Assessment of psychiatric inpatient satisfaction: A systematic review of self-reported instruments

2009 ◽  
Vol 24 (8) ◽  
pp. 540-549 ◽  
Author(s):  
L. Boyer ◽  
K. Baumstarck-Barrau ◽  
N. Cano ◽  
X. Zendjidjian ◽  
R. Belzeaux ◽  
...  

AbstractBackgroundThere is a growing concern about satisfaction with inpatient psychiatric services. There are currently numerous satisfaction instruments available to psychiatric inpatients, but little guidance on which among them to select.AimsTo provide an overview of the psychometric properties and the content of satisfaction instruments available to psychiatric inpatients.MethodsSystematic searches of Medline database to identify inpatient satisfaction questionnaires. Assessment of the instruments according to relevant psychometric properties.ResultsFifteen satisfaction instruments were identified. The target population differed according to the instrument. Methods used to generate items were heterogeneous. These instruments were based on a mixed approach including patients’ points of view, expert opinions, and literature reviews, causing the content of questionnaires to vary. Reliability and validity were not systematically tested.ConclusionThe validation of a common inpatient satisfaction instrument is a major challenge. Recommendations for the future development of satisfaction instruments may include: item generation based exclusively on the patient's point of view; a validation process on a large and representative population; and an instrument combining generic (core questionnaire) and specific (additional modules) approaches.

2013 ◽  
Vol 15 (1) ◽  
pp. 15-20 ◽  
Author(s):  
Rebecca D. Larson

Psychometric assessments are tests or questionnaires that have been designed to measure constructs of interest in an individual or a target population. A goal of many of these self-report instruments is to provide researchers with the ability to gather subjective information in a manner that might allow for quantitative analysis and interpretation of these results. This requires the instrument of choice to have adequate psychometric properties of reliability and validity. Much research has been conducted on creating self-report quality of life questionnaires for individuals with multiple sclerosis (MS). This article focuses on one in particular, the Modified Fatigue Impact Scale (MFIS). The article starts with a brief description of the rationale, construction, and scoring of the inventory. Next, the best available reliability and validity data on the MFIS are presented. The article concludes with a brief discussion on the interpretation of scores, followed by suggestions for future research. This summative analysis is intended to examine whether the instrument is adequately measuring the impact of fatigue and whether the scores allow for meaningful interpretations.


Assessment ◽  
1996 ◽  
Vol 3 (4) ◽  
pp. 387-391 ◽  
Author(s):  
Charles L. Spirrison ◽  
Stephanie M. Sewell

The reliability and validity of Adult Functional Adaptive Behavior Scale (AFABS) data was examined for a group of 91 male inpatients of a state-operated psychiatric hospital. Item analyses documented a high degree of consistency among the items of the AFABS. Analyses of AFABS scores, patients' unit (i.e., Acute or Continued Care), and patients' placement level (i.e., higher, average, or lower relative to same unit peers) provide evidence for the concurrent validity of the AFABS as applied to psychiatric inpatients. The psychometric properties of the AFABS, coupled with its brevity, suggest it is suited for inclusion in an assessment battery for psychiatric inpatients.


Author(s):  
Ling-Yu Guo ◽  
Phyllis Schneider ◽  
William Harrison

Purpose This study provided reference data and examined psychometric properties for clausal density (CD; i.e., number of clauses per utterance) in children between ages 4 and 9 years from the database of the Edmonton Narrative Norms Instrument (ENNI). Method Participants in the ENNI database included 300 children with typical language (TL) and 77 children with language impairment (LI) between the ages of 4;0 (years;months) and 9;11. Narrative samples were collected using a story generation task, in which children were asked to tell stories based on six picture sequences. CD was computed from the narrative samples. The split-half reliability, concurrent criterion validity, and diagnostic accuracy were evaluated for CD by age. Results CD scores increased significantly between ages 4 and 9 years in children with TL and those with LI. Children with TL produced higher CD scores than those with LI at each age level. In addition, the correlation coefficients for the split-half reliability and concurrent criterion validity of CD scores were all significant at each age level, with the magnitude ranging from small to large. The diagnostic accuracy of CD scores, as revealed by sensitivity, specificity, and likelihood ratios, was poor. Conclusions The finding on diagnostic accuracy did not support the use of CD for identifying children with LI between ages 4 and 9 years. However, given the attested reliability and validity for CD, reference data of CD from the ENNI database can be used for evaluating children's difficulties with complex syntax and monitoring their change over time. Supplemental Material https://doi.org/10.23641/asha.13172129


