scholarly journals Translating and validating a Japanese version of the Patient Care Ownership Scale: a multicenter cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hirohisa Fujikawa ◽  
Daisuke Son ◽  
Kayo Kondo ◽  
Mia Djulbegovic ◽  
Yousuke Takemura ◽  
...  

Abstract Background Patient care ownership (PCO) is an essential component in medical professionalism and is crucial for delivering high-quality care. The 15-item PCO Scale (PCOS) is a validated questionnaire for quantifying PCO in residents; however, no corresponding tool for assessing PCO in Japan exists. This study aimed to develop a Japanese version of the PCOS (J-PCOS) and validate it among Japanese medical trainees. Methods We performed a multicenter cross-sectional survey to test the validity and reliability of the J-PCOS. The study sample was trainees of postgraduate years 1–5 in Japan. The participants completed the J-PCOS questionnaire. Construct validity was assessed through exploratory and confirmatory factor analyses. Internal consistency reliability was examined by calculating Cronbach’s alpha coefficients and inter-item correlations. Results During the survey period, 437 trainees at 48 hospitals completed the questionnaire. Exploratory factor analysis of the J-PCOS extracted four factors: assertiveness, sense of ownership, diligence, and being the “go-to” person. The second factor had not been identified in the original PCOS, which may be related to a unique cultural feature of Japan, namely, a historical code of personal conduct. Confirmatory factor analysis supported this four-factor model, revealing good model fit indices. The analysis results of Cronbach’s alpha coefficients and inter-item correlations indicated adequate internal consistency reliability. Conclusions We developed the J-PCOS and examined its validity and reliability. This tool can be used in studies on postgraduate medical education. Further studies should confirm its robustness and usefulness for improving PCO.

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0254317
Author(s):  
Raziyeh Ghafouri ◽  
Malihe Nasiri ◽  
Foroozan Atashzadeh-Shoorideh ◽  
Faraz Tayyar-Iravanlou ◽  
Zahra Rahmaty

Background and objectives Nurses’ caring behaviors, professional activities, and behaviors for the benefit of patients, influence patients’ perception of care and satisfaction with the quality of care provided. Caring behaviors of nurses are contextual and various factors such as patients’ social structure, lifestyle, culture, and interests, as well as their biographical, social, and physiological characteristics, can influence perceptions of caring behaviors of nurses, as caring behaviors are an interactive and mental process between patients and nurses. This study was conducted to provide a transcultural translation and psychometric analysis of Caring Behaviors Inventory (CBI) among nurses in Iran. Methodology Transcultural translation of the 16-item CBI was performed. Then, face validity (qualitative), content validity (quantitative and qualitative), and construct validity were examined in a cross-sectional study of 509 patients. A demographic questionnaire and the 16-item CBI were sent to enrolled patients via online questionnaires. The reliability of the instrument was assessed by internal consistency using Cronbach’s alpha. Then, construct validity of the single factor CBI was assessed using Confirmatory Factor Analysis (CFA). Since one factor CBI was not confirmed, construct validity was examined using Exploratory Factor Analysis (EFA). The final number of factors was confirmed using CFA. Results The internal consistency of the instrument was good with Cronbach’s alpha 0.89. Based on EFA, the CBI were loaded on two factors, eigenvalues >1, no item was removed. The emergent factors were named "Communicating respectfully" and "Professional knowledge and skill". These two factors explained 50.197% of the total variance. Then, CFA showed an acceptable fit for the two factors CBI. Conclusion The results showed that the Persian version of the 16-item CBI had adequate validity and reliability. Accordingly, this instrument can be used to study nurses’ caring behaviors.


2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Narmawan Narmawan ◽  
Narmi Narmi

Tobacco in cigarettes is a legal drug that can cause death for those who consume it. Until now smoking can cause various complications that have an impact on health such as cancer and heart disease. Behavioral theory such as TPB (Theory of Planned Behavior) is a behavior-based nursing theory that allows behavior change to minimize the impact of smoking. And until now there is no standardized instrument that measures a person's smoking behavior using the TPB application. Therefore, this study will develop a TPB model of smoking behavior instrument. This research is a non-experimental cross sectional study through validity and reliability tests carried out in 4 stages: literature review, instrument development, Content Validity Index and Internal consistency reliability. The reliability test was carried out on 93 respondents who were taken by accidental sampling with the criteria of male smokers aged 15 to 60 years, no history of disease due to smoking, willing to be participants and able to read and write. Internal consistency reliability analysis through Cronbach's Alpha value. The results of the study showed that as many as 40 instrument items had been developed, with an average I-CVI value of 4 experts being 0.75-1.0. While the average Cronbach's Alpha value reached 0.870. The smoking behavior instrument that measures the TPB component that has been developed is valid and reliable.


