scholarly journals Nursing knowledge of and attitude in cardiopulmonary arrest: cross-sectional survey analysis

PeerJ ◽  
2019 ◽  
Vol 7 ◽  
pp. e6410 ◽  
Author(s):  
Verónica Tíscar-González ◽  
Joan Blanco-Blanco ◽  
Montserrat Gea-Sánchez ◽  
Ascensión Rodriguez Molinuevo ◽  
Teresa Moreno-Casbas
Keyword(s):  
Ethical Issues ◽  
Cardiopulmonary Arrest ◽  
Categorical Variables ◽  
Survey Analysis ◽  
Cronbach’S Alpha ◽  
Cross Sectional Survey ◽  
Cardiorespiratory Arrest ◽  
Convenience Sample ◽  
Cronbach's Alpha ◽  
The Relationship

Background Nurses are often the first to activate the chain of survival when a cardiorespiratory arrest happens. That is why it is crucial that they keep their knowledge and skills up-to-date and their attitudes to resuscitation are very important. The main aim of this study was to analyse whether the level of theoretical and practical understanding affected the attitudes of nursing staff. Methods A questionnaire was designed using the Delphi technique (three rounds). The questionnaire was adjusted and it was piloted on a test-retest basis with a convenience sample of 30 registered nurses. The psychometric characteristics were evaluated using a sample of 347 nurses using Cronbach’s alpha. Descriptive analysis was performed to describe the sociodemographic variables and Spearman’s correlation coefficient to assess the relationship between two scale variables. Pearson’s chi-squared test has been used to study the relationship between two categorical variables. Wilcoxon Mann Whitney test and the Kruskal–Wallis test were performed to establish relationships between the demographic/work related characteristics and the level of understanding. Results The Knowledge and Attitude of Nurses in the Event of a Cardiorespiratory Arrest (CAEPCR) questionnaire comprised three sections: sociodemographic information, theoretical and practical understanding, and attitudes of ethical issues. Cronbach’s alpha for the internal consistency of the attitudes questionnaire was 0.621. The knowledge that nurses self-reported with regard to cardiopulmonary arrest directly affected their attitudes. Their responses raised a number of bioethical issues. Conclusions CAEPCR questionnaire is the first one which successfully linked knowledge of cardiopulmonary resuscitation to the attitudes towards ethical issues Health policies should ensure that CPR training is mandatory for nurses and all healthcare workers, and this training should include the ethical aspects.

The Validation of the Coping and Adaptation Processing Scale Based on the Roy Adaptation Model

2014 ◽  
Vol 22 (3) ◽  
pp. 368-380 ◽  
Author(s):  
Muder Alkrisat ◽  
Vivien Dee
Keyword(s):  
Health Care Facilities ◽  
Roy Adaptation Model ◽  
Validity And Reliability ◽  
Alpha Coefficient ◽  
Cronbach’S Alpha ◽  
Cross Sectional Survey ◽  
Convenience Sample ◽  
Cronbach's Alpha ◽  
Confirmatory Factor ◽  
Adaptation Model

Background and Purpose: To establish the psychometric soundness for Coping and Adaptation Processing Scale (CAPS) using the Roy adaptation model as theoretical framework. Method: A descriptive, cross-sectional survey of a convenience sample of 199 nurses working in different acute health care facilities in California. The internal consistency of the multifactor CAPS questionnaire was explored using Cronbach’s alpha coefficient. Factors correlation was examined using Pearson product moment correlation. The factor structure was studied using confirmatory factor analyses. Results: In the confirmatory factor analysis, the indices of fitness highly supported these results. The Cronbach’s alpha coefficient for the total score was .81 and varied between .31 and .78 in the 5 domains. A positive and significant correlation emerged between CAPS factors and total scores (r = .91, p < .01) ranging from .17 to .81. CAPS showed acceptable validity and reliability for measuring the coping of nurses in acute setting. Future studies using the scale might lead to the improvement of the subscales measurement. Conclusion: The psychometric data suggests that CAPS is a highly suitable instrument to measure coping processes.

scholarly journals Patient safety culture in Italian out-of-hours primary care service: a national cross-sectional survey study

BJGP Open ◽  
2020 ◽  
Vol 4 (5) ◽  
pp. bjgpopen20X101098
Author(s):  
Jacopo Demurtas ◽  
Pierpaolo Marchetti ◽  
Alberto Vaona ◽  
Nicola Veronese ◽  
Stefano Celotto ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Cronbach’S Alpha ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Out Of Hours ◽  
Cronbach's Alpha

