scholarly journals A Tool to Measure Nurses' Perceptions of Electronic Documentation: Exploratory Factor Analysis

2020 ◽  
Vol 28 (1) ◽  
pp. 157-167
Author(s):  
Elizabeth C. Schenk ◽  
Vanessa Brunelli ◽  
Ekaterina Burduli
Keyword(s):  
Factor Analysis ◽  
Exploratory Factor Analysis ◽  
Time Allocation ◽  
Factor Model ◽  
Psychometric Evaluation ◽  
Regional Hospital ◽  
Electronic Documentation ◽  
Health Records ◽  
Western Us ◽  
Nurses Perceptions

Background and PurposeElectronic Health Records (EHRs) have been widely adopted in US hospitals. EHRs have changed workflow and time allocation and have broad impacts on staff. We adapted an existing instrument to measure nurses' perceptions of a newly adopted EHR.MethodsThe 11-item survey was administered to approximately 500 registered nurses in a mid-sized regional hospital in western US, with 153 responses received. Exploratory factor analysis (EFA) assessed the factor structure and Cronbach's α estimated internal consistency.ResultsA 3-factor model was retained through the EFA, and items were internally consistent (Cronbach's alpha for each subscale > .80).ConclusionsSurvey adaptation was iterative and resulted in a psychometrically sound and thematically relevant measure of nurses' EHR perceptions. Next steps include further psychometric evaluation and testing with additional samples.

scholarly journals Measuring COVID-19 Related Health Literacy in Healthcare Professionals—Psychometric Evaluation of the HL-COV-HP Instrument

2021 ◽  
Vol 18 (22) ◽  
pp. 11959
Author(s):  
Kati Hiltrop ◽  
Nina Hiebel ◽  
Franziska Geiser ◽  
Milena Kriegsmann-Rabe ◽  
Nikoloz Gambashidze ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Health Literacy ◽  
Confirmatory Factor Analysis ◽  
Exploratory Factor Analysis ◽  
Healthcare Professionals ◽  
Factor Model ◽  
Psychometric Evaluation ◽  
Confirmatory Factor ◽  
Instrument Measuring ◽  
Using Data

Background: Thus far, there is no instrument available measuring COVID-19 related health literacy of healthcare professionals. Therefore, the aim of this study was to develop an instrument assessing COVID-19 related health literacy in healthcare professionals (HL-COV-HP) and evaluate its psychometric properties. Methods: An exploratory factor analysis, a confirmatory factor analysis, and descriptive analyses were conducted using data from n = 965 healthcare professionals. Health literacy related to COVID-19 was measured with 12 items, which were adapted from the validated HLS-EU-Q16 instrument measuring general health literacy. Results: Exploratory factor analysis demonstrated that 12 items loaded on one component. After removing one item due to its high standardized residual covariance, the confirmatory factor analysis of a one-factor model with 11 items showed satisfactory model fit (χ2 = 199.340, df = 41, χ2/df = 4.862, p < 0.001, RMSEA = 0.063, CFI = 0.963 and TLI = 0.951). The HL-COV-HP instrument showed good internal consistency (Cronbach’s alpha 0.87) and acceptable construct reliability. Conclusions: The HL-COV-HP is a reliable, valid, and feasible instrument to assess the COVID-19 related health literacy in healthcare professionals. It can be used in hospitals or other healt hcare settings to assess the motivation and ability of healthcare professionals to find, understand, evaluate, and use COVID-19 information.

scholarly journals Validating the Nurses' Perceptions of Electronic Documentation Scale in a Cross-Sectional Sample of Registered Nurses in Australia: A Confirmatory Factor Analysis

2021 ◽  
Vol 29 (1) ◽  
pp. 6-20 ◽  
Author(s):  
Vanessa Brunelli ◽  
Elizabeth C. Schenk ◽  
Ekaterina Burduli
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Registered Nurses ◽  
Factor Model ◽  
Tertiary Hospital ◽  
Validity And Reliability ◽  
Electronic Documentation ◽  
Cross Sectional ◽  
Confirmatory Factor ◽  
Nurses Perceptions

