Psychometric Properties and Measurement Invariance of Short-Form Life Attitude Inventory for Hospital Staff

Author(s):  
Kang-Ju Chou ◽  
Ying-Yao Cheng ◽  
Hua-Chang Fang ◽  
Fu-Zong Wu ◽  
Pei-Chin Lin ◽  
...  

Abstract Background: The life attitude of health care workers can deeply influence the quality of care. Examining the performance of the Short-Form Life Attitude Inventory (SF-LAI), this study analyzes the factorial structure, reliability, and invariance of the revised SF-LAI across genders and professions among the staff of a teaching medical center.Methods: The SF-LAI was developed for university students in Taiwan. From January to February 2019, we administered a cross-sectional survey of life attitudes by distributing the SF-LAI to all staff members of a medical center in Taiwan. The construct validity was evaluated using a confirmatory factor analysis (CFA). Model fit was assessed in terms of the comparative fit index (CFI), Tucker–Lewis index (TFI), standardized root mean square residual (SRMR), and root mean square of error of approximation (RMSEA). Internal consistency was calculated using Cronbach’s alpha. We also performed the CFA invariance analysis for the SF-LAI-R across genders and professions (physician, nurse and other hospital staff). Results: Of 884 (24.62%) responses, 835 were valid. The participants had a mean age of 47.8 years, and 20.12% were male. In a comparison of multiple CFAs, a second-order model with six factors outperformed other models. The goodness of fit indices revealed the CFI was 0.955, TFI was 0.952, RMSEA was 0.071, and SRMR was 0.038. The Cronbach’s alphas for composite reliability and internal consistency were all greater than 0.8. The first and second-order model had metric and scalar invariance across genders and professions.Conclusions: As health care demands evolve, humanities are becoming more important in medical education. Life attitude of hospital care worker is a crucial indicator of whether one embodies the ideals of a humanistic education. The revised SF-LAI has acceptable structural validity, internal consistency, and invariance across genders and professions among staff members of a teaching medical center.

2020 ◽  
Vol 32 (10) ◽  
pp. 701-707
Author(s):  
Mehtap Akgün ◽  
Selma Turan Kavradim ◽  
İlkay Boz ◽  
Zeynep Özer

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.


2021 ◽  
Vol 2021 (1) ◽  
Author(s):  
Weiqiu Pan ◽  
Tianzeng Li ◽  
Safdar Ali

AbstractThe Ebola outbreak in 2014 caused many infections and deaths. Some literature works have proposed some models to study Ebola virus, such as SIR, SIS, SEIR, etc. It is proved that the fractional order model can describe epidemic dynamics better than the integer order model. In this paper, we propose a fractional order Ebola system and analyze the nonnegative solution, the basic reproduction number $R_{0}$ R 0 , and the stabilities of equilibrium points for the system firstly. In many studies, the numerical solutions of some models cannot fit very well with the real data. Thus, to show the dynamics of the Ebola epidemic, the Gorenflo–Mainardi–Moretti–Paradisi scheme (GMMP) is taken to get the numerical solution of the SEIR fractional order Ebola system and the modified grid approximation method (MGAM) is used to acquire the parameters of the SEIR fractional order Ebola system. We consider that the GMMP method may lead to absurd numerical solutions, so its stability and convergence are given. Then, the new fractional orders, parameters, and the root-mean-square relative error $g(U^{*})=0.4146$ g ( U ∗ ) = 0.4146 are obtained. With the new fractional orders and parameters, the numerical solution of the SEIR fractional order Ebola system is closer to the real data than those models in other literature works. Meanwhile, we find that most of the fractional order Ebola systems have the same order. Hence, the fractional order Ebola system with different orders using the Caputo derivatives is also studied. We also adopt the MGAM algorithm to obtain the new orders, parameters, and the root-mean-square relative error which is $g(U^{*})=0.2744$ g ( U ∗ ) = 0.2744 . With the new parameters and orders, the fractional order Ebola systems with different orders fit very well with the real data.


2008 ◽  
Vol 42 (11) ◽  
pp. 950-954 ◽  
Author(s):  
Taciano L. Milfont ◽  
Sally Merry ◽  
Elizabeth Robinson ◽  
Simon Denny ◽  
Sue Crengle ◽  
...  

