scholarly journals The Clinical Sustainability Assessment Tool: Measuring Organizational Capacity to Promote Sustainability in Healthcare

2020 ◽  
Author(s):  
Sara Malone ◽  
Kim Prewitt ◽  
Rachel Hackett ◽  
John C. Lin ◽  
Virginia McKay ◽  
...  
Keyword(s):  
Concept Mapping ◽  
Root Mean Square ◽  
Assessment Tool ◽  
Sustainability Assessment ◽  
Organizational Capacity ◽  
Monitoring And Evaluation ◽  
Assessment Tools ◽  
Clinical Settings ◽  
Mean Square ◽  
Clinical Practices

Abstract Background Few validated assessment tools are available to support sustainable implementation, an increasingly recognized need among clinicians. We describe the development of the Clinical Sustainability Assessment Tool, or CSAT, designed to assess factors that contribute to sustainable practices in clinical settings. Methods Fifty participants from clinical and research fields were recruited to brainstorm factors that lead to sustained clinical practices. Once repeated factors were removed, participants sorted remaining factors based on similarity. Using concept mapping analyses, we grouped these factors into meaningful domains and developed an initial tool. We then recruited 126 practicing clinicians to pilot and evaluate the tool. Individuals were recruited from clinical settings across pediatric (53%) and adult (47%) medical and surgical subspecialties, and averaged 11 years in their position. The data were analyzed using confirmatory factor analysis (CFA) to test hypothesized subscale structure in the instrument. We used root mean square error of approximation (RMSEA) and the standardized root mean square residual (SRMR) to assess fit and thus the ability of CSAT to measure the identified domains.Results The concept mapping resulted in seven domains and 47 items. The pilot and CFA resulted in 35 items, five per domain. The RMSEA of 0.084 and the SRMR of 0.075 indicated good fit. The final domains were: engaged staff and leadership, engaged stakeholders, organizational readiness, workflow integration, implementation and training, monitoring and evaluation, and outcomes and effectiveness. Conclusions The CSAT is a new reliable assessment tool which allows for greater practical and scientific understanding of contextual factors that enable sustainable clinical practices over time. The full CSAT instrument is available at https://sustaintool.org.

scholarly journals The Clinical Sustainability Assessment Tool: Measuring Organizational Capacity to Promote Sustainability in Healthcare

2020 ◽  
Author(s):  
Sara Malone ◽  
Kim Prewitt ◽  
Rachel Hackett ◽  
John C. Lin ◽  
Virginia McKay ◽  
...  
Keyword(s):  
Concept Mapping ◽  
Root Mean Square ◽  
Assessment Tool ◽  
Sustainability Assessment ◽  
Organizational Capacity ◽  
Monitoring And Evaluation ◽  
Assessment Tools ◽  
Clinical Settings ◽  
Mean Square ◽  
Clinical Practices

Abstract Background Few validated assessment tools are available to support sustainable implementation, an increasingly recognized need among clinicians. We describe the development of the Clinical Sustainability Assessment Tool, or CSAT, designed to assess factors that contribute to sustainable practices in clinical settings. Methods Fifty participants from clinical and research fields were recruited to brainstorm factors that lead to sustained clinical practices. Once repeated factors were removed, participants sorted remaining factors based on similarity. Using concept mapping analyses, we grouped these factors into meaningful domains and developed an initial tool. We then recruited 126 practicing clinicians to pilot and evaluate the tool. Individuals were recruited from clinical settings across pediatric (53%) and adult (47%) medical and surgical subspecialties, and averaged 11 years in their position. The data were analyzed using confirmatory factor analysis (CFA) to test hypothesized subscale structure in the instrument. We used root mean square error of approximation (RMSEA) and the standardized root mean square residual (SRMR) to assess fit and thus the ability of CSAT to measure the identified domains.Results The concept mapping resulted in seven domains and 47 items. The pilot and CFA resulted in 35 items, five per domain. The RMSEA of 0.084 and the SRMR of 0.075 indicated good fit. The final domains were: engaged staff and leadership, engaged stakeholders, organizational readiness, workflow integration, implementation and training, monitoring and evaluation, and outcomes and effectiveness. Conclusions The CSAT is a new reliable assessment tool which allows for greater practical and scientific understanding of contextual factors that enable sustainable clinical practices over time. The full CSAT instrument is available at https://sustaintool.org.

