scholarly journals Physicians’ Attitudes toward Adolescent Confidentiality Services: Scale Development and Validation

2020 ◽  
Vol 59 (2) ◽  
pp. 99-107 ◽  
Author(s):  
Vida Jeremić Stojković ◽  
Smiljana Cvjetković ◽  
Bojana Matejić

AbstractIntroductionConfidentiality is one of the oldest ethical principles in healthcare. However, confidentiality in adolescent healthcare is not a universally-accepted doctrine among scholars. The ethical acceptability of confidential services in adolescents’ healthcare is based on perceptions of adolescent maturity and an appreciation of its importance to adolescents’ access and utilization of healthcare services. Despite legal policies that promote adolescents’ rights, physicians’ attitudes toward adolescent confidentiality can be a determining factor in their ultimate decision to protect adolescents’ confidentiality.MethodA new Attitude towards Adolescent Confidentiality Scale was developed based on the results of a qualitative interview study. This new instrument was administered to a sample of 152 physicians working at school pediatric and gynecology departments in 13 primary healthcare institutions in Belgrade. Principal component analysis was applied to determine the main components of the scale. Reliability was assessed by calculating Cronbach alpha and mean inter-item correlations.ResultsPsychometric analysis of the final 19-item version of the scale showed a high level of reliability (Cronbach alpha of 0.83). Principal component analysis showed four components, which present subscales of the instrument: Confidentiality in clinical situation, Iimportance of confidentiality, Adolescent maturity, and Communication with parents.ConclusionsThe instrument showed satisfactory levels of reliability and validity. The results of the scale dissemination may be a valuable tool for needs assessment for future educational interventions and training programs that will raise physicians’ awareness of the importance of adolescent confidentiality.

Pflege ◽  
2006 ◽  
Vol 19 (1) ◽  
pp. 23-32
Author(s):  
Christina Köhlen ◽  
Marie-Luise Friedemann

In diesem Beitrag wird die Überprüfung des Assessment-Instruments zur Einschätzung der Wirksamkeit familiärer Strategien (ASF-E) für die Anwendung in Deutschland und der deutschsprachigen Schweiz beschrieben. Das ASF-E ist ein Screening-Instrument für Familiengesundheit, wie sie in der Theorie des systemischen Gleichgewichts definiert ist (Friedemann, 1991). Zunächst wurde das Instrument in den frühen 1990er Jahren in der Schweiz unter Berücksichtigung kultureller Unterschiede ins Deutsche übersetzt. Die vorliegende Testung war die erste in Deutschland und die zweite in der Schweiz. Das Instrument hatte ursprünglich 26 Items, wobei jedes drei Aussagen beinhaltet, die Familienstrategien ausdrücken und von denen die Probanden dasjenige auswählen sollten, das am ehesten auf ihre Familiensituation zutrifft. Die Aussagen sind von 1 bis 3 gestaffelt, wobei der Wert 3 für optimale, zufrieden stellende Gesundheit steht. In Deutschland wurde das Instrument von 343 und in der Schweiz von 209 Befragten aus der Gemeinde ausgefüllt, die sowohl unterschiedlichen Alters als auch unterschiedlicher ökonomischer Herkunft waren. Eine Principal Component Analysis mit Varimax Rotation brachte vier Faktoren mit einem Eigenwert > 1 hervor. Acht Items mussten herausgenommen werden, da sie eine unzureichende Verteilung oder zu schwache Faktorladungen aufwiesen. Das endgültige Assessment-Instrument hat 18 Items mit einem akzeptablen Wert für Reliabilität (Cronbach Alpha). Das ASF-E kann in Deutschland und in der Schweiz genutzt werden, um Forschung mit Familien zu begleiten und Familiengesundheit in Verbindung mit Pflegeinterventionen einzuschätzen.


