Development and Psychometric Evaluation of an Instrument to Measure the Use of Intuition in Clinical Practice by Critical Care Nurses

2018 ◽  
Vol 26 (3) ◽  
pp. E142-E158
Author(s):  
Parkhide Hassani ◽  
Alireza Abdi ◽  
Rostam Jalali ◽  
Nader Salari
Keyword(s):  
Critical Care ◽  
Clinical Practice ◽  
Content Validity ◽  
Psychometric Evaluation ◽  
Critical Care Nurses ◽  
Instrument Validity ◽  
Reliable Instrument ◽  
Components Analysis ◽  
Expert Ratings ◽  
Orthogonal Varimax Rotation

Background: The current study was conducted to develop and validate an instrument to measure the use of intuition in clinical practice by critical care nurses. Methods: Item generation and psychometric evaluation were developed. In the psychometric, content validity index and content validity ratio were calculated to establish initial instrument validity through the use of expert ratings, as well as, construct and criterion validity. Results: The original items reduced to 25. Using principal components analysis and orthogonal varimax rotation, three factors had an eigenvalue >1, with 60.05% variance (Factor 1: 47.9%; Factor 2: 7.56%; and Factor 3: 5.05%). The tool had an acceptable correlation to criterion of the instrument (r = .769, p < .001), a Cronbach alpha consistency of 0.953, and a stability level of r = .945 and p < .001. Conclusion: In this study, a valid and reliable instrument was developed to measure intuition.

Understanding critical care nurses’ autonomy in Jordan

2017 ◽  
Vol 30 (4) ◽  
pp. 432-442 ◽  
Author(s):  
Mahmoud Maharmeh
Keyword(s):  
Decision Making ◽  
Critical Care ◽  
Clinical Practice ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Critical Care Nurses ◽  
Cross Sectional Survey ◽  
Eligibility Criteria ◽  
Cross Sectional ◽  
Content Type

Purpose The aim of this study was to describe Jordanian critical care nurses’ experiences of autonomy in their clinical practice. Design/methodology/approach A descriptive correlational design was applied using a self-reported cross-sectional survey. A total of 110 registered nurses who met the eligibility criteria participated in this study. The data were collected by a structured questionnaire. Findings A majority of critical care nurses were autonomous in their decision-making and participation in decisions to take action in their clinical settings. Also, they were independent to develop their own knowledge. The study identified that their autonomy in action and acquired knowledge were influenced by a number of factors such as gender and area of practice. Practical implications Nurse’s autonomy could be increased if nurses are made aware of the current level of autonomy and explore new ways to increase empowerment. This could be offered through classroom lectures that concentrate on the concept of autonomy and its implication in practice. Nurses should demonstrate autonomous nursing care at the same time in the clinical practice. This could be done through collaboration between educators and clinical practice to help merge theory to practice. Originality/value Critical care nurses were more autonomous in action and knowledge base. This may negatively affect the quality of patient care and nurses’ job satisfaction. Therefore, improving nurses’ clinical decision-making autonomy could be done by the support of both hospital administrators and nurses themselves.

Psychometric Evaluation of the Caring Behaviors Inventory in Turkish Nurses and Patients

2020 ◽  
Vol 28 (1) ◽  
pp. 60-72
Author(s):  
Senay Gul ◽  
Leyla Dinc
Keyword(s):  
Factor Analysis ◽  
Psychometric Properties ◽  
Content Validity ◽  
Psychometric Evaluation ◽  
Methodological Study ◽  
Turkish Version ◽  
Caring Behaviors ◽  
Cultural Contexts ◽  
Nurse Caring ◽  
Reliable Instrument

Background and purposeInstruments developed specifically to measure nurse caring behaviors need to be assessed in different cultural contexts. The purpose was to translate the Caring Behaviors Inventory (CBI) into Turkish and evaluate its psychometric properties.MethodsThis was a methodological study with 356 nurses and 363 patients. Linguistic, content validity, and construct validity tested for the validity of scale. Internal consistency and test–retest were calculated for reliability of scale.ResultsExploratory factor analysis identified 30 items that could be categorized under three factors. Cronbach's α for the CBI was .97 for nurses and .99 for patients.ConclusionsThe Turkish version of the CBI is a valid and reliable instrument for measuring caring behaviors.

