scholarly journals Psychometric properties of a brief self-report Type: A questionnaire for use in primary health care

1997 ◽  
Vol 15 (1) ◽  
pp. 52-56 ◽  
Author(s):  
Lena Karlberg ◽  
Ingvar Krakau ◽  
Per-Olow Sjödén ◽  
Anna-Lena Undén
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Psychometric Properties ◽  
Type A ◽  
Self Report ◽  
Primary Health

scholarly journals Assessment of the English literacy level of patients in primary health care services in Tshwane, Gauteng province: Part 2

2010 ◽  
Vol 15 (1) ◽  
Author(s):  
Zelda Wasserman ◽  
Susanna C.D. Wright ◽  
Todd M. Maja
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Adult Literacy ◽  
Health Care Services ◽  
Self Report ◽  
Learning Ability ◽  
Low Literacy ◽  
Chi Square ◽  
Primary Health ◽  
English Literacy

Low literacy can be described as the inability to read, write or use numbers effectively. The limited ability to read and understand health care instructions directly translates into poor health outcomes.The aim of this study was to assess the English literacy levels of primary health care patients using the Learning Ability Battery (LAB) and the adapted Rapid Estimate of Adult Literacy, Revised(REALM-R) and to determine how the results of the adapted REALM-R correlate with those of the LAB. Data were collected by means of a self-report whereby the participants had to answer the questions that were posed in the LAB and read the words out loud for the adapted REALM-R.The data analysis was performed by means of descriptive and inferential statistics, including the chi-square test and Spearman’s rho.The result of the study indicated that in South Africa, school grades achieved and the reading levels of primary health care patients differ with four grades.In terms of the correlation between the results of the adapted REALM-R and those of the LAB, a correlation of r = 0.43 (p < 0.001) could be established. Depending on the cut-off point used for the adapted REALM-R, 67% of the participants had low literacy levels. The study provides evidence of the importance of a validated, quick and easy-to-administer literacy screening tool. The effective assessment of patients’ literacy levels will assist registered professional nurses to provide health education on an appropriate level to improve patients’ health literacy. OpsommingLae geletterdheidsvlakke kan beskryf word as ’n persoon se onvermoë om doeltreffend te lees, te skryf of syfers te gebruik. Die beperkte vermoë om te lees en gesondheidsorgvoorskrifte te verstaan,gee direk tot swak gesondheidsuitkomste aanleiding. Die doel van hierdie studie was om die Engelse geletterdheidsvlakke van primêregesondheidsorg-pasiënte deur middel van twee instrumente,naamlik die Learning Ability Battery (LAB) en die aangepasde Rapid Estimate of Adult Literacy, Revised(REALM-R) te assesseer. Daar is voorts ook bepaal hoe die resultate van die aangepaste REALM-R met die LAB korreleer. Data is deur self-rapportering ingesamel, waar die deelnemers vrae uit die LAB-instrument moes beantwoord en spesifieke woorde vir die aangepaste REALM-R hardop te lees. Die data is ontleed deur gebruik te maak van beskrywende en inferensiële statistiek, met inbegrip van ’n chikwadraat-toets en Spearman se rho. Die resultate dui daarop dat die skoolgraad bereik en die leesgeletterdheid van die deelnemers in Suid-Afrika met vier grade verskil. Die korrelasie tussen die resultate van die LAB en die aangepaste REALM-R was r = 0.43 (p < 0.001).Na gelang van die afsnypunt wat vir die aangepaste REALM-R gebruik word, dui die resultate daarop dat 67% van die deelnemers lae geletterdheidsvlakke het. Die studie toon die belang van ’n geldige, vinnige instrument vir geletterdheidsifting. Die doeltreffende assessering van pasiënte se geletterdheidsvlakke kan geregistreerde verpleegkundiges help om gesondheidsonderrig op ’n toepaslike vlak aan te bied ten einde pasiënte se gesondheidsgeletterdheid te verbeter.

scholarly journals Cross-cultural adaptation of the primary health care satisfaction questionnaire

2014 ◽  
Vol 27 (5) ◽  
pp. 419-426 ◽  
Author(s):  
Elisabete Pimenta Araujo Paz ◽  
Pedro Miguel Santos Dinis Parreira ◽  
Alexandrina de Jesus Serra Lobo ◽  
Rosilene Rocha Palasson ◽  
Sheila Nascimento Pereira de Farias
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Psychometric Properties ◽  
Internal Consistency ◽  
Cultural Adaptation ◽  
Care Service ◽  
Cross Cultural ◽  
Care Services ◽  
Primary Health

Objective To develop the cross-cultural validation and assessment of the psychometric properties of the Questionnaire about the quality and satisfaction dimensions of patients with primary health care. Methods Methodological cultural adaptation and assessment study of the psychometric properties, involving 398 users from a primary care service. The construct validity was verified through principal components factor analysis and internal consistency assessment as determined by Cronbach’s alpha, using SPSS. Results A factorial structure was identified that is equivalent to the original instrument, showing six factors that explain 70.81% of the total variance. All internal consistency coefficients were higher than 0.84, indicating appropriate psychometric properties. Conclusion The results show that the Brazilian Portuguese version of the instrument is culturally and linguistically appropriate to assess the satisfaction of users attended in primary care services.

