Translation and Validation of the Hungarian Version of the Infection Control Standardized Questionnaire: A Cross-sectional Study

Abstract Background: Up to our knowledge, there is currently no psychometrically validated Hungarian scale to evaluate nurses’ knowledge about infection prevention and control (IPC) practices. Thus, we aim in this study to assess the validity and reliability of the infection control standardized questionnaire Hungarian version (ICSQ-H).Methods: A cross-sectional, multisite study was conducted among 591 nurses in Hungary. The original ICSQ including 25 items was translated into Hungarian. A panel of four experts assessed the content validity of the questionnaire by calculating the item content validity index and scale content validity index. Then, construct validity was evaluated using principal component analysis and confirmatory factor analysis. The goodness of fit for the model was measured through fit indices. Convergent validity was assessed by calculating the average variance extracted. Additionally, discriminant validity was evaluated by computing the spearman correlation coefficient between the constructs. Finally, the interitem correlations, the corrected item-total correlations, and the internal consistency were calculated.Results: Content validity of the questionnaire was established with 23 items. The final four-construct ICSQ-H including 10 items showed a good fit model. Convergent validity was met except for the alcohol-based hand rub (ABHR) construct, while discriminant validity was met for all constructs. The interitem correlations and the corrected item-total correlations were met for all constructs but, the internal consistency of ABHR was unsatisfactory due to the low number of items.Conclusions: The results did not support the original three-factor structure of the ICSQ. However, the four-factor ICSQ-H demonstrated an adequate degree of good fit and was found to be reliable. Based on our findings, we believe that the ICSQ-H could pave the way for more research regarding nurses’ IPC knowledge to be conducted in Hungary. Nevertheless, its validation among other healthcare workers is important to tailor effective interventions to enhance knowledge and awareness.

Download Full-text

Communication skills attitude scale: a translation and validation study in asample of registered nurses in Poland

BMJ Open ◽

10.1136/bmjopen-2018-028691 ◽

2019 ◽

Vol 9 (5) ◽

pp. e028691 ◽

Cited By ~ 1

Author(s):

Mariusz Panczyk ◽

Lucyna Iwanow ◽

Aleksander Zarzeka ◽

Mariusz Jaworski ◽

Joanna Gotlib

Keyword(s):

Registered Nurses ◽

Psychometric Properties ◽

Communication Skills ◽

Internal Consistency ◽

Content Validity ◽

Discriminant Validity ◽

Attitude Scale ◽

Validity Index ◽

Content Validity Index ◽

Attitude Subscale

ObjectivesTo translate and validate the Communication Skills Attitude Scale in the Polish language (CSAS-P) and its adaptation for use among registered nurses.DesignA cross-sectional descriptive design was used in order to translate and validate the CSAS-P. The following psychometric properties of CSAS-P were evaluated: content validity (content validity index), theoretical relevance (exploratory and confirmative factor analysis), one-dimensionality of subscales (principal component analysis), internal consistency (Cronbach’s α), test–retest reliability and discriminant validity.SettingParticipants were identified and recruited from the Centre for Postgraduate Education for Nurses and Midwives in Warsaw, Poland.ParticipantsThe validation group comprised 2014 registered nurses who were undertaking a spring specialisation exam in 2017.ResultsThe overall content validity index was >0.80, which was interpreted as indicating validity. The factor structure of CSAS-P differed from the original version, and removing three items from the scale better fit the data. The positive attitude subscale (11 items) and negative attitude subscale (12 items) were characterised by one-dimensionality and high internal consistency (Cronbach’s α=0.901 and 0.802, respectively). Test–retest analysis confirmed the stability of the measurement for both subscales and particular items. Nurses with prior participation in communication courses scored significantly higher than those without such education (p<0.05), confirming the discriminant validity of CSAS-P.ConclusionsThe psychometric properties of CSAS-P were comparable to the English language original. Further validation of CSAS-P in other groups of healthcare professionals may increase its applicability. CSAS-P can be used to evaluate attitudes towards learning communication skills among registered nurses.