BackgroundOut-of-hours (OOH) services in Italy provide >10 million consultations every year. To the authors' knowledge, no data on patient safety culture (PSC) have been reported.AimTo assess PSC in the Italian OOH setting.Design & settingNational cross-sectional survey using the Safety Attitudes Questionnaire — Ambulatory Version (SAQ-AV).MethodThe SAQ-AV was translated into Italian and distributed in a convenience sample of OOH doctors in 2015. Answers were collected anonymously by Qualtrics. Stata (version 14) was used to estimate Cronbach’s alpha, perform exploratory and confirmatory factor analysis, correlate items to doctors’ characteristics, and to do item descriptive analysis.ResultsOverall, 692 OOH doctors were contacted, with a 71% response rate. In the exploratory factor analysis (EFA), four factors were identified: Communication and Safety Climate (14 items); Perceptions of Management (eight items); Workload and Clinical Risk (six items); and Burnout Risk (four items).These four factors accounted for 68% of the total variance (Kaiser–Meyer–Olkin [KMO] statistic = 0.843). Cronbach’s alpha ranged from 0.710–0.917. OOH doctors were often dissatisfied with their job; there is insufficient staff to provide optimal care and there is no training or supervision for new personnel and family medicine trainees. Service managers are perceived as distant, with particular issues concerning the communication between managers and OOH doctors. A large proportion of OOH doctors (56.8%) state that they do not receive adequate support.ConclusionThese findings could be useful for informing policies on how to improve PSC in Italian OOH service.

The development and internal consistency of the comprehensive lower limb amputee socket survey in active lower limb amputees

2018 ◽  
Vol 43 (1) ◽  
pp. 80-87 ◽  
Author(s):  
Robert Gailey ◽  
Anat Kristal ◽  
Jennifer Lucarevic ◽  
Shane Harris ◽  
Brooks Applegate ◽  
...  
Keyword(s):  
Internal Consistency ◽  
Lower Limb ◽  
Self Report ◽  
Cronbach’S Alpha ◽  
Convenience Sample ◽  
Cronbach's Alpha ◽  
Prosthetic Socket ◽  
Lower Limb Amputee ◽  
Report Measure ◽  
Lower Limb Amputees

Background: Prosthetic socket fit is an important element associated with successful ambulation and use of a prosthesis. Prosthetists and rehabilitation clinicians would benefit from an assessment tool that discriminates between and quantifies the multiple determinants that influence the lower limb amputee’s performance and satisfaction of a prosthetic socket. Objectives: To determine the internal consistency of the comprehensive lower limb amputee socket survey, a new self-report measure of prosthetic socket satisfaction that quantifies suspension, stability, comfort, and appearance. Study design: Cross-sectional sample of active amputees. Methods: Interviews were conducted with prosthetists, physical therapists, and lower limb amputees to identify clinical concerns and common activities influencing socket fit. An expert panel of five clinicians reviewed the items and constructed the original version of the comprehensive lower limb amputee socket survey which was then administered to a convenience sample of 47 active lower limb amputees. Item analysis and Cronbach’s alpha were used to determine the final version of the comprehensive lower limb amputee socket survey. Results: Following item raw score-to-total score correlation with Cronbach’s alpha for comprehensive lower limb amputee socket survey determinants, internal consistency improved when nine questions were eliminated. Conclusion: The comprehensive lower limb amputee socket survey is a self-report measure of prosthetic socket satisfaction with very good internal consistency. Clinical relevance When socket problems occur, the ability to determine the specific cause can reduce modification time, enhance socket fit, and promote patient satisfaction. A standardized multi-dimensional assessment measure of socket satisfaction enables prosthetists to quantify the multiple determinants of socket satisfaction, improve patient communication, and demonstrate the value of socket interventions.

scholarly journals Managing ethical issues in patient care and the need for clinical ethics support

2015 ◽  
Vol 39 (1) ◽  
pp. 44 ◽  
Author(s):  
Evan Doran ◽  
Jennifer Fleming ◽  
Christopher Jordens ◽  
Cameron L Stewart ◽  
Julie Letts ◽  
...  
Keyword(s):  
Patient Care ◽  
Clinical Ethics ◽  
Ethical Issues ◽  
Public Hospitals ◽  
Cross Sectional Survey ◽  
Convenience Sample ◽  
Clinical Ethics Support ◽  
Ethical Environment ◽  
Ethics Support ◽  
A Priority

