scholarly journals CONTENT VALIDITY OF THE PROFESSIONAL GOOD PRACTICES SCALE IN NURSING HOMES

2017 ◽  
Vol 1 (suppl_1) ◽  
pp. 1211-1211
Author(s):  
C. Noriega ◽  
G. Perez-Rojo ◽  
J. Lopez ◽  
I. Carretero ◽  
C. Velasco ◽  
...  
Keyword(s):  
Nursing Homes ◽  
Content Validity ◽  
Good Practices

Development and assessment of the content validity of the professional good practices scale in nursing homes

2018 ◽  
Vol 31 (10) ◽  
pp. 1517-1521 ◽  
Author(s):  
G. Pérez-Rojo ◽  
C. Noriega ◽  
C. Velasco ◽  
J. López
Keyword(s):  
Nursing Homes ◽  
Older People ◽  
Content Validity ◽  
Elder Abuse ◽  
Paired Comparison ◽  
The United States ◽  
Comparison Method ◽  
Extensive Literature ◽  
Good Practices ◽  
Institutional Settings

ABSTRACTRecent approaches in the care of older people have led to a greater emphasis on good practices to prevent elder abuse. The instruments assessing good practices are very limited, and those focused on elder abuse have rarely considered subtle forms, especially in institutional settings. The aim of this study was to develop and assess the content validity of a good practices scale for professionals working in nursing homes. An extensive literature review of the tools assessing professionals’ good–bad practices towards older people was conducted. A preliminary scale based on Kayser-Jones’ (1990) [Old, Alone and Neglected: Care of the Aged in Scotland and the United States. Berkeley, CA: University of California Press] types of abuse was developed, including four subscales: Personalization, Humanization, Absence of Infantilization, and Absence of Victimization. Content validity was analyzed through a panel of eight experts. Rovinelli and Hambleton’s index of item-objective congruence was used to analyze the items’ inclusiveness in the assigned subscale to establish their representativeness. Items’ relevance and clarity were analyzed using the paired comparison method. The final version of the scale included 56 items, with appropriate levels of item objective-congruence, relevance, and clarity. This instrument will allow professionals to detect and develop awareness and intervention programs that aim to promote good practices in nursing homes.

Professional Good Practices Scale--Nursing Homes

2018 ◽  
Author(s):  
Gema Pérez-Rojo ◽  
C. Noriega ◽  
C. Velasco ◽  
J. López
Keyword(s):  
Nursing Homes ◽  
Good Practices

scholarly journals Quality Improvement Questionnaires – Nursing Homes (QIQ-NH): validation of questionnaires for measuring quality of care in nursing homes from various perspectives

2020 ◽  
Author(s):  
Mattanja Triemstra ◽  
Juliane Menting ◽  
Bellis van den Berg
Keyword(s):  
Quality Improvement ◽  
Nursing Home ◽  
Quality Of Care ◽  
Nursing Homes ◽  
Family Caregivers ◽  
Content Validity ◽  
Nursing Home Care ◽  
Cognitive Interviews ◽  
National Quality

Abstract Background This study aims to describe the validation and optimization of a new instrument specifically designed to measure and improve the quality of care in nursing homes; the Quality Improvement Questionnaires for Nursing Homes (QIQ-NH). This instrument comprises several questionnaires on the perceived quality of care for various perspectives (e.g. clients, family and professional caregivers) and covers eight themes of the national quality framework for nursing home care in the Netherlands. Methods Data was collected in six nursing homes between September 2017 and June 2018, among 359 residents, 48 family caregivers and 648 professional caregivers who completed a subgroup-specific questionnaire of the QIQ-NH. The construct and criterion validity of the three questionnaires were tested with item- and scale analyses. The content validity of the questionnaires was tested in cognitive interviews with 20 participants (7 residents, 5 family caregivers, 8 professional caregivers). Results Psychometric analyses confirmed the multidimensionality and reliability of the three questionnaires, and the cognitive interviews showed various possibilities for further optimization of the instruments. The construct, criterion and content validity of the three questionnaires ranged from acceptable to good. Cronbach’s alphas were > .70 for almost all scales. More than half of the items were candidate for optimization according to the cognitive interviews, mainly due to clarity or knowledge problems, and the questionnaires of the QIQ-NH were optimized accordingly. Conclusions The Quality Improvement Questionnaires for Nursing Homes (QIQ-NH) provides a solid basis to continuously measure and improve the quality of nursing home care, by covering the national quality themes and by integrating the various perspectives of all parties involved. With real-time feedback, the instrument enables the management and care teams to select possibilities or areas for improvement and to implement and continuously monitor the effects of quality improvement strategies in nursing homes.

