scholarly journals An international tool to measure perceived stressors in intensive care units: the PS-ICU scale

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Alexandra Laurent ◽  
Alicia Fournier ◽  
Florent Lheureux ◽  
Maria Cruz Martin Delgado ◽  
Maria G. Bocci ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Convergent Validity ◽  
Healthcare Professionals ◽  
Intraclass Correlation ◽  
International Comparisons ◽  
Correlation Coefficients ◽  
Maslach Burnout Inventory ◽  
Stressful Environment ◽  
The Individual

Abstract Background The intensive care unit is increasingly recognized as a stressful environment for healthcare professionals. This context has an impact on the health of these professionals but also on the quality of their personal and professional life. However, there is currently no validated scale to measure specific stressors perceived by healthcare professionals in intensive care. The aim of this study was to construct and validate in three languages a perceived stressors scale more specific to intensive care units (ICU). Results We conducted a three-phase study between 2016 and 2019: (1) identification of stressors based on the verbatim of 165 nurses and physicians from 4 countries (Canada, France, Italy, and Spain). We identified 99 stressors, including those common to most healthcare professions (called generic), as well as stressors more specific to ICU professionals (called specific); (2) item elaboration and selection by a panel of interdisciplinary experts to build a provisional 99-item version of the scale. This version was pre-tested with 70 professionals in the 4 countries and enabled us to select 50 relevant items; (3) test of the validity of the scale in 497 ICU healthcare professionals. Factor analyses identified six dimensions: lack of fit with families and organizational functioning; patient- and family-related emotional load; complex/at risk situations and skill-related issues; workload and human resource management issues; difficulties related to team working; and suboptimal care situations. Correlations of the PS-ICU scale with a generic stressors measure (i.e., the Job Content Questionnaire) tested its convergent validity, while its correlations with the Maslach Burnout Inventory-HSS examined its concurrent validity. We also assessed the test–retest reliability of PS-ICU with intraclass correlation coefficients. Conclusions The perceived stressors in intensive care units (PS-ICU) scale have good psychometric properties in all countries. It includes six broad dimensions covering generic or specific stressors to ICU, and thus, enables the identification of work situations that are likely to generate high levels of stress at the individual and unit levels. For future studies, this tool will enable the implementation of targeted corrective actions on which intervention research can be based. It also enables national and international comparisons of stressors’ impact.

scholarly journals Facing COVID-19 Pandemic in a Tertiary Hospital in Milan: Prevalence of Burnout in Nursing Staff Working in Sub-Intensive Care Units

2021 ◽  
Vol 18 (13) ◽  
pp. 6684
Author(s):  
Alberto Bisesti ◽  
Andrea Mallardo ◽  
Simone Gambazza ◽  
Filippo Binda ◽  
Alessandro Galazzi ◽  
...  
Keyword(s):  
Intensive Care ◽  
Respiratory Failure ◽  
Intensive Care Units ◽  
Healthcare Workers ◽  
Maslach Burnout Inventory ◽  
Tertiary Hospital ◽  
Personal Accomplishment ◽  
Preventive Strategies ◽  
Common Condition ◽  
Hospital Units

In early March 2020, Italy became the epicenter of the Coronavirus Disease 2019 (COVID-19) pandemic in Europe. A different organization of hospital units was required to take care of patients affected by acute respiratory failure caused by COVID-19. This study aimed to evaluate the prevalence of burnout in two sub-intensive care units (SICUs) of the COVID-19 hub center of the Lombardia region in Milan (Italy). All nurses and healthcare assistants working in the SICUs during June 2020 were included in the study. Burnout was assessed via the Maslach Burnout Inventory questionnaire. One hundred and five (84%) SICU staff participated in the study. The prevalence of high burnout for nurses and healthcare assistants was 61.9% for emotional exhaustion, 47.6% for depersonalization and 34.3% for personal accomplishment. Depersonalization was significantly more frequent in younger nurses (p = 0.009). Nurses were 4.5 times more likely to have burnout than healthcare assistants. Burnout was a common condition among healthcare workers operating in SICUs during the pandemic. Urgent actions are needed, especially for nurses, as well as preventive strategies for future pandemic scenarios.

scholarly journals Adaptation and Psychometric Evaluation of the Chinese Counseling Competencies Scale-Revised