Background and purposeThe Nurses' Perceptions of Electronic Documentation (NPED) scale assesses nurses' perceptions, attitudes, and use of electronic documentation in acute care settings. However, confirmatory factor analysis of the scale had not been conducted. This article describes a confirmatory factor analysis of the NPED scale.MethodsAn 11-item survey was implemented in a cross-sectional sample of 202 registered nurses in a large tertiary hospital in Australia. Confirmatory factor analysis was used to assess validity and reliability was determined by Cronbach's α coefficients.ResultsConfirmatory factor analysis generated an excellent model-data fit for a two-factor model. All item-factor loadings were statistically significant and substantial.ConclusionsThe NPED scale is a robust instrument to measure nurses' perceptions of the utility of and concerns about the electronic medical record in practice.

scholarly journals An evaluation of the Positive Emotional Experiences Scale: A preliminary analysis

2016 ◽  
Vol 42 (1) ◽  
Author(s):  
Rene Van Wyk
Keyword(s):  
Factor Analysis ◽  
Exploratory Factor Analysis ◽  
Social Connectedness ◽  
Factor Model ◽  
Psychometric Evaluation ◽  
Work Conditions ◽  
Personal Resources ◽  
Emotional Experiences ◽  
Broaden And Build Theory ◽  
Three Factor

Orientation: The positive organisational behaviour movement emphasises the advantages of psychological strengths in business. The psychological virtues of positive emotional experiences can potentially promote human strengths to the advantages of business functioning and the management of work conditions. This is supported by Fredrickson’s broaden-and-build theory that emphasises the broadening of reactive thought patterns through experiences of positive emotions.Research purpose: A preliminary psychometric evaluation of a positive measurement of dimensions of emotional experiences in the workplace, by rephrasing the Kiefer and Barclay Toxic Emotional Experiences Scale.Motivation for the study: This quantitative Exploratory Factor Analysis investigates the factorial structure and reliability of the Positive Emotional Experiences Scale, a positive rephrased version of the Toxic Emotional Experiences Scale.Research approach, design and method: This Exploratory Factor Analysis indicates an acceptable three-factor model for the Positive Emotional Experiences Scale. These three factors are: (1) psychological recurrent positive state, (2) social connectedness and (3) physical refreshed energy, with strong Cronbach’s alphas of 0.91, 0.91 and 0.94, respectively.Main findings: The three-factor model of the Positive Emotional Experiences Scale provides a valid measure in support of Fredrickson’s theory of social, physical and psychological endured personal resources that build positive emotions.Practical/Managerial implications: Knowledge gained on positive versus negative emotional experiences could be applied by management to promote endured personal resources that strengthen positive emotional experiences.Contribution/value-add: The contribution of this rephrased Positive Emotional Experiences Scale provides a reliable measure of assessment of the social, physical and endured psychological and personal resources identified in Fredrickson’s broaden-and-build theory. Application of this Positive Emotional Experiences Scale as a diagnostic tool may allow businesses to work towards more positive emotional experiences in the workplace.

An investigation into the factor structure of the Cognitive Therapy Scale – Revised (CTS-R) in a CBT training sample

2021 ◽  
pp. 1-11
Author(s):  
Sarah Beale ◽  
Silia Vitoratou ◽  
Sheena Liness
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Cognitive Therapy ◽  
Exploratory Factor Analysis ◽  
Factor Structure ◽  
Factor Model ◽  
Single Factor ◽  
Behaviour Therapy ◽  
Cognitive Behaviour ◽  
Confirmatory Factor

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.

scholarly journals Psychometric Properties of the Bern Illegitimate Tasks Scale – Spanish Version

2021 ◽  
Vol 12 ◽  
Author(s):  
Denisse Lizette Valdivieso Portilla ◽  
Angélica Gonzalez Rosero ◽  
Geovanny Alvarado-Villa ◽  
Jorge Moncayo-Rizzo
Keyword(s):  
Factor Analysis ◽  
Informed Consent ◽  
Confirmatory Factor Analysis ◽  
Psychometric Properties ◽  
Exploratory Factor Analysis ◽  
Work Stress ◽  
Factor Model ◽  
Spanish Version ◽  
Confirmatory Factor ◽  
Written Informed Consent

