Reliability and Construct Validity of the Nurses' Intention to Use Deep Vein Thrombosis Preventive Measures Questionnaire

2021 ◽  
pp. JNM-D-20-00061
Author(s):  
Mona I. Hebeshy ◽  
Dana M. Hansen ◽  
Barbara Broome ◽  
Somaya Abou Abdou ◽  
Carolyn Murrock ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Deep Vein Thrombosis ◽  
Construct Validity ◽  
Preventive Measures ◽  
Intention To Use ◽  
Validity And Reliability ◽  
Convenience Sample ◽  
Vein Thrombosis ◽  
Predictive Design ◽  
Deep Vein

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.

Review on the value of graduated elastic compression stockings after deep vein thrombosis

2006 ◽  
Vol 96 (10) ◽  
pp. 441-445 ◽  
Author(s):  
Stavros Kakkos ◽  
Stella Daskalopoulou ◽  
Marios Daskalopoulos ◽  
Andrew Nicolaides ◽  
George Geroulakos
Keyword(s):  
Deep Vein Thrombosis ◽  
Preventive Measures ◽  
Number Needed To Treat ◽  
Compression Stockings ◽  
Elastic Compression ◽  
Vein Thrombosis ◽  
Post Thrombotic Syndrome ◽  
Randomised Controlled ◽  
Deep Vein

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.

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 ◽  
...  
Keyword(s):  
Deep Vein Thrombosis ◽  
Instrument Development ◽  
Patient Outcomes ◽  
Content Validity ◽  
Preventive Measures ◽  
Future Research ◽  
Vein Thrombosis ◽  
Poor Patient ◽  
Deep Vein ◽  
Final Instrument

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.

scholarly journals Psychometric properties of the Chinese version of the spiritual care competency scale in nursing practice: a methodological study

BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e030497 ◽  
Author(s):  
Yanli Hu ◽  
René Van Leeuwen ◽  
Fan Li
Keyword(s):  
Factor Analysis ◽  
Construct Validity ◽  
Spiritual Care ◽  
Concurrent Validity ◽  
Chinese Version ◽  
Validity And Reliability ◽  
Cronbach’S Alpha ◽  
Convenience Sample ◽  
Component Structure ◽  
Cronbach's Alpha

ObjectivesTo determine the validity and reliability of the Spiritual Care Competency Scale (SCCS) among nurses in China.DesignMethodological research.MethodsAfter the SCCS was translated into Chinese, the validity and reliability of the Chinese version of the SCCS (C-SCCS) were evaluated using a convenience sample of 800 nurses recruited from different healthcare centres. The construct validity of the C-SCCS was determined by an exploratory factor analysis (EFA) with promax rotation. Pearson’s correlation coefficients of the C-SCCS and the Palliative Care Spiritual Care Competency Scale (PCSCCS-M) were computed to assess the concurrent validity and construct validity of the C-SCCS. To verify the quality of the component structure, we conducted a confirmatory factor analysis (CFA). We tested the internal consistency and stability of the measure using Cronbach’s alpha coefficient and the Guttman split-half coefficient, respectively, and a factorial analysis was performed.ResultsA total of 709 participants completed the questionnaire (response rate: 88.63%), and all completed questionnaires were suitable for analysis. Three factors were abstracted from the EFA and explained 58.19% of the total variance. The Cronbach’s alpha coefficients of the three subscales were .93, .92, and .89, and the Guttman split-half coefficient for the C-SCCS was .84. The CFA indicated a well-fitting model, and the significant correlations between the C-SCCS and the PCSCCS-M (r=0.67, p<0.01) showed adequate concurrent validity. Nurses’ education and income level showed a significant association with the C-SCCS score.ConclusionThe C-SCCS was shown to be a psychometrically sound instrument for evaluating Chinese nurses’ spiritual care competencies.

Feasibility Study of Catheter-directed Thrombolysis with Recombinant Staphylokinase in Deep Venous Thrombosis

1998 ◽  
Vol 79 (03) ◽  
pp. 517-519 ◽  
Author(s):  
Stephane Heymans ◽  
Raymond Verhaeghe ◽  
Luc Stockx ◽  
Désiré Collen
Keyword(s):  
Deep Vein Thrombosis ◽  
Continuous Infusion ◽  
High Speed ◽  
Minor Bleeding ◽  
Vein Thrombosis ◽  
Catheter Directed Thrombolysis ◽  
Long Term Follow Up ◽  
Valve Function ◽  
Rotating Impeller ◽  
Deep Vein

SummaryThe feasibility of catheter-directed thrombolysis with recombinant staphylokinase was evaluated in six selected patients with deep vein thrombosis. The patients underwent intrathrombus infusion of recombinant staphylokinase (2 mg bolus followed by a continuous infusion of 1 mg/h). Heparin was given via the catheter as a bolus (5000 U) and as a continuous infusion (1000 U/h). Complete lyis was obtained in five patients and partial lysis in one patient. Complications consisted of minor bleeding in four subjects. Symptomatic reocclusion occurred in one. Debulking of the thrombus mass by a high speed rotating impeller (n = 1) and stenting (n = 3) were used as additional interventions. An underlying anatomical abnormality was present in two patients. Long term follow up revealed normal patency in all patients and normal valve function in four patients. Symptomatic venous insufficiency with valve dysfunction was present in the two with a second thrombotic episode.Thus catheter-directed infusion of recombinant staphylokinase in patients with deep vein thrombosis appears feasible and may be associated with a high frequency of thrombolysis. Larger studies to define the clinical benefit of this treatment appear to be warranted.

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