2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Akiko Kanehara ◽  
Risa Kotake ◽  
Yuki Miyamoto ◽  
Yousuke Kumakura ◽  
Kentaro Morita ◽  
...  

Abstract Background Personal recovery is increasingly recognised as an important outcome measure in mental health services. This study aimed to develop a Japanese version of the Questionnaire about the Process of Recovery (QPR-J) and test its validity and reliability. Methods The study comprised two stages that employed the cross-sectional and prospective cohort designs, respectively. We translated the questionnaire using a standard translation/back-translation method. Convergent validity was examined by calculating Pearson’s correlation coefficients with scores on the Recovery Assessment Scale (RAS) and the Short-Form-8 Health Survey (SF-8). An exploratory factor analysis (EFA) was conducted to examine factorial validity. We used intraclass correlation and Cronbach’s alpha to examine the test-retest and internal consistency reliability of the QPR-J’s 22-item full scale, 17-item intrapersonal and 5-item interpersonal subscales. We conducted an EFA along with a confirmatory factor analysis (CFA). Results Data were obtained from 197 users of mental health services (mean age: 42.0 years; 61.9% female; 49.2% diagnosed with schizophrenia). The QPR-J showed adequate convergent validity, exhibiting significant, positive correlations with the RAS and SF-8 scores. The QPR-J’s full version, subscales, showed excellent test-retest and internal consistency reliability, with the exception of acceptable but relatively low internal consistency reliability for the interpersonal subscale. Based on the results of the CFA and EFA, we adopted the factor structure extracted from the original 2-factor model based on the present CFA. Conclusion The QPR-J is an adequately valid and reliable measure of the process of recovery among Japanese users with mental health services.


PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0249660
Author(s):  
Mohd Noor Norhayati ◽  
Zanaridah Mat Nawi

Background Evidence-based medicine (EBM) is a widely accepted scientific advancement in clinical settings that helps achieve better, safer, and more cost-effective healthcare. However, presently, validated instruments to evaluate healthcare professionals’ attitude and practices toward implementing EBM are not widely available. Therefore, the present study aimed to determine the validity and reliability of a newly developed knowledge, attitude, and practice (KAP) questionnaire on EBM for use among healthcare professionals. Methods The Noor Evidence-Based Medicine Questionnaire was tested among physicians in a government hospital between July and August 2018. Exploratory factor analysis and internal consistency reliability-based Cronbach’s alpha statistic were conducted. Results The questionnaire was distributed among 94 physicians, and 90 responded (response rate of 95.7%). The initial number of items in the KAP domains of the Noor Evidence-Based Medicine Questionnaire were 15, 17, and 13, respectively; however, two items in the practice domain with communalities <0.25 and factor loadings <0.4 were removed. The factor structure accounted for 52.33%, 66.29%, and 55.39% of data variance in the KAP domains, respectively. Cronbach’s alpha values were 0.81, 0.81, and 0.84 for KAP domains, respectively, indicating high reliability. Conclusions This questionnaire can be used to evaluate the knowledge, attitudes, and behaviour of healthcare professionals toward EBM. Future testing of this questionnaire among other medical personnel groups will help expand the scope of this tool.


2019 ◽  
Vol 18 (3) ◽  
pp. 195-245
Author(s):  
Daniela Campos de Andrade Lourenção ◽  
Daisy Maria Rizatto Tronchin