Author(s):  
Tilman Wetterling ◽  
Klaus Junghanns

Abstract. Aim: This study investigates the characteristics of older patients with substance abuse disorders admitted to a psychiatric department serving about 250.000 inhabitants. Methods: The clinical diagnoses were made according to ICD-10. The data of the patients with substance abuse were compared to a matched sample of psychiatric inpatients without substance abuse as well as to a group of former substance abusers with long-term abstinence. Results: 19.3 % of the 941 patients aged > 65 years showed current substance abuse, 9.4 % consumed alcohol, 7.9 % took benzodiazepines or z-drugs (zolpidem and zopiclone), and 7.0 % smoked tobacco. Multiple substance abuse was rather common (30.8 %). About 85 % of the substance abusers had psychiatric comorbidity, and about 30 % showed severe withdrawal symptoms. As with the rest of the patients, somatic multimorbidity was present in about 70 % of the substance abusers. Remarkable was the lower rate of dementia in current substance abusers. Conclusion: These results underscore that substance abuse is still a challenge in the psychiatric inpatient treatment of older people.


In the article the analysis of nonsense, absurdity and paradox from the standpoint of linguistics is giv-en. Different points of view on these categories in relation to the meaning are considered. An attempt is made to reveal the commonality and specificity of nonsense, absurdity and paradox. Some researchers consider nonsense and paradox as a kind of absurdity. There is a dichotomous point of view on nonsense as one of the components of absurdity. However, there are works where these categories are differentiat-ed, for example, absurdity is understood as an ontological category, and nonsense as an epistemological category. There is a view of these categories through the allocation of "non-sense", "out-sense" and 136 "counter-sense" there is also a view that in the case of nonsense we are talking about the incompatibility of representations, and in the case of absurdity-the incompatibility of objects. If there are criteria that allow us to consider the presence of this phenomenon as natural, absurdity ceases to exist. Consequently, the view is expressed that nonsense, absurdity and paradox are different categories of thinking. Paradox is a contradiction arising from the presence of two or more common sense. The absurdity can be seen as a" counter-sense» opposing common sense and putting forward the concept of active impossibility of the latter's existence. As for nonsense, it is the meaning of metaphysical level – a meaning that goes beyond the ordinary meaning and creates new meanings. It is concluded that nonsense, absurdity and paradox are independent categories of human thinking, which is a manifestation of the cognitive function of hu-man consciousness.


2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Amin Kordi Yoosefinejad ◽  
Fatemeh Karjalian ◽  
Marzieh Momennasab ◽  
Shahrokh Ezzatzadegan Jahromi

Abstract Background Hemodialysis is considered a major therapeutic method for patients with chronic kidney disease. Pruritus is a common complaint of hemodialysis patients. The 5-D pruritus scale is amongst the most common tools to evaluate several dimensions of itch. Psychometric properties of the 5-D scale have not been evaluated in Persian speaking population with hemodialysis; hence, the objective of this study was to assess reliability and validity of the Persian version of the scale. Methods Ninety hemodialysis patients (men: 50, women: 40, mean age: 54.4 years) participated in this cross-sectional study. The final Persian version of 5-D scale was given to the participants. Tests Compared: One-third of the participants completed the scale twice within 3–7 days apart to evaluate test- retest reliability. Other psychometric properties including internal consistency, absolute reliability, convergent, discriminative and construct validity, floor/ceiling effects were also evaluated. Results The Persian 5-D scale has strong test-retest reliability (ICC= 0.98) and internal consistency (Cronbach’s alpha= 0.99). Standard error of measurement and minimal detectable change were 0.33 and 0.91, respectively. Regarding convergent validity, the scale had moderate correlation with numeric rating scale (r =0.67) and quality of life questionnaire related to itch (r = 0.59). Exploratory factor analysis revealed two factors within the scale. No floor or ceiling effect was found for the scale. Conclusion The Persian version of 5-D the itching scale is a brief instrument with acceptable reliability and validity. Therefore, the scale could be used by experts, nurses, and other health service providers to evaluate pruritus among Persian speaking hemodialysis patients.