scholarly journals The Clinical Sustainability Assessment Tool: measuring organizational capacity to promote sustainability in healthcare

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Sara Malone ◽  
Kim Prewitt ◽  
Rachel Hackett ◽  
John C. Lin ◽  
Virginia McKay ◽  
...  
Keyword(s):  
Concept Mapping ◽  
Root Mean Square ◽  
Rating Scale ◽  
Assessment Tool ◽  
Sustainability Assessment ◽  
Organizational Capacity ◽  
Assessment Tools ◽  
Clinical Settings ◽  
Mean Square ◽  
Clinical Practices

Abstract Background Few validated assessment tools are available to increase understanding and measure factors associated with sustainment of clinical practices, an increasingly recognized need among clinicians. We describe the development of the Clinical Sustainability Assessment Tool (CSAT), designed to assess factors that contribute to sustainable practices in clinical settings. Methods Sixty-four participants from clinical and research fields participated in concept mapping and were recruited to brainstorm factors that lead to sustained clinical practices. Once repeated factors were removed, participants sorted items based on similarity and rated them by importance and feasibility. Using concept mapping analyses, items were grouped into meaningful domains to develop an initial tool. We then recruited pilot sites and early adopters, for a total of 286 practicing clinicians, to pilot and evaluate the tool. Individuals were recruited from clinical settings across pediatric and adult medical and surgical subspecialties. The data were analyzed using confirmatory factor analysis (CFA) to test hypothesized subscale structure in the instrument. We used root mean square error of approximation (RMSEA) and the standardized root mean square residual (SRMR) to assess fit and thus the ability of CSAT to measure the identified domains. Results The concept mapping produced sorted statements that were edited into items that could be responded to, resulting in the creation of a tool with seven determinant domains and 47 items. The pilot and CFA testing resulted in a final CSAT instrument made up 35 items, five per domain. CFA results demonstrated very good fit of the seven domain structure of the CSAT (RMSEA = 0.049; SRMR = 0.049). Usability testing indicated the CSAT is brief, easy to use, easy to learn, and does not require extensive training. Additionally, the measure scored highly (18/20) on the Psychometric and Pragmatic Evidence Rating Scale (PAPERS). The seven final CSAT domains were engaged staff and leadership, engaged stakeholders, organizational readiness, workflow integration, implementation and training, monitoring and evaluation, and outcomes and effectiveness. Conclusions The CSAT is a new reliable assessment tool which allows for greater practical and scientific understanding of contextual factors that enable sustainable clinical practices over time.

scholarly journals Development and psychometric properties of the Caring Behaviors Assessment Tool Nursing Version-Short Form

2020 ◽  
Vol 32 (10) ◽  
pp. 701-707
Author(s):  
Mehtap Akgün ◽  
Selma Turan Kavradim ◽  
İlkay Boz ◽  
Zeynep Özer
Keyword(s):  
Psychometric Properties ◽  
Root Mean Square ◽  
Internal Consistency ◽  
Content Validity ◽  
Assessment Tool ◽  
Short Form ◽  
Mean Square ◽  
Structural Validity ◽  
Caring Behaviors ◽  
Fit Index

