scholarly journals Development and testing of the Stakeholder Quality Improvement Perspectives Survey (SQuIPS)

2021 ◽  
Vol 10 (4) ◽  
pp. e001332
Author(s):  
Eric Fris ◽  
Emily Sedlock ◽  
Jason Etchegaray ◽  
Madelene J Ottosen ◽  
Ronald Pucio ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Quality Improvement ◽  
Neonatal Intensive Care ◽  
Stakeholder Perceptions ◽  
Team Leaders ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Stakeholder Perspectives ◽  
Unplanned Extubations ◽  
Survey Responses

BackgroundTo create a theory-informed survey that quality improvement (QI) teams can use to understand stakeholder perceptions of an intervention.MethodWe created the survey then performed a cross-sectional survey of QI stakeholders of three QI projects. The projects sought to: (1) reduce unplanned extubations in a neonatal intensive care unit; (2) maintain normothermia during colorectal surgery and (3) reduce specimen processing errors for ambulatory gastroenterology procedures. We report frequencies of responses to survey items, results of exploratory factor analysis, and how QI team leaders used the results.ResultsOverall we received surveys from 319 out of 386 eligible stakeholders (83% response rate, range for the three QI projects 57%–86%). The QI teams found that the survey results confirmed existing concerns (eg, the intervention would not make work easier) and revealed unforeseen concerns such as lack of consensus about the overall purpose of the intervention and its importance. The results of our factor analysis indicate that one 7-item scale (Cronbach’s alpha 0.9) can efficiently measure important aspects of stakeholder perceptions, and that two additional Likert-type items could add valuable information for leaders. Two QI team leaders made changes to their project based on survey responses that indicated the intervention made stakeholders’ jobs harder, and that there was no consensus about the purpose of the intervention.ConclusionsThe Stakeholder Quality Improvement Perspectives Survey was feasible for QI teams to use, and identified stakeholder perspectives about QI interventions that leaders used to alter their QI interventions to potentially increase the likelihood of stakeholder acceptance of the intervention.

Brief Report

2021 ◽  
pp. 181-196
Author(s):  
Sean G Massey ◽  
Richard E. Mattson ◽  
Mei-Hsiu Chen ◽  
Melissa Hardesty ◽  
Ann Merriwether ◽  
...  
Keyword(s):  
United States ◽  
Sexual Orientation ◽  
Emerging Adults ◽  
Emerging Adult ◽  
The United States ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Trend Study ◽  
Attraction Behavior ◽  
Survey Responses

This trend study analyzed 9 years (2011–2019) of cross-sectional survey responses to Klein’s Sexual Orientation Grid to explore changes in sexual orientation among emerging adult college students. Categorical regression models based on ordinal responses revealed that participants were moving away from exclusive heterosexuality on attraction, behavior, and identity subscales at a rate of approximately 6% per year. This trend augments for women after 2014, coinciding with increased advocacy efforts related to U.S. marriage equality, but attenuates for men. Participants’ race also related to variations in sexual orientation: Black participants were less likely than White participants to identify as exclusively heterosexual, whereas the pattern reversed for Asian participants relative to White participants. These findings suggest that changes in sexual orientation are occurring among emerging adults in the United States, potentially in response to changing social and political contexts, but these changes are more pronounced in women and Black emerging adults.

The final reason paediatric Cardiac ICU patients require care prior to discharge to the floor: a single-centre survey

2020 ◽  
Vol 30 (8) ◽  
pp. 1109-1117
Author(s):  
Melissa M. Winder ◽  
Zhining Ou ◽  
Angela P. Presson ◽  
Madolin K. Witte ◽  
Adam L. Ware ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Vascular Ring ◽  
Single Centre ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Lengths Of Stay ◽  
Icu Length Of Stay ◽  
Icu Discharge ◽  
Survey Responses ◽  
Research Initiatives

