Exploratory Factor Analysis of the Caffrey Cultural Competency in Health Care Scale

2018 ◽  
Vol 26 (1) ◽  
pp. 186-200
Author(s):  
Victoria Sattler ◽  
Ekaterina Burduli ◽  
Denise Smart ◽  
Celestina Barbosa-Leiker

Background and Purpose:The purpose of this study was to psychometrically analyze the Caffrey Cultural Competence in Healthcare Scale (CCCHS), a scale that measures self-assessed cultural competency of nursing students participating in international immersion experiences during their nursing curriculum.Methods:A sample of 105 health professions students completed the CCCHS. Inter-item correlations, exploratory factor analysis (EFA), and Cronbach’s α were used to examine validity and reliability. Results: Results indicated that items were positively related. A 1-factor model of the CCCHS was found in which all items loaded onto a single factor at ≥ .30, except two items dealing with national policy, which may not be a component of cultural competence.Conclusion:The CCCHS was internally consistent (α = .93) and is a valid and reliable scale consisting of a unidimensional factor.

2019 ◽  
Vol 26 (7-8) ◽  
pp. 2482-2493 ◽  
Author(s):  
Catarina Fischer Grönlund ◽  
Anna Söderberg ◽  
Vera Dahlqvist ◽  
Lars Andersson ◽  
Ulf Isaksson

Background: An ethical climate has been described as a working climate embracing shared perceptions about morally correct behaviour concerning ethical issues. Various ethical climate questionnaires have been developed and validated for different contexts, but no questionnaire has been found concerning the ethical climate from an inter-professional perspective in a healthcare context. The Swedish Ethical Climate Questionnaire, based on Habermas’ four requirements for a democratic dialogue, attempts to assess and measure the ethical climate at various inter-professional workplaces. This study aimed to present the construction of and to test the psychometric properties of the Swedish Ethical Climate Questionnaire. Method: An expert group of six researchers, skilled in ethics, evaluated the content validity. The questionnaire was tested among 355 healthcare workers at three hospitals in Sweden. A parallel analysis (PA), an exploratory factor analysis and confirmatory factor analysis were performed. Ethical considerations: The participants included in the psychometric analysis were informed about the study, asked to participate in person and informed that they could withdraw at any time without giving any reason. They were also assured of confidentiality in the reporting of the results. Findings: The parallel analysis (PA) recommended one factor as a solution. The initial exploratory factor analysis with a four-factor solution showed low concordance with a four-factor model. Cronbach’s alpha varied from 0.75 to 0.82; however, since two factors only consisted of one item, alpha could not be reported. Cronbach’s alpha for the entire scale showed good homogeneity (α = 0.86). A confirmatory factory analysis was carried out based on the four requirements and showed a goodness-of-fit after deleting two items. After deletion of these items, Cronbach’s alpha was 0.82. Discussion: Based on the exploratory factor analysis, we suggest that the scale should be treated as a one-factor model. The result indicates that the instrument is unidimensional and assesses ethical climate as a whole. Conclusion: After testing the Swedish Ethical Climate Questionnaire, we found support for the validity and reliability of the instrument. We found the 10-item version of Swedish Ethical Climate Questionnaire satisfactory. However, we found no support for measuring different dimensions and, therefore, this instrument should be seen as assessing ethical climate as of whole.


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.


2020 ◽  
pp. 174498712095158
Author(s):  
Danielle Walker ◽  
Lora Hromadik ◽  
Gerry Altmiller ◽  
Nina Barkell ◽  
Rebecca Toothaker ◽  
...  

Background Just culture has been identified as a vital component of safety culture by national and international organisations. In a just culture, emphasis is not placed on blaming individuals for errors but rather on examining personal and system processes that can best support safety and prevent reoccurrence. Although those in the practice arena have worked to implement the concepts of just culture, the same is not true in nursing education, leaving nursing students lacking the pre-requisite knowledge, skills and attitudes to implement just culture in practice on graduation. Aims Assessment of this phenomena is the essential first step to align nursing education with practice in promoting just culture as a mechanism for patient safety. The purpose of this paper is to further refine the Just Culture Assessment Tool-Nursing Education through exploratory factor analysis. Methods The Just Culture Assessment Tool-Nursing Education was adapted from the Just Culture Assessment Tool, an instrument created for the practice setting. Validity and reliability were established for the Just Culture Assessment Tool-Nursing Education in a study of 800 nursing students to assess their perceptions and understanding of just culture with their nursing programmes. Using the previously conducted data, an exploratory factor analysis was conducted. Results Factor analysis supports six subscales, similar to that of the Just Culture Assessment Tool. However, individual items were loaded into different subscales. All subscales demonstrated good reliability. Factor analysis supported further refinement of two items to improve the instrument’s ability to capture data. Conclusions Perceptions of just culture differ between experienced providers and nursing students; nursing students have less experience with reporting errors. Factor analysis of Just Culture Assessment Tool-Nursing Education items demonstrated these differences, supporting modification of items by the instrument developers. An ‘if’ statement for students to consider their possible actions rather than experience was added to two items to better capture data from nursing students when completing the assessment.