Abstract Objectives To develop and examine the psychometric properties of the Caring Behaviors Assessment Tool Nursing Version-Short Form (CBAN-SF) based on the Theory of Human Caring to assess the nurses’ perceptions about caring behaviors. Design This study is based on the Consensus-based Standards for the Selection of Health Measurement Instruments checklist. Setting The study was conducted at the medical-surgical services of Akdeniz University Hospital between October 2019 and January 2020. Participants This study was conducted with 216 nurses working in the surgery and internal clinics. Main Outcome Measures Psychometric properties of the Turkish version of the CBAN-SF with 27 items. Results It was found that the Content Validity Index (CVI) for the items of the draft scale was between 0.972 and 1.00 and the instrument’s CVI had an average score of 0.994. The CBAN-SF had good fit indexes (chi-square goodness of fit / degrees of freedom = 2.914, root mean square error of approximation = 0.075, comparative fit index = 0.984, non-normed fit index = 0.983, normed fit index = 0.972 and standardized root mean square residuals = 0.054) in structural validity. For internal consistency, the Cronbach’s alpha, Spearman–Brown and the Guttman split-half coefficients were all 0.974. The Cronbach’s alpha coefficient for the seven subfactors of the scale ranged between 0.793 and 0.904 and had acceptable internal consistency. The item-total score correlation of the scale was 0.648–0.829, and the factor loadings were 0.455–0.769. Conclusion The structural validity, internal consistency and content validity of the CBAN-SF supported to be a reliable and valid tool for assessment of caring behaviors by nurses.

scholarly journals Social criteria to develop an in use holistic urban sustainable assessment tool: UHU2SAT

2021 ◽  
Vol 237 ◽  
pp. 04031
Author(s):  
Antonio Sánchez Cordero ◽  
Marta Videras Rodríguez ◽  
Sergio Gómez Melgar ◽  
José Manuel Andujar Márquez
Keyword(s):  
Qualitative Research ◽  
Assessment Tool ◽  
Sustainability Assessment ◽  
Assessment Tools ◽  
Urban Spaces ◽  
Urban Mobility ◽  
Human Comfort ◽  
Operation And Maintenance ◽  
Holistic Assessment ◽  
Sustainability Assessment Tools

Recently, several urban sustainability assessment tools (USAT) have appeared to reduce the human impact provided by the built environment. Few of them focus on the assessment of urban spaces like squares, streets, and parks, etc., but they don’t operation and maintenance (OM) phase is not considered. It would be necessary to develop an in use holistic urban sustainable assessment tool (UHU2SAT) to specifically assess urban spaces under OM phase. This paper provides a qualitative research among 188 studies, with the aim to classify them according to the impacts they pursue: environmental (ENV), social (SOC) economic (ECO) and Others. Finally, the SOC criteria are reduced up to 21 and arranged into 4 different groups: Human comfort, Urban mobility, SOC Cohesion, and Health & safety. These SOC criteria have been discussed and revised according to the literature review to identify the most suitable indicators for the UHU2SAT. Finally, it can be concluded that this methodology could also be useful to obtain ENV and ECO criteria to provide a holistic assessment of the sustainability.

scholarly journals A Framework of Building Sustainability Assessment System for the Commercial Buildings in Kazakhstan

2019 ◽  
Vol 11 (17) ◽  
pp. 4754 ◽  
Author(s):  
Akhanova ◽  
Nadeem ◽  
Kim ◽  
Azhar
Keyword(s):  
Assessment Tool ◽  
Sustainability Assessment ◽  
Assessment System ◽  
Assessment Tools ◽  
Building Performance ◽  
Local Conditions ◽  
The Public ◽  
Climatic Regions ◽  
Development Goals ◽  
Economic Perspectives

: Many building assessment tools exist for guiding building facilities toward sustainability. Some tools are internationally recognized while others are for specific countries based on local needs. This study endeavored to develop a building sustainability assessment framework for Kazakhstan. The framework was developed based on the review of building performance assessment methods such as leadership in energy and environmental design (LEED), building research establishment environmental assessment methodology (BREEAM), comprehensive assessment system for building environmental efficiency (CASBEE), and international initiative for sustainable built environment (SBTool), and considering the local conditions in Kazakhstan. A two-round Delphi survey was employed to develop the assessment categories and indicators by local experts from the architecture, engineering, and construction industry. Mean and standard deviation values were used to analyze the survey data and to make the decision on the level of agreement amongst the Delphi panelists. The proposed framework consists of nine assessment categories, 46 assessment indicators, and 142 parameters covering the four climatic regions in Kazakhstan and considering the environmental, social, and economic perspectives of the country’s sustainable development goals. The introduction of the framework is expected to serve as a reference for establishing the regional building sustainability assessment tool that will aid to increase the awareness of the public and help policymakers to solve sustainability-related issues in Kazakhstan.

