Factor analysis on validity of perceived control in internet of health care with Cronbach’s reliability test

2018 ◽  
Vol 52 ◽  
pp. 596-602 ◽  
Author(s):  
Zhou Ya-Xing ◽  
Shi Lei ◽  
Gao Yu-Lin ◽  
Liang Yue ◽  
Wang Hui-Zhen
Keyword(s):  
Health Care ◽  
Factor Analysis ◽  
Perceived Control ◽  
Reliability Test

scholarly journals Measurement of empathy among health professionals during Syrian crisis using the Syrian empathy scale

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mayssoon Dashash ◽  
Mounzer Boubou
Keyword(s):  
Health Care ◽  
Factor Analysis ◽  
Health Professionals ◽  
Cross Sectional ◽  
Syrian Crisis ◽  
Empathy Score ◽  
Bartlett’S Test ◽  
Significant Difference ◽  
Pain And Suffering ◽  
Empathy Scale

Abstract Background Health professionals should have certain degree of empathy to eliminate the pain and suffering of their patients. There is a need to design a scale, which can assess empathy among health professionals and is relevant to community and culture. Therefore, this study was undertaken to measure the empathy among Syrian health professionals and students of health professions using a newly designed Syrian Empathy Scale that is relevant to community during Syrian crisis. Methods A cross-sectional observational study was undertaken. A total of 214 participants (118 males and 96 females) responded to the Syrian Empathy Scale SES from Medical (n = 62), Dental (n = 152). They were 59 undergraduates, 116 postgraduates and 39 general practitioners. The SES was designed as a tool that includes 20 items in a 7-point Likert-type scale with overall score ranges from 20 to 140. Group comparisons of the empathy scores were conducted using t-test and analysis of variance (ANOVA). A factor analysis was performed. Bartlett’s test of the sphericity and the KMO measure of sampling adequacy were also determined. Cronbach’s alpha was calculated. Results A significant difference was found between males and females in the SES mean score. The ANOVA analysis showed that the SES empathy scores of dentists were higher than the SES empathy scores in medical doctors with no significant difference. The SES empathy score of undergraduates was significantly higher than postgraduates and practitioners. Findings of KMO indicated sampling adequacy (KMO = 0.824 > 0.7) and the value of Bartlett’s test of the sphericity (1255.65, df = 190, P-value< 0.001) proved that the factor analysis is meaningful and acceptable. The results of varimax rotation proved that five main factors were retained. Conclusion Findings of this study support the reliability of the newly designed Syrian Empathy Scale for measuring empathy in the field of health care. The SES can be suggested for assessing empathy in different health educational programs. However, future works are still essential to support the validity of the scale as well as to ascertain the role of empathy in improving health care.

scholarly journals Factors related to perceived continuity of care in hospitalized cardiac patients

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
E Safstrom ◽  
T.J Jaarsma ◽  
L.N Nordgren ◽  
M.L Liljeroos ◽  
A.S Stomberg
Keyword(s):  
Quality Of Life ◽  
Primary Care ◽  
Health Care ◽  
Continuity Of Care ◽  
Perceived Control ◽  
Care Utilization ◽  
Funding Source ◽  
Patient Reported