2020 ◽  
Author(s):  
Mikko Uimonen ◽  
Jussi P. Repo ◽  
Kiira Grönroos ◽  
Arja Häkkinen ◽  
Simon Walker

Abstract Background There is a lack of properly validated instruments measuring motivation for physical activity in the Finnish language. The study aimed to translate the Motivation for Physical Activity (RM4-FM) instrument into Finnish and examine its psychometric properties in a sample of healthy, older Finnish adults. Methods The RM4-FM was translated and linguistically validated adhering to published guidelines. The sample consisted of 102 65–75-year old participants, who completed the RM4-FM, the Physical Activity Acceptance Questionnaire (PAAQ) and sociodemographic characteristics questionnaires electronically. The RM4-FM was re-administered one month after the initial assessment. Results RM4-FM translated well into Finnish. The motivation dimension scores were skewed towards high internal and low external motivation. A floor effect was confirmed in the External regulation dimension and a ceiling effect was confirmed in the Identified regulation dimension. Confirmatory factor analysis indicated inadequacy of the four-dimension model. Separate assessment of each of the four motivation dimensions with Exploratory factor analysis showed unidimensionality for all dimensions. Exploratory factor analysis provided a best-fit model of three factors (influence of other people, intention of well-being and emotional aspect of motivation). Re-administration of the instruments showed good test-retest reliability in all motivation dimensions. Female gender, higher education and higher PAAQ score were associated to higher internal motivation and lower external motivation scores. Conclusions The Finnish version of the RM4-FM instrument provides valid and reliable scores in assessing motivation for physical activity in a sample of healthy, older Finnish adults. The score distributions suggested shortages in the scale when evaluating internally motivated subjects. The three-factor model of the RM4-FM provided more favorable structural validity compared to the original version. This work may aid in future translations into other languages and uses of the questionnaire.


2020 ◽  
Vol 36 (2) ◽  
pp. 427-431
Author(s):  
Aurelie M. C. Lange ◽  
Marc J. M. H. Delsing ◽  
Ron H. J. Scholte ◽  
Rachel E. A. van der Rijken

Abstract. The Therapist Adherence Measure (TAM-R) is a central assessment within the quality-assurance system of Multisystemic Therapy (MST). Studies into the validity and reliability of the TAM in the US have found varying numbers of latent factors. The current study aimed to reexamine its factor structure using two independent samples of families participating in MST in the Netherlands. The factor structure was explored using an Exploratory Factor Analysis (EFA) in Sample 1 ( N = 580). This resulted in a two-factor solution. The factors were labeled “therapist adherence” and “client–therapist alliance.” Four cross-loading items were dropped. Reliability of the resulting factors was good. This two-factor model showed good model fit in a subsequent Confirmatory Factor Analysis (CFA) in Sample 2 ( N = 723). The current finding of an alliance component corroborates previous studies and fits with the focus of the MST treatment model on creating engagement.


Author(s):  
Sarah Beale ◽  
Silia Vitoratou ◽  
Sheena Liness

Abstract Background: Effective monitoring of cognitive behaviour therapy (CBT) competence depends on psychometrically robust assessment methods. While the UK Cognitive Therapy Scale – Revised (CTS-R; Blackburn et al., 2001) has become a widely used competence measure in CBT training, practice and research, its underlying factor structure has never been investigated. Aims: This study aimed to present the first investigation into the factor structure of the CTS-R based on a large sample of postgraduate CBT trainee recordings. Method: Trainees (n = 382) provided 746 mid-treatment audio recordings for depression (n = 373) and anxiety (n = 373) cases scored on the CTS-R by expert markers. Tapes were split into two equal samples counterbalanced by diagnosis and with one tape per trainee. Exploratory factor analysis was conducted. The suggested factor structure and a widely used theoretical two-factor model were tested with confirmatory factor analysis. Measurement invariance was assessed by diagnostic group (depression versus anxiety). Results: Exploratory factor analysis suggested a single-factor solution (98.68% explained variance), which was supported by confirmatory factor analysis. All 12 CTS-R items were found to contribute to this single factor. The univariate model demonstrated full metric invariance and partial scalar invariance by diagnosis, with one item (item 10 – Conceptual Integration) demonstrating scalar non-invariance. Conclusions: Findings indicate that the CTS-R is a robust homogenous measure and do not support division into the widely used theoretical generic versus CBT-specific competency subscales. Investigation into the CTS-R factor structure in other populations is warranted.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ozan Karaca ◽  
S. Ayhan Çalışkan ◽  
Kadir Demir