Objective: The aim of the present study was to examine the reliability and validity of the short form of the Reynolds Adolescent Depression Scale (RADS-SF). Method: A sample of 9567 randomly selected New Zealand secondary school students participated in the Youth2000 Health and Wellbeing Survey that included the full-length version of the RADS. The reliability and validity of the subset of items that make up the RADS-SF and its comparability to the original version were assessed using Cronbach's alpha, kappa statistics, correlations between the two versions of the instrument, confirmatory factor analysis and correlation to other questions in the survey considered likely to be associated with depression. Results: The RADS-SF had Cronbach's alpha of 0.88, was strongly correlated (0.95) to the RADS, had acceptable fit for the data (χ2=2823.27, df=35, comparative fit index=0.96, root mean square error of approximation=0.092, 90% confidence interval=0.089–0.095, standardized root mean square residual=0.042), showed configural invariance across gender, age and ethnic groups, and was strongly correlated with other depression-related questions, such as suicidal ideation (r=0.48). While the overall agreement for classification of depression by the two scores was good (κ=0.75), a higher percentage of students were classified as having depressive symptoms using the recommended RADS-SF cut-off point of 26 compared with the RADS criteria. Conclusions: The RADS-SF was found to have acceptable reliability and validity and to have psychometric properties comparable to the RADS in a large population of New Zealand adolescents.


2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Ekaterini Rapti ◽  
Dimitrios Damigos ◽  
Paraskevi Apostolara ◽  
Vasiliki Roka ◽  
Chara Tzavara ◽  
...  

Abstract Background Chronic pain constitutes one of the most common reasons for seeking health care services and may even lead to disability. Chronic pain has been associated with depression and deterioration of the quality of life. The aim of our study is to outline the burden of chronic pain in the context of a primary health care (PHC) setting in Greece and to investigate its association with depression and quality of life. Methods A cross-sectional study was conducted from September 2016 to November 2016. The subjects of the study comprised 200 individuals who visited the regional medical center of Ag. Theodoroi, Greece. The collected data were from a representative sample of 200 adults and included demographic data, social and medical history, presence and characteristics of chronic pain and questions from three questionnaires for the assessment of pain (BPI- short form), the investigation of depression (PHQ-9) and the evaluation of the quality of life (EuroQ-5D) validated in Greek language. Multiple regression analysis was used in order to find associated factors with quality of life, depression and chronic pain. Results A percentage of 56.8% of the participants, the majority of whom (62%) were women, reported chronic pain. Among individuals with pain, lower back area was the most common location. Based on the given questionnaire, depression was detected in 22. 5% of the participants who claimed chronic pain. Regression analyses revealed that women and respondents with chronic mental disorders like depression and anxiety had significantly higher scores on the pain scale and suffered pain which had a greater impact on their daily activities. According to regression analysis decreased quality of life was expressed by women, as well as participants with a chronic mental disorder. A significant reverse correlation emerged between the quality of life, depression and pain scales. Conclusion Chronic pain, as it has been studied within this PHC setting, is a common health care problem. Individuals who had experienced chronic pain and depression had a lower health-related quality of life.


2009 ◽  
Vol 2009 ◽  
pp. 1-6 ◽  
Author(s):  
M. Rudbeck ◽  
S. Viskum ◽  
K. Mølbak ◽  
S. A. Uldum

Although legionnaires' disease frequently is acquired in health care institutions, little is known about the occupational risk ofLegionellainfection among health care workers. The aim of the present cross-sectional study was to analyse antibody levels among exposed hospital workers and to determine the correlation between antibodies toLegionellaand self-reported symptoms. The study included 258 hospital employees and a reference group of 708 healthy blood donors. Hospital workers had a higher prevalence ofLegionellaantibody titres (1 : 128) than blood donors (odds ratio 3.4; 95% CI 2.4–4.8). Antibody levels were not higher among staff members at risk of frequent aerosol exposure than among less exposed employees. There was no consistent association between a history of influenza-like symptom complex and the presence of antibodies. The results indicate that hospital workers have a higher risk ofLegionellainfections than the general population. However, since no excess morbidity was associated with seropositivity, mostLegionellainfections may be asymptomatic.