In recent years, a new factor for work stress has been studied along with stress as an offense to self-theory. Illegitimate tasks refer to assignments that are unnecessary or are not related to the employee’s role. Because of this, the Bern Illegitimate Tasks Scale was developed, which measures illegitimate tasks in terms of unreasonable tasks and unnecessary tasks. There are no studies in Latin America on illegitimate tasks, so the purpose of this research is to translate and validate the Bern Illegitimate Tasks Scale. The study was performed with a sample of nursing staff from a hospital in Guayaquil, Ecuador. Written informed consent was obtained from each of the participants. The reliability of the questionnaire was evaluated and its structural validity was verified by exploratory factor analysis and confirmatory factor analysis. The internal consistency of the whole scale, measured by Cronbach’s alpha, was 0.857. Moreover, the unnecessary and unreasonable subscales measure were 0.846 and 0.841, respectively. The exploratory factor analysis supported a two-factor model that explained 73.96% of the variance. Additionally, the confirmatory factor analysis showed good indexes of fit (GFI = 0.915, CFI = 0.955, TLI = 0.933, SRMR = 0.084, and RMSEA = 0.087). The Spanish version of the Bern Illegitimate Tasks Scale presents good psychometric properties and can be applied to nurses in the Ecuadorian population.

scholarly journals Development and Psychometric Evaluation of the Sport Psychology Attitudes—Revised Form: A Multiple Group Investigation

2002 ◽  
Vol 16 (3) ◽  
pp. 272-290 ◽  
Author(s):  
Scott B. Martin ◽  
Michael Kellmann ◽  
David Lavallee ◽  
Stephen J. Page
Keyword(s):  
Factor Analysis ◽  
Sport Psychology ◽  
Female Athletes ◽  
Factor Model ◽  
Psychometric Evaluation ◽  
Late Adolescent ◽  
Confirmatory Factor Analyses ◽  
Multiple Group ◽  
Confirmatory Factor ◽  
Cultural Preference

Exploratory and confirmatory factor analyses were conducted to develop a revised form of the Attitudes Toward Seeking Sport Psychology Consultation Questionnaire (ATSSPCQ; Martin, Wrisberg, Beitel, & Lounsbury, 1997). The 50-item ATSSPCQ was administered to 533 athletes (M = 18.03 ± 2.71). Exploratory alpha factor analysis with varimax rotation produced four factors: (a) stigma tolerance, (b) confidence in sport psychology consultation, (c) personal openness, and (d) cultural preference. The new questionnaire, the Sport Psychology Attitudes - Revised form (SPA-R), was then administered to 379 United States, 234 United Kingdom, and 443 German athletes (M = 20.37 ± 5.13). Confirmatory factor analysis demonstrated the factorial validity of the four-factor model for the SPA-R for male and female athletes, late adolescent

Development, validity and reliability testing the Swedish Ethical Climate Questionnaire

2019 ◽  
Vol 26 (7-8) ◽  
pp. 2482-2493 ◽  
Author(s):  
Catarina Fischer Grönlund ◽  
Anna Söderberg ◽  
Vera Dahlqvist ◽  
Lars Andersson ◽  
Ulf Isaksson
Keyword(s):  
Factor Analysis ◽  
Exploratory Factor Analysis ◽  
Ethical Climate ◽  
Factor Model ◽  
Parallel Analysis ◽  
Validity And Reliability ◽  
Cronbach’S Alpha ◽  
Cronbach's Alpha ◽  
Professional Perspective ◽  
Ethical Climate Questionnaire

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.

scholarly journals A Psychometric Evaluation of the Guilt and Shame Experience Scale (GSES) on a Representative Adolescent Sample: A Low Differentiation between Guilt and Shame

2020 ◽  
Vol 17 (23) ◽  
pp. 8901
Author(s):  
Klara Malinakova ◽  
Jana Furstova ◽  
Michal Kalman ◽  
Radek Trnka
Keyword(s):  
Factor Analysis ◽  
Factor Model ◽  
Present Report ◽  
Psychometric Evaluation ◽  
Positive Association ◽  
Moral Emotions ◽  
Religious Attendance ◽  
Self Report ◽  
Nationally Representative ◽  
Comparison Of The Results