Objective To investigate the range, frequency and management of ethical issues encountered by clinicians working in hospitals in New South Wales (NSW), Australia. Methods A cross-sectional survey was conducted of a convenience sample of 104 medical, nursing and allied health professionals in two NSW hospitals. Results Some respondents did not provide data for some questions, therefore the denominator is less than 105 for some items. Sixty-two (62/104; 60%) respondents reported occasionally to often having ethical concerns. Forty-six (46/105; 44%) reported often to occasionally having legal concerns. The three most common responses to concerns were: talking to colleagues (96/105; 91%); raising the issue in a group forum (68/105; 65%); and consulting a relevant guideline (64/105; 61%). Most respondents were highly (65/99; 66%) or moderately (33/99; 33%) satisfied with the ethical environment of the hospital. Twenty-two (22/98; 22%) were highly satisfied with the ethical environment of their department and 74 (74/98; 76%) were moderately satisfied. Most (72/105; 69%) respondents indicated that additional support in dealing with ethical issues would be helpful. Conclusion Clinicians reported frequently experiencing ethical and legal uncertainty and concern. They usually managed this by talking with colleagues. Although this approach was considered adequate, and the ethics of their hospital was reported to be satisfactory, most respondents indicated that additional assistance with ethical and legal concerns would be helpful. Clinical ethics support should be a priority of public hospitals in NSW and elsewhere in Australia. What is known about the topic? Clinicians working in hospitals in the US, Canada and UK have access to ethics expertise to help them manage ethical issues that arise in patient care. How Australian clinicians currently manage the ethical issues they face has not been investigated. What does this paper add? This paper describes the types of ethical issues faced by Australian clinicians, how they manage these issues and whether they think ethics support would be helpful. What are the implications for practitioners? Clinicians frequently encounter ethically and legally difficult decisions and want additional ethics support. Helping clinicians to provide ethically sound patient care should be a priority of public hospitals in NSW and elsewhere in Australia.

scholarly journals Self-perception of oral health in older adults from an urban population in Lisbon, Portugal

2016 ◽  
Vol 50 (0) ◽  
Author(s):  
Catarina Carvalho ◽  
Ana Cristina Manso ◽  
Ana Escoval ◽  
Francisco Salvado ◽  
Carla Nunes
Keyword(s):  
Older Adults ◽  
Oral Health ◽  
Health Assessment ◽  
Life Quality ◽  
Sociodemographic Factors ◽  
The Self ◽  
Self Perception ◽  
Cronbach’S Alpha ◽  
Convenience Sample ◽  
Cronbach's Alpha

ABSTRACT OBJECTIVE To analyze if the self-perception of oral health in the urban context is associated with sociodemographic factors that interfere in the life quality of oral health. METHODS Cross-sectional study with convenience sample of older individuals (65 years old or more) enrolled in the Agrupamento de Centros de Saúde de Lisboa Norte (ACES Lisboa Norte – Health Centers Groupings North Lisbon). The self-perception of oral health and associated life quality was evaluated by the Geriatric Oral Health Assessment Index and the individuals were classified according to sociodemographic characteristics. The internal consistency of the questionnaire was evaluated by Cronbach’s alpha (α). Later, we used binary logistic regression models to characterize the factors associated with the self-perception of oral health, considering the sociodemographic variables and the older adults’ clinical conditions of oral health and establishing the crude and adjusted (to age) odds ratios and their 90% confidence intervals. RESULTS A total of 369 older adults participated in this study, with an average age of 74.2 years (SD = 6.75); 62.9% were female. On average, the index was moderated, with tendency to be high: 32.9 (SD = 3.6; 12-36 interval). The Cronbach’s alpha was high: 0.805. Age, marital status, and the last dental appointment were the factors significantly associated with self-perception of oral health. CONCLUSIONS The study shows that these individuals have a moderate, with tendency to high, self-perception of oral health. The self-perception of oral health assessment allowed us to identify the main associated sociodemographic factors. This instrument can help guiding planning strategies and oral health promotion directed toward a better life quality for this population group.

