The FACIT-Sp spiritual well-being scale: an investigation of the dimensionality, reliability and construct validity in a cognitively intact nursing home population

Background and Purpose: Hope is seen as the act by which the temptation of despair is actively overcome and has thus been interpreted as an inner strength and an available resource for living in the present. An understanding of hope and its meaning in the lives of institutionalized older adults may aid in developing interventions to enhance hope and well-being in the nursing home setting. This study aimed to investigate the psychometric properties of the Norwegian version of the Herth Hope Index among cognitively intact nursing home patients. Methods: Cross-sectional data was obtained in 2008 and 2009 from 202 of 250 patients who met the inclusion criteria in 44 different nursing homes. Results: Exploratory factor analysis revealed 3 internal consistent dimensions of hope, explaining 51.2% of the variance. The 1-factor, 2-factor, and the originally 3-factor solutions of the Herth Hope Index were tested by means of confirmatory factor analysis. A 2-factor construct comprising 11 items came out with the best model fit. Conclusions: The Herth Hope Index was found to be a reliable and valid instrument for assessing hope in nursing home patients. The 2-factor structure was psychometrically superior the original 3-factor construct of hope in this particular sample. The Herth Hope Index might be used to assess hope and changes in the hope process during long-term nursing home care. An enhanced understanding of hope in this population might contribute to increased quality of nursing home care.

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Corrigendum to “The Hospital Anxiety and Depression Scale – dimensionality, reliability and construct validity among cognitively intact nursing home patients” [J. Affect. Disord. 165 (2014) 8–15]

Journal of Affective Disorders ◽

10.1016/j.jad.2014.06.014 ◽

2014 ◽

Vol 167 ◽

pp. 206 ◽

Cited By ~ 1

Author(s):

Gørill Haugan ◽

Jorunn Drageset

Keyword(s):

Nursing Home ◽

Construct Validity ◽

Depression Scale ◽

Anxiety And Depression ◽

Hospital Anxiety ◽

Nursing Home Patients ◽

Cognitively Intact

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Meaning-in-Life in Nursing Home Patients: A Validation Study of the Purpose-in-Life Test

Journal of Nursing Measurement ◽

10.1891/1061-3749.21.2.296 ◽

2013 ◽

Vol 21 (2) ◽

pp. 296-319 ◽

Cited By ~ 9

Author(s):

Gørill Haugan ◽

Unni Karin Moksnes

Keyword(s):

Nursing Home ◽

Construct Validity ◽

Meaning In Life ◽

Factor Model ◽

Purpose In Life ◽

Well Being ◽

Life Test ◽

Measurement Models ◽

Nursing Home Patients ◽

Purpose In Life Test

Background: The experience of meaning has been found to be a strong individual predictor of life satisfaction and an important psychological variable that promotes well-being. Therefore, a valid and reliable measurement of meaning-in-life among nursing home patients is highly warranted. Aims: This study intended to further investigate (a) the factor structure of the Purpose-in-Life test (PIL), (b) the reliability of PIL scores, and (c) the construct validity of the PIL test in a nursing home population. Methods: Participants were 202 cognitively intact nursing home patients representing 44 different Norwegian nursing homes. Concerning the dimensionality of the PIL, the following 3 measurement models were tested using confirmatory factor analysis; the original 1-factor, a 2-factor, and a 3-factor model. Results: With the exclusion of 10 items, a previously published and supported 2-factor construct for the PIL by Morgan and Farsides (2007) provided a good fit for older nursing home patients, demonstrating good measurement reliability and construct validity. Conclusion: The 2-factor model by Morgan and Farsides, comprising 10 items, is an improvement over the original 20-items PIL, based on these nursing home data. The measure yielded highly significantly factor loadings, good values for average variance extracted and composite reliability, as well as significant correlations in the expected direction for relevant selected measures; all supporting the construct validity.

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Nursing homes during the COVID-19 pandemic: a scoping review of challenges and responses

European Geriatric Medicine ◽

10.1007/s41999-021-00531-2 ◽

2021 ◽

Author(s):

Shamik Giri ◽

Lee Minn Chenn ◽

Roman Romero-Ortuno

Keyword(s):