Download Full-text

Preliminary Study of the Thai Version of the Scale for the Assessment of Negative Symptoms (SANS-Thai)

Global Journal of Health Science ◽

10.5539/gjhs.v11n6p19 ◽

2019 ◽

Vol 11 (6) ◽

pp. 19 ◽

Cited By ~ 1

Author(s):

Thammanard Charernboon

Keyword(s):

Internal Consistency ◽

Content Validity ◽

Convergent Validity ◽

Negative Symptoms ◽

Average Content ◽

Validity Index ◽

Retest Reliability ◽

Content Validity Index ◽

Item Level ◽

Test Retest Reliability

OBJECTIVES: The study aimed to evaluate content validity, convergent validity, internal consistency and test-retest reliability of the Thai version of the Scale for the Assessment of Negative Symptoms (SANS-Thai). METHODS: The content validity of the SANS-Thai was assessed using four experts. The average-content validity index and item level content validity index were analyzed. The SANS-Thai and the Thai versions of the Addenbrooke’s Cognitive Examination (ACE) were administered to 40 people with schizophrenia to examine convergent validity and internal consistency. Twenty participants took the second SANS-Thai assessment within four weeks to evaluate test-retest reliability. RESULTS: The results demonstrated that the SANS-Thai has excellent content validity with the average-content validity index of 0.94. The majority of the item level content validity index range from 0.75 to 1. The global and total SANS-Thai score moderately correlated with the ACE with the correlation coefficient of -0.48 (p = 0.002) and -0.49 (p=0.001), respectively. Internal consistency by the Cronbach alpha coefficient was 0.95. Test-retest reliabilities by intraclass correlation were 0.91 (p<0.001) for global SANS-Thai and 0.9 (p<0.001) for total SANS-Thai. The Bland-Altman plot demonstrated that only 5% of the participants fell outside the limits of agreement for both global SANS and total SANS scores. CONCLUSION: The SANS-Thai appears to be a valid and reliable measure of negative symptoms in schizophrenia and could be useful for patient care and research studies.

Download Full-text

Psychometric evaluation of the Arabic version of the Irish Assertiveness Scale among Saudi undergraduate nursing students and interns

PLoS ONE ◽

10.1371/journal.pone.0255159 ◽

2021 ◽

Vol 16 (8) ◽

pp. e0255159

Author(s):

Mansour Mansour ◽

Abd Alhadi Hasan ◽

Ahmad Alafafsheh

Keyword(s):

Factor Analysis ◽

Nursing Students ◽

Content Validity ◽

Convergent Validity ◽

Discriminant Validity ◽

Arabic Version ◽

Validity Index ◽

Undergraduate Nursing Students ◽

Content Validity Index ◽

Undergraduate Nursing

Background Irish Assertiveness Scale is commonly used to examine the individual’ level of assertiveness. There is no adequately validated Arabic instrument that examines the level of assertiveness among Arabic-speaking undergraduate nursing students. Objectives The purpose of this study was to translate, then evaluate the psychometric properties of the Arabic version of the Irish Assertiveness Scale among Saudi undergraduate nursing students and interns. Design Cross-sectional survey. Settings Three nursing colleges from three provinces in Saudi Arabia: Riyadh, Eastern and Makkah provinces. Participants 283 questionnaires were completed by 3rd and 4th year undergraduate nursing students, and nursing interns. Methods A standard procedure including forward-backward translation, cultural adaptation and pilot testing was adopted to translate the Irish Assertiveness Scale into Arabic language. Content validity was measured using content validity index. Scale reliability was measured using cronbach’s alpha coefficient and mean inter-item correlation. The sample was randomly split, and exploratory and confirmatory factor analysis was then conducted on each sample to examine the construct validity of the proposed scale. A subsequent convergent validity and discriminant validity were also tested. Results The item-level content validity index ranged from 0.9 to 1.0, and the overall content validity index was 0.93. The exploratory factor analysis resulted in 23-items, four-factor solution explaining 49.4% of the total variance. The mean inter-item correlation for each factor ranged between 0.22 and 0.4. Cronbach’s alpha coefficients for the overall scale was 0.80. The confirmatory factor analysis showed that the proposed four-factor solution had the best model fit. Whilst discriminant validity was supported in the new model, convergent validity was partially met. Conclusions This study contributed toward establishing the Arabic version of the Irish Assertiveness Scale. Considering the limitations of the convergent validity demonstrated in the new instrument, a modified version of the Irish Assertiveness Scale might be needed to ascertain the most feasible model which best captures the level of assertiveness in Arabic cultural context.

