scholarly journals Pool of items to measure Primary Health Care workers’ knowledge on healthy eating

2021 ◽  
Vol 55 ◽  
pp. 55
Author(s):  
Lígia Cardoso dos Reis ◽  
Patricia Constante Jaime
Keyword(s):  
Health Care ◽  
Factor Analysis ◽  
Primary Health Care ◽  
Confirmatory Factor Analysis ◽  
Healthy Eating ◽  
Dietary Guidelines ◽  
Online Application ◽  
Primary Health ◽  
Confirmatory Factor ◽  
Face Validation

OBJECTIVE: To develop and validate a self-applicable instrument for measuring primary health care (PHC) workers’ knowledge on healthy eating. METHODS: A six-step methodological study to develop and validate a measurement instrument: item development based on the Brazilian Dietary Guidelines’ chapters; content validation with a panel of experts; face validation with potential instrument users; online instrument reevaluation by participants of the content and face validation panels; online application of the instrument with PHC workers; confirmatory factor analysis for construct validation. RESULTS: A first version with 25 items underwent content and semantic changes in the content and face validation panels, being reorganized into a second version with 22 items. In the reevaluation, participants considered 21 questions to be clear and representative of the Brazilian Dietary Guidelines, with one being excluded. This third version of the instrument underwent confirmatory factor analysis after being applied online with 209 PHC workers from all Brazilian macroregions. We excluded five items in this analysis: four due to bivariate empty cells and one due to low discrimination capacity. The final model, with 16 items loaded onto one dimension, returned good fit indices [χ²(104) = 119.047, p = 0.1486; RMSEA = 0.026 (90% CI = 0.000 to 0.046), Cfit = 0.979; CFI = 0.924; TLI = 0.913]; its information peak was below average. CONCLUSIONS: The instrument proved to be valid and accurate for assessing PHC workers with below average knowledge of the Brazilian Dietary Guidelines. It might contribute to improving actions to promote healthy eating in Brazilian PHC settings by identifying the need for training health professionals.

scholarly journals Cross-cultural adaptation and validation of the teamwork climate scale

2016 ◽  
Vol 50 (0) ◽  
Author(s):  
Mariana Charantola Silva ◽  
Marina Peduzzi ◽  
Carine Teles Sangaleti ◽  
Dirceu da Silva ◽  
Heloise Fernandes Agreli ◽  
...  
Keyword(s):  
Job Satisfaction ◽  
Health Care ◽  
Factor Analysis ◽  
Primary Health Care ◽  
Confirmatory Factor Analysis ◽  
Cultural Adaptation ◽  
Cross Cultural ◽  
Cross Cultural Adaptation ◽  
Primary Health ◽  
Confirmatory Factor

ABSTRACT OBJECTIVE To adapt and validate the Team Climate Inventory scale, of teamwork climate measurement, for the Portuguese language, in the context of primary health care in Brazil. METHODS Methodological study with quantitative approach of cross-cultural adaptation (translation, back-translation, synthesis, expert committee, and pretest) and validation with 497 employees from 72 teams of the Family Health Strategy in the city of Campinas, SP, Southeastern Brazil. We verified reliability by the Cronbach’s alpha, construct validity by the confirmatory factor analysis with SmartPLS software, and correlation by the job satisfaction scale. RESULTS We problematized the overlap of items 9, 11, and 12 of the “participation in the team” factor and the “team goals” factor regarding its definition. The validation showed no overlapping of items and the reliability ranged from 0.92 to 0.93. The confirmatory factor analysis indicated suitability of the proposed model with distribution of the 38 items in the four factors. The correlation between teamwork climate and job satisfaction was significant. CONCLUSIONS The version of the scale in Brazilian Portuguese was validated and can be used in the context of primary health care in the Country, constituting an adequate tool for the assessment and diagnosis of teamwork.