Abstract Background Since healthcare systems are increasingly complex and often fragmented, continuity of care after hospitalization is a priority to increase patient safety and satisfaction. Aim Describe factors related to continuity of care in patients hospitalized due to cardiac conditions. Methods This cross-sectional multicenter study enrolled patients 6 weeks after hospitalization due to cardiac conditions. A total of 993 patients were included (mean age 72.2 (SD 10.4), males 66%) with AMI (35%), AF (25%), angina (21%) and HF (17.3%). Patients completed the Patient Continuity of Care Questionnaire, a questionnaire based on the definition that continuity of care is “the extent to which a series of health care services is experienced as connected and coherent and is consistent with a patient's health needs and personal circumstances”. The total score of the questionnaire ranges from 6 to 30, higher score indicating higher continuity and a score &lt;24 indicating insufficient continuity. Cronbach's alpha on the total PCCQ was 0.94. Correlations between PCCQ and quality of life, depression, anxiety, perceived control and health care utilization were estimated using spearman rang correlation. Results Insufficient continuity of care ranged between 47% to 59% in the different diagnosis groups, which the highest continuity in the AMI group and lowest in patients with atrial fibrillation. In patients hospitalized due to AMI (n=355, mean age 71 (± 11), 70% men), continuity of care was related to higher perceived control, higher quality of life, a good financial situation, being a man, no symptoms of anxiety or depression (ᚹ range 0.17–0.26 p≤0.002). A low score on the PCCQ were associated with follow-up visit to a nurse in primary care after hospitalization (ᚹ −0.12 p=0.033). In patients hospitalized due to angina (n=210, mean age 73 (± 9), 74% men), continuity of care was related to higher perceived control, higher quality of life and no depressive symptoms (ᚹ range between 0.20 and 0.26 p=0.005). In patients with AF, (n=255, mean age 71 (± 10.), 58% men), continuity of care was related to having had contact by telephone with a nurse-led AF clinic, higher perceived control, higher quality of life and not being depressed (ᚹ range between 0.14–0.25 p=0.03). In patients with HF, (n=173, mean age 77 (±8) 59% men), continuity was related to male ender, younger age, follow-up in a nurse-led HF clinic and not being anxious (ᚹ range between 0.16 and 0.22 p=0.004–0.047). Low total score on PCCQ correlated to having had telephone contact with nurse in primary care (ᚹ −0.24 p=0.002). Conclusion Almost half of all patient reported insufficient continuity of care. Perceived control, quality of life, and symptoms of depression were related to higher continuity of care in all diagnose groups except heart failure. Further, there was a correlation between continuity and follow-up visits or contact by telephone with nurse-led clinics in all diagnose groups except angina. Funding Acknowledgement Type of funding source: Foundation. Main funding source(s): Medical Research Council of Southeast Sweden, Centre for Clinical Research Sörmland

scholarly journals Cross-cultural adaptation and validation of the teamwork climate scale

2016 ◽  
Vol 50 (0) ◽  
Author(s):  
Mariana Charantola Silva ◽  
Marina Peduzzi ◽  
Carine Teles Sangaleti ◽  
Dirceu da Silva ◽  
Heloise Fernandes Agreli ◽  
...  
Keyword(s):  
Job Satisfaction ◽  
Health Care ◽  
Factor Analysis ◽  
Primary Health Care ◽  
Confirmatory Factor Analysis ◽  
Cultural Adaptation ◽  
Cross Cultural ◽  
Cross Cultural Adaptation ◽  
Primary Health ◽  
Confirmatory Factor

ABSTRACT OBJECTIVE To adapt and validate the Team Climate Inventory scale, of teamwork climate measurement, for the Portuguese language, in the context of primary health care in Brazil. METHODS Methodological study with quantitative approach of cross-cultural adaptation (translation, back-translation, synthesis, expert committee, and pretest) and validation with 497 employees from 72 teams of the Family Health Strategy in the city of Campinas, SP, Southeastern Brazil. We verified reliability by the Cronbach’s alpha, construct validity by the confirmatory factor analysis with SmartPLS software, and correlation by the job satisfaction scale. RESULTS We problematized the overlap of items 9, 11, and 12 of the “participation in the team” factor and the “team goals” factor regarding its definition. The validation showed no overlapping of items and the reliability ranged from 0.92 to 0.93. The confirmatory factor analysis indicated suitability of the proposed model with distribution of the 38 items in the four factors. The correlation between teamwork climate and job satisfaction was significant. CONCLUSIONS The version of the scale in Brazilian Portuguese was validated and can be used in the context of primary health care in the Country, constituting an adequate tool for the assessment and diagnosis of teamwork.