scholarly journals Cognitive Assessment Tools Recommended in Geriatric Oncology Guidelines: A Rapid Review

2021 ◽  
Vol 28 (5) ◽  
pp. 3987-4003
Author(s):  
Gina Tuch ◽  
Wee Kheng Soo ◽  
Ki-Yung Luo ◽  
Kinglsey Frearson ◽  
Ek Leone Oh ◽  
...  
Keyword(s):  
Cancer Care ◽  
Cognitive Assessment ◽  
Assessment Tool ◽  
Geriatric Oncology ◽  
Assessment Tools ◽  
Rapid Review ◽  
Clinical Settings ◽  
Care Experience ◽  
Clock Drawing Test ◽  
Cancer Guidelines

Cognitive assessment is a cornerstone of geriatric care. Cognitive impairment has the potential to significantly impact multiple phases of a person’s cancer care experience. Accurately identifying this vulnerability is a challenge for many cancer care clinicians, thus the use of validated cognitive assessment tools are recommended. As international cancer guidelines for older adults recommend Geriatric Assessment (GA) which includes an evaluation of cognition, clinicians need to be familiar with the overall interpretation of the commonly used cognitive assessment tools. This rapid review investigated the cognitive assessment tools that were most frequently recommended by Geriatric Oncology guidelines: Blessed Orientation-Memory-Concentration test (BOMC), Clock Drawing Test (CDT), Mini-Cog, Mini-Mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA), and Short Portable Mental Status Questionnaire (SPMSQ). A detailed appraisal of the strengths and limitations of each tool was conducted, with a focus on practical aspects of implementing cognitive assessment tools into real-world clinical settings. Finally, recommendations on choosing an assessment tool and the additional considerations beyond screening are discussed.

Higher education institution sustainability assessment tools

2016 ◽  
Vol 17 (3) ◽  
pp. 322-341 ◽  
Author(s):  
Heloisa Cronemberger de Araújo Góes ◽  
Alessandra Magrini
Keyword(s):  
Higher Education ◽  
Assessment Tool ◽  
Sustainability Assessment ◽  
Education Institution ◽  
Assessment Tools ◽  
International Programs ◽  
Content Type ◽  
Definition Of ◽  
Sustainability Assessment Tools ◽  
Practical Implications

Purpose The purpose of this paper is to gather elements to propose a sustainability assessment tool (SAT) to be used in higher education institutions (HEIs) in Brazil and the related program to be created for SAT dissemination and HEI monitoring, publication of results and benchmarking. Design/methodology/approach The characteristics of eight SATs were identified, seven of which are applied through widely known international programs to identify aspects to be considered in the definition of the Brazilian model. Findings In Brazil, stakeholders usually do not know how HEIs develop their potential to contribute with the construction of a sustainable development model. There currently is an international trend, which Brazil must join, to assess HEI sustainability through SATs. The comparison between different international SATs and respective programs yields some recommendations for a Brazilian model, such as definition of their purpose, types of questions to be used, the possibility to apply SATs to HEI sub-units, means of dissemination and others. Research limitations/implications The research limitation is the difficulty to obtain information allowing a deeper understanding of sustainability-related activities developed by Brazilian HEIs. Practical implications This paper provides a base on which to construct SAT and program models tailored for Brazil. Originality/value This is the first paper that stresses the importance of adopting a SAT tailored for Brazil, by comparing and discussing models that may be used for that purpose.