Measuring professional self and collective efficacy for dietary advice in Primary Health Care

2020 ◽  
pp. 026010602095959
Author(s):  
Reis Lígia ◽  
Jaime Patricia
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Collective Efficacy ◽  
Self Efficacy ◽  
Dietary Guidelines ◽  
Factorial Analysis ◽  
Dietary Advice ◽  
Online Application ◽  
Primary Health ◽  
Face Validation

Background: There is a lack of instruments to measure the ability of health professionals to promote dietary advice according to dietary guidelines. Aim: To develop and validate a web-based and self-applied scale for measuring primary health care (PHC) professionals’ self-efficacy and collective efficacy to apply the Brazilian Dietary Guidelines for dietary advice. Methods: Methodological procedures comprised six steps: development of the items; content validation with panel of experts; face validation through focus group conducted with PHC professionals; online reevaluation by the participants of content and face validation panels; online application with PHC professionals working all over Brazil’s macro-regions; confirmatory factorial analysis to test construct validity. Results: The scale was initially developed with 22 items. After content and face validation panels, changes in content and semantics were performed. The second version consisted of 24 items equally divided into part A (self-efficacy) and B (collective efficacy). All items, when reevaluated, were considered clear and representative of the Brazilian Dietary Guidelines’ chapters. The multidimensional model was shown to have excellent fit indices in the confirmatory factorial analysis. The scale’s peak of information was centered around the mean, indicating that both domains are more precise for perception of self-efficacy and collective efficacy on average values. Conclusion: The scale demonstrated validity for measuring PHC professionals’ perceived self-efficacy and collective efficacy to apply the Brazilian Dietary Guidelines. To our knowledge, this is the first valid scale for measuring the capability of PHC professionals to apply national dietary guidelines for healthy diet promotion.

scholarly journals Scale for evaluating food and nutrition education practices in Primary Health Care

2020 ◽  
Vol 33 ◽  
Author(s):  
Lígia Cardoso dos REIS ◽  
Patricia Constante JAIME
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Nutrition Education ◽  
Family Health ◽  
Dietary Guidelines ◽  
Primary Health ◽  
Food And Nutrition ◽  
Family Health Strategy ◽  
Food And Nutrition Education ◽  
Face Validation

ABSTRACT Objective To develop, validate and analyse intra- and inter-raters’ agreement and reliability of a scale for the evaluation of food and nutrition education practices in primary health care. Methods Three theoretical references were used for the development of items with answers on a 4-point scale (not observed, partially/satisfactorily/fully observed): the Brazilian Dietary Guidelines, the Interprofessional Collaborative Practice and the Family Health Strategy as models for organizing primary health care. The scale was submitted for content and face panel validation and it was further reevaluated online. Thirty specialists used the scale for the rating of 4 videos produced for the study showing food and nutrition education practices in primary health care settings. Intra- and inter-raters agreement and reliability were analyzed by test at one time point and retest 30 days later. Results The scale initially included 72 items but was reduced to 17 items after content and face validation, together with a fill-out manual that was reviewed by experts. In the re-evaluation, all 17 items were maintained, and content adjustments were made in the manual. Thirty raters applied the scale to the videos in the test, and 28 in the retest. All videos obtained combined kappa values of >0.4. In the test-retest, 19 raters showed >80% agreement; in the inter-rater evaluation, 14 raters generated kappa values >0.75. Conclusion The scale underwent content and face validation and showed to be useful to diagnose the absence and the full addressing of the Brazilian Dietary Guidelines content with good intra- and inter-rater agreement and reliability in different settings of Primary Health Care.

scholarly journals Effective Self-Efficacy Factors in Empowerment of Health Care Networks Managers in East Azerbaijan, West Azerbaijan and Ardebil Provinces, Iran

2019 ◽  
Author(s):  
Fatemeh Yousef Yaghoobi ◽  
Leila Riahi ◽  
Seyed Jamaleddin Tabibi ◽  
Mahmood Mahmoodi Majdabadi Farahani
Keyword(s):  
Health Care ◽  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Self Efficacy ◽  
Factor Loading ◽  
Validity And Reliability ◽  
Continuous Training ◽  
Health Care Networks ◽  
Confirmatory Factor ◽  
The Impact

