Development of the Nurses’ Intention to Use Deep Vein Thrombosis Preventive Measures Questionnaire

2020 ◽  
pp. JNM-D-19-00011
Author(s):  
Mona Ibrahim Hebeshy ◽  
Dana M. Hansen ◽  
Barbara Broome ◽  
Somaya Abou Abdou ◽  
Carolyn Murrock ◽  
...  

Background and PurposeDeep vein thrombosis (DVT) is a serious condition resulting in poor patient outcomes. Therefore, methods to improve nurses’ use of preventive measures for DVT are paramount. The purpose of this study was to develop and validate an instrument that captured nurses’ intentions to use DVT preventive measures.MethodsInstrument development occurred in several stages stemming from the recommended formatted structure associated with theory of planned behavior (TPB). Content validity was established with a panel of experts, then the instrument was pilot tested with a sample of intensive care unit (ICU) nurses.ResultsThe final instrument consisted of four subscales, each subscale was tested with four items by content validity index (CVI) ranging between 0.8 and 1.0, and an overall S-CVI/Ave of 0.93.ConclusionsThe instrument demonstrated high content validity. Future research will test the instrument for psychometric properties.

2021 ◽  
pp. JNM-D-20-00061
Author(s):  
Mona I. Hebeshy ◽  
Dana M. Hansen ◽  
Barbara Broome ◽  
Somaya Abou Abdou ◽  
Carolyn Murrock ◽  
...  

Background and purposeValid and reliable measurements are paramount to advance the science of intensive care unit (ICU) nursing. This study aimed to evaluate the reliability and construct validity of the Nurses' Intention to Use Deep Vein Thrombosis Preventive Measures Questionnaire among critically ill patients in an Egyptian ICU. A crosssectional, predictive design pilot-tested the psychometric properties of the questionnaire in a convenience sample of 78 RNs working in ICU.MethodsConstruct validity was examined using factor analysis.ResultsThe Kaiser–Meyer–Olkin measure of sampling was 0.71, and Bartlett's test of sphericity was significant (X2 = 410.16, p < .05). Four factors were identified through factor analysis. Cronbach's α assessed the internal consistency reliability with a value of .82.ConclusionOur analyses showed that the Nurses' Intention to Use Deep Vein Thrombosis Preventive Measures Questionnaire has good validity and reliability; however, further investigations will be completed.


PLoS ONE ◽  
2020 ◽  
Vol 15 (6) ◽  
pp. e0235003
Author(s):  
Dominic Mühlberger ◽  
Martin Wenkel ◽  
Georg Papapostolou ◽  
Achim Mumme ◽  
Markus Stücker ◽  
...  

2006 ◽  
Vol 96 (10) ◽  
pp. 441-445 ◽  
Author(s):  
Stavros Kakkos ◽  
Stella Daskalopoulou ◽  
Marios Daskalopoulos ◽  
Andrew Nicolaides ◽  
George Geroulakos

SummaryGraduated elastic compression stockings (GECS) are commonly used in the primary prevention of deep vein thrombosis (DVT); however, their role in preventing recurrent DVT and also post-thrombotic syndrome is less well established. The aim of this review was to investigate the effect of GECS after DVT. A literature search was performed by two independent searchers in order to identify randomised controlled trials on the effect of GECS in preventing recurrent DVT and post-thrombotic syndrome. Four randomised trials, including 537 patients, were identified. Two of the studies demonstrated that below-knee GECS significantly reduced post-thrombotic syndrome during follow-up, while a smaller study showed equivocal results. GECS reduced the incidence of post-thrombotic syndrome from 54% to 25.2% [relative risk (RR) 0.47, 95% confidence interval (CI) 0.36-0.61] with the number needed to treat (NNT) being 4 (95% CI 2.7-5.0).The rate of recurrent asymptomatic DVT was also significantly reduced by GECS (RR 0.20, 95% CI 0.06-0.64; NNT 5); the reduction in symptomatic DVT was not significant (RR 0.79, 95% CI 0.50-1.26; NNT 34). In conclusion, there is level Ia evidence to suggest that GECS can significantly reduce the incidence of post-thrombotic syndrome (PTS) after DVT, and therefore these should be routinely prescribed. The evidence for recurrent DVT is less conclusive. Further research is needed towards standardising PTS diagnostic criteria and evaluating more effective preventive measures after DVT.


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