Development and Psychometric Testing of the Technological Competency as caring in Nursing Instrument

2011 ◽  
Vol 15 (4) ◽  
pp. 8-13 ◽  
Author(s):  
Dax Andrew Parcells, ◽  
Rozzano C. Locsin,

The mid-range theory, technological competency as caring in nursing, provides a novel understanding of the harmonious integration of technology and caring in nursing. The quantification of technological competency, reflected in shared expectations of nurses and patients, ultimately informs the best practices requisite in grounding nursing care delivery models in technology, caring, and quality nursing. Theory and practice experts were invited to examine the validity of the Technological Competency as Caring in Nursing Instrument. Item statements were revised or eliminated based on quantitative content validity indices and specific expert feedback. The revised instrument consists of 25 statements inclusive of the five assumptions of the theory. Future work will establish best practices grounded in the perspective of technological competency as in caring nursing.

2021 ◽  
Vol 11 (3) ◽  
pp. 346-358
Author(s):  
Tomoya Yokotani ◽  
Tetsuya Tanioka ◽  
Feni Betriana ◽  
Yuko Yasuhara ◽  
Hirokazu Ito ◽  
...  

Background: The middle range theory Technological Competency as Caring in Nursing (TCCN) guides nursing practices. The TCCN Instrument (TCCNI) measures perception dimension of the theory and has been revised and translated into the Japanese language (TCCNI-R). Testing the translated version of the TCCNI-R to English language with the inclusion of a practice dimension is warranted.Purpose: This study aims to determine the psychometric properties of the TCCNI-Revised English version with Practice dimension (TCCNI-RePract).Methods: A web-based cross-sectional study was conducted with data from 202 valid questionnaire copies from professional nurses in selected hospitals and nurse educators in universities.   Results: The suitability for factor analysis was determined using Kaiser-Meyer-Olkin index (0.93), Bartlett's sphericity test of 3256.93, p<0.001, the anti-image correlations ranged between 0.87 and 0.96, and an average value of communalities of 0.66. In the four rotations conducted with the maximum likelihood method with a Harris-Kaiser Orthoblique rotation, four items were excluded with factor loadings less than 0.40. These results determined the final scale with 21 items and four subscales, namely: (1) Knowing the person (8 items); (2) Technological competency as Caring (6 items); (3) Technology and caring (4 items); and (4) Expression of nursing as Caring (3 items). Cronbach’s alpha coefficient for the total scale was 0.94. With two dimensions of the TCCNI-RePract, the perception dimension had significantly higher scores than the practice dimension. When comparing mean factor point among the dimensions, the perception scores were significantly higher for Factor 1 and Factor 3.Conclusion:The TCCNI-RePract is an acceptable tool that can reliably measure nurses’ perception and practice of TCCN. It is affirmed that with this tool, measuring perception and practice status of TCCN theory is possible. It is considered that the evaluation results can be used to plan in-hospital education. 


2021 ◽  
Vol 34 (2) ◽  
pp. 211-216
Author(s):  
Howard K. Butcher

The author in this article provides a review of Peterson and Bredow’s 5th edition of Middle Range Theories: Application to Nursing Research and Practice. The author also shared some concerns and thoughts about the current status of nursing theory and middle-range theory.


2018 ◽  
Vol 2 (suppl_1) ◽  
pp. 125-126
Author(s):  
J Griffin ◽  
L Bangerter ◽  
R Havyer ◽  
M Comer ◽  
V Biggar ◽  
...  

2018 ◽  
Vol 34 (1) ◽  
pp. 29-31 ◽  
Author(s):  
Gabrielle Rocque ◽  
Ellen Miller-Sonnet ◽  
Alan Balch ◽  
Carrie Stricker ◽  
Josh Seidman ◽  
...  

Although recognized as best practice, regular integration of shared decision-making (SDM) approaches between patients and oncologists remains an elusive goal. It is clear that usable, feasible, and practical tools are needed to drive increased SDM in oncology. To address this goal, we convened a multidisciplinary collaborative inclusive of experts across the health-care delivery ecosystem to identify key principles in designing and testing processes to promote SDM in routine oncology practice. In this commentary, we describe 3 best practices for addressing challenges associated with implementing SDM that emerged from a multidisciplinary collaborative: (1) engagement of diverse stakeholders who have interest in SDM, (2) development and validation of an evidence-based SDM tool grounded within an established conceptual framework, and (3) development of the necessary roadmap and consideration of the infrastructure needed for engendering patient engagement in decision-making. We believe these 3 principles are critical to the success of creating SDM tools to be utilized both within and outside of clinical practice. We are optimistic that shared use across settings will support adoption of this tool and overcome barriers to implementing SDM within busy clinical workflows. Ultimately, we hope that this work will offer new perspectives on what is important to patients and provide an important impetus for leveraging patient preferences and values in decision-making.