AbstractObjective:To determine the Final ICU Need in the 24 hours prior to ICU discharge for children with cardiac disease by utilising a single-centre survey.Methods:A cross-sectional survey was utilised to determine Final ICU Need, which was categorised as “Cardiovascular”, “Respiratory”, “Feeding”, “Sedation”, “Systems Issue”, or “Other” for each encounter. Survey responses were obtained from attending physicians who discharged children (≤18 years of age with ICU length of stay >24 hours) from the Cardiac ICU between April 2016 and July 2018.Measurements and results:Survey response rate was 99% (n = 1073), with 667 encounters eligible for analysis. “Cardiovascular” (61%) and “Respiratory” (26%) were the most frequently chosen Final ICU Needs. From a multivariable mixed effects logistic regression model fitted to “Cardiovascular” and “Respiratory”, operations with significantly reduced odds of having “Cardiovascular” Final ICU Need included Glenn palliation (p = 0.003), total anomalous pulmonary venous connection repair (p = 0.024), truncus arteriosus repair (p = 0.044), and vascular ring repair (p < 0.001). Short lengths of stay (<7.9 days) had significantly higher odds of “Cardiovascular” Final ICU Need (p < 0.001). “Cardiovascular” and “Respiratory” Final ICU Needs were also associated with provider and ICU discharge season.Conclusions:Final ICU Need is a novel metric to identify variations in Cardiac ICU utilisation and clinical trajectories. Final ICU Need was significantly influenced by benchmark operation, length of stay, provider, and season. Future applications of Final ICU Need include targeting quality and research initiatives, calibrating provider and family expectations, and identifying provider-level variability in care processes and mental models.

Who cares for nutrition information at a restaurant? Food-related lifestyles and their association to nutrition information conscious behaviors

2016 ◽  
Vol 118 (7) ◽  
pp. 1625-1640 ◽  
Author(s):  
Jinkyung Choi
Keyword(s):  
Cluster Analysis ◽  
Factor Analysis ◽  
Body Satisfaction ◽  
Survey Design ◽  
Nutrition Information ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Content Type ◽  
The Public ◽  
New Information

Purpose – People have become more health conscious about the food they eat on any occasion. As healthy dietary information has been released to the public in order to correspond with active public adaptation, more consumers have become aware of and are showing interest in new information related to health. The purpose of this paper is to utilize food-related lifestyle (FRL) instruments to explain nutrition information-conscious behaviors. Design/methodology/approach – This study used a cross-sectional survey design. A questionnaire was developed based on previous studies. A factor analysis and a cluster analysis were conducted to segment nutrition information-conscious behaviors of consumers. Participants were 200 and the survey was administered to citizens in South Korea. Exploratory factor analysis, cluster analysis, analysis of variance, Duncan’s multiple comparison tests, and χ2 test were used. Findings – Nine factors were identified and four clusters were established. These clusters were named: “personal value concern group,” “enthusiastic group,” “moderation group,” and “unconcerned group.” Each segment was significantly different in body satisfaction and nutrition information-conscious behaviors. Nutrients such as dietary fibers, sodium, and trans fat were considered differently by the four segments. Originality/value – Using an FRL instrument in relation to nutrition information-conscious behavior, interesting conclusions were drawn. Results of this study suggested that each segment has its characteristics in relation to nutrition information-conscious behaviors. Also it can be concluded that it is time for individuals to take responsibility for their own health problems.

Emergency medicine registrar training in Africa: overview of programmes, faculty and sustainability

2020 ◽  
pp. emermed-2019-208668
Author(s):  
Abena Obenewaa Akomeah ◽  
Hendry Robert Sawe ◽  
Juma A Mfinanga ◽  
Michael S Runyon ◽  
Erin Elizabeth Noste
Keyword(s):  
Emergency Medicine ◽  
Training Programme ◽  
Descriptive Statistics ◽  
African Countries ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Career Options ◽  
Survey Responses ◽  
Collaborative Efforts ◽  
Registrar Training