Nursing Home ◽

Nursing Homes ◽

Scoping Review ◽

Nursing Home Residents ◽

Well Being ◽

External Factors ◽

Related Factors ◽

Nursing Home Population ◽

Mesh Terms ◽

Health And Social Care

Abstract Introduction COVID-19 has caused unprecedented challenges in nursing homes. In this scoping review, we aimed to describe factors that contributed to the spread and mortality of COVID-19 in nursing homes and provide an overview of responses that were implemented to try to overcome such challenges. Methods The MeSH terms “Nursing homes” and “COVID-19” were searched in MEDLINE Ovid, and English language articles were retrieved that were published between 1 March 2020 and 31 January 2021. Article titles and abstracts were screened by two reviewers, and the results of included articles were grouped by themes. Results The search retrieved 348 articles, of which 76 were included in the thematic review. 8 articles related to COVID-19 disease characteristics (e.g. asymptomatic transmission), 24 to resident-related factors (e.g. comorbidities, nutrition, cognition), 13 to facility characteristics (e.g. physical space, occupancy, for-profit status), 21 to staffing (e.g. staffing levels, staff-to-resident ratio, staff multi-employment), and 10 to external factors (e.g. availability of personal protective equipment, prevailing health and social care policies). In terms of responses, identified themes included widespread testing, isolation and cohorting of residents, staff protection and support, promotion of residents’ well-being, and technological innovations. Conclusion COVID-19 exerted severe challenges on the nursing home population and its staff. Both internal and external factors predisposed nursing homes to an increased propensity of spread. Numerous strategies were employed to attempt to mitigate the negative impacts. Substantial learning occurred that may not only aid future pandemic preparedness but improve quality of care for nursing home residents at all times.

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MELANSIA: PEMBERDAYAAN LANSIA ANTI-STRES DI PANTI WERDHA DENGAN METODE BERKEBUN TANAMAN HERBAL

Dharma LPPM ◽

10.31315/dlppm.v2i2.6211 ◽

2021 ◽

Vol 2 (2) ◽

Author(s):

Taesar Hawaij ◽

Devi Fitri Rahayu ◽

Fahmi Kurniahadi ◽

Nadiyah Salsabilah ◽

Anna Vipta Resti Mauludyani

Keyword(s):

Physical Activity ◽

Nursing Home ◽

Well Being ◽

The Elderly ◽

Rehabilitation Program ◽

Connection To Nature ◽

Spiritual Well Being ◽

Herbal Plants ◽

High Level ◽

Herbal Plant

Health care for elderly must be aimed for maintaining a productive and healty life. Unfortunately, most of the activities carried out by the nursing home are restricted, it's causing the elderly being less activities. Planting is one of the activites that can be overcome the issue. Planting activities can be used as an intervention technique and connection to nature that is used as a therapy and rehabilitation program. The aimed of this program is to empower the elderly for stay healthy and productive through the planting of herbal plants. This program was carried out at the Tresna Werdha Social Home, Budi Mulia 3, South Jakarta which was held from June to September 2021 by blended (offline : online = 60 : 40). This program includes 10 series of activities that is consist of planting herbal plants, education, and nutrition consultation. This program was followed by 16 participant which is 13 female and 3 male elderly and including nursing home staff. Based on the results of the activity, there was a significant increase in the proportion of the elderly with a high level of spiritual well-being up to 88%. It can be concluded that Melansia is a solution in anti-stress training for elderly during the pandemic through farming herbal plant activities that are proven to reduce stress levels in the elderly, and can increase the level of spiritual well-being and physical activity of the elderly.

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Assessing the well-being of residents in nursing facilities

German Journal of Exercise and Sport Research ◽

10.1007/s12662-021-00776-w ◽

2021 ◽

Author(s):

Nadja Schott ◽

Bettina Johnen ◽

Thomas Jürgen Klotzbier

Keyword(s):

Nursing Home ◽

Convergent Validity ◽

Assessment Tool ◽

Nursing Home Residents ◽

Reliability And Validity ◽

Well Being ◽

Nursing Home Population ◽

Cross Sectional ◽

Language Version ◽

Cultural Adaption

Abstract Purpose Well-adapted and validated well-being (WB) instruments for the nursing home population are scarce. To our knowledge, the Laurens Well-Being Inventory for Gerontopsychiatry (LWIG) is a practical and reliable well-being assessment tool that has never been validated for German nursing home populations. Therefore, the purpose of our study was to (1) translate and cross-culturally adapt the LWIG to a German context and (2) test the reliability and validity of the German LWIG in a group of older nursing home residents using the Rasch model. Methods This study has a cross-sectional, descriptive study design. Cross-cultural adaption of the LWIG-GER from English to German was performed according to a standardized method. The data obtained from 104 long-term nursing home residents (57 women, 47 men) aged 60–99 years (mean 79.5, standard deviation ±9.11) were analyzed for psychometric testing (exploratory and confirmatory factor analysis, item fit, McDonald’s ω, convergent validity, and known-group validity, Rasch). Results The final LWIG-GER consists of 19 items with three subscales, including “psychological WB”, “social WB”, and “physical WB”. The LWIG-GER showed good overall reliability with McDonald’s ω of 0.83; the LWIG-GER dimensions’ scores were significantly correlated with depression, functional performance, activities, fear of falling, and education. Conclusions Our findings suggest that the German language version of the LWIG is a reliable and valid tool for measuring WB in nursing home residents. Furthermore, we propose that the LWIG-GER questionnaire can broaden and deepen our understanding of residents’ perception of quality of care and their environment.