Download Full-text

PSYCHOMETRIC EVALUATION OF FILIPINO VERSION OF PATIENT SATISFACTION INSTRUMENT

Belitung Nursing Journal ◽

10.33546/bnj.867 ◽

2019 ◽

Vol 5 (6) ◽

pp. 251-256

Author(s):

Gil P Soriano ◽

Kathyrine A Calong Calong

Keyword(s):

Patient Satisfaction ◽

Construct Validity ◽

Internal Consistency ◽

Content Validity ◽

Psychometric Evaluation ◽

Internal Consistency Reliability ◽

Validity And Reliability ◽

Validity Index ◽

Cross Sectional ◽

Content Validity Index

Background: Patient satisfaction has been revealed to affect patient outcomes and has been used as an indicator for measuring quality in health care. However, there are no culturally appropriate instruments that measure Filipino patient satisfaction receiving nursing care.Objective: The objective of the study is to examine the validity and reliability of the Filipino version of Patient Satisfaction Instrument (F-PSI).Methods: The study utilized a cross-sectional study and included 131 Filipino patients in selected hospitals in Manila and were selected through convenience sampling. The tool undergone cross cultural adaptation following the WHO guidelines. Also, content validity following Davis technique and construct validity through confirmatory factor analysis was done to assessed its validity. To measure its internal consistency reliability, Cronbach’s α, inter-item and total-item correlation was conducted.Results: The construct validity of the Filipino version of PSI showed a good model fit while the item content validity index (I-CVI) ranges from 0.83-1.0 and a scale content validity index (S-CVI) of 0.96. Also, the translated tool showed an acceptable internal consistency reliability.Conclusion: The Filipino PSI is a valid and reliable instrument for measuring satisfaction among Filipino patients. Supplementary studies are needed to ascertain its validity and reliability for clinical use.

Download Full-text

Chinesisation, adaptation and validation of the Chelsea Critical Care Physical Assessment Tool in critically ill patients: a cross-sectional observational study

BMJ Open ◽

10.1136/bmjopen-2020-045550 ◽

2021 ◽

Vol 11 (4) ◽

pp. e045550

Author(s):

Zhigang Zhang ◽

Guoqiang Wang ◽

Yuchen Wu ◽

Jin Guo ◽

Nannan Ding ◽

...

Keyword(s):