scholarly journals Validation of the Psychometric Properties of the Practice Environment Scale of Nursing Work Index in Primary Health Care in Portugal

2021 ◽  
Vol 18 (12) ◽  
pp. 6422
Author(s):  
Pedro Lucas ◽  
Elvio Jesus ◽  
Sofia Almeida ◽  
Beatriz Araújo
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Psychometric Properties ◽  
Health Centers ◽  
Factor Analyses ◽  
Confirmatory Factor Analyses ◽  
Autonomous Region ◽  
Primary Health ◽  
Work Index ◽  
Confirmatory Factor

Studies related to the work environment in primary health care are scarce in the literature. The present study aimed to validate the psychometric properties of the Practice Environment Scale of Nursing Work Index (PES-NWI) in primary health care (PHC) and to evaluate its construct validity through exploratory and confirmatory factor analyses in a sample of Portuguese nurses. A quantitative, cross-sectional, and validation study design was implemented. Methods: The sample consisted of 1059 nurses from the PHC units of all 55 health center groups (HCGs) in mainland Portugal, 15 health centers in the Autonomous Region of Madeira, and 6 health centers in the Autonomous Region of the Azores. The study tested different structural models using exploratory and confirmatory factor analysis techniques. The reliability of the scale was tested by determining Cronbach’s alpha coefficient. Results: The internal consistency of the PES-NWI was 0.91. Exploratory and confirmatory factor analyses were performed on the PES-NWI model in PHC with five factors: NPOA, NFQC, NMALSN, SRA, and CNPR. The results show that the scale presents acceptable fit quality indexes in the final factorial solution and adequate convergent validity. Conclusion: The PES-NWI in PHC has an adequate, robust, and reliable five-factor structure. The scale is valid and can be used in clinical practice, nursing management, and PHC research.

scholarly journals Self-Reported Hearing Loss and Pure Tone Audiometry for Screening in Primary Health Care Clinics

2018 ◽  
Vol 9 ◽  
pp. 215013271880315 ◽  
Author(s):  
Christine Louw ◽  
De Wet Swanepoel ◽  
Robert H Eikelboom
Keyword(s):  
Health Care ◽  
Hearing Loss ◽  
Primary Health Care ◽  
Pure Tone ◽  
Pure Tone Audiometry ◽  
Self Report ◽  
Test Accuracy ◽  
Second Stage ◽  
Health Care Clinics ◽  
Primary Health

Objective: To evaluate the performance of self-reported hearing loss alone and in combination with pure tone audiometry screening in primary health care clinics in South Africa. Design: Nonprobability purposive sampling was used at 2 primary health care clinics. A total of 1084 participants (mean age 41.2 years; SD 15.5 years; range 16-97 years, 74.0% female) were screened using self-report and audiometry screening. Those failing audiometric screening and a sample of those who passed audiometric screening were also assessed by diagnostic pure time audiometry, to confirm or negate the finding of a hearing loss. Results: Four hundred and thirty-six participants (40.2%) self-reported a hearing loss with no significant association with gender or race. One hundred and thirty-six participant (12.5%) self-reported hearing loss and failed audiometry screening (35 dB HL at 1, 2, and 4 kHz). Combining self-report with a second stage audiometry screening revealed a high test accuracy (81.0%) for hearing loss, being most accurate (86.1%) to identify high-frequency hearing loss. Conclusion: While self-report of hearing loss is an easy and time-efficient screening method to use at primary health care clinics, its accuracy may be limited when used in isolation and it may not be sufficiently sensitive to detect hearing loss. Combining a simple audiometry screening as a second-stage screen can significantly improve overall performance and efficiency of the screening protocol.

scholarly journals Health Professionals’ Conflict Management in Primary Healthcare Facilities of Thessaloniki Prefecture

2020 ◽  
Vol 13 (2) ◽  
pp. 20-30
Author(s):  
Loukia Keramida ◽  
Agoritsa Koulouri ◽  
Sevasti Ioannidou ◽  
Zoi Roupa
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Conflict Management ◽  
Sex Education ◽  
Health Professionals ◽  
Health Care Facilities ◽  
Self Report ◽  
Primary Health ◽  
Care Facilities ◽  
Primary Health Care Facilities