scholarly journals Self-efficacy scale for the establishment of good relationships with families in neonatal and pediatric hospital settings

2017 ◽  
Vol 51 (0) ◽  
Author(s):  
Andréia Cascaes Cruz ◽  
Margareth Angelo ◽  
Bernardo Pereira dos Santos
Keyword(s):  
Factor Analysis ◽  
Exploratory Factor Analysis ◽  
Self Efficacy ◽  
Internal Consistency Reliability ◽  
Operational Definition ◽  
Pediatric Hospital ◽  
Cronbach’S Alpha ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Cronbach's Alpha

Abstract OBJECTIVE The purpose of this study was to develop and test the psychometric properties of the Self-efficacy Scale for the Establishment of Good Relationships with Families in Neonatal and Pediatric Hospital Settings. METHOD Methodological study grounded on self-efficacy theory was conducted in three phases: conceptual and operational definition (review of the literature and interviews with the target population), content validity (opinion of five experts e three clinical nurses), and exploratory factor analysis and internal consistency reliability (cross-sectional survey with a valid sample of 194 nurses). RESULTS A ten-point Likert scale with 40-item was designed and one item was excluded after review by experts. Three factors emerged from the exploratory factor analysis. The Cronbach's alpha for all items was 0.983 with item-total correlations in the range 0.657 to 0.847. Cronbach's alpha value if item deleted were less than or equal to 0.983. CONCLUSION The final version of the scale demonstrated psychometric adequacy. It is a useful tool to be administered in the clinical, educational and research nursing fields to measure nurses’ self-efficacy beliefs concerning the establishment of good relationships with families.

scholarly journals The relationship between e-CRM and customer loyalty: a Kenyan Commercial Bank case study

2017 ◽  
Vol 12 (2) ◽  
pp. 106-115 ◽  
Author(s):  
Eric E. Mang’unyi ◽  
Oumar T. Khabala ◽  
Krishna K. Govender
Keyword(s):  
Customer Loyalty ◽  
Survey Design ◽  
Commercial Banking ◽  
Customer Relationship ◽  
Cross Sectional Survey ◽  
Design Data ◽  
Cross Sectional ◽  
Convenience Sample ◽  
The Relationship

Since customer loyalty is key, especially in the highly competitive commercial banking environment, this article evaluated the effects of features of electronic customer relationship management (e-CRM) on customer loyalty. Using a cross-sectional survey design, data were collected from a convenience sample of customers of a major international Kenyan bank using self-administered questionnaires. The findings based on correlation and multiple regression analyses, revealed that pre-service, during (the) service and post transactional e-CRM features have a positive and significant relationship with loyalty, and that the pre-service and during service features significantly predict loyalty. Thus, enhancing e-CRM practices could be a strategic competitive tool to impact the banks’ relationship with their customers.

scholarly journals Psychometric properties of the Persian version of the Cancer attitude inventory

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Maryam Khazaee-Pool ◽  
Alireza Shoghli ◽  
Tahereh Pashaei ◽  
Koen Ponnet
Keyword(s):  
Factor Analysis ◽  
Psychometric Properties ◽  
Scale Validation ◽  
Cancer Control ◽  
Cronbach’S Alpha ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Cronbach's Alpha ◽  
Persian Version ◽  
Attitude Inventory

Abstract Background The Cancer Attitude inventory (CAI) was developed to measure attitudes toward cancer. The aim of the present study was to describe the development of the Persian version of the CAI and to evaluate its psychometric properties in an Iranian sample. Methods The forward–backward method was used to translate the CAI scale from English into Persian. After linguistic validation and a pilot check, a cross-sectional study was performed and psychometric properties of the Iranian version of the questionnaire were assessed. The scale validation was conducted with a convenience sample of 820 laypeople. Construct validity was assessed through both exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Internal consistency was assessed through Cronbach’s alpha analysis and test-retest analysis. Results Five factors were identified in CAI: isolation, helplessness, fear of consequence, belief of control and independence, and fear of death. The results achieved from the CFA displayed that the data fit the model: the relative chi-square (× 2/df) = 2.98 (p < .001), and the root mean square error of approximation (RMSEA) = .07 (90% CI = .06—.07). All comparative indices of the model had scores greater than .80, demonstrating a good fit to the data. Cronbach’s Alpha and the intra-class correlation coefficient (ICC) were .97, which is well above the acceptable threshold. Conclusions The results indicate that the Persian version of the CAI is practical, reliable and valid. Consequently, the instrument could be used in plans to create positive attitudes about cancer control and treatment among Persian people.