Abstract Background It is unlikely that applications of artificial intelligence (AI) will completely replace physicians. However, it is very likely that AI applications will acquire many of their roles and generate new tasks in medical care. To be ready for new roles and tasks, medical students and physicians will need to understand the fundamentals of AI and data science, mathematical concepts, and related ethical and medico-legal issues in addition with the standard medical principles. Nevertheless, there is no valid and reliable instrument available in the literature to measure medical AI readiness. In this study, we have described the development of a valid and reliable psychometric measurement tool for the assessment of the perceived readiness of medical students on AI technologies and its applications in medicine. Methods To define medical students’ required competencies on AI, a diverse set of experts’ opinions were obtained by a qualitative method and were used as a theoretical framework, while creating the item pool of the scale. Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA) were applied. Results A total of 568 medical students during the EFA phase and 329 medical students during the CFA phase, enrolled in two different public universities in Turkey participated in this study. The initial 27-items finalized with a 22-items scale in a four-factor structure (cognition, ability, vision, and ethics), which explains 50.9% cumulative variance that resulted from the EFA. Cronbach’s alpha reliability coefficient was 0.87. CFA indicated appropriate fit of the four-factor model (χ2/df = 3.81, RMSEA = 0.094, SRMR = 0.057, CFI = 0.938, and NNFI (TLI) = 0.928). These values showed that the four-factor model has construct validity. Conclusions The newly developed Medical Artificial Intelligence Readiness Scale for Medical Students (MAIRS-MS) was found to be valid and reliable tool for evaluation and monitoring of perceived readiness levels of medical students on AI technologies and applications. Medical schools may follow ‘a physician training perspective that is compatible with AI in medicine’ to their curricula by using MAIRS-MS. This scale could be benefitted by medical and health science education institutions as a valuable curriculum development tool with its learner needs assessment and participants’ end-course perceived readiness opportunities.


2016 ◽  
Vol 9 (4) ◽  
pp. 181 ◽  
Author(s):  
Farzana Rabin ◽  
Jhunu Shamsun Nahar ◽  
Mohammad S. I. Mullick ◽  
Helal Uddin Ahmed ◽  
Nafia Farzana

<p>The aim of this study was to develop a culturally adapted and validated Bangla version of Zarit Burden Interview  (ZBI-B) questionnaire for use in Bangla speaking caregiver of patient with dementia. This study was conducted on 100 caregivers related to consecutively attending outpatients with a previously established primary diagnosis of dementia, according to DSM-IV criteria. Validity and reliability were evaluated by comparing with the caregiver burden inventory (CBI). An exploratory factor analysis with the principle component with varimax rotation was used to detect the factorial structure in observed measurements. To attain the best-fitting structure and the correct number of factors, the following criteria were used: Eigen values &gt;1.0, factor loadings &gt;0.30. The Cronbach’s alpha value was 0.847 for test and 0.839 retest. The intra-class correlation for the test-retest reliability was 0.89. The ZBI score was highly correlated with the CBI score (Pearson’s correlation coefficient, r=0.909, P=.001). From the exploratory factor analysis six factors comprising 20 items were extracted with Eigen values higher than 1.00 accounting for 69% of the total item variance. In conclusion, ZBI-B is valid, reliable and useful for use in clinical contexts and in future studies that could lead to a better understanding of caregiver burden in dementia.</p>


Retos ◽  
2019 ◽  
pp. 687-693
Author(s):  
António Carlos Rodrigues Sampaio ◽  
Nuno Pimenta ◽  
Mafalda Machado ◽  
Pedro Teques

