Journal of nursing measurement最新文献

Background and Purpose: According to patient safety literature, workarounds are used when processes are not clear and may not match the intended workflows. There is no available quantitative instrument to measure the type and frequency of workarounds when nurses administer medications. The purpose of this study was to assess the psychometric properties of a newly developed instrument that measured the type and frequency of workarounds when nurses administer medications to patients. Methods: Items for the newly developed instrument were derived based on the concept analysis of workarounds, and the psychometric evaluation included content validity, face validity, item analysis, dimensionality, reliability, and construct validity testing. The instrument was administered to registered nurses in an acute care hospital in Northern Virginia. Results: Psychometric evaluation of the newly developed instrument demonstrated adequate content and face validity. Based on exploratory factor analysis using principal axis factoring of the 18 items, 12 items were retained comprising three subscales: (a) defining characteristics, (b) type of workarounds, and (c) frequency of workarounds. Cronbach's alpha ranged from .83 to .92 for the three subscales. As hypothesized, convergent validity was supported by Spearman Rho correlations ranging from .27 to .47 among the Halbesleben, Rathert, and Bennett total and two subscales. Divergent validity was supported with Spearman Rho correlations ranging from -.09 to .15 with two other Halbesleben, Rathert, and Bennett subscales. Conclusions: The findings provided beginning evidence for the reliability and validity of the newly developed Savage Barcode-Assisted Medication Administration Workarounds Tool comprised of three subscales-defining characteristics, types of workarounds, and frequencies of workarounds.

Background and Purpose: This study adapted the Nurse Practitioner Primary Care Organizational Climate Questionnaire to measure the organizational climate of nurse practitioners in acute care settings and validated the Nurse Practitioner Acute Care Organizational Climate Questionnaire (NP-ACOCQ). Methods: We used a three-phase instrument adaptation design. In phase 1, experts assessed face and content validity. In phase 2, pilot testing enabled item analysis and preliminary reliability testing. In phase 3, field testing supported exploratory factor analysis. Results: The NP-ACOCQ had a three-factor structure representing subscales. The subscales had Cronbach's alphas of 0.87, 0.90, and 0.94. The subscales, Institutional Visibility, Interprofessional Relationships, and Organizational Autonomy each had between 5 and 13 items. Conclusions: The NP-ACOCQ is a valid and reliable measure to assess organizational factors determining the acute care nurse practitioner work environment.

Background and Purpose: In nursing education, students are often expected to make presentations. This study aimed to adapt the Oral Presentation Evaluation Scale (OPES) into Turkish language and investigate its psychometric properties. Methods: This methodological study comprised 311 undergraduate students. The data were analyzed by descriptive statistics, exploratory factor analysis (EFA), confirmatory factor analysis (CFA), Cronbach's alpha (α) coefficient, and item-total correlation. Results: The item-total score correlation coefficients of the scale were between 0.636 and 0.787, and according to the CFA, the factor loads of all items varied between 0.533 and 0.846. The chi-square/standard deviation value, goodness of fit index, comparative fit index, normed fit index, and root mean square error of approximation were 2.056, 0.928, 0.973, 0.949, and 0.058, respectively. Cronbach's α value was 0.951. According to the results of EFA, the scale consists of a two-factor structure in Turkish culture. Conclusions: The OPES is a valid and reliable tool to evaluate the oral presentations of Turkish nursing students.

Background and Purpose: Limited care interaction measurements capture important interaction characteristics that occur during staff-resident care interactions. The purpose of this study was to test the reliability and validity of Modified Quality of Interaction Scale (MQuIS). Methods: Data from an observational study in four assisted living facilities was used. Results: A total of 152 staff-resident care interactions were observed. There was some evidence of reliability based on the Rasch analysis (item reliability of .98). There was some support for validity based on the item fit and hypothesis testing as active resident engagement was significantly associated with positive social and positive care interactions. Conclusions: This study provides some support for the use of the MQuIS to evaluate the quality of care interactions in assisted living settings.

