.959; Tucker-Lewis 指数 = 0.959)。结论结果表明,围手术期能力认知量表(修订版)适用于在美国临床环境中工作的围手术期护士。测量不变性测试表明,该量表测量的是相同的结构,并且在不同围手术期经验的组别中以概念相似的方式进行解释。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
CiteScore
5.80
自引率
0.00%
发文量
45
审稿时长
81 days
期刊最新文献
Nurse leaders’ recommendations for implementing LGBTQ+ inclusive practices in health systems: A qualitative descriptive study Nursing interventions in a newly established community health nursing system: A cross sectional survey Grit, academic resilience, and mindset of nursing students: A cross-sectional study Psychological safety in enhancing the competence of nurse educators among early career nursing faculty in Japan: A cross-sectional study How can family members of patients in the intensive care unit be supported? A systematic review of qualitative reviews, meta-synthesis, and novel recommendations for nursing care
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1