scholarly journals DEVELOPMENT, RELIABILITY, AND VALIDITY OF THE CAREGIVER MEALTIME ENGAGEMENT SCALE IN NURSING HOMES

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S466-S466
Author(s):  
Wen Liu ◽  
Melissa Bachelar-Murphy ◽  
Kristine N Williams
Keyword(s):  
Nursing Homes ◽  
Content Validity ◽  
Convergent Validity ◽  
Challenging Behaviors ◽  
Secondary Analysis ◽  
Reliability And Validity ◽  
Future Research ◽  
Rater Reliability ◽  
Negative Behaviors ◽  
Engagement Scale

Abstract Persons with dementia commonly experience mealtime challenging behaviors resulting in negative outcomes. Appropriate caregiver engagement is critical in engaging residents in eating. Current caregiver behavior measures are neither validated nor specific for mealtime care. A feasible and reliable measure to evaluate caregiver engagement during mealtimes is needed. Our team developed the Caregiver Mealtime Engagement Scale (CMES), a 29-item observational measure with good content validity (Content Validity Index = 1.00). The CMES includes 24 positive behaviors (e.g., position resident upright) and 5 negative behaviors (e.g., interrupt resident). Each item is scored by frequency on a 0 (never) – 3 (always) scale. Total score ranges from 0-87; higher score indicates better engagement. This study aimed to test the CMES’ reliability and validity through a secondary analysis of 87 mealtime video-recorded observations from a hand feeding trial (P30). The sample included 7 residents and 25 staff from 2 nursing homes. The CMES has good internal consistency (Cronbach’s α =.775). Inter-rater reliability was good (r = .861, p<.001) based on ratings of 20 videos by two independent trained coders. Intra-rater reliability was excellent (r = .905, p<.001) based on ratings of 20 videos by one trained coder at two times (2-3 weeks apart). The CMES demonstrated good convergent validity based on association with the Relational Behavior Scale (r = .822, p<.001) and Mealtime Relational Care Checklist (r = .324, p=.002). Findings support the CMES’ reliability and validity. Future research is needed to test CMES among a larger diverse sample of caregivers in different settings.

scholarly journals Culture in the spotlight—cultural adaptation and content validity of the integrated palliative care outcome scale for dementia: A cognitive interview study

2021 ◽  
pp. 026921632110044
Author(s):  
Farina Hodiamont ◽  
Helena Hock ◽  
Clare Ellis-Smith ◽  
Catherine Evans ◽  
Susanne de Wolf-Linder ◽  
...  
Keyword(s):  
Palliative Care ◽  
Nursing Homes ◽  
Cultural Adaptation ◽  
Content Validity ◽  
Cognitive Interview ◽  
Psychometric Testing ◽  
Interview Study ◽  
People With Dementia ◽  
Palliative Care Outcome Scale ◽  
Care Outcome