2021 ◽  
Vol 26 (3) ◽  
pp. 223-236
Author(s):  
Sri Hermawati ◽  
Lies Handrijaningsih ◽  
Titi Nugraheni

Beberapa penelitian menunjukkan bahwa salah satu faktor yang ikut berperan dalam karier individu adalah Organizational Citizenship Behavior (OCB). OCB mengacu pada perilaku peran ekstra karyawan, yaitu perilaku yang bersifat sukarela dan melampaui ekspektasi peran normal. Berbagai penelitian menunjukkan bahwa pemberlakuan OCB memiliki dampak positif yang kuat pada berbagai hasil kerja individu. Mengingat peran dan dampak OCB dalam organisasi maka perlu disusun instrumen yang tepat untuk mengukur OCB. Penelitian ini dilakukan untuk menyusun instrumen pengukur OCB di kalangan dosen. OCB diukur dari lima dimensi yakni altruism, courtesy, conscientiousness, sportsmanship, dan civic-virtue. Uji reliabilitas dilakukan dengan melihat statistik Cronbach Alpha. Uji validitas ini menggunakan Content Validity Ratio. Validitas isi instrumen diperoleh dengan memberikan kuesioner yang dirancang kepada panelis yang terdiri dari pakar yang berkecimpung di dunia pendidikan dengan bidang psikologi dan manajemen. Pengujian validitas item sebagai pengukur variabel juga dilakukan dengan analisis Principal Component Analysis (PCA). Hasil uji PCA menunjukkan terbentuknya 10 variabel yang dapat digunakan untuk mengukur OCB di kalangan dosen. Total item pernyataan yang membentuk 10 variabel tersebut adalah 36 item pernyataan.


Author(s):  
Sunee Bovonsunthonchai ◽  
Suthasinee Thong-On ◽  
Roongtiwa Vachalathiti ◽  
Warinda Intiravoranont ◽  
Sarawut Suwannarat ◽  
...  

Abstract Background The study aimed to translate the foot function index (FFI) questionnaire to Thai and to determine psychometric properties of the questionnaire among individuals with plantar foot complaints. Methods The Thai version of the FFI (FFI-Th) was adapted according to a forward and backward translation protocol by two independent translators and analyzed by a linguist and a committee. The FFI-Th was administered among 49 individuals with plantar foot complaints to determine internal consistency, reliability, and validity. Cronbach’s alpha and the Intraclass Correlation Coefficient (ICC3,1) were used to test the internal consistency and test-retest reliability. The Principal Component Analysis with varimax rotation method was used to test the factor structure and construct validity. Furthermore, the criterion validity was tested using Pearson’s correlation coefficient (rp) between the FFI-Th and the visual analogue pain scale (pain-VAS) as well as the EuroQol five-dimensional questionnaire (EQ-5D-5L). Results The FFI-Th showed good to excellent internal consistency and test-retest reliability in the total score, pain, disability, and activity limitation subscales. The Principal Component Analysis produced 4 principal factors from the FFI-Th items. Criterion validity of the FFI-Th total score showed moderate to strong correlations with pain-VAS and EQ-5D-5L, and EQ-VAS scores. Conclusion The FFI-Th was a reliable and valid questionnaire to assess the foot function in a Thai population. Trial registration NCT03161314 (08/05/2017).


2021 ◽  
Vol 35 (2) ◽  
pp. 94-105
Author(s):  
Muna Bhattarai ◽  
Yunzhen Huang ◽  
Yazmin Castruita Rios ◽  
Susan Miller Smedema

BackgroundResearch on character strengths in individuals with multiple sclerosis (MS) is lacking. Moreover, measures of character strengths have not been validated in this population, limiting the opportunities for further investigation.ObjectiveTo investigate the factor structure of the Values in Action Inventory of Strengths (VIA)-72 in a sample of individuals with MS.MethodsThis quantitative descriptive study included 624 individuals with MS. The factor structure of the VIA-72 was examined using principal component analysis. The internal consistency reliability and validity were assessed by computing Cronbach's alphas and correlations of the VIA-72 with other psychosocial constructs, respectively.FindingsThe principal component analysis revealed an interpretable four-factor structure of the VIA-72: intellectual and emotional strengths, temperance, transcendence, and interpersonal strengths. The factors significantly correlated with measures of quality of life, resilience, social support, depression, fatigue, and personality traits, indicating good concurrent validity. The four factors did not completely align with Peterson and Seligman's (2004) classification system.ConclusionsThe four-factor structure of the VIA-72 seems to be interpretable, valid, and reliable. Measures like VIA-72 may help rehabilitation professionals learn more about the nature and development of character strengths among persons with MS and suggest ways to cultivate it. Further studies are indicated to confirm the factor structures and psychometric properties of this scale in persons with MS.