scholarly journals Data Envelopment Analysis Applications on Primary Health Care Using Exogenous Variables and Health Outcomes

2021 ◽  
Vol 13 (3) ◽  
pp. 1337
Author(s):  
Silvia González-de-Julián ◽  
Isabel Barrachina-Martínez ◽  
David Vivas-Consuelo ◽  
Álvaro Bonet-Pla ◽  
Ruth Usó-Talamantes
Keyword(s):  
Health Care ◽  
Factor Analysis ◽  
Data Envelopment Analysis ◽  
Pharmaceutical Expenditure ◽  
Healthcare Services ◽  
Data Envelopment ◽  
Exogenous Variables ◽  
Healthcare Resources ◽  
Explanatory Variables ◽  
Primary Health

A data envelopment analysis was used to evaluate the efficiency of 18 primary healthcare centres in a health district of the Valencian Community, Spain. Factor analysis was used as a first step in order to identify the most explanatory variables to be incorporated in the models. Included as variable inputs were the ratios of general practitioners, nurses, and costs; as output variables, those included were consultations, emergencies, avoidable hospitalisations, and prescription efficiency; as exogenous variables, those included were the percentage of population over 65 and a multimorbidity index. Confidence intervals were calculated using bootstrapping to correct possible biases. Efficient organisations within the set were identified, although the results depend on the models used and the introduction of exogenous variables. Pharmaceutical expenditure showed the greatest slack and room for improvement in its management. Data envelopment analysis allows an evaluation of efficiency that is focussed on achieving better results and a proper distribution and use of healthcare resources, although it needs the desired goals of the healthcare managers to be clearly identified, as the perspective of the analysis influences the results, as does including variables that measure the achievements and outcomes of the healthcare services.

scholarly journals Health care providers and HIV

2021 ◽  
Author(s):  
Anne C. Wagner
Keyword(s):  
Health Care ◽  
Factor Analysis ◽  
Qualitative Study ◽  
Health Care Providers ◽  
Hiv Stigma ◽  
People Living With Hiv ◽  
Care Providers ◽  
Related Stigma ◽  
Convergent And Divergent Validity ◽  
Living With Hiv

The current investigation seeks to examine the attitudes and beliefs of health care providers in Canada about people living with HIV. The line of research consists of three studies. Study 1 was a qualitative study conducted with a critical lens. The critical lens was used in a series of four focus groups when qualitatively soliciting opinions about the range of attitudes, behaviours and cognitions health care providers may have towards people living with HIV. Study 2 used the information gathered from Study 1 to develop a scale to assess HIV stigma in health care providers. Items were created from examples and themes found in the qualitative study, and were tested via exploratory factor analysis, confirmatory factor analysis, test-retest reliability analysis, and assessed for convergent and divergent validity. Study 3 examined the newly developed scale’s relationship to proposed overlapping stigmas and attitudes, and tested the adapted intersectional model of HIV-related stigma with health care trainees using the newly developed HIV stigma scale as an outcome measure. The line of research found that HIV stigma continues to be a significant problem in the health care system. The scale developed in Study 2 demonstrates that HIV stigma can be conceptualized and assessed as a tripartite model of discrimination, stereotyping and prejudice, and that this conceptualization of HIV stigma supports an intersectional model of overlapping stigmas with homophobia, racism, stigma against injection drug use and stigma against sex work.

scholarly journals Evaluation of the Persian Version of Maslach Burnout Inventory-Human Services Survey among Iranian Nurses: Validity and Reliability

2018 ◽  
Vol 7 ◽  
pp. e995
Author(s):  
Saba Moalemi ◽  
Zahra Kavoosi ◽  
Najimeh Beygi ◽  
Azizallah Deghan ◽  
Aliasghar Karimi ◽  
...  
Keyword(s):  
Health Care ◽  
Factor Analysis ◽  
Exploratory Factor Analysis ◽  
Health Care System ◽  
Human Services ◽  
Maslach Burnout Inventory ◽  
Validity And Reliability ◽  
Cronbach's Alpha ◽  
Persian Version ◽  
Care System