Background: Dementia is a life-limiting disease with high symptom burden. The Integrated Palliative Care Outcome Scale for Dementia (IPOS-Dem) is the first comprehensive person-centered measure to identify and measure palliative care needs of people with dementia. However, such a measure is missing in the German health care system. Aim: To develop a culturally adapted German version of the IPOS-Dem and determine its content validity as a foundation for comprehensive psychometric testing. Design: Cognitive interview study with intermittent analysis and questionnaire adaptation. Interview guide and coding frame followed thematic analysis according to Willis complemented by Tourangeau’s model of cognitive aspects of survey methodology: comprehension, retrieval, judgment, response. Participants: Purposive sample with professionals ( n = 29) and family carers ( n = 6) of people with advanced dementia in seven nursing homes and person’s own home care in four interview rounds ( n = 11; 10; 7; 7). Results: IPOS-Dem was regarded as comprehensive and accessible. Cultural adaption pertained to issues of comprehension and judgment. Comprehension challenges referred to the person-centered concept of “being affected by” used in the POS-measures. Judgment problems related to persons with limited communication causing challenges in assessment. Conclusion: Most issues of cultural adaptation could be addressed by questionnaire modifications. However, interviews unveiled fundamental challenges for using proxy reported person-centered assessments. Continuous training on how to use the instrument is imperative to integrate the person-centered approach of palliative care into nursing homes as a key provider of generalist palliative care for people with dementia. The refined version is ready for psychometric testing.

scholarly journals German Translation, Linguistic Validation, and Cultural Adaptation of the Environmental Audit Tool—High Care

2021 ◽  
pp. 193758672110430
Author(s):  
Anne Fahsold ◽  
Richard Fleming ◽  
Hilde Verbeek ◽  
Bernhard Holle ◽  
Rebecca Palm
Keyword(s):  
Nursing Homes ◽  
Cultural Adaptation ◽  
Content Validity ◽  
World Health ◽  
Environmental Audit ◽  
Audit Tool ◽  
Linguistic Validation ◽  
Validity Indices ◽  
High Care

Background: In dementia-specific care, the design of the environment is regarded as an influential element in the support and maintenance of skills and can improve the quality of life of residents. To date, there is no valid instrument in the German-speaking countries with which the quality of the physical environment in residential long-term care facilities can be systematically assessed. Objective: To report the translation, linguistic validation, cultural adaptation, and content validity evaluation of the Australian Environmental Audit Tool—High Care in preparation for use in German nursing homes. Method: The procedure was guided by an adapted multistep process of the World Health Organization (1998) and included focus groups involving potential users of the new tool such as scientific experts and healthcare professionals ( n = 40). Content validity indices were calculated following a two-step expert survey. Results: The final draft versions of the German Environmental Audit Tool (G-EAT) included 74 and 77 items, for non-secured units and secure units, respectively, divided into 10 key design principles according to the Australian original. The evaluation of content validity showed that cultural differences existed in several items. Conclusions: The G-EAT provides the means for conducting a valid assessment of the environmental quality of people with dementia in German nursing homes. However, its usability in healthcare research must be preceded by testing its interrater reliability.

scholarly journals Validation of interventions for risk of impaired skin integrity in adult and aged patients

2020 ◽  
Vol 73 (4) ◽  
Author(s):  
Lenilma Bento de Araújo Meneses ◽  
Fabíola de Araújo Leite Medeiros ◽  
Jacira Santos Oliveira ◽  
Maria Miriam Lima da Nóbrega ◽  
Mirian Alves da Silva ◽  
...  
Keyword(s):  
Quantitative Study ◽  
Content Validity ◽  
Hospitalized Patients ◽  
Complex Domain ◽  
Nursing Interventions ◽  
Aged Patients ◽  
Good Practices ◽  
Basic Domain ◽  
Skin Integrity ◽  
Specialist Nurses

