scholarly journals Psychometric properties of the ethical conflict in nursing questionnaire critical care version among Chinese nurses: a cross-sectional study

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Yuanfei Liu ◽  
Nianqi Cui ◽  
Yuping Zhang ◽  
Xiyi Wang ◽  
Hui Zhang ◽  
...  

Abstract Background Ethical conflicts are common in the critical care setting, and have compromised job satisfaction and nursing care quality. Using reliable and valid instruments to measure the ethical conflict is essential. This study aimed to translate the Ethical Conflict in Nursing Questionnaire — Critical Care Version into Chinese and determine the reliability and validity in the population of Chinese nurses. Methods Researchers obtained permission and followed the translation-backward method to develop the Chinese version of the Ethical Conflict in Nursing Questionnaire — Critical Care Version (ECNQ-CCV-C). Relevant psychometric properties were selected according to the Consensus-based standards for the selection of health status measurement instruments checklist. Critical care nurses were recruited from two tertiary public hospitals in Hangzhou, Zhejiang Province, and Kunming, Yunnan Province. Of the 264 nurses we approached, 248 gave their consent and completed the study. Results The ECNQ-CCV-C achieved Cronbach’s alphas 0.902 and McDonald’s omega coefficient 0.903. The test-retest reliability was satisfactory within a 2-week interval (intraclass correlation coefficient = 0.757). A unidimensional structure of the ECNQ-CCV-C was determined. Confirmatory factor analysis supported acceptable structure validity. Concurrent validity was confirmed by a moderate relation with a measure for hospital ethical climate (r = − 0.33, p < 0.01). The model structure was invariant across different gender groups, with no floor/ceiling effect. Conclusions The ECNQ-CCV-C demonstrated acceptable reliability and validity among Chinese nurses and had great clinical utility in critical care nursing.

Author(s):  
Maciej Tomczak ◽  
Małgorzata Walczak ◽  
Paweł Kleka ◽  
Aleksandra Walczak ◽  
Łukasz Bojkowski

The main aim of the study was to assess the psychometric properties of the Polish version of the task and ego orientation in sport questionnaire (TEOSQ). The study covered 651 athletes aged 19.2 years, SD (Standard deviation) = 2.21. The task and ego orientation in sport questionnaire (TEOSQ) and sport motivation scale (SMS-28) were used. Cronbach’s Alpha for the ego subscale was 0.84, and for the task subscale 0.81 (McDonald’s omega was 0.84, 0.82 respectively). The reliability of the test-retest with two weeks interval was ICC (Intraclass correlation coefficient) = 0.86 for ego and ICC = 0.86 for task. Initially, the two-factor model was not fully fitted (CFI (Comparative fit index) = 0.84), however the model with correlated errors for selected test items was well fitted to data (CFI = 0.95). Statistically significant, positive correlations between the task orientation and the intrinsic motivation components were obtained. Additionally, individual athletes had higher scores on the ego factor and lower scores on the task factor than the team athletes. These effects were moderated by the level of participation and occurred among high-performance athletes. Due to satisfactory reliability and validity indicators the Polish version of the task and ego orientation in sport questionnaire (TEOSQ) can be used both for scientific research and in the individual diagnostics of athletes.


2016 ◽  
Vol 23 (5) ◽  
pp. 657-666 ◽  
Author(s):  
Ying Liang ◽  
Lei Wang ◽  
Jianbo Zhu

This study analyses the factor structure and psychometric properties of the Chinese version of Beck Anxiety Inventory on Chinese doctors. Participants include 762 doctors sampled in 18 public hospitals in three cities in Eastern China. Exploratory factor analysis is employed to identify the potential factor structure of the inventory. Confirmatory factor analysis is referred to for model fit. The results indicate that the Chinese version of Beck Anxiety Inventory has satisfactory reliability and validity, but its factor structure is unstable and has great differences compared with international versions. Naming the four extracted factors is difficult. In general, the Chinese version of Beck Anxiety Inventory is appropriate for Chinese doctors and can be used as a good screener to detect the anxiety of Chinese doctors.


2020 ◽  
Author(s):  
Anne Flodén ◽  
Maria Stadtler ◽  
Stephanie E Jones Collazo ◽  
Tom Mone ◽  
Rick Ash ◽  
...  