2000 ◽  
Vol 38 (4) ◽  
pp. 1536-1538 ◽  
Author(s):  
Sergio L. Vargas ◽  
Carolina A. Ponce ◽  
Francis Gigliotti ◽  
Ana V. Ulloa ◽  
Susana Prieto ◽  
...  

The transmission of Pneumocystis carinii from person to person was studied by detecting P. carinii-specific DNA in prospectively obtained noninvasive deep-nasal-swab samples from a child with a documented P. carinii pneumonia (PCP), his mother, two contact health care workers, and 30 hospital staff members who did not enter the patient's room (controls). Nested-DNA amplification was done by using oligonucleotide primers designed for the gene encoding the mitochondrial large subunit rRNA of rat P. carinii(P. carinii f. sp. carinii) that amplifies all forms of P. carinii and internal primers specific for humanP. carinii (f. sp. hominis). P. carinii f. sp. hominis DNA was detected in samples from the patient and all of his contacts versus none of the 30 hospital staff members. The results, as previously shown in murine models ofP. carinii pneumonia, document that person-to-person transmission of P. carinii is possible. This observation suggests that immunocompromised patients not on PCP prophylaxis should not enter the room of a patient with PCP, and it also raises the question as to whether healthy contacts can transmit the disease to immunocompromised patients at risk.


2010 ◽  
Vol 27 (3) ◽  
pp. 191-207 ◽  
Author(s):  
Hyun-Kyoung Oh ◽  
Francis M. Kozub

The study was designed to estimate the psychometric properties of Hastings and Brown’s (2002a) Difficult Behavior Self-efficacy Scale. Participants were two samples of physical educators teaching in Korea (n = 229) and the United States (U.S.; n = 139). An initial translation of the questionnaire to Korean and pilot study were conducted along with the larger study using a confirmatory factor analysis procedure. Internal consistency estimates (weighed Omega) for the five-item scale were 0.88 both the Korean and U.S. samples. The average variances extracted for the one factor were 0.59 for the total data set and 0.57 each for the Korean and U.S. samples. Confirmatory factor analysis supported a five-item, unidimensional model for self-efficacy for the total sample: Goodness of Fit Index (GFI) = 0.97, Nonnormed Fit Index (NNFI) = 0.95, Comparative Fit Index (CFI) = 0.98, and Standardized Root Mean Square Residual (SRMR) = 0.03. Only the Root Mean Square Error of Approximation (RMSEA = 0.12) fell below criterion levels of acceptable fit, with similar fit indices occurring in separate analyses of the Korean and U.S. samples. Invariance testing across the two samples supported metric invariance (similarity of factor loadings) but not scalar invariance (U.S. means higher on all five items). The factor structure for the self-efficacy scale provides an initial estimate of validity and internal consistency for use with different teacher groups.


2007 ◽  
Vol 28 (8) ◽  
pp. 970-975 ◽  
Author(s):  
M. J. C. A. van Trijp ◽  
D. C. Melles ◽  
W. D. H. Hendriks ◽  
G. A. Parlevliet ◽  
M. Gommans ◽  
...  

Objective.The low prevalence of infection and colonization with methicillin-resistantStaphylococcus aureus(MRSA) in The Netherlands is ascribed to a national “search-and-destroy” policy. We describe the measures that were implemented to control widespread MRSA colonization and infection in a Dutch hospital.Design.Descriptive intervention study.Setting.Teaching medical center with a capacity of 679 beds, including 16 intensive care beds.Interventions.MRSA colonization and infection were identified using conventional culture with a selective broth. Isolates were typed using pulsed-field gel electrophoresis. Measures to control the epidemic included screening of contacts (patients and hospital staff), screening of patients at readmission or discharge, strict isolation of MRSA-positive patients, decolonization of colonized staff and patients, the development of an electronic signal identifying MRSA-positive patients, and the development of a culture information-system for hospital personnel.Results.Awareness of uncontrolled dissemination of MRSA began in November 2001. Because the clone involved had a low minimum inhibitory concentration for oxacillin, at first it was not recognized as MRSA. In February 2002, when major screening efforts started, it appeared that MRSA had spread all over the hospital and that many staff members were colonized. By the end of December 2005, a total of 600 patients and 135 staff members were found to be newly colonized. The yearly incidence of cases of MRSA colonization and infection decreased from 351 in 2002 to 56 in 2005. Typing of the isolates showed that 3 MRSA clones were predominant. Outbreaks of colonization involving these clones did not occur after 2003.Conclusion.Our observations show that strict application of “search-and-destroy” measures can effectively control a huge epidemic of MRSA colonization and infection.