2021 ◽  
Vol 12 ◽  
Author(s):  
Wei Xia ◽  
William Ho Cheung Li ◽  
Tingna Liang ◽  
Yuanhui Luo ◽  
Laurie Long Kwan Ho ◽  
...  
Keyword(s):  
Concurrent Validity ◽  
Convergent Validity ◽  
Intraclass Correlation ◽  
Correlation Coefficients ◽  
Psychometric Evaluation ◽  
Counseling Competencies ◽  
Counselors In Training ◽  
Rater Reliability ◽  
Retest Reliability ◽  
Test Retest Reliability

Objectives: This study conducted a linguistic and psychometric evaluation of the Chinese Counseling Competencies Scale-Revised (CCS-R).Methods: The Chinese CCS-R was created from the original English version using a standard forward-backward translation process. The psychometric properties of the Chinese CCS-R were examined in a cohort of 208 counselors-in-training by two independent raters. Fifty-three counselors-in-training were asked to undergo another counseling performance evaluation for the test-retest. The confirmatory factor analysis (CFA) was conducted for the Chinese CCS-R, followed by internal consistency, test-retest reliability, inter-rater reliability, convergent validity, and concurrent validity.Results: The results of the CFA supported the factorial validity of the Chinese CCS-R, with adequate construct replicability. The scale had a McDonald's omega of 0.876, and intraclass correlation coefficients of 0.63 and 0.90 for test-retest reliability and inter-rater reliability, respectively. Significantly positive correlations were observed between the Chinese CCS-R score and scores of performance checklist (Pearson's γ = 0.781), indicating a large convergent validity, and knowledge on drug abuse (Pearson's γ = 0.833), indicating a moderate concurrent validity.Conclusion: The results support that the Chinese CCS-R is a valid and reliable measure of the counseling competencies.Practice implication: The CCS-R provides trainers with a reliable tool to evaluate counseling students' competencies and to facilitate discussions with trainees about their areas for growth.

Moral distress among healthcare professionals working in intensive care units in Spain

2021 ◽  
Author(s):  
E. Rodriguez-Ruiz ◽  
M. Campelo-Izquierdo ◽  
P.B. Veiras ◽  
M.M. Rodríguez ◽  
A. Estany-Gestal ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Healthcare Professionals ◽  
Moral Distress

Clinical Incidence of Methicillin-Resistant Staphylococcus aureus (MRSA) Colonization or Infection as a Proxy Measure for MRSA Transmission in Acute Care Hospitals

2011 ◽  
Vol 32 (1) ◽  
pp. 20-25 ◽  
Author(s):  
Pei-Jean I. Feng ◽  
Alexander J. Kallen ◽  
Katherine Ellingson ◽  
Robert Muder ◽  
Rajiv Jain ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Rate Ratio ◽  
Incidence Rate Ratio ◽  
Medical Center ◽  
Correlation Coefficients ◽  
Veterans Affairs ◽  
Proxy Measure ◽  
Trends Over Time ◽  
Mrsa Colonization

Background.The incidence of methicillin-resistant Staphylococcus aureus (MRSA) colonization or infection has been used as a proxy measure for MRSA transmission, but incidence calculations vary depending on whether active surveillance culture (ASC) data are included.Objective.To evaluate the relationship between incidences of MRSA colonization or infection calculated with and without ASCs in intensive care units and non-intensive care units.Setting.A Veterans Affairs medical center.Methods.From microbiology records, incidences of MRSA colonization or infection were calculated with and without ASC data. Correlation coefficients were calculated for the 2 measures, and Poisson regression was used to model temporal trends. A Poisson interaction model was used to test for differences in incidence trends modeled with and without ASCs.Results.The incidence of MRSA colonization or infection calculated with ASCs was 4.9 times higher than that calculated without ASCs. Correlation coefficients for incidences with and without ASCs were 0.42 for intensive care units, 0.59 for non-intensive care units, and 0.48 hospital-wide. Trends over time for the hospital were similar with and without ASCs (incidence rate ratio with ASCs, 0.95 [95% confidence interval, 0.93-0.97]; incidence rate ratio without ASCs, 0.95 [95% confidence interval, 0.92-0.99]; P = .68). Without ASCs, 35% of prevalent cases were falsely classified as incident.Conclusions.At 1 Veterans Affairs medical center, the incidence of MRSA colonization or infection calculated solely on the basis of clinical culture results commonly misclassified incident cases and underestimated incidence, compared with measures that included ASCs; however, temporal changes were similar. These findings suggest that incidence measured without ASCs may not accurately reflect the magnitude of MRSA transmission but may be useful for monitoring transmission trends over time, a crucial element for evaluating the impact of prevention activities.