Introduction: The successful organization and operation of a medical structure requires interdisciplinary cooperation, which increases the degree to which health professionals interact with one another. As the interaction degree increases, the probability of conflicts rises in proportion. Conflict management is a systematic procedure aiming to detect mutually satisfying results for the conflicting parties and differentiates depending on the characteristics that constitute the parties involved. Aim: Investigation of ways to resolve and manage conflicts between health professionals working in primary health care facilities. Methods: Α cross-sectional study was performed in Health Centers within the Prefecture of Thessaloniki, during the first trimester of 2016, with 220 health professionals participating, among which doctors, nurses, midwives, health visitors and nurse assistants. Data was collected via structured anonymous self-report questionnaires. Data processing was performed with SPSS 22.0 statistics package and the x2 statistical test was used for qualitative variables (trend control) and t-test for quantitative variables. Results: The 77.4% of the participants worked for more than 10 years, the 10.9% were postgraduate graduates and 81% of the participants were female. Assessment of results revealed that the most common conflict management practice chosen by health professionals was “to avoid conflict” (67.3%), followed by “compromise” (43.6%) by means of securing mutual benefits for both parties. The manner of conflict management was found to be related to sex, education level, profession, as well as work experience. The vast majority of participants (74.7%) stated that they had not undertaken any previous education on conflict management issues. Conclusions: Frequency of conflicts was found to be high between health professionals working in Primary Health Care Facilities and especially between doctors and nurses. Findings of the present investigation underline the necessity to establish new ways of communication and collaboration. Provision of suitable education to health facility members would be deemed a positive step.

scholarly journals Validity of self-reported substance use: research setting versus primary health care setting

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Parvin Khalili ◽  
Ali Esmaeili Nadimi ◽  
Hamid Reza Baradaran ◽  
Leila Janani ◽  
Afarin Rahimi-Movaghar ◽  
...  
Keyword(s):  
Health Care ◽  
Substance Use ◽  
Primary Health Care ◽  
Care Setting ◽  
Health Care Setting ◽  
Self Report ◽  
Research Setting ◽  
Primary Health Care Setting ◽  
The Past ◽  
Primary Health

Abstract Background Self-reported substance use is more likely to be influenced by underreporting bias compared to the biological markers. Underreporting bias or validity of self-reported substance use depends on the study population and cannot be generalized to the entire population. This study aimed to compare the validity of self-reported substance use between research setting and primary health care setting from the same source population. Methods and materials The population in this study included from Rafsanjan Youth Cohort Study (RYCS) and from primary care health centers. The sample from RYCS is made up 607 participants, 113 (18.62%) women and 494 (81.38%) men and sample from PHC centers is made up 522 individuals including 252 (48.28%) women and 270 (51.72%) men. We compared two groups in respect of prevalence estimates based on self-reported substance use and urine test. Then for evaluating validity of self-reported substance use in both group, the results of reference standard, urine tests, were compared with the results of self-reported drug use using measures of concordance. Results The prevalence of substance use based on urine test was significantly higher in both settings compared to self-reported substance use over the past 72 h. The sensitivity of self-report substance use over the past 72 h in research setting was 39.4, 20, 10% and zero for opium, methadone, cannabis and amphetamine, respectively and in primary health care setting was 50, 20.7, 12.5% and zero for opium, methadone, cannabis and amphetamine, respectively. The level of agreement between self-reported substance use over the past 72 h and urine test indicated fair and moderate agreement for opium in both research and primary health care settings, respectively and also slight agreement for methadone and cannabis in both settings were reported. There was no significant difference between the two groups in terms of self-reported substance use. For all substances, the level of agreement increased with longer recall periods. The specificity of self-report for all substances in both groups was more than 99%. Conclusion Individuals in primary health care setting were more likely to self-reported substance use than in research setting, but setting did not have a statistically significant effect in terms of self-reported substance use. Programs that rely on self-reported substance use may not estimate the exact prevalence of substance use in both research and primary health care settings, especially for substances that have a higher social stigma. Therefore, it is recommended that self-report and biological indicators be used for more accurate evaluation in substance use studies. It is also suggested that future epidemiological studies be performed to reduce bias of social desirability and find a method providing the highest level of privacy.

scholarly journals The level at which registered nurses utilise the nursing process in local-level primary health care practice in Namibia

2016 ◽  
Vol 5 (1) ◽  
pp. 65 ◽  
Author(s):  
Hermine Iita ◽  
Scholastika Iipinge ◽  
Agnes Van Dyk
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Registered Nurses ◽  
Local Level ◽  
Self Report ◽  
Care Practice ◽  
Research Approach ◽  
Nursing Process ◽  
Health Care Practice ◽  
Primary Health

<p>The purpose of this study was to explore and describe the use of the Nursing Process by registered nurses in local level primary health care practice in Namibia. The findings were used to serve as a basis to develop strategies to support registered nurses in their daily local PHC practice. A quantitative research approach using a survey design with self-report questionnaire was used. The population consisted of two groups. The first group consisted of 239 registered nurses working in Clinics, health Centers and in Outreach Programs. The second group consisted of 39 registered nurses supervisors of the registered nurses in these facilities. Quantitative, descriptive analysis was used to summarize and organize data using tables and figures as well as t-test and analysis of variance (ANOVA), where applicable.</p><p>Five main problem areas were identified. It was concluded that strategies needed to be developed to support registered nurses in their daily local Primary health care practice. The development of strategies will be dealt with in a different paper.</p>

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