Critical Care ◽

Observational Study ◽

Critically Ill ◽

Content Validity ◽

Assessment Tool ◽

Western China ◽

Validity Index ◽

Cross Sectional ◽

Physical Assessment ◽

Content Validity Index

PurposeTo translate and adapt the Chelsea Critical Care Physical Assessment Tool (CPAx) into Chinese version (‘CPAx-Chi’), test the reliability and validity of CPAx-Chi, and verify the cut-off point for the diagnosis of intensive care unit-acquired weakness (ICU-AW).Study designCross-sectional observational study.MethodsForward and back translation, cross-cultural adaptation and pretesting of CPAx into CPAx-Chi were based on the Brislin model. Participants were recruited from the general ICU of five third-grade class-A hospitals in western China. Two hundred critically ill adult patients (median age: 53 years; 64% men) with duration of ICU stay ≥48 hours and Glasgow Coma Scale ≥11 were included in this study. Two researchers simultaneously and independently assessed eligible patients using the Medical Research Council Muscle Score (MRC-Score) and CPAx-Chi.ResultsThe content validity index of items was 0.889. The content validity index of scale was 0.955. Taking the MRC-Score scale as standard, the criterion validity of CPAx-Chi was r=0.758 (p<0.001) for researcher A, and r=0.65 (p<0.001) for researcher B. Cronbach’s α was 0.939. The inter-rater reliability was 0.902 (p<0.001). The area under the receiver operating characteristic curves of CPAx-Chi for diagnosing ICU-AW based on MRC-Score ≤48 were 0.899 (95% CI 0.862 to 1.025) and 0.874 (95% CI 0.824 to 0.925) for researcher B. The best cut-off point for CPAx-Chi for the diagnosis of ICU-AW was 31.5. The sensitivity was 87% and specificity was 77% for researcher A, whereas it was 0.621, 31.5, 75% and 87% for researcher B, respectively. The consistency was high when taking CPAx-Chi ≤31 and MRC-Score ≤48 as the cut-off points for the diagnosis of ICU-AW. Cohen’s kappa=0.845 (p=0.02) in researcher A and 0.839 (p=0.04) for researcher B.ConclusionsCPAx-Chi demonstrated content validity, criterion-related validity and reliability. CPAx-Chi showed the best accuracy in assessment of patients at risk of ICU-AW with good sensitivity and specificity at a recommended cut-off of 31.

Download Full-text

Psychometric Properties of the Spiritual Care-Giving Scale–Arabic Version in Saudi Nursing Students

Journal of Holistic Nursing ◽

10.1177/0898010116647804 ◽

2016 ◽

Vol 35 (2) ◽

pp. 175-184 ◽

Cited By ~ 8

Author(s):

Jonas Preposi Cruz ◽

Farhan Alshammari ◽

Paolo C. Colet

Keyword(s):

Nursing Students ◽

Psychometric Properties ◽

Internal Consistency ◽

Spiritual Care ◽

Content Validity ◽

Arabic Version ◽

Validity Index ◽

Convenience Sample ◽

Content Validity Index ◽

Care Giving

Aim: To evaluate the psychometric properties of an Arabic version of the Spiritual Care-Giving Scale (SCGS) in a sample of Saudi nursing students. Method: A convenience sample of 202 Saudi nursing students was included in this descriptive cross-sectional study. The 35-item Arabic version of the SCGS (SCGS-A) was tested for internal consistency, stability reliability, content validity, and construct validity. Findings: The SCGS-A manifested acceptable internal consistency and stability reliability with computed Cronbach’s alpha ranges from .84 to .94, and an intraclass correlation coefficient of .97. The item-level content validity index ranged from .83 to 1, and the scale-level content validity index (average) was .98. The principal component analysis revealed five dominant components with eigenvalues greater than 1, and a cumulative contribution rate of 62.0%. The five factors were moderately to strongly correlated ( r = .29-.56; p < .001) with each other and with the overall SCGS-A score ( r = .57-.77; p < .001). Conclusion: The SCGS-A manifested an acceptable reliability and validity in Saudi nursing students, which supports its sound psychometric properties. With the establishment of this valid and reliable tool, timely and accurate assessment of student nurses’ perceptions about spirituality and spiritual care can be facilitated.

Download Full-text

Dynamics of Health Technology Diffusion in Integrated Care System (DHTDICS): A Development and Validation Study

10.21203/rs.2.24573/v1 ◽

2020 ◽

Author(s):

Qingwen Deng ◽

Wenbin Liu

Keyword(s):