Background and Purpose: Thirst-related distress in individuals with heart failure (HF) is associated with exacerbated symptoms. This study aimed to culturally adapt the Thirst Distress Scale for Patients with Heart Failure (TDS-HF) for Brazil and assess the content validity of the adapted version. Methods: The TDS-HF was translated, back-translated, and evaluated for linguistic equivalence, clarity, relevance, and pertinence by seven professional experts. The adapted TDS-HF was administered to 40 patients with HF, who provided feedback on its understandability. Results: The adaptation achieved satisfactory evidence of linguistic equivalence and content validity, with a total content validity coefficient of 0.95. The patients understood the translated version effectively. Conclusion: The Brazilian TDS-HF maintains linguistic equivalence to the original version and demonstrates satisfactory evidence of content validity. Further psychometric testing is deemed necessary for implementation.

Background and Purpose: Possibilities to age in place are increasingly important with the demographic shift toward aging populations. With the Person-Place Fit Measure for Older Adults (PPFM-OA), older adults self-assess how their home and community environments suit their needs. The aim of the study was to evaluate the psychometric properties of the Swedish version of PPFM-OA. Methods: Four hundred sixty community-living adults aged 65 and older answered the PPFM-OA. Rasch model was used for analyses. Results: A reduced 19-item version of PPFM-OA showed sufficient evidence of validity in response processes, internal structure, fairness in testing, and reliability/precision. Conclusions: The reduced version is recommended to use in Sweden to capture person-place fit, an aspect to consider when communities, healthcare, and elder care aim to facilitate aging in place.

Background and Purpose: Discharge readiness is an important aspect of quality care improvement but is poorly understood among clinicians. This study aims to develop and validate an abdominal surgery discharge readiness instrument (ASDRI). Methods: Through quantitative methods, ASDRI was crafted from qualitative exploration, literature review, and theoretical foundation. The psychometric analysis involved 344 patients with abdominal surgery aged 18 years and above using SmartPLS 4.0.9 software version. Results: The validated ASDRI contains both convergent and discriminant validities. The Average Variance Extracted (AVE) values for all the constructs were above the recommended cutoff point (AVE = 0.4) and demonstrated acceptable reliability (CA = 0.64 - 0.936; CR = 0.81 - 0.95). Conclusions: The ASDRI, comprising 28 items across five factors, emerges as a valid and reliable tool for assessing discharge readiness after abdominal surgery, emphasizing patient-centered discharge planning.

Background and Purpose: The Readiness for Hospital Discharge Scale (RHDS) was created to determine the patient's readiness for discharge to home from the hospital. The purpose of this study is to determine the scale's internal consistency and predictive validity in a skilled nursing facility (SNF) setting. Methods: Participants (N = 30) over the age of 65 were conveniently selected from 10 different SNFs in the Midwest to complete the RHDS prior to discharge. Results: Cronbach's alpha for internal consistency was 0.917. Participants with higher RHDS scores, those who were male, respondents with less education, and participants with Medicare Advantage insurance were more likely to be rehospitalized within 30 days of discharge to home. Conclusions: The results indicate that the RHDS has a good internal consistency in the SNF setting.

Background and Purpose: This study evaluates the Pittsburgh Sleep Quality Index (PSQI) in terms of factor structure and measurement invariance (MI). The sample included postmenopausal breast cancer (BC) survivors (n = 101) and matched healthy controls (n = 60). Methods: Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were performed on PSQI's seven component scores. MI was tested between groups and across time using Bayes factor (BF). Results: Two factors were identified: sleep efficiency and perceived sleep quality. MI is evidenced between groups (BF < 0.007) and over time (BF > 150). Conclusions: PSQI scores with two subscales are comparable between postmenopausal BC survivors and controls over a 1-year period, providing some validation of PSQI for researching sleep quality in this population.

Background and Purpose: This study aimed to determine the reliability and validity of the Turkish version of the Knowledge of Sexual Healthcare (KSH), Attitude to Sexual Healthcare (ASH), and Self-Efficacy for Sexual Healthcare (SESH) scales of the Sexual Healthcare Questionnaire. Methods: This study included 381 participants who were second- and third-year Turkish nursing students. We analyzed the construct validity, test-retest reliability, and internal consistency of the scales. Results: Kuder-Richardson-20 (KR-20) reliability coefficient of the 31-item KSH scale was 0.99 and consisted of three sub-dimensions. The confirmatory factor analysis supported the three-factor structure of the ASH scale consisting of 18 items. The final version of the 22-item SESH scale includes 15 items. Conclusions: The use of scales to determine Turkish nursing students' knowledge, attitudes, and self-efficacy toward sexual health services was encouraged.