Development of a Readiness for Hospital Discharge assessment tool in Thai patients with stroke

2022 ◽  
Author(s):  
Nuengruethai Posri ◽  
Boonjai Srisatidnarakul ◽  
Ronald L Hickman
Keyword(s):  
Regression Analysis ◽  
Construct Validity ◽  
Hospital Discharge ◽  
Content Validity ◽  
Hospital Readmission ◽  
Assessment Tool ◽  
Multiple Logistic Regression Analysis ◽  
Extensive Literature ◽  
Cronbach’S Alpha ◽  
Cronbach's Alpha

Background: The transition from hospital to home among patients with stroke is quite challenging. If the patients are not ready for hospital discharge, their condition may worsen, which also causes a high rate of readmission. Although instruments to measure readiness for hospital discharge exist, none of them fit with the Thailand context. Objective: This study aimed to develop a Readiness for Hospital Discharge assessment tool in Thai patients with stroke. Methods: The study was conducted from February to September 2020, which consisted of several steps: 1) conducting an extensive literature review, 2) content validity with five experts, 3) pilot testing with 30 samples, and 4) field testing with 348 participants. Content validity index (CVI) was used to measure the content validity, Cronbach’s alpha and inter-item correlation to evaluate reliability, and multiple logistic regression analysis to measure the construct validity. Results: The findings showed good validity and reliability, with I-CVI of 0.85, Cronbach’s alpha of 0.94, and corrected item-total correlation ranging from 0.43 to 0.86. The construct validity was demonstrated through the results of regression analysis showing that the nine variables include level of consciousness (OR = 0.544; CI 95% = 0.311 - 0.951), verbal response (OR = 0.445; 95% CI 0.272- 0.729), motor power right leg (OR = 0.165; 95% CI 0.56- 0.485), visual field (OR = 0.188; 95% CI 0.60-0.587), dysphagia (OR = 0.618; 95% CI 0.410-0.932), mobility (OR = 0.376; 95% CI 0.190 - 0.741), self-feeding (OR = 0.098; 95% CI 0.036 -0.265), bathing (OR = 0.099; 95% CI 0.026-0.378), and bladder control (OR = 0.589; 95% CI 0.355-0.977) that significantly influenced the hospital readmission within 30 days in patients with stroke. Conclusion: The Readiness for Hospital Discharge assessment tool is valid and reliable. Healthcare providers, especially nurses, can use this tool to assess discharge conditions for patients with stroke with greater accuracy in predicting hospital readmission.

scholarly journals Satisfaction Assessment Tool for Obstetrics Triage(SATOT): Development and Psychometric Properties

2020 ◽  
Author(s):  
Farzaneh Rashidi Fakari ◽  
Masoumeh Simbar
Keyword(s):  
Content Analysis ◽  
Construct Validity ◽  
Content Validity ◽  
Assessment Tool ◽  
Service Providers ◽  
Two Dimensions ◽  
Care Providers ◽  
Cronbach’S Alpha ◽  
Important Indicator ◽  
Cronbach's Alpha

Abstract Background: Obstetrics triage is one of the major concerns of hospitals and health care providers. Satisfaction with the services received is a consequence and an important indicator in the assessment of service quality. However, service providers should frequently assess client satisfaction and use high reliability and validation tools to meet clients' needs. Thus, the aim of this study was designing and psychometric Satisfaction Assessment Tool for Obstetrics Triage.Methods: The current study is methodological research and was conducted by the exploratory sequential mixed method in two qualitative and qualitative stages. The first stage using a content analysis approach for describing the concept of satisfaction and then the initial items were extracted and the questionnaire was designed. In the second stage, the designed questionnaire was conducted on 200 subjects referring to obstetrics triage in terms of face validity, content validity, and construct validity by exploratory factor analysis. Reliability was calculated with internal consistency (Cronbach's alpha) and stability with ICC. Results: Ten items were extracted from the content analysis. Ten items were evaluated to face and content validity and no items were deleted. In the construct validity, one item was eliminated and nine items were extracted in two factors of structure and process satisfaction that explained 63.40% of the total variance. The numerical CVR of all items was above 0.49 and the I-CVI Modified Content Validity Index (K *) of all items ranged from 0.86 to one, and the S-CVI score was 0.97. The intra-cluster correlation coefficient was 0.884 and Cronbach's alpha was 0.793. Conclusion: The SATOT is a valid and reliable questionnaire for the assessment of the satisfaction of clients with obstetrics triage. The questionnaire consists of nine items with two dimensions (process and structure satisfaction) of five-point Likert scoring is a simple and easy-to-use tool. This questionnaire may help health providers and policymakers identify problems and challenges in triage that led to dissatisfaction and inappropriate outcomes and take appropriate action as appropriate.

scholarly journals A Study on the Status of Error Reporting Cultures among Nurses in Medical Sciences Hospitals of Islamic Azad University

2018 ◽  
Vol 4 (1) ◽  
Author(s):  
Abasat Mirzaei ◽  
Zeinab Abbasi ◽  