ABSTRACT Objectives: to validate nursing interventions for the diagnosis Risk for Impaired Skin Integrity in adult and aged hospitalized patients. Methods: descriptive, quantitative study, using the content validity of interventions done by 14 specialist nurses. Results: the specialist nurses had worked in the area for more than five years. Four (28.5%) used NANDA-I and CIPE®, three (21.4%) used NANDA-I, NIC and CIPE®, three (21.4%) used NANDA-I, NIC, NOC and CIPE® and four (28.5%) were currently working only with CIPE®. The validation analyzed 32 NIC interventions, of which 11 were priority and 21 were suggested. Of the priority interventions, five belonged to the Physiological/Complex domain, five to the Physiological/Basic domain and one to the Safety Domain. Final Considerations: nursing interventions are essential for planning and support good practices in teaching, research and care.

scholarly journals Newborn bath: construction and validation of the instrument content

2021 ◽  
Vol 74 (suppl 4) ◽  
Author(s):  
Maria Paula Custódio Silva ◽  
Mayline Verônica Rocha Sampaio ◽  
Nylze Helena Guillarducci Rocha ◽  
Luciana Mara Monti Fonseca ◽  
Jesislei Bonolo do Amaral Rocha ◽  
...  
Keyword(s):  
Teaching Hospital ◽  
Content Validity ◽  
Good Practice ◽  
Housing Unit ◽  
General Analysis ◽  
Content Validation ◽  
Methodological Study ◽  
Validity Index ◽  
Good Practices ◽  
Three Stages

ABSTRACT Objective: To build and validate the content of a good practice tool in the newborn bath. Method: Methodological study, developed from December 2018 to January 2019, in a Joint Neonatal Housing Unit of a teaching hospital, in three stages: bibliographic survey, construction of the instrument and content validation by nine judges. The content validity index was used above 80% and general analysis with ten requirements. Results: The instrument was organized in three domains: before bathing, during bathing and after bathing, with a total of 20 items. Two rounds of validation were carried out to adjust the suggestions; the second presented a percentage of agreement between the judges, equal to or above 0.82. Conclusion: The instrument “Good practices in the newborn’s bath” was considered representative and valid in terms of content.

scholarly journals Quality evaluation questionnaires – nursing homes (QEQ-NH); validation of questionnaires for measuring quality of care in nursing homes from various perspectives

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mattanja Triemstra ◽  
Juliane Menting ◽  
Bellis van den Berg
Keyword(s):  
Nursing Home ◽  
Quality Of Care ◽  
Nursing Homes ◽  
Family Caregivers ◽  
Content Validity ◽  
Quality Evaluation ◽  
Nursing Home Care ◽  
Cognitive Interviews ◽  
National Quality

Abstract Background This study aims to describe the validation and optimization of a new instrument designed to comprehensively measure and evaluate the quality of care in nursing homes; the Quality Evaluation Questionnaires for Nursing Homes (QEQ-NH). This instrument comprises several questionnaires on the perceived quality of care for various perspectives (e.g. clients, family and professional caregivers) and covers eight themes of the national quality framework for nursing home care in the Netherlands. Methods Data were collected in six nursing homes between September 2017 and June 2018, among 359 residents, 48 family caregivers and 648 professional caregivers who completed a subgroup-specific questionnaire of the QEQ-NH. Construct and criterion validity of the three questionnaires were tested with item- and scale analyses. Content validity of the questionnaires was tested in cognitive interviews with 20 participants (7 residents, 5 family caregivers and 8 professional caregivers). Results Psychometric analyses confirmed the multidimensionality and reliability of the three questionnaires, and the cognitive interviews showed various possibilities for further optimization of the instrument. Construct, criterion and content validity of the three questionnaires ranged from acceptable to good. Cronbach’s alphas were > .70 for almost all scales. More than half of the items were candidate for optimization according to the cognitive interviews, mainly due to clarity or knowledge problems, and the questionnaires of the QEQ-NH were optimized accordingly. Conclusions The Quality Evaluation Questionnaires for Nursing Homes (QEQ-NH) provide a solid basis to measure the quality of nursing home care, by covering the national quality themes and by integrating the various perspectives of all parties involved. With real-time feedback, the instrument provides the management and care teams with information to select possibilities or areas for improvement and to continuously monitor the effects of quality improvement in nursing homes.

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