Bridging the Gap Between Clinical Practice and the AACN Practice Alert on Pulmonary Artery/Central Venous Pressure Monitoring in Adults

2020 ◽  
Vol 31 (1) ◽  
pp. 34-40
Author(s):  
Kathryn T. Von Rueden
Keyword(s):  
Critical Care ◽  
Clinical Practice ◽  
Pulmonary Artery ◽  
Central Venous Pressure ◽  
Quality Care ◽  
Venous Pressure ◽  
Critical Care Nurses ◽  
Pressure Monitoring ◽  
Central Venous ◽  
Central Venous Pressure Monitoring

Measuring and documenting accurate data from pulmonary artery and central venous pressure catheters is an important responsibility of critical care nurses. The American Association of Critical-Care Nurses Practice Alert titled Pulmonary Artery/Central Venous Pressure Monitoring in Adults provides evidence-based standards against which nurses can compare their practice related to obtaining valid hemodynamic data. Identifying and acting on improvement opportunities is also a nursing responsibility and helps to ensure that patients with pulmonary artery or central venous pressure catheters receive high-quality care. This article reviews various strategies to compare nursing practice to the Pulmonary Artery/Central Venous Pressure Monitoring in Adults Practice Alert and to close identified gaps in clinical practice.

Ingestion of cold fluids: related to onset of arrhythmias?

1990 ◽  
Vol 10 (5) ◽  
pp. 98-110 ◽  
Author(s):  
BP Haughey
Keyword(s):  
Critical Care ◽  
Clinical Practice ◽  
Fluid Balance ◽  
Fluid Intake ◽  
Critical Care Nurses ◽  
Cardiac Patients ◽  
Future Research ◽  
Fluid Restriction ◽  
Patient Stress

Although the results of this study provide too limited a database for establishing definitive guidelines for practice, they underscore the need for critical care nurses to focus observations on patients' responses to iced fluid restriction. It is important to determine whether and to what extent limiting ingestion of iced fluids induces patient stress, a factor that alone can create physiologic conditions conductive to the occurrence of arrhythmias. Further, in view of the importance of maintaining fluid balance in cardiac patients, it would also be of interest to learn whether iced fluid restriction significantly alters fluid intake. Observations that derive from clinical practice, such as those described above, can stimulate and guide future research designed to evaluate more extensively the efficacy of this coronary precaution.

Diacritics: An Important Strategy for Proper Validation of the Arabic Version of the Critical Care Family Needs Inventory (CCFNI)

2021 ◽  
pp. JNM-D-20-00004
Author(s):  
Wesam T. Almagharbeh ◽  
Mohammad A. Al-Motlaq
Keyword(s):  
Critical Care ◽  
Content Validity ◽  
Discriminant Validity ◽  
Family Members ◽  
Internal Consistency Reliability ◽  
Critical Care Nurses ◽  
Arabic Version ◽  
Family Needs ◽  
Reliable Measure ◽  
Care Family

PurposeTo validate the Arabic version of the Critical Care Family Needs Inventory (CCFNI) instrument.Methodsa jury of experts helped establish content validity of besttranslated version. Live testing of the revised instrument with a sample of nurses and family members helped ensure its validity and internal consistency reliability.ResultsThe Content Validity Index indicated an acceptable relevancy and clarity of the translated version. After introducing diacritic to wordings, clarity and readability were ensured by a pilot test with a sample of 22 critical care nurses and 21 family members. Live testing the instrument asserted its discriminant validity where family members (n = 227) ranked total needs higher than nurses (n = 217) (t = 124.2 (df = 442), p < .001).ConclusionAfter using of diacritics, the new modified Arabic version can be used confidently as a valid and reliable measure of family needs.

The Development and Testing of the Psychometric Properties of the Emotional Response and Disclosure of Errors in Clinical Practice Instrument

2017 ◽  
Vol 25 (1) ◽  
pp. 184-200 ◽  
Author(s):  
Ellen Swartwout ◽  
Margaret Rodan
Keyword(s):  
Factor Analysis ◽  
Clinical Practice ◽  
Psychometric Properties ◽  
Exploratory Factor Analysis ◽  
Health Care Professionals ◽  
Emotional Response ◽  
Psychometric Evaluation ◽  
Consistency Results ◽  
Reliable Instrument ◽  
Potential Impact

Background and Purpose: A tool to measure the nurses’ emotional response after an error in clinical practice and the potential impact emotion can have on disclosure is lacking. This study tested the psychometric properties of the Emotional Response and Disclosure of Errors in Clinical Practice instrument. Methods: The instrument was tested among 497 nurses with psychometric evaluation for validity, reliability, and exploratory factor analysis. Results: Exploratory factor analysis revealed a 3-factor solution which accounted for 55.4% of the total variance. Internal consistency results were Cronbach’s alpha = .935 for the overall scale and each domain: concern = .907, anxiety = .888, and disbelief = .775. Conclusions: Use of this valid and reliable instrument in practice and education can assist with patient safety efforts. Further testing of the instrument is recommended among other health care professionals.

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