The comparative analysis of neighborhood sustainability assessment tool

2016 ◽  
Vol 45 (1) ◽  
pp. 90-105 ◽  
Author(s):  
Kuan W Lin ◽  
Chih M Shih
Keyword(s):  
Assessment Tool ◽  
Sustainability Assessment ◽  
Green Building ◽  
Assessment Tools ◽  
Qualitative And Quantitative Analysis ◽  
Asian Countries ◽  
The Sustainable Development ◽  
Garden Cities ◽  
Building Assessment ◽  
Sustainability Assessment Tools

From Ebenezer Howard’s concept of garden cities to visions of the sustainable development of ecocities, people have engaged in numerous attempts to curb hazards of residential environments and excessive capitalized development resulting from mass industrialization. However, many countries have adopted widely used green building assessment tools to conduct neighborhood sustainability assessment of ecocities. An ecocommunity assessment tool of Taiwan was established according to current green building policies, the content of which focuses on technological aspects rather than on the closely correlated social and economic aspects within ecocities. To thoroughly review neighborhood sustainability assessment tools, this study conducted a qualitative and quantitative analysis of internationally renowned assessment tools and tools used in developed Asian countries. This study concluded that (a) a number of countries have proposed neighborhood sustainability assessment tools that strongly emphasize resource and energy categories but neglect economic development; (b) the neighborhood sustainability assessment tools in Asia possess special characteristics; and (c) indicators of neighborhood sustainability assessment tools must enable mutual links and public participation.

Developing a brief tool for anger assessment in clinical settings

2011 ◽  
Vol 28 (1) ◽  
pp. 13-20
Author(s):  
Brian Merriman ◽  
Suzanne Guerin ◽  
Fiona Horgan ◽  
Brian Maguire
Keyword(s):  
Assessment Tool ◽  
Item Analysis ◽  
Assessment Tools ◽  
Clinical Samples ◽  
Clinical Settings ◽  
Day Hospital ◽  
Internal Reliability ◽  
Good Test ◽  
Brief Assessment ◽  
Test Retest Reliability

AbstractObjectives: To develop and validate a new brief assessment tool for anger in clinical settings at the Cluain Mhuire Acute Day Hospital.Methods: The Cluain Mhuire Clinical Anger Scale (CMCAS) was developed using mixed methods including content analysis of interviews with five clients and six clinicians and qualitative item analysis of nine existing assessment tools. An initial 16-item scale was completed by 112 clients of a psychiatric day hospital and a nonclinical comparison group (n = 76).Results: Psychometric analysis found that the CMCAS consisted of one 12-item factor with good internal reliability (α = 0.82, n = 178) and good test-retest reliability (r = 0.93, n = 12) and converged with scores on STAXI-2. It distinguished between a sub-group referred for an anger management programme and matched groups from non-anger clinical and non-clinical samples (F(2) = 18.13; p < .01).Conclusions: Findings suggest the CMCAS may be useful in clinical settings as a screening and assessment tool.

Environmental Sustainability Assessment Based on the Concept of Carbon Carrying Capacity

2013 ◽  
Vol 284-287 ◽  
pp. 1511-1517 ◽  
Author(s):  
Byeon Gho Lee ◽  
Kyuin Lee
Keyword(s):  
Carrying Capacity ◽  
Environmental Sustainability ◽  
Assessment Tool ◽  
Sustainability Assessment ◽  
Development Planning ◽  
Development Project ◽  
Assessment Tools ◽  
Mixed Use ◽  
Study Results ◽  
Carbon Neutral

Most of sustainability assessment tools for urban development planning do not provide any quantitative framework in terms of measuring the conceptual idea of “Carbon-neutral”. These tools generally use the scoring methodology by sum up points in various check lists for environmental sustainability. For planners, assessment of environmental sustainability should offer a simple and quantitative framework for measuring environmental resource uses and loads in order to develop planning alternatives under the limited natural conditions. The concept of carrying capacity needs to be understood as maximum loads to a limited environment, and the balance of CO2 emissions, uptakes, and offsetting acts as the most important quantitative indicators assessing environmental sustainability in terms of the conceptual idea of “Carbon-neutral”. Therefore, the purpose of this research is to investigate theories of the concept of “Carbon Carrying Capacity”, and to propose an assessment tool for measuring environmental sustainability based on the concept of Carbon Carrying Capacity. To present case study results, a high-density and mixed-use development project was chosen located in Kwangmyung-si near Seoul. Results indicated the baseline of Carbon Carrying Capacity was estimated at 0.48tCO2/capita•yr and possibilities of achieving environmental sustainability by the development planning alternatives.

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