Abstract. The purpose of the present research was to develop and provide initial validation of the Fitness Coaching Behavior Scale (FCBS-Fit) designed for assessing perceived the quality of instructor’s behaviors in fitness group classes through the theoretical adaptation to the Coaching Model (Côté et al., 1995), originally derived from sports. In total, 618 participants of fitness group classes accepted to participate in this investigation. The purpose of the research was achieved in three phases: (1) development of the item pool and content validation of the preliminary version of the FCBS-Fit (27 items); preliminary examination of the factorial structure through exploratory factor analysis (n1 = 185) that revealed a scale with 20 items distributed by 4 factors: Technical and Positive Rapport, Exercise Planning and Prescription, Negative Rapport, and Goal Setting; (2) confirmatory factor analysis to the 4-factor model indicated adequate fit model fit, reliability and convergent and discriminant validity. In addition, a multi-group CFA indicated measurement invariance of the factorial structure across samples (n2 = 210); (3) structural equation model examined criterion validity through analysis of the relationships between the 4-factors of EPCI-Fit and enjoyment in exercise (n3 = 223). Psychometric evidence suggests that the FCBS could be used as a reliable and valid measure to assess Portuguese participant`s perceptions of the quality of instructor’s behaviors in fitness group classes.Resumen. El propósito del presente estudio fue desarrollar y validar preliminarmente la Escala de Percepción del Comportamiento del Instructor de Fitness (EPCI-Fit) cuyo objetivo es evaluar la calidad de los comportamientos de los instructores de fitness en clases de grupo, a través de la adaptación teórica al Coaching Model (Côté et al., 1995), original del entrenamiento deportivo. En total, participaran 618 practicantes de fitness en clases de grupo de diversas áreas del litoral de Portugal continental. El propósito del estudio fue alcanzado en tres fases: (1) desarrollo del banco de ítems y validación inicial del contenido de la versión inicial de EPCI-Fit (27 ítems); la evaluación preliminar de la estructura factorial a través de análisis factorial exploratorio (n1 = 185) que resultó en una escala con 20 ítems distribuidos por 4 factores - Feedback técnico positivo, Feedback negativo, Formulación de objetivos, y Planificación y prescripción del ejercicio; (2) estimación del ajuste del modelo de 4-factores a través de análisis factorial confirmatorio, y análisis a la fiabilidad compuesta, y validez convergente y discriminante (n2 = 210); evaluación de la invariancia métrica del modelo de 4-factores en dos muestras independientes (n1 = 185; n2 = 210); y (3) estimación de la validez de criterio a través del análisis a las relaciones entre los 4-factores de la EPCI-Fit y el disfrute en la práctica de ejercicio (n3 = 223). En general, los resultados provenientes de las diferentes fases de análisis psicométrico a EPCI-Fit soportan la validez y la fiabilidad de los datos, indicando que esta escala podrá ser utilizada en el futuro para evaluar las percepciones de la calidad del comportamiento del instructor de fitness en clases de grupo. Resumo. O propósito do presente estudo foi desenvolver e validar preliminarmente a Escala de Perceção do Comportamento do Instrutor de Fitness (EPCI-Fit) cujo objetivo é avaliar a qualidade dos comportamentos dos instrutores de fitness em aulas de grupo, através da adaptação teórica ao Coaching Model (Côté et al., 1995), original do treino desportivo. No total, participaram 618 praticantes de fitness em aulas de grupo de várias zonas de Portugal continental. O propósito do estudo foi alcançado em três fases: (1) desenvolvimento da pool de itens e validação inicial do conteúdo da versão inicial da EPCI-Fit (27 itens); avaliação preliminar da estrutura fatorial através de análise fatorial exploratória (n1 = 185) que resultou numa escala com 20 itens distribuídos por 4 fatores – Feedback técnico positivo, Feedback negativo, Formulação de objetivos, e Planificação e prescrição do exercício; (2) estimação do ajustamento do modelo de 4-fatores através de analise fatorial confirmatória, e análise à fiabilidade compósita, e validade convergente e discriminante (n2 = 210); avaliação da invariância métrica do modelo de 4-fatores em duas amostras independentes (n1 = 185; n2 = 210); e (3) examinação da validade de critério através da análise às relações entre os 4-fatores da EPCI-Fit e o divertimento na prática de exercício (n3 = 223). No geral, os resultados oriundos das diferentes fases de análise psicométrica à EPCI-Fit suportam a validade e a fiabilidade dos dados, indicando que esta escala poderá ser utilizada futuramente para avaliar as perceções da qualidade do comportamento do instrutor de fitness em aulas de grupo.


Author(s):  
Hepi Wahyuningsih ◽  
Dyna Rahayu Suci Pertiwi

This study aims to adapt the Sanctification of Marriage Questionnaire for Muslims inIndonesia. Adaptation of the Sanctification of Marriage Questionnaire is carried out throughthe stages: translation, providing evidence of construct validity and reliability. Evidence of construct validity was carried out by exploratory factor analysis followed by MGCFA (Multi-Group Confirmatory factor Analysis). In this study, we used a composite reliability. Subjects to reveal the factor structure of sanctification of marriage were 160 married individuals, while the subjects to test the stability of factor structure consisted of 102 husbands and 111 wives. The result of exploratory factor analysis shows that the construct of sanctification of marriage has three factors / dimensions, namely: belief, perceived sacred qualities and manifestation of God. The structure stability of sanctification of marriage was then empirically tested by MGCFA. The results of MGCFA showed that the three factors / dimensions of sanctification of marriage proved stable. The composite reliability coefficient of the Sanctification of Marriage Questionnaire was in a good category. Further research can be carried out to provide evidence of construct validity with predictive validity and concurrent validity of the Sanctification of Marriage Questionnaire. Limitations in this study are discussed further.Keywords: exploratory factor analysis, multi-group confirmatory factor analysis, muslim,sanctification of marriage, scale adaptation


Sign in / Sign up

Export Citation Format

Share Document