scholarly journals Development and Validation of an Eating and Food Literacy Behaviors Questionnaire with Young Adult University Students (FS16-05-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Kwadernica Rhea ◽  
Georgianna Tuuri ◽  
Melissa Cater
Keyword(s):  
Decision Making ◽  
Factor Analysis ◽  
Young Adult ◽  
University Students ◽  
Food Preparation ◽  
Cronbach’S Alpha ◽  
Convenience Sample ◽  
Food Literacy ◽  
Cronbach's Alpha ◽  
The Mean

Abstract Objectives The purpose of this study was to develop and validate a survey instrument capable of measuring eating and food literacy behaviors in young adult university students. Methods This study had a cross-sectional design and used an online survey for data collection. Participants included a convenience sample of free-living young adult university students aged 18 to 30 years attending a large public university in the southeastern United States. Descriptive information including age, gender, and race/ethnicity was collected. Exploratory factor analysis (EFA), Cronbach's alpha coefficients, and confirmatory factor analysis (CFA) were used to develop and validate the instrument. Results Data from 257 students were analyzed in the EFA. Most of the respondents were white (65.8%) and female (65.6%). The mean age of respondents was 20.0 ± 3.4 years. The EFA returned five factors that explained 57.4% of the total variance suggesting acceptable internal structure. Cronbach's alpha values were: 0.89 = health and nutrition, 0.72 = taste, 0.77 = food preparation, 0.64 = planning and decision making, and 0.63 = convenience. Data from 923 students were used in the CFA. Most of the respondents were white (76.4%) and female (50.3%). The mean age of respondents was 20.6 ± 1.8 years. A CFA confirmed that the 5-factor model was an appropriate fit for the data (Chi-squared = 588.05 (142), RMSEA = 0.06, CFI = 0.98, TLI = 0.97, SRMR = 0.05). Conclusions These results suggest that the proposed questionnaire is capable of measuring young adult university students’ eating and food literacy behaviors as they relate to health/nutrition, taste, food preparation, planning and decision making, and convenience. Funding Sources This project was funded in part by Hatch Project #LAB94331.

scholarly journals Development and Validation of the EspaiJove.net Mental Health Literacy (EMHL) Test for Spanish Adolescents

2019 ◽  
Vol 17 (1) ◽  
pp. 72
Author(s):  
Pere Castellvi ◽  
Rocío Casañas ◽  
Victoria-Mailen Arfuch ◽  
Juan José Gil Moreno ◽  
María Torres Torres ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Literacy ◽  
Internal Consistency ◽  
Mental Health Literacy ◽  
Health Knowledge ◽  
Cronbach’S Alpha ◽  
Convenience Sample ◽  
Cronbach's Alpha ◽  
Mental Health Knowledge ◽  
Different Levels

There is evidence of the effectiveness of implementing mental health literacy (MHL) programs. However, there are substantial limitations in the instruments available for measuring MHL. This study aimed to develop and validate the EspaiJove.net MHL test (EMHL) for Spanish adolescents by assessing its psychometric properties. The development of the EMHL test was conducted using item pool generation and a pilot study. A convenience sample of students aged 13–15 years (n = 355) participated in the validity study. Reliability was assessed for internal consistency and via test-retest. Convergent validity was evaluated by comparing the effect sizes among known groups with different levels of mental health knowledge, the correlation with mental health-related instruments, and the item discrimination index. A final version of a 35-item EMHL test was obtained with two parts: (i) a binary choice format (yes/no) for the identification of mental disorders; (ii) a multiple choice question with four possible answer options. Internal consistency was acceptable in the first part (Cronbach’s alpha = 0.744; Guttman’s lambda 2 = 0.773) and almost acceptable in the second part (Cronbach’s alpha = 0.615; Guttman’s lambda 2 = 0.643). The test-retest evaluation supported the stability of the test (first part, ICC = 0.578; second part, ICC = 0.422). No ceiling and floor effects were found. The EMHL test scores discriminated between known groups with different levels of mental health knowledge and it is associated with several-related constructs of MHL. Conclusions: The EMHL test is a relevant measure for assessing MHL in adolescents into Spanish context with acceptable validity and stability.

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