Background: Nursing is a critical job in the health care system. However, nurses suffering from poor job conditions suffer from job dissatisfaction, eventually causing burnout. This is a very important concern for the health care system because the turnover of nurses leads to a waste of money and time of this system. Therefore, nurse managers need to find a way to measure and reduce the burnout. The Maslach Burnout Inventory-Human Services Survey (MBI-HSS) is a famous inventory to measure the job burnout in human services. This study aimed to measure the validity and reliability of the Persian version of MBI-HSS. Materials and Methods: This study was conducted in two hospitals of Fasa University of Medical Sciences, Fars Province, Iran, in July 2017. Nurses participated with their own discretion in this study and filled the MBI-HSS themselves. The questionnaire consisted of 22 items comprising three dimensions. Exploratory factor analysis and Cronbach’s  alpha were performed in this study using Stata software, version 12. Results: Overall, 200 nurses were included in this study, with a mean age of 29.48 ± 6 years. The result of the exploratory factor analysis showed that the weight of each item in its own dimension was greater than 0.4 or another dimension. Also, the Cronbach’s alpha for 3 dimensions was greater than 0.7. Conclusions:  Our study showed that the Persian version of MBI-HSS has sufficient validity and reliability, similar to that of the original version, for the measurement of burnout in Persian speakers of human services workers.[GMJ.2018;7:e995]

Multiple dimensions of e-healthcare ethics and its relationship to the ethical concerns of the consumer

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Prachi Verma ◽  
Satinder Kumar ◽  
Sanjeev K. Sharma
Keyword(s):  
Health Care ◽  
Factor Analysis ◽  
Health Services ◽  
Practical Significance ◽  
Equation Modeling ◽  
Healthcare Ethics ◽  
Correct Judgment ◽  
Content Type ◽  
Content Quality ◽  
Ethical Concerns

Purpose This study aims to explore the different dimensions of e-healthcare ethics and their relationships, influencing the ethical concerns of the consumer in making ethical e-healthcare choices. Design/methodology/approach A study was conducted at two identified major hospitals of Punjab (a private hospital) and Chandigarh (a public hospital), India providing e-healthcare services with the help of a self-administered questionnaire. The respondents were identified from the waiting areas of the selected hospitals, and only those respondents were selected for the study, who agreed to be aware of e-health services and were using them for some time. The statistical analysis was done using the structural equation modeling technique and included both exploratory and confirmatory factor analysis using SPSS 20 and AMOS 21. Findings Exploratory factor analysis extracted five dimensions of ethical concerns of the consumer, which include service promotion, content quality, candor, professionalism and confidentiality. The results signify that content quality plays a significant role in ethics, followed by candor, service promotion and confidentiality. However, the relationship with professionalism did not prove to be significant for the ethical concerns of the e-health consumer. Practical implications This research delivers a practical significance in identifying the critical dimensions of the ethical concerns of the consumer while selecting e-health services. It gives an insight into the various dimensions, which should be considered by the e-health providers while crafting e-health services to make it more ethically acceptable by the consumers. Originality/value By using e-health services, consumers play an active role in their health-care decisions. The consumers need to consider ethics while choosing health-care services as an ethical judgment will also be the correct judgment. This study helps in the identification of the significant dimensions for the ethical concerns of the consumers.