Genetic variation in the quantitative levels of an NADP (H)-binding protein (FX) in human erythrocytes

Blood ◽  
1981 ◽  
Vol 57 (2) ◽  
pp. 209-217 ◽  
Author(s):  
L Lenzerini ◽  
U Benatti ◽  
A Morelli ◽  
S Pontremoli ◽  
A De Flora ◽  
...  
Keyword(s):  
Genetic Variation ◽  
Preliminary Data ◽  
Binding Protein ◽  
Intraclass Correlation ◽  
Correlation Coefficients ◽  
Red Cell ◽  
Genetic Origin ◽  
Intraclass Correlation Coefficients ◽  
The Individual

Abstract FX is a red cell NADP(H)-binding protein that has been well defined biochemically and immunologically but whose function is still unknown. Preliminary data indicated that the levels of this protein are significantly increased in hemizygotes, heterozygotes, and homozygotes for the G6PD Mediterranean mutant, thus raising the question of whether or not the individual variation in FX levels is more or less directly influenced by X-linked genes. The present study, based on a large series of population and family data collected in Sardinia, confirms unequivocally the above mentioned interaction, but shows at the same time that the variances in FX levels “between sibships” are 2–3 times larger than those “within sibships,” when the analysis is done separately for the G6PD-normal or the G6PD-deficient sibs. From the comparison of the interclass and intraclass correlation coefficients, it appears that about 60% of the total variation of FX is of genetic origin. Moreover, the FX levels of children, analyzed in a pairwise manner, were found to be more positively correlated with those of their fathers (r = 0.39) than with those of their maternal grandfathers (0.20). This latter finding obviously favors the conclusion that “autosomal”; rather than “X-linked” genes are involved in the determination of the FX levels.

Reliability and Validity of the Posture and Fine Motor Assessment of Infants

1989 ◽  
Vol 9 (5) ◽  
pp. 259-272 ◽  
Author(s):  
Jane Case-Smith
Keyword(s):  
Intraclass Correlation ◽  
Reliability And Validity ◽  
Correlation Coefficients ◽  
Fine Motor ◽  
Motor Assessment ◽  
Intraclass Correlation Coefficients ◽  
Highly Correlated ◽  
Peabody Developmental Motor Scales ◽  
The Individual ◽  
Test Retest Reliability

The Posture and Fine Motor Assessment of Infants (PFMAI) (Case-Smith, 1987) is a newly developed instrument for assessing the quality of motor function in infants. The test measures components of posture and fine motor control as they first develop. The purpose of this study was to support the test's reliability and validity. Interrater reliability, analyzed with intraclass correlation coefficients (ICCs), was high (.989 for total scores). Test-retest reliability, measured by ICCs, was .853 and .913 for the two test sections. The PFMAI demonstrated concurrent validity with the Peabody Developmental Motor Scales, Revised (Folio & Fewell, 1983) (correlations were .673 and .829 for the individual sections). Scores on the PFMAI were highly correlated with the infant's ages (.892 to .941); this finding provided one indication of construct validity.

The Reliability and Convergent Validity of Field Tests of Body Composition in Young Adolescents

2006 ◽  
Vol 3 (s2) ◽  
pp. S67-S77 ◽  
Author(s):  
Michelle Ihmels ◽  
Gregory J. Welk ◽  
James J. McClain ◽  
Jodee Schaben
Keyword(s):  
Body Composition ◽  
Body Fat ◽  
Repeated Measures ◽  
Convergent Validity ◽  
Intraclass Correlation ◽  
Field Tests ◽  
Correlation Coefficients ◽  
Young Adolescents ◽  
Intraclass Correlation Coefficients ◽  
Classification Agreement

Background:Advances in BIA offer practical alternative approaches to assessing body composition in young adolescents and have not been studied for comparability.Methods:This study compared reliability and convergent validity of three field tests (2-site skinfold, Omron and Tanita BIA devices) on young adolescents. Reliability was determined using intraclass correlation coefficients, convergent validity was examined by computing correlations among the three estimates, differences in estimated body fat values were evaluated using repeated-measures ANOVA, and classification agreement was computed for achieving FITNESSGRAM® Healthy Fitness Zone.Results:ICC values of all three measures exceeded .97. Correlations ranged from .74 to .81 for males and .79 to .91 for females. Classification agreement values ranged from 82.8% to 92.6%.Conclusions:Results suggest general agreement among the selected methods of body composition assessments in both boys and girls with the exception that percent body fat in boys by Tanita BIA is significantly lower than skinfold estimation.

Sign in / Sign up

Export Citation Format

Share Document