Introduction: Empowerment has determinant role in developing the ability of individuals in order to achieve sustainable improvement in efficiency of the health care organizations. This study was carried out to identify the variables and effective self-efficacy components affecting the manager’s empowerment in Health­ Care Networks during 2018-19. Methods: This is an applied and exploratory study. At first, the variables involving in the empowerment of human resources were extracted by reviewing the literature as well as interviewing with the specialists. Then, the conceptual model was designed, the questionnaire compiled and its validity and reliability confirmed. The data were collected through the completing of the questionnaire by 416 managers who were chosen via stratified random sampling method and analyzed using exploratory and confirmatory factor analysis. Results:  According to the results of the exploratory factor analysis, the variable “continuous training” with the factor loading of 0.84 was found the most important variable. Concerning the standard coefficients of confirmatory factor analysis, variables of all the three components of self-efficacy were significant (p<0.001) and the component “Believe in responsibly ability and skill in work” (factor loading = 0.96) had the higher effect on self-efficacy. The impact rate of self-efficacy in empowerment with 0.96 and the variables “having job skills” and "emotional arousal" with 0.79 factor loading are considered as the most significant variables. Conclusion: The Universities of Medical Sciences and Health Care Networks can improve the ability of the managers through continuous training, promotion of professional skills, responsibility and presenting the successful models and experiences.

scholarly journals Validation of the Psychometric Properties of the Practice Environment Scale of Nursing Work Index in Primary Health Care in Portugal

2021 ◽  
Vol 18 (12) ◽  
pp. 6422
Author(s):  
Pedro Lucas ◽  
Elvio Jesus ◽  
Sofia Almeida ◽  
Beatriz Araújo
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Psychometric Properties ◽  
Health Centers ◽  
Factor Analyses ◽  
Confirmatory Factor Analyses ◽  
Autonomous Region ◽  
Primary Health ◽  
Work Index ◽  
Confirmatory Factor

Studies related to the work environment in primary health care are scarce in the literature. The present study aimed to validate the psychometric properties of the Practice Environment Scale of Nursing Work Index (PES-NWI) in primary health care (PHC) and to evaluate its construct validity through exploratory and confirmatory factor analyses in a sample of Portuguese nurses. A quantitative, cross-sectional, and validation study design was implemented. Methods: The sample consisted of 1059 nurses from the PHC units of all 55 health center groups (HCGs) in mainland Portugal, 15 health centers in the Autonomous Region of Madeira, and 6 health centers in the Autonomous Region of the Azores. The study tested different structural models using exploratory and confirmatory factor analysis techniques. The reliability of the scale was tested by determining Cronbach’s alpha coefficient. Results: The internal consistency of the PES-NWI was 0.91. Exploratory and confirmatory factor analyses were performed on the PES-NWI model in PHC with five factors: NPOA, NFQC, NMALSN, SRA, and CNPR. The results show that the scale presents acceptable fit quality indexes in the final factorial solution and adequate convergent validity. Conclusion: The PES-NWI in PHC has an adequate, robust, and reliable five-factor structure. The scale is valid and can be used in clinical practice, nursing management, and PHC research.

DIMENSIONAL VALIDITY OF THE INVENTORY OF ETHICAL PROBLEMS IN PRIMARY HEALTH CARE IN THE CONTEXT OF CHILDREN'S HEALTH

2021 ◽  
Vol 30 ◽  
Author(s):  
Deisy Vital dos Santos ◽  
Kátia Santana Freitas ◽  
Darci de Oliveira Santa Rosa ◽  
Elma Lourdes Campos Pavone Zoboli ◽  
Juliana de Oliveira Freitas Miranda
Keyword(s):  
Health Care ◽  
Factor Analysis ◽  
Primary Health Care ◽  
Internal Consistency ◽  
Children's Health ◽  
Children’S Health ◽  
Validity And Reliability ◽  
Ethical Problems ◽  
Cronbach's Alpha ◽  
Primary Health

ABSTRACT Objective: to assess the dimensional validity and reliability of the Inventory of Ethical Problems in Primary Health Care adapted to the children's health context. Method: a cross-sectional study with 101 nurses from the Family Health Strategy Units in a city of the Brazilian Northeast region. Data collection was carried out between May 2016 and June 2017. Construct validity was assessed by means of exploratory factor analysis and reliability by verifying internal consistency using Cronbach's alpha coefficient. Results: the factor analysis revealed the multidimensionality of the Inventory of Ethical Problems in Primary Health Care-Children's Health. It consisted of 19 items, distributed into 4 factors: Factor 1 - Organization of the health system; Factor 2 - Professional Ethics; Factor 3 - Teamwork; and Factor 4 - Parents (or guardians) autonomy expression. Overall internal consistency by Cronbach's alpha and for the factors was moderate to satisfactory. Conclusion: factor analysis revealed that the inventory has a multidimensional structure with 4 factors. The study showed evidence of validity and reliability that recommends the application of the IPE-APS to the context of children's health.