The Guilt and Shame Experience Scale (GSES) is a new, brief self-report instrument for assessing experiences of guilt and shame. It includes two distinct scales: feelings of shame and feelings of guilt. The present report focuses on results from a final validation study using a nationally representative sample of 7899 adolescents (M age = 14.5 ± 1.1 years, 50.7% boys) who participated in the 2014 Health Behavior in School-aged Children study. For factor analysis, the dataset was divided into two groups. One group (n = 3950) was used for the Exploratory Factor Analysis (EFA) and the second (n = 3949) for the Confirmatory Factor Analysis (CFA). The EFA results in a one-factor model of the GSES scale, while the CFA suggests a two-factor solution mirroring two scales, feelings of shame and feelings of guilt. Both models have a good fit to the data, and the scale also showed high internal consistency (Cronbach’s alpha = 0.89). A nonparametric comparison of different sociodemographic groups showed a higher disposition for experiencing guilt and shame among girls, students of the ninth grade, and religious respondents. A comparison of the results to previously published results obtained from adults indicates that adolescence is a developmental period involving low differentiation between moral emotions like guilt and shame compared with adulthood. Moreover, positive association with religious attendance shows a need of addressing these issues in a pastoral care setting.

scholarly journals The structure of the Hospital Anxiety and Depression Scale in four cohorts of community-based, healthy older people: the HALCyon program

2010 ◽  
Vol 22 (4) ◽  
pp. 559-571 ◽  
Author(s):  
Catharine R. Gale ◽  
Michael Allerhand ◽  
Avan Aihie Sayer ◽  
Cyrus Cooper ◽  
Elaine M. Dennison ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Older People ◽  
Exploratory Factor Analysis ◽  
Factor Model ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Hospital Anxiety ◽  
Men And Women ◽  
Confirmatory Factor

ABSTRACTBackground: The Hospital Anxiety and Depression Scale (HADS) is widely used but evaluation of its psychometric properties has produced equivocal results. Little is known about its structure in non-clinical samples of older people.Methods: We used data from four cohorts in the HALCyon collaborative research program into healthy aging: the Caerphilly Prospective Study, the Hertfordshire Ageing Study, the Hertfordshire Cohort Study, and the Lothian Birth Cohort 1921. We used exploratory factor analysis and confirmatory factor analysis with multi-group comparisons to establish the structure of the HADS and test for factorial invariance between samples.Results: Exploratory factor analysis showed a bi-dimensional structure (anxiety and depression) of the scale in men and women in each cohort. We tested a hypothesized three-factor model but high correlations between two of the factors made a two-factor model more psychologically plausible. Multi-group confirmatory factor analysis revealed that the sizes of the respective item loadings on the two factors were effectively identical in men and women from the same cohort. There was more variation between cohorts, particularly those from different parts of the U.K. and in whom the HADS was administered differently. Differences in social-class distribution accounted for part of this variation.Conclusions: Scoring the HADS as two subscales of anxiety and depression is appropriate in non-clinical populations of older men and women. However, there were differences between cohorts in the way that individual items were linked with the constructs of anxiety and depression, perhaps due to differences in sociocultural factors and/or in the administration of the scale.

Exploratory and Confirmatory Factor Analysis of the Maslach Burnout Inventory to Measure Burnout Syndrome in Critical Care Nurses

2020 ◽  
Vol 28 (1) ◽  
pp. E18-E29
Author(s):  
Alexander Schneider ◽  
Jeri E. Forster ◽  
Meredith Mealer
Keyword(s):  
Factor Analysis ◽  
Critical Care ◽  
Confirmatory Factor Analysis ◽  
Exploratory Factor Analysis ◽  
Factor Model ◽  
Maslach Burnout Inventory ◽  
The United States ◽  
Critical Care Nurses ◽  
Burnout Syndrome ◽  
Confirmatory Factor

Background and PurposeBurnout syndrome is common in critical care nursing. The Critical Care Societies Collaborative recently released a joint statement and call to action on burnout in critical care professionals.MethodsWe conducted an exploratory factor analysis and confirmatory factor analysis (CFA) of the 22-item MBI.ResultsThe exploratory factor analysis identified three factors but after questions were removed; we were left with a 2-factor, 10-item abridged version of the MBI-HSS to test with CFA modeling. The CFA indicated conflicting fit indices.Conclusionswe conducted an exploratory and CFA of the abridged MBI-HSS in critical care nurses from the United States and found the two-factor model was the best fit achieved.

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