Abstract Background: Intensive and critical-care nurses are the key to successful donor management in the critical-care setting. No studies measuring attitudes toward organ donor advocacy existed before 2011, when the 51-item Swedish “Attitudes Toward Organ Donor Advocacy Scale” was developed. The aim of this study was to translate, adapt and establish the psychometric properties of the North American version of the Flodén ATODAI (Attitudes Toward Organ Donor Advocacy Instrument) in terms of validity and reliability. Methods: A multi-step approach was used: Initial translation; Back-translation; Review and synthesis of these translations; Expert panel (N=7) rated the prefinal version of the instrument for content validity index (CVI); International panel made adjustments guided by the expert panel . Reliability testing with test and retest of the adjusted 46-item version was conducted using intraclass correlation coefficient (ICC), weighted kappa ( ҡ Weight ), sign test, and Cronbach’s alpha coefficient (α), (N=50); and finally Delphi technique procedure with a preselected Delphi panel (N=15). Results: The CVI was determined to be greater than the 0.05 significance level. Item level (I-CVI) ranged 0.82-1.0, with a mean of 0.97. Scale level (S-CVI) on the entire instrument was 0.97. Test-retest procedure was performed to estimate stability. In total, 34 of the items had good-to-high ICC. Accepting an ICC of > 0.70 resulted in a total of 24 items. Homogeneity reliability was estimated by α and was calculated for these items where α=0.90. In total, 20 of the items had a substantial or almost perfect ҡ Weight and 23 showed a moderate ҡ Weight . None of the items showed systematical differences. The Delphi technique procedure was used on the 22 items with ICC <0.70 resulted in adjustments establishing that consensus was achieved. Conclusions: Undertaking this multi-step, cross-cultural adaptation procedure has effectively ensured that the 46-item Flodén ATODAI [North America version] produces valid and reliable measurements.


2019 ◽  
Vol 27 (2) ◽  
pp. 537-553 ◽  
Author(s):  
Teresa Lluch-Canut ◽  
Carlos Sequeira ◽  
Anna Falcó-Pegueroles ◽  
José António Pinho ◽  
Albina Rodrigues-Ferreira ◽  
...  

Introduction: Ethical conflict is a phenomenon that has been under study over the last three decades, especially the types moral dilemma and moral distress in the field of nursing care. However, ethical problems and their idiosyncrasies need to be further explored. Aim: The objectives of this study were, first, to obtain a transcultural Portuguese-language adaptation and validation of the Ethical Conflict Nursing Questionnaire–Critical Care Version and, second, to analyse Portuguese critical care nurses’ level of exposure to ethical conflict and its characteristics. Methods: A cross-cultural validation and descriptive, prospective and correlational study. The sample was made for 184 critical care nurses in 2016. Ethical Considerations: The study was authorised by Bioethics Commission of the University of Barcelona, the Associaçâo de Apoio ao Serviço de Cuidados Intensivos do Centro Hospitalar do Porto and the Sociedade Portuguesa de Enfermagem de Saúde Mental. Findings: The Portuguese version of the Ethical Conflict Nursing Questionnaire–Critical Care Version was a valid and reliable instrument to measure exposure to conflict. Moral outrage was the most common type of conflict. The most problematic situations were the ineffectiveness of analgesic treatments, the administration of treatments considered futile and the mismanagement of resources.


2016 ◽  
Vol 25 (5) ◽  
pp. 552-570 ◽  
Author(s):  
Natalie Susan McAndrew ◽  
Jane Leske ◽  
Kathryn Schroeter

Background: Moral distress is a complex phenomenon frequently experienced by critical care nurses. Ethical conflicts in this practice area are related to technological advancement, high intensity work environments, and end-of-life decisions. Objectives: An exploration of contemporary moral distress literature was undertaken to determine measurement, contributing factors, impact, and interventions. Review Methods: This state of the science review focused on moral distress research in critical care nursing from 2009 to 2015, and included 12 qualitative, 24 quantitative, and 6 mixed methods studies. Results: Synthesis of the scientific literature revealed inconsistencies in measurement, conflicting findings of moral distress and nurse demographics, problems with the professional practice environment, difficulties with communication during end-of-life decisions, compromised nursing care as a consequence of moral distress, and few effective interventions. Conclusion: Providing compassionate care is a professional nursing value and an inability to meet this goal due to moral distress may have devastating effects on care quality. Further study of patient and family outcomes related to nurse moral distress is recommended.


2016 ◽  
Vol 41 (1) ◽  
pp. 3-24 ◽  
Author(s):  
Li Cheng ◽  
Doris Y. P. Leung ◽  
Yu-Ning Wu ◽  
Janet W. H. Sit ◽  
Miao-Yan Yang ◽  
...  

This study examined the psychometric properties of the Chinese version of the Personal Diabetes Questionnaire (C-PDQ). The PDQ was translated into Chinese using a forward and backward translation approach. After being reviewed by an expert panel, the C-PDQ was administered to a convenience sample of 346 adults with Type 2 diabetes. The Chinese version of the Summary of Diabetes Self-Care Activities (C-SDSCA) was also administered. The results of the exploratory factor analysis revealed a one-factor structure for the Diet Knowledge, Decision-Making, and Eating Problems subscales and a two-factor structure for the barriers-related subscales. The criterion and convergent validity were supported by significant correlations of the subscales of the C-PDQ with the glycated hemoglobin values and the parallel subscales in the C-SDSCA, respectively. The C-PDQ subscales also showed acceptable internal consistency (α = .61–.89) and excellent test–retest reliability (intraclass correlation coefficients: .73–.96). The results provide preliminary support for the reliability and validity of the C-PDQ. This comprehensive, patient-centered instrument could be useful to identify the needs, concerns, and priorities of Chinese patients with type 2 diabetes.