Integrated Care ◽

Internal Consistency ◽

Technology Diffusion ◽

Convergent Validity ◽

Discriminant Validity ◽

Health Technology ◽

Healthcare Outcomes ◽

Cross Sectional ◽

Valid Instrument ◽

Care System

Abstract Background Limited diffusion and utilization of health technology has greatly halted the improvement of resource integration and healthcare outcomes. However, the dynamic mechanism of health technology diffusion in the context of integrated care system (ICS) remained largely unknown. The purpose of this study was to develop and validate the scale on Dynamics of Health Technology Diffusion in Integrated Care System (DHTDICS) for providing instruments to investigate the health technology diffusion in ICS.Methods The scale was initially designed on the basis of the proposed model developed from previous research. And it was validated in a cross-sectional questionnaire survey. Exploratory factor analysis was used to assess domains in the questionnaire, and analyzed factorials, internal consistency and validity of the questionnaire. Results Reliability analysis revealed excellent internal consistency, as the value of Cronbach’s alpha all greater than 0.80 for four of the domains in this study. An acceptable validity was confirmed through tests of construct validity, convergent validity and discriminant validity. With respect to the potential domains and dimensions that DHTDICS contributes, the results highlight the existence of 4 domains: personal beliefs, technical drivers, organizational readiness and external environment.Conclusions The findings of this study will be capable to serve as a valid instrument to measure health technology diffusion, and be also helpful in developing future intervention strategies to promote the health technology diffusion in ICS.

Download Full-text

Prosthetic and orthotic students’ attitudes toward addressing sexual health in their future profession

Prosthetics and Orthotics International ◽

10.1177/0309364618775444 ◽

2018 ◽

Vol 42 (6) ◽

pp. 612-619 ◽

Cited By ~ 4

Author(s):

Kristina Areskoug-Josefsson ◽

Fredrik Thidell ◽

Bo Rolander ◽

Nerrolyn Ramstrand

Keyword(s):

Sexual Health ◽

Content Validity ◽

Reliability And Validity ◽

Assistive Technologies ◽

Health Questionnaire ◽

Health Issues ◽

Validity Index ◽

Cross Sectional ◽

Content Validity Index ◽

Students Attitudes

Background: Prosthetists and orthotists have a responsibility to direct treatment toward enabling their clients to perform desired activities and to facilitate participation of their clients in all areas of life. This may include provision of assistive technologies to help clients meet goals related to participation in sexual activities. To help prosthetic and orthotic students develop competencies in dealing with the sexual health of their future clients, it is necessary to generate knowledge of their own perceived competence and capacity. Objectives: To explore prosthetic and orthotic students’ attitudes and competence toward working with sexual health and to evaluate reliability and validity of the Students’ Attitudes Towards Addressing Sexual Health questionnaire. Study design: Cross-sectional study. Methods: Students enrolled in all three years of an undergraduate prosthetic and orthotic program were requested to complete the Students’ Attitudes Towards Addressing Sexual Health questionnaire ( n = 65). Reliability and validity were evaluated using the content validity index and Cronbach’s alpha. Results: Students felt unprepared to talk about sexual health with future clients and thought that they would be embarrassed if they raised the issue. No differences were identified between students enrolled in each of the three years of the program and few differences were observed between male and female students. The content validity index values were low but improved as the students’ level of education increased. Internal consistency of the questionnaire was acceptable ( α = 0.86). Conclusion: Prosthetic and orthotic students are unprepared to address sexual health issues with their future clients. There is a need to provide students with training related to sexual health issues. Clinical relevance This study indicates the need for additional education of prosthetic and orthotic students in issues related to sexual health and how to address sexual health issues with clients. Results can be used to develop training programs for students and will serve to improve the sexual health of individuals who receive prosthetic and orthotic services.

Download Full-text

Development of a Diagnostic Questionnaire for Damp Phlegm Pattern and Blood Stasis Pattern in Coronary Heart Disease Patients (CHD-DPBSPQ)

Evidence-based Complementary and Alternative Medicine ◽

10.1155/2019/6856085 ◽

2019 ◽

Vol 2019 ◽

pp. 1-9

Author(s):

Ge Fang ◽

Ling-lin Zhang ◽

Qi Ren ◽

Xiao-wen Zhou ◽

Bin Wang ◽

...