Objetivo: Analizar la estructura factorial de la versión traducida y adaptada culturalmente del Safety Attitudes Questionnaire / Operating Room Version para el contexto brasileño. Método: Fue desarrollado un estudio metodológico acerca del cuestionario. El cuestionario fue aplicado a 412 profesionales de salud trabajadores en centros quirúrgicos. La evaluación del cuestionario fue realizada con base en Análisis Factorial Confirmatorio (AFC) y en el alfa de Cronbach. Resultados: El valor total del alfa de Cronbach fue 0,912; en los dominios los valores variaron de 0,56 a 0,85. El peor dominio fue Comunicación en el Ambiente Quirúrgico. Los hallazgos de la AFC mostraron que el valor de SRMR fue de 0,052; el RMSEA de 0,031 y el de CFI de 0,95. Estos valores demuestran la confiabilidad y un ajuste de modelo aceptable de la versión brasileña del SAQ / OR. Conclusión: la estructura factorial mostró que la versión brasileña del cuestionario es válida y confiable para medir el clima de seguridad del paciente en la percepción de los profesionales de salud que trabajan en el ambiente quirúrgico. Objective: To analyze the factor structure of the version of the Safety Attitudes Questionnaire/Operating Room Version that has been translated and culturally adapted to the Brazilian context. Method: This was a methodological study about a questionnaire. The questionnaire was administered to 412 health professionals who worked in operating rooms. The factor structure was tested with confirmatory factor analysis (CFA) and Cronbach's alpha. Results: The total score for Cronbach's alpha was 0.912; and the scores for the domains ranged from 0.56 and 0.85. The domain with the worst performance was communication in the surgical setting. The results of CFA showed that the score for SRMR was 0.052, RMSEA, 0.031, and CFI, 0.95. These scores indicate the reliability and acceptability of the Brazilian adaptation of the questionnaire. Conclusion: The factor structure demonstrated the validity and reliability of the Brazilian version of the questionnaire for measuring the patient safety climate as perceived by healthcare professionals who worked in surgical settings Objetivo: Analisar a estrutura fatorial da versão traduzida e adaptada culturalmente do Safety Attitudes Questionnaire/Operating Room Version para o contexto brasileiro. Método: Trata-se de um estudo metodológico sobre o questionário. O questionário foi aplicado a 412 profissionais de saúde atuantes em centros cirúrgicos. A avaliação do questionário foi realizada com base na Análise Fatorial Confirmatória (AFC) e no alpha de Cronbach. Resultados: O valor total do alpha de Cronbach foi 0,912; nos domínios os valores variaram de 0,56 a 0,85. O pior domínio foi Comunicação no Ambiente Cirúrgico. Os achados da AFC demonstraram que o valor de SRMR foi de 0,052; o RMSEA de 0,031 e o de CFI de 0,95. Esses valores demonstram a confiabilidade e um ajuste de modelo aceitável da versão brasileira do SAQ/OR. Conclusão: A estrutura fatorial demonstrou que a versão brasileira do questionário é válida e confiável para mensurar o clima de segurança do paciente na percepção dos profissionais de saúde que atuam no ambiente cirúrgico.


Author(s):  
Andréia Cascaes Cruz ◽  
Margareth Angelo ◽  
Bernardo Pereira dos Santos

Abstract OBJECTIVE The purpose of this study was to develop and test the psychometric properties of the Self-efficacy Scale for the Establishment of Good Relationships with Families in Neonatal and Pediatric Hospital Settings. METHOD Methodological study grounded on self-efficacy theory was conducted in three phases: conceptual and operational definition (review of the literature and interviews with the target population), content validity (opinion of five experts e three clinical nurses), and exploratory factor analysis and internal consistency reliability (cross-sectional survey with a valid sample of 194 nurses). RESULTS A ten-point Likert scale with 40-item was designed and one item was excluded after review by experts. Three factors emerged from the exploratory factor analysis. The Cronbach's alpha for all items was 0.983 with item-total correlations in the range 0.657 to 0.847. Cronbach's alpha value if item deleted were less than or equal to 0.983. CONCLUSION The final version of the scale demonstrated psychometric adequacy. It is a useful tool to be administered in the clinical, educational and research nursing fields to measure nurses’ self-efficacy beliefs concerning the establishment of good relationships with families.


2021 ◽  
Vol 6 (2) ◽  
pp. 179-195
Author(s):  
Iredho Fani Reza

The purpose of this study is to develop a measurement scale for phone snubbing among Moslem youth in the era of the industrial revolution 4.0. This research is used a quantitative survey research with the number of respondents N = 503 who were Moslem youths at a university in the Republic of Indonesia which was determined by multistage sampling technique. The instrument used is the Phone Snubbing Scale (Phub-S) which consists of three dimensions - ignore others, dependency on gadgets and social disconnectedness. In analyzing the data through the process of building validity consisting of confirmatory factor analysis and total correlation of corrected items, analyzing internal consistency reliability using Cronbach's alpha technique. The results showed that the Phone Snubbing Scale (Phub-S) has a good item validity and reliability test as a measurement scale for phone insulting behavior young Moslems in the era of the industrial revolution 4.0. The recommended Phub-S items totaling 45 items that have been fulfilled are valid based on testing confirmatory factor analysis (CFA) technique (standardized solution (SS) > 0.4 and T-Values > 1.96), Corrected Item-Total Correlation ≥ 0.30 and with a scale reliability value. 0.932 (Cronbach's Alpha value> 0.8).