2018 ◽  
Vol 25 (4) ◽  
pp. 1194-1212 ◽  
Author(s):  
Anh Tuan Nguyen ◽  
Nguyen Vang-Phuc Nguyen

Purpose The purpose of this paper is to identify the best practices of industrial engineering (IE) programs that could be learnt and used at other educational institutions. Design/methodology/approach Nine IE programs in the USA are benchmarked using a conceptual framework that considers an educational program as a system consisting of a purpose, a curriculum, resources, and quality processes. The information used in benchmarking is collected from the program self-study reports, course catalogs, and websites which are available on the internet. Findings It is found that in spite of their diversity in history, missions, sizes, and reputations, the studied programs are rather unified in terms of purpose definition, curriculum formation, resource selection, and quality process usage. From the analysis, a template of IE curriculum is proposed. Research limitations/implications As the selection of the studied programs is based on the availability of the information, the findings may not be representative for IE programs in the USA. Future work can aim at comparing IE programs from various countries. Practical implications The findings could be used as benchmarks by IE schools interested in the improvement of operations. Originality/value A conceptual framework for benchmarking is proposed and proves useful for comparing educational programs. The findings represent the current best practices at IE schools in the USA.


2021 ◽  
Vol 32 (6) ◽  
pp. 55-91
Author(s):  
Brenda Nansubuga ◽  
Christian Kowalkowski

PurposeFollowing the recent surge in research on carsharing, the paper synthesizes this growing literature to provide a comprehensive understanding of the current state of research and to identify directions for future work. Specifically, this study details implications for service theory and practice.Design/methodology/approachSystematic selection and analysis of 279 papers from the existing literature, published between 1996 and 2020.FindingsThe literature review identified four key themes: business models, drivers and barriers, customer behavior, and vehicle balancing.Practical implicationsFor managers, the study illuminates the importance of collaboration among stakeholders within the automotive sector for purposes of widening their customer base and maximizing utilization and profits. For policy makers, their important role in supporting carsharing take-off is highlighted with emphasis on balancing support rendered to different mobility services to promote mutual success.Originality/valueThis is the first systematic multi-disciplinary literature review of carsharing. It integrates insights from transportation, environmental, and business studies, identifying gaps in the existing research and specifically suggesting implications for service research.


2021 ◽  
Vol 8 ◽  
pp. 237437352110365
Author(s):  
Aaron Alokozai ◽  
David N. Bernstein ◽  
Linsen T. Samuel ◽  
Atul F. Kamath

Patient engagement is a comprehensive approach to health care where the physician inspires confidence in the patient to be involved in their own care. Most research studies of patient engagement in total joint arthroplasty (TJA) have come in the past 5 years (2015-2020), with no reviews investigating the different patient engagement methods in TJA. The primary purpose of this review is to examine patient engagement methods in TJA. The search identified 31 studies aimed at patient engagement methods in TJA. Based on our review, the conclusions therein strongly suggest that patient engagement methods in TJA demonstrate benefits throughout care delivery through tools focused on promoting involvement in decision making and accessible care delivery (eg, virtual rehabilitation, remote monitoring). Future work should understand the influence of social determinants on patient involvement in care, and overall cost (or savings) of engagement methods to patients and society.


2018 ◽  
Vol 34 (1) ◽  
pp. 35-46 ◽  
Author(s):  
Paul Gendreau ◽  
Shelley J. Listwan

The mantra of best practices in corrections, while well intended, may lead to iatrogenic consequences. Community corrections and prisons are under increasing pressures to manage their caseloads; moreover, the current accountability and get-tough agenda in corrections demands offenders take on more responsibility for their behaviors. As a consequence, we predict more episodes of “panaceaphilia” or quick fix solutions because corrections jurisdictions in the United States are under tremendous pressure to handle their populations at this point in time. In this article, we focus on contingency management programs as the potential next panacea, not because they do not have a proven track record of success, but because they require highly skilled staff and make great demands upon correctional agencies’ decision-making practices. To help counteract panaceaphilia from happening with contingency management, we describe the theory and practice of contingency management, the demands they place on programmers, the type of research needed to evaluate their effectiveness, and how to prevent these programs from turning into punitive punishment regimes.


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