BackgroundThe specialty of emergency medicine (EM) is new in most African countries, where emergency medicine registrar (residency) programmes (EMRPs) are at different stages of evolution and little is known about the programmes. Identifying and describing these EMRPs will facilitate planning for sustainability, collaborative efforts and curriculum development for existing and future programmes. Our objective was to identify and provide an overview of existing EMRPs in Africa and their applicant requirements, faculty characteristics and plans for sustainability.MethodsWe conducted a descriptive cross-sectional survey of Africa’s EMRPs between January and December 2017, identifying programmes through an online search supplemented by discussions with African EM leaders. Leaders of all identified African EMRPs were invited to participate. Data were collected prospectively using a structured survey and are summarised with descriptive statistics.ResultsWe identified 15 programmes in 12 countries and received survey responses from 11 programmes in 10 countries. Eight of the responding EMRPs began in 2010 or later. Only 36% of the EMRPs offer a 3-year programme. Women make up an average of 33% of faculty. Only 40% of EMRPs require faculty to be EM specialists. In smaller samples that reported the relevant data, 67% (4/6) of EMRPs have EM specialists who trained in that EMRP programme making up more than half of their faculty; 57% of Africa’s 288 EMRP graduates to date are men; and an average of 39% of EMRP graduates stay on as faculty for 78% (7/9) of EMRPs.ConclusionEMRPs currently produce most of their own EM faculty. Almost equal proportions of men and women have graduated from a predominantly >3-year training programme. Graduates have a variety of opportunities in academia and private practice. Future assessments may wish to focus on the evolution of these programme’ curricula, faculty composition and graduates’ career options.

scholarly journals Scale Development and Validation for Psychological Reactance to Health Promotion Messages

2020 ◽  
Vol 12 (14) ◽  
pp. 5816 ◽  
Author(s):  
Hyo Jung Kim ◽  
Hyunmin Lee ◽  
Hyehyun Hong
Keyword(s):  
Health Promotion ◽  
Factor Analysis ◽  
Undergraduate Students ◽  
Item Analysis ◽  
Age Groups ◽  
Reliability And Validity ◽  
Psychological Reactance ◽  
Adverse Outcomes ◽  
Cross Sectional Survey ◽  
Cross Sectional

According to the psychological reactance theory, psychological reactance is strongly associated with many adverse outcomes of health promotion messages. This is particularly pertinent when health messages are targeting young adults, as they resist freedom-threatening messages compared to other age groups. However, previous reactance measures either relied on the open-ended thought-listing procedure, or incorporated both antecedents as well as consequences of reactance and state reactance. This study aimed to develop and validate a comprehensive scale to measure the state of psychological reactance specifically toward health promotion messages. To this end, this study was situated in the context of an anti-binge drinking intervention targeting college students. A cross-sectional survey was conducted with 203 Singaporean undergraduate students. The dataset was analyzed by exploratory factor analysis, confirmatory factor analysis, and item analysis. The final 27 items were loaded on eight factors (anger, exaggeration, design derogation, authoritative tone, ineffectiveness, know-it-all attitude, jadedness, and source motive) that accounted for 78.53% of the variance. Each factor showed satisfactory reliability and validity (discriminant, convergent, and predictive). This study specified cognitive reactions by multiple dimensions and examined how they are intertwined with the affective dimension, which is represented by anger. The scale proposed herein will help researchers and practitioners develop sustainable health interventions.

scholarly journals Relational exploration of the effect of work-related scheme on job satisfaction

2020 ◽  
Vol 17 (1/2) ◽  
pp. 111-128
Author(s):  
Sushmita Singh ◽  
S.K. Singh ◽  
Shashi Srivastava
Keyword(s):  
Job Satisfaction ◽  
Factor Analysis ◽  
Structural Equation ◽  
Large Scale ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Content Type ◽  
Significance Level ◽  
Work Related ◽  
The Government

Purpose This study is an effort to explore a relationship between benefits of schemes (BoS) on the job satisfaction among handloom weavers. The weavers who are engaged in this work however face lot of challenges in terms of remuneration and working conditions. The government has been immense with various schemes that cater to the work-related problems. This paper aims to understand whether work-related support can be a predictor for job satisfaction in this context. Design/methodology/approach A cross-sectional survey design was used where 335 handloom weavers randomly participated in the study. Questionnaire was administered and scale was developed and validated for the measurement of BoS by using exploratory factor analysis and confirmatory factor analysis. The effect of the benefits on the job satisfaction was investigated by using structural equation modelling on AMOS 21 platform. Findings The outcome suggested that the BoS significantly affects the job satisfaction and a possible predictor. This which was indicated by the value of r^2, i.e.0.38 at significance level p < 0.001. Research limitations/implications The study suggests a method for analyzing the schemes/policies in the light of the benefits that schemes intend to deliver. This would help in making suitable modifications in the schemes order to have wider outreach and large-scale inclusion of the beneficiaries. Practical implications The study can be useful for the policymakers to further strengthen the features of the schemes. They might work in direction of inclusion of more handloom weavers in the framework of the schemes. Originality/value The effects of the work-related policies on job satisfaction is still in nascent stage, so this work is all about exploration in that area.