2021 ◽  
Vol 2 (1) ◽  
pp. 41-57
Author(s):  
Bernadetta Eka Noviati ◽  
Gabriella Andrea Pranata ◽  
Gaudensius Hengky Togand

Dalam dunia pendidikan keperawatan, pembelajaran klinik merupakan salah satu upaya untuk membantu mahasiswa dalam proses perubahan menjadi perawat yang profesional. Mahasiswa D3 Keperawatan merupakan perawat vokasi dengan pembelajaran teori 40 % dan pembelajaran klinik 60 %. Tujuan penelitian untuk mengetahui tingkat kepuasan mahasiswa tingkat III Program Studi Diploma Tiga Keperawatan terhadap lingkungan pembelajaran klinik di Rumah Sakit. Penelitian ini merupakan jenis penelitian deskriptif kuantitatif pendekatan survey dengan teknik sampling menggunakan total sampling dengan jumlah 84 responden. Instrumen penelitian menggunakan instrumen baku (Clinical Learning Environment, Supervision And Nurse Teacher – Cles+T) yang dialih bahasakan oleh Puji Priyanti & Naharian(2016), uji validitas instrumen mengunakan PCA (Principal Component Analysis)dengan N=46, uji reliabiliti dengan Cronbach alpha, Hasil eigenvalue dan explanation percentage diperoleh 67%, maka dengan demikian instrumen tersebut dinyatakan valid dan reliable. Berdasarkan hasil penelitian diperoleh bahwa mahasiswa Tingkat III Program Studi Diploma Tiga Keperawatan, sebagian besar menyatakan puas terhadap lingkungan pembelajaran klinik sebanyak 81 responden dengan presentase 96.4% dan sebagian kecil tidak puas sebanyak 3 responden dengan presentase 3,6%. Dengan demikian diharapkan institusi mengadakan evaluasi dan perbaikan secara terus menerus sehingga kepuasan pembelajaran klinik tercapai.  


VASA ◽  
2012 ◽  
Vol 41 (5) ◽  
pp. 333-342 ◽  
Author(s):  
Kirchberger ◽  
Finger ◽  
Müller-Bühl

Background: The Intermittent Claudication Questionnaire (ICQ) is a short questionnaire for the assessment of health-related quality of life (HRQOL) in patients with intermittent claudication (IC). The objective of this study was to translate the ICQ into German and to investigate the psychometric properties of the German ICQ version in patients with IC. Patients and methods: The original English version was translated using a forward-backward method. The resulting German version was reviewed by the author of the original version and an experienced clinician. Finally, it was tested for clarity with 5 German patients with IC. A sample of 81 patients were administered the German ICQ. The sample consisted of 58.0 % male patients with a median age of 71 years and a median IC duration of 36 months. Test of feasibility included completeness of questionnaires, completion time, and ratings of clarity, length and relevance. Reliability was assessed through a retest in 13 patients at 14 days, and analysis of Cronbach’s alpha for internal consistency. Construct validity was investigated using principal component analysis. Concurrent validity was assessed by correlating the ICQ scores with the Short Form 36 Health Survey (SF-36) as well as clinical measures. Results: The ICQ was completely filled in by 73 subjects (90.1 %) with an average completion time of 6.3 minutes. Cronbach’s alpha coefficient reached 0.75. Intra-class correlation for test-retest reliability was r = 0.88. Principal component analysis resulted in a 3 factor solution. The first factor explained 51.5 of the total variation and all items had loadings of at least 0.65 on it. The ICQ was significantly associated with the SF-36 and treadmill-walking distances whereas no association was found for resting ABPI. Conclusions: The German version of the ICQ demonstrated good feasibility, satisfactory reliability and good validity. Responsiveness should be investigated in further validation studies.


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