Use of the Core Bereavement Items in Adults Aged 50 and Older: A Psychometric Evaluation

2019 ◽  
Vol 37 (7) ◽  
pp. 527-531 ◽  
Author(s):  
Kathryn Levy
Keyword(s):  
Factor Analysis ◽  
Content Validity ◽  
Aging Process ◽  
Hospice Care ◽  
Psychometric Testing ◽  
Psychometric Evaluation ◽  
Reliability Test ◽  
Subject Matter Experts ◽  
Loved One ◽  
The Core

The Core Bereavement Items (CBI) is a commonly used measure that assesses core grief and bereavement experiences. Although previous psychometric testing has been conducted, no studies have assessed its use specifically aimed at adults aged 50 and older or for those who lost a loved one who was hospice care. This is critical, as losses and additional obstacles in bereavement compound throughout the aging process. The present study investigated reliability, content validity, and internal structure of the CBI in bereaved adults aged 50 and older whose loved one died while in hospice care (N = 205). Associations based on age, marital status, and relationship with the died patients were consistent with preexisting research. Results of a Cronbach α reliability test found that the CBI has excellent reliability in this population. Further, content validity was established based on the judgment of subject matter experts. Exploratory factor analysis supported a 1-factor structure, with all items loading as General Grief Experiences. Based on this analysis, the CBI is a valid and reliable tool when used with adults aged 50 and older.

Development of Survey Instrument

2008 ◽  
pp. 117-134
Author(s):  
Yogesk K. Dwivedi
Keyword(s):  
Factor Analysis ◽  
Data Collection ◽  
Response Bias ◽  
Internal Consistency ◽  
Nationwide Survey ◽  
Survey Instrument ◽  
Reliability Test ◽  
Data Collection And Analysis ◽  
Development And Validation

The previous chapter (Chapter 4) described the development and validation of a survey instrument for the purpose of data collection in order to examine broadband adoption, usage and impact. Chapter 3 provided a discussion and justification of the data collection and analysis methods. This chapter presents the findings obtained from a nationwide survey that was conducted to examine the adoption, usage and impact of broadband in UK households. The chapter is structured as follows. The next section presents a response rate of the survey and descriptions of how the non-response bias test was conducted. This is followed by a description of the reliability test conducted to assess the internal consistency of the survey instrument. The findings relating to the factor analysis are then presented. Following this, an overall discussion of the instrument is presented. Finally, a summary of the chapter is provided.

Commitment to Change Among Health Care Workers in Pakistan

2020 ◽  
Vol 22 (3) ◽  
pp. 330-347
Author(s):  
Haroon Bakari ◽  
Ahmed Imran Hunjra ◽  
Stephen Jaros
Keyword(s):  
Health Care ◽  
Factor Analysis ◽  
Organizational Change ◽  
Health Care Workers ◽  
Health Care Systems ◽  
Change Initiative ◽  
Commitment To Change ◽  
Research Attention ◽  
Care Workers ◽  
Care Systems

Commitment to organizational change as an important focus of commitment has received greater attention in the literature of action commitments. Research indicates that this construct represents employee attitude towards change initiative and may be a greater predictor of support for change. This is of particular import in health care systems, globally, and in developing nations, in particular, which are constantly seeking to change and adapt to new medical and administrative advances. However, commitment to change (C2C) has received very little research attention from Asian health care systems. Therefore, this study answers the call for validation, by validating a culture-specific translated version of the C2C scale in a sample drawn from the privatization context of public sector hospitals in Pakistan. The goals are to: (a) examine some psychometric properties of the major Western-derived measures of C2C in Pakistan to see if they are valid and reliable there; and (b) draw implications from our results for the management of change efforts in Pakistani health care systems. Thus, exploratory factor analysis and confirmatory factor analysis (CFA) were conducted using SPSS and analysis of moment structures (AMOS) to provide evidence of reliability, construct validity and predictive validity of C2C among Pakistani health care workers. Results found evidence of the measure’s cross-cultural validity and revealed a positive correlation between C2C and three dimensions of behavioural support for change. This study is a significant contribution to the literature, being the first to provide comprehensive evidence of validity of the C2C scale in Pakistan, a developing country. An important implication for leaders of organizational change in Pakistan is that they may use this construct to unearth employee level of understanding and attitude towards change initiative to envisage mechanisms to foster employee support for change. Researchers may also use this construct in Pakistan’s context to assess employee C2C.

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