Designing a Quality Management Model for Health Services in Iran

2020 ◽  
Author(s):  
Vajiheh Zarei ◽  
Seyyed Jamaleddin Tabibi ◽  
Mahmood Mahmoodi ◽  
Leila Riahi
Keyword(s):  
Health Care ◽  
Factor Analysis ◽  
Quality Improvement ◽  
Quality Management ◽  
Confirmatory Factor Analysis ◽  
Care Quality ◽  
Management Model ◽  
Confirmatory Factor ◽  
Quality Management Model

Introduction: Nowadays, the quality of services, especially in high volume clients, such as financial and care services, has become increasingly important. Therefore, quality of service in accordance with professional standards and customer expectations is important and a first step for it is a quality improvement. Objective: The purpose of this study was to design a quality management model for providing health care in Iran. Method: In this study, the comparative method was used to evaluate the health care quality indicators in selected countries (America-England-Japan-Malaysia-Egypt) and to compare their health care strategies. Hospital managers and people responsible for improving hospital quality in Iran have been involved in this research (377 questionnaire were analyzed). The study lasted from September 2018 to September 2019. Maxqda software was used to classify the adaptive variables. Maxqda software was used to classify the adaptive variables. LISREL software were used- Exploratory and confirmatory factor analysis- to identify the dimensions and validation of the mode . Results: Twenty-four types of health care variables were identified from 6 countries. Exploratory factor analysis and questionnaire resulted in four general criteri: Quality Assurance, Quality Planning, Quality Control and Quality Improvement. Confirmatory factor analysis also showed that the identified dimensions are valid . Conclusion: Considering that guarantee,control, planning and quality improvement have the highest impact respectively, continuous planning at the level of hospitals can lead to a significant increase in the quality of health care delivery.

scholarly journals Testing a New Tool Assessing Attitude Towards Treatment and Health in Primary Health Care Setting: Senior Patients and Doctors Perspectives

2018 ◽  
Vol 47 (1) ◽  
pp. 61-69 ◽  
Author(s):  
Magdalena A. Lazarewicz ◽  
Dorota Wlodarczyk ◽  
Joanna Chylinska ◽  
Mariusz Jaworski ◽  
Marta Rzadkiewicz ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Factor Analyses ◽  
Factor Solution ◽  
Good Tool ◽  
Confirmatory Factor Analyses ◽  
Primary Health ◽  
Confirmatory Factor ◽  
Exploratory Factor Analyses ◽  
Senior Patients

Aims: Patients’ attitude towards treatment and health (ATH) is crucial for compliance at all stages of treatment. This study examined the psychometric properties of the developed PRACTA Attitude Towards Treatment and Health questionnaire, designed to measure ATH as perceived by seniors (PRACTA-ATH) and doctors (PRACTA-ATH-D) in primary health care. Methods: The data were collected in two waves of the Polish–Norwegian PRACTA project. Exploratory factor analyses (EFAs) were conducted on wave 1 data from senior patients ( n = 3392) and their general practitioners ( n = 491). Confirmatory factor analyses (CFAs) were conducted on wave 2 data. This was a new sample of senior patients ( n = 2765) and a follow-up sample of doctors ( n = 393). Results: The EFAs showed that the 16-item four-factor solution is the best solution reflecting the structure of both seniors and doctors’ ATH questionnaires. The CFAs conducted to establish the best unified model for PRACTA-ATH and PRACTA-ATH-D indicated three comparatively good solutions: the 16-item four-factor solution, the 12-item four-factor solution and the 12-item five-factor solution. Conclusions: The questionnaire is found appropriate for use among patients and doctors, and can be used as a good tool to monitor older patients’ ATH and concordance between doctors and patients’ perspectives.

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