Keyword(s):

Coronary Heart Disease ◽

Heart Disease ◽

Content Validity ◽

Convergent Validity ◽

Intraclass Correlation ◽

Blood Stasis ◽

Disease Patient ◽

Coronary Heart Disease Patient ◽

Validity Index ◽

Content Validity Index

Background. The aim was to develop a diagnostic questionnaire for damp phlegm pattern and blood stasis pattern in coronary heart disease patients (CHD-DPBSPQ). Methods. The standard procedures of questionnaire development were carried out to develop and assess CHD-DPBSPQ. The patients were assessed using the CHD-DPBSPQ, CHD-DPPQ, and CHD-BSPQ. Four methods were used to select the items on the CHD-DPBSPQ in a pilot study based on data from a Guizhou tertiary grade A hospital. Cronbach’s alpha and the split-half reliability, test-retest reliability, content validity, criterion validity, construct validity, and convergent validity were determined in a validation study using a nationwide sample. Results. After item selection, the CHD-DPBSPQ contained 15 items in two domains: the phlegm domain (9 items) and the blood stasis domain (6 items). For the CHD-DPBSPQ, the alpha coefficient was 0.88, the split-half coefficient was 0.90, and the intraclass correlation coefficient was 0.83. The range of the item-level content validity index (I-CVI) was 0.71 to 1.0 and that of the scale-level content validity index/average (Scale-CVI/Ave) was 0.97. The domain scores on the CHD-DPBSPQ were in close relation to the scores on a questionnaire for damp phlegm pattern in coronary heart disease patients (CHD-DPPQ) and a questionnaire for blood stasis pattern in coronary heart disease patient (CHD-BSPQ) (P<0.01). The root mean square error of approximation (RMSEA) was equal to 0.05 (90% CI: 0.044, 0.059). Convergent validity was demonstrated with a moderate correlation. Conclusion. The CHD-DPBSPQ is a reliable and valid instrument.

Download Full-text

Development and validation of a measurement scale for nursing students’ readiness to the flipped classroom in Sri Lanka

Journal of Educational Evaluation for Health Professions ◽

10.3352/jeehp.2020.17.41 ◽

2020 ◽

Vol 17 ◽

pp. 41

Author(s):

Punithalingam Youhasan ◽

Yan Chen ◽

Mataroria Lyndon ◽

Marcus A. Henning

Keyword(s):

Nursing Students ◽

Internal Consistency ◽

Content Validity ◽

Flipped Classroom ◽

Factor Model ◽

Measurement Scale ◽

Validity And Reliability ◽

Validity Index ◽

Content Validity Index ◽

Cronbach's Alpha

Purpose: It aims to develop and validate a scale to measure nursing students’ readiness to the flipped classroom in Sri Lanka.Methods: A literature review provided the theoretical framework for developing the Nursing Students’ Readiness for Flipped Classroom (NSR-FC) questionnaire. Five content experts evaluated the NSR-FC, and content validity indices were calculated. Cross-sectional surveys among 355 undergraduate nursing students from 3 state Sri Lankan universities were carried out to assess the psychometric properties of the NSR-FC. Principal component analysis (PCA, n = 265), internal consistency (through Cronbach's alpha, n = 265), and confirmatory factor analysis (CFA, n = 90) were done for construction validity and reliability test. Results: There were 37 items included in the NSR-FC for content validation and resulting in an average scale content validity index (S-CVI/AVE) of 0.94. Two items received item level content validity index (I-CVI) less than 0.78. The factor structures of the 35 items were explored through PCA with orthogonal factor rotation culminating in the identification of 5 factors. These factors were classified as technology readiness, environmental readiness, personal readiness, pedagogical readiness, and interpersonal readiness. The NSR-FC also showed an overall acceptable level of internal consistency (Cronbach’s alpha 0.9). The CFA verified a 4-factor model (excluding the interpersonal readiness factor) and 20 items achieved acceptable levels of acceptance (SRMR=0.08, RMSEA=0.08, CFI=0.87 and χ2 /df =1.57). Conclusion: The NSR-FC, as a four-factor model, is an acceptable measurement scale for nursing students’ readiness to the flipped classroom in terms of its construct validity and reliability.

Download Full-text