Author(s):  
Diana M. Bravo ◽  
Juan C. Suárez-Falcón ◽  
Javier M. Bianchi ◽  
Miguel A. Segura-Vargas ◽  
Francisco J. Ruiz

The Maslach Burnout Inventory–General Survey (MBI-GS) is a widely used scale that measures burnout in the general professions. Debate persists regarding the factor structure of the MBI-GS, and there is scarce empirical evidence about the reliability, validity, and measurement invariance of the MBI-GS in Spanish-speaking samples. Moreover, the psychometric properties of the MBI-GS have not been analyzed in Colombia. This study aimed to analyze the internal consistency, factor structure, measurement invariance, and convergent validity of the MBI-GS in a large sample of Colombian workers. The MBI-GS was administered to a total sample of 978 workers from three private companies in Bogotá (66.9% males, 32.7% females, 0.4% other). All subscales showed adequate internal consistency (alphas ranging from 0.72 to 0.86). The three-factor model demonstrated a very good fit to the data (root mean square error of approximation − RMSEA = 0.05, comparative fit index − CFI = 0.99, non-normed fit index − NNFI = 0.98, and standardized root mean square residual − SRMR = 0.06). The measurement invariance both at a metric and scalar level was supported across gender, age group, and socioeconomic status. The MBI-GS subscales showed the expected correlations with job satisfaction, work engagement, psychological distress, and psychological inflexibility. In conclusion, the Spanish version of the MBI-GS demonstrated good psychometric properties in a Colombian sample.


2021 ◽  
Vol 12 ◽  
Author(s):  
Minako Hongo ◽  
Fumiyo Oshima ◽  
Hirofumi Nishinaka ◽  
Mikuko Seto ◽  
Toshiyuki Ohtani ◽  
...  

It is a serious problem when people with mental disorders avoid, delay, discontinue, or do not use treatment and support, despite the existence of evidence-based treatment and support methods. In this study, we aimed to clarify the factor structure of BACE v3, a scale to measure barriers to accessing mental health care, and to examine its reliability and validity among Japanese people with mental disorders. An online survey with 268 participants, 20 years old and over, who had received care from mental health services in the past 12 months was conducted. Exploratory and confirmatory factor analysis (EFA and CFA) were used to examine the structure of the BACE v3. Internal consistency and test-retest reliability of all subscales were examined. Convergent validity [correlation of one of the subscales of the BACE v3, the treatment stigma subscale with the Stigma Scale for Receiving Psychological Help (SSRPH) and with the Internalized Stigma of Mental Illness Scale (ISMI)] was assessed. EFA identified two factors (treatment stigma and non-stigma), and the results suggested that the factor structure of the Japanese version of BACE v3 was similar to the original 2-factor structure. Regarding the CFA result, the goodness-of-fit indices showed marginal fit (root mean square error of approximation = 0.087; Tucker–Lewis index = 0.842; standardized root mean square residual = 0.078; comparative fit index = 0.86). The internal consistency of the treatment stigma subscale was α = 0.90, and the intraclass correlation coefficient was 0.76 (confidence interval: 0.70–0.81). The internal consistency of the non-stigma subscale was α = 0.83, and the intraclass correlation coefficient was 0.64 (confidence interval: 0.56–0.71). The score of the treatment stigma subscale was significantly and positively correlated with the SSRPH and ISMI. Thus, the BACE v3 has acceptable consistency, reliability and validity for the assessment of barriers to accessing mental health care including treatment stigma among people with mental disorders in Japan.


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