2020 ◽  
Vol 26 (3) ◽  
pp. 322-331
Author(s):  
Hyo-Suk Song ◽  
So-Hee Lim

Purpose: The purpose of this study was to investigate the validity and reliability of the Korean Version of the Grit (Grit-K) scale for nursing students in Korea.Methods: The participants in the study were 277 nursing students. Their grit was verified by using self-reports and the results of a questionnaire. Grit was translated into Korean and its content validity was verified by five experts. The validity of the instrument was verified through item analysis, exploratory factor analysis, and confirmatory factor analysis. Reliability verification was analyzed by using internal consistency reliability.Results: Two factors were identified through exploratory factor analysis and six items of the original instrument were found to be valid. In the confirmatory factor analysis, the validity of the instrument was verified as the model. The internal consistency reliability was also acceptable and Grit was found to be an applicable instrument.Conclusion: This study shows that the Korean Version of the Grit Questionnaire is a valid and reliable instrument to assess nursing students in Korea.


2021 ◽  
Author(s):  
Qian Liu ◽  
Hui Zhou ◽  
Heng Qiu ◽  
Chen Huang ◽  
Lijie Jiang ◽  
...  

Abstract Purpose. We examined the reliability and validity of the Healthy Fitness Measurement Scale Version 1.0 (HFMS V1.0) specifically on elderly people in China.Methods. We carried out a cross-sectional study in December 2020 and enrolled 800 elderly people through stratified sampling technique. The level of healthy fitness was measured using the HFMS V1.0. The Cronbach's alpha coefficient, split-half reliability, test-retest reliability, convergent and discriminant construct validity, exploratory factor and confirmatory factor were calculated for assessing the reliability and validity of HFMS V1.0.Results. The valid samples were comprised of 777 samples (with a mean age of 71.81 ±8.36 years), 382(49.2 %) were women. HFMS V1.0 consists of 8 dimensions and 38 items. The scale had acceptable reliability (Cronbach's alpha = 0.920, split-half = 0.946, test-retest = 0.878). The correlation of each item, dimension and subscales ranged from 0.528 to 0.888 (p < 0.001). Exploratory factor analysis uncovered 11 factors with the cumulative contribution rate of 68.09% and all factor loads over 0.40. The item distribution was consistent with the initial expectation of the scale. The confirmatory factor analysis indicated good fit: CMIN/DF=2.773, RMSEA=0.048, IFI=0.915, TLI=0.904, CFI=0.915.Conclusion. HFMS V1.0 was shown to have acceptable reliability and validity. Collectively, HFMS V1.0 is reliable and efficient to measure the healthy fitness of elderly people.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mehri Ansariniaki ◽  
Minoor Lamyian ◽  
Fazlollah Ahmadi ◽  
Abbas Rahimi Foroushani ◽  
Carolann L. Curry ◽  
...  

Abstract Background Postpartum maternal functioning has the potential to affect the quality of interaction between mother and child. A proper assessment of maternal functioning requires a comprehensive and accurate tool. The objective of this study was to prepare a Persian version of the Barkin Index of Maternal Functioning (BIMF) and evaluate its psychometric properties in order to determine its applicability in Iranian mothers. Methods The BIMF was translated into Persian and then culturally adapted for Iranian women. After evaluating face and content validity, to perform factor analysis, a cross-sectional study was conducted using the Persian version of BIMF. The data was collected from two unique groups of 250 mothers (in all 500 mothers) who had infants 2 to 12-months old and who were selected using a two-stage cluster sampling method. Factor analysis, Pearson’s correlation, intra-class correlation coefficients (ICC), composite reliability (CR) and Cronbach’s alpha were employed in order to evaluate structural validity and reliability. Results Exploratory factor analysis resulted in a five-factor structure consisting of 20 items. Subsequently, confirmatory factor analysis (X 2/ df = 1.61, RMSEA = 0.050, GFI = 0.91, CFI = 0.91) confirmed that the Persian version had satisfactory goodness of fit. Reliability and internal consistency were confirmed with a CR of 0.77, an ICC of 0.87 and a Cronbach’s alpha of 0.81. Conclusions The findings indicated that the Persian version of the BIMF is a valid and reliable instrument for assessing maternal functioning among Iranian mothers.


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