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A Systematic Review of Measurement Properties of Spirituality related Assessment Tools Published in Korean Journals

Journal of Korean Academy of Fundamentals of Nursing ◽

10.7739/jkafn.2021.28.1.133 ◽

2021 ◽

Vol 28 (1) ◽

pp. 133-148

Author(s):

Il-Sun Ko ◽

Jin Sook Kim ◽

Soyoung Choi

Keyword(s):

Construct Validity ◽

Internal Consistency ◽

Content Validity ◽

Well Being ◽

Criterion Validity ◽

Assessment Tools ◽

Measurement Properties ◽

Korean Studies ◽

Ceiling Effects ◽

Spiritual Well Being

Purpose: The purpose of this study was to evaluate the measurement properties of spirituality-related assessment tools published in Korean journals.Methods: The databases used to search the literature reporting use of the spirituality-related assessment tools were RISS, NDSL, DBpia, KoreaMed, and KISS. The quality of the measurement properties was evaluated based on the reported internal consistency, content validity, criterion validity, construct validity, reproducibility, responsiveness, floor-ceiling effects and interpretability based on the tools review criteria suggested by Terwee et al.Results: Twenty-five assessment tools (including 7 original Korean versions) were identified from the 208 Korean studies published up to November, 2016. All of the 25 tools reported internal consistency and content validity; construct validity was reported in 21 tools while only six tools had reported on criterion validity. None of the studies reported on the reproducibility, responsiveness, and floor-ceiling effects. Among 25 spirituality-related assessment tools, the spiritual well-being scale was identified as the most commonly used tool for spirituality assessment.Conclusion: Among 25 spirituality-related assessment tools used in Korean studies, all of them satisfied only three criteria out of the eight criteria for measurement properties, internal consistency, content validity, and interpretability. The results of this study provide evidence to develop reliable and valid tools that will satisfy the criteria for measurement properties. In addition, standardized, reliable, and valid assessment tools must be chosen for spirituality-related study.

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Construct validity and internal consistency of the neuropsychiatric inventory – nursing home (NPI-NH) in German nursing homes

International Psychogeriatrics ◽

10.1017/s1041610215002343 ◽

2016 ◽

Vol 28 (6) ◽

pp. 1017-1027 ◽

Cited By ~ 11

Author(s):

Sven Reuther ◽

Martin N. Dichter ◽

Sabine Bartholomeyczik ◽

Johanna Nordheim ◽

Margareta Halek

Keyword(s):

Nursing Home ◽

Nursing Homes ◽

Construct Validity ◽

Factor Structure ◽

Internal Consistency ◽

Challenging Behavior ◽

German Population ◽

Neuropsychiatric Inventory ◽

Nursing Home Population ◽

Dementia Severity

ABSTRACTBackground:The Neuropsychiatric Inventory (NPI) is one of the most popular and frequently used instruments for assessing so-called challenging behavior in individuals with dementia in research practice. However, no information is available regarding the factor structure of the German version of the Neuropsychiatric Inventory – Nursing Home (NPI-NH). The aim of this study was to evaluate the factor structure (an aspect of construct validity) and internal consistency of the NPI-NH for two different stages of dementia severity in a large German nursing home population.Methods:A total of 784 residents with dementia from 40 nursing homes in three studies was included in a secondary data analysis. Principal component analysis (PCA) using an orthogonal rotational procedure (with varimax rotation) was used to evaluate the factor structure of the NPI. Cronbach's α was used to assess the stability of the scale.Results:The factors agitation & restless behavior, psychosis, and mood were identified (with factor loading > 0.4 explaining 50% of the variance). The factors showed a moderate internal consistency of 0.55 and 0.68 (Cronbach's α).Conclusions:The results show the acceptable factor structure of the NPI for a German population in nursing homes and confirm the results of studies from other countries. The three identified factors appear to be robust over the various stages of dementia severity. The results also support the hypothesis that the NPI-NH can be subdivided into multiple domains.

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