2020 ◽  
Vol 9 (2) ◽  
pp. 195-215
Author(s):  
Cristina Scardulla

AbstractThe use of English as a Lingua Franca is a promising solution to the overcoming of language barriers in a wide variety of contexts and, despite being formally governed by the principle of multilingualism, the European institutions are no exception. This paper aims at shedding light on the perception on the use of ELF within the European Commission, by presenting the results of a questionnaire carried out within the framework of a broader PhD project. The target population is that of interpreters working for the European Commission. The analysis focuses on two specific questions, which address interpreters in their role as communication experts, inviting them to momentarily set aside their opinion on the relationship between ELF and interpretation and rather assess ELF in terms of “communicative effectiveness,” considered as an essential component to a successful communication. Results confirm previous ITELF (Interpreting, Translation and English as a Lingua Franca) studies, in that interpreters believe that ELF tends to decrease the level of communicative effectiveness and that, based on their direct experience, less than half of the speakers in these meetings succeed at expressing themselves effectively when using ELF. Most importantly, they elaborate on what this loss of effectiveness entails in terms of communication quality, interlocutors’ participation rights and multilingualism.


2016 ◽  
Vol 14 (3) ◽  
pp. 423-430 ◽  
Author(s):  
Rafaela Milanesi ◽  
Rita Catalina Aquino Caregnato

ABSTRACT There is a growing request for measuring intra-abdominal pressure in critically ill patients with acute abdominal pain to be clarified. Summarizing the research results on measurement of vesical intra-abdominal pressure and analyzing the level of evidence were the purposes of this integrative literature review, carried out based on the databases LILACS, MEDLINE and PubMed, from 2005 to July 2012. Twenty articles were identified, in that, 12 literature reviews, 4 descriptive and exploratory studies, 2 expert opinions, one prospective cohort study and one was an experience report. The vesical intra-abdominal pressure measurement was considered gold standard. There are variations in the technique however, but some common points were identified: complete supine position, in absence of abdominal contracture, in the end of expiration and expressed in mmHg. Most research results indicate keeping the transducer zeroed at the level of the mid-axillary line at the iliac crest level, and instill 25mL of sterile saline. Strong evidence must be developed.


Author(s):  
Radka Čopková ◽  
Leoš Šafár

The Short Dark Triad is a scale used to capture three aversive personality traits—Machiavellianism, narcissism, and psychopathy on the subclinical level. The present study aimed to verify the psychometric properties of the Slovak version of the Short Dark Triad scale in three studies. The first two studies aimed to examine the reliability of the scale. The aim of Study 1 was to examine the factor structure of SD3. A three-factor model consisting of three latent intercorrelated factors in a unidimensional and bifactorial model were examined on a sample of 588 participants. Study 2 aimed to test the consistency of the results over time (test–retest reliability) on the sample of 117 participants. In Study 3, convergent and divergent validity was examined on the sample of 333 participants. For both kinds of validity examination, the Slovak version of NEO-FFI was used. The internal consistency of the subscales and test results, the same as the retest results, were satisfactory. The relationships between the scales were found to be significant. Confirmatory factor analysis (CFA) results supported the original three-factor model. Significant interrelations have been established between Machiavellianism and openness, agreeableness and conscientiousness; narcissism and neuroticism, extraversion and agreeableness; psychopathy and openness, agreeableness and conscientiousness. The Short Dark Triad achieved satisfactory values of reliability and validity; therefore, it can be used on the Slovak population.


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