Author(s):  
Siti Munirah Abdul Basir ◽  
Zahara Abdul Manaf ◽  
Mahadir Ahmad ◽  
Nor Ba’yah Abdul Kadir ◽  
Wan Nur Khairunnisa Ismail ◽  
...  

The Mindful Eating Questionnaire is a reliable tool for the assessment of mindful eating behavior among the general population. This study aimed to determine the reliability and validity of The Malay Mindful Eating Questionnaire (MEQ-M) in a sample of overweight and obese adults. This is a cross-sectional survey which involved 144 overweight and obese adults in a selected public university. After linguistic validation of the Malay version of the MEQ, exploratory factor analysis (EFA) with varimax rotation was performed on the scale constructs. The psychometric properties of the MEQ were assessed through Cronbach’s alpha and intraclass correlation coefficient (ICC) analysis. The EFA of the MEQ produced a seven-dimensional model (58.8% of overall variances). The concurrent validity analysis between total MEQ scores and total Mindfulness Attention Awareness Scale (MAAS) scores indicated a weak non-significant correlation (p = 0.679). The internal consistency reliability of the MEQ was reasonable (Cronbach’s α = 0.64). The agreement stability of the MEQ over eight weeks was poor (ICC = 0.10). In conclusion, the psychometric properties of the Malay-translated MEQ are acceptable through construct validity and internal consistency reliability tests. This instrument may be used for assessing mindful eating habits in the Malaysian population, especially among overweight and obese adults.


2014 ◽  
Vol 27 (5) ◽  
pp. 405-411 ◽  
Author(s):  
Karina Rospendowiski ◽  
Neusa Maria Costa Alexandre ◽  
Marilia Estevam Cornélio

Objectives To culturally adapt the instrument “Evidence-Based Practice Questionnaire” (EBPQ) to the Portuguese language and assess its psychometric qualities. Methods The steps of cultural adaptation of measurement instruments were followed. Reliability was verified through internal consistency, stability by test-retest, and construct validity by the contrasted groups approach. Results High Cronbach’s alpha (0.91 to 0.68) and satisfactory Intraclass Correlation Coefficient (0.90) were obtained in all domains. In assessing construct validity, significant differences were found between groups of nurses with different backgrounds. Conclusion The steps of cultural adaptation of measurement instruments have been successfully completed. The Brazilian version obtained presents reliable psychometric properties for its use in this population.


2015 ◽  
Vol 95 (9) ◽  
pp. 1274-1286 ◽  
Author(s):  
Deborah Antcliff ◽  
Malcolm Campbell ◽  
Steve Woby ◽  
Philip Keeley

Background Therapists frequently advise the use of activity pacing as a coping strategy to manage long-term conditions (eg, chronic low back pain, chronic widespread pain, chronic fatigue syndrome/myalgic encephalomyelitis). However, activity pacing has not been clearly operationalized, and there is a paucity of empirical evidence regarding pacing. This paucity of evidence may be partly due to the absence of a widely used pacing scale. To address the limitations of existing pacing scales, the 38-item Activity Pacing Questionnaire (APQ-38) was previously developed using the Delphi technique. Objective The aims of this study were: (1) to explore the psychometric properties of the APQ-38, (2) to identify underlying pacing themes, and (3) to assess the reliability and validity of the scale. Design This was a cross-sectional questionnaire study. Methods Three hundred eleven adult patients with chronic pain or fatigue participated, of whom 69 completed the test-retest analysis. Data obtained for the APQ-38 were analyzed using exploratory factor analysis, internal and test-retest reliability, and validity against 2 existing pacing subscales and validated measures of pain, fatigue, anxiety, depression, avoidance, and mental and physical function. Results Following factor analysis, 12 items were removed from the APQ-38, and 5 themes of pacing were identified in the resulting 26-item Activity Pacing Questionnaire (APQ-26): activity adjustment, activity consistency, activity progression, activity planning, and activity acceptance. These themes demonstrated satisfactory internal consistency (Cronbach α=.72–.92), test-retest reliability (intraclass correlation coefficient=.50–.78, P≤.001), and construct validity. Activity adjustment, activity progression, and activity acceptance correlated with worsened symptoms; activity consistency correlated with improved symptoms; and activity planning correlated with both improved and worsened symptoms. Limitations Data were collected from self-report questionnaires only. Conclusions Developed to be widely used across a heterogeneous group of patients with chronic pain or fatigue, the APQ-26 is multifaceted and demonstrates reliability and validity. Further study will explore the effects of pacing on patients' symptoms to guide therapists toward advising pacing themes with empirical benefits.


10.19082/3776 ◽  
2017 ◽  
Vol 9 (2) ◽  
pp. 3776-3785 ◽  
Author(s):  
Fatemeh Motaharifar ◽  
Foroozan Atashzadeh-Shoorideh ◽  
Amir Hosein Pishgooie ◽  
Anna Falcó-Pegueroles

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