Development of quantitative model to investigate the strategic relationship between information quality and e-government benefits

2015 ◽  
Vol 9 (3) ◽  
pp. 324-351 ◽  
Author(s):  
Hussain Alenezi ◽  
Ali Tarhini ◽  
Sujeet Kumar Sharma
Keyword(s):  
Quality Improvement ◽  
Conceptual Model ◽  
Information Quality ◽  
Stepwise Multiple Regression ◽  
Quantitative Methodology ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Content Type ◽  
And Performance ◽  
Government Benefits

Purpose – This paper aims to investigate the relationship between improvements in information quality and the benefits and performance of e-government organizations. As information quality is multi-dimensional measure, it is very crucial to determine what aspects of it are critical to organizations to help them to devise effective information quality improvement strategies. These strategies are potentially capable of changing government organizational structures and business processes. It examines the nature, direction and strength of the connections between information quality and the success of e-government initiatives. A conceptual model by means of which organizations performance and information quality research can be viewed is proposed and validated in Kuwait. Design/methodology/approach – The study used a quantitative methodology to investigate the causal paths. A cross-sectional survey was completed by 268 employees positioned in the Kuwait Government ministries. Each of the main effect hypotheses was analyzed using stepwise multiple regression with stepwise selection. Findings – It was found that the relationships between information quality and strategic benefits along with institutional value were in upright agreement. Our statistical analysis highlighted that improvement in different aspects of information quality can lead to a better organizational image. Specifically, usability and usefulness attributes of information quality came on the top of the key influencers on both strategic benefits and institutional value. Originality/value – This is the first study which adequately covers the relationships between information quality and organizations performance in Kuwait. Based on our evaluation, the authors propose a conceptual model to assist in studying the effects of information quality improvement on e-government benefits and performance.

Nigerian (Yoruba) version of Disabilities of the Arm, Shoulder and Hand questionnaire (DASH-Y): Cross-cultural adaptation and initial validation

Hand Therapy ◽  
2016 ◽  
Vol 21 (4) ◽  
pp. 140-150 ◽  
Author(s):  
Adesola C Odole ◽  
Nse A Odunaiya ◽  
Chidinma F Mbaike ◽  
Peter O Ibikunle ◽  
Adefemi A Akinseloyin ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Upper Extremity ◽  
Rank Correlation ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Data Set ◽  
Initial Validation ◽  
Culturally Adapted ◽  
Conceptual Equivalence ◽  
Dash Questionnaire

Introduction The Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire is a widely used upper extremity outcome measure. However, it is yet to be translated into any of the major languages in Nigeria, thus limiting its utility in the Nigerian clinical setting. The aim of this study was to cross-culturally adapt the DASH questionnaire into Yoruba, a major Nigerian language and investigate its initial validation. Methods The English version of DASH was adapted into Yoruba through forward–back translations, experts’ committee meetings, pretesting and cognitive debriefing interview in accordance with the guidelines recommended by the developers of DASH. Fifty-two purposively selected patients with upper extremity musculoskeletal disorders participated in a cross-sectional survey. Factor analysis was performed to ensure structural validity of Yoruba version, and construct validity was investigated with Spearman rank correlation coefficient. Results The Yoruba version of DASH has semantic, idiomatic, linguistic and conceptual equivalence with the English DASH. Thirty linear components were identified within the data set. Principal factor analysis of the Yoruba DASH revealed a seven factor scale, having fulfilled all the necessary conditions. The Kaiser-Meyer-Olkin measure of sampling adequacy was 0.61, and Barlett’s test of Sphericity was adequate and significant (χ2 (1066) = 435, p = 0.001). Significant correlation (r = 0.994, p = 0.001) exists between scores obtained on English and Yoruba versions of DASH. Conclusion A cross-culturally adapted, valid Yoruba version of DASH is available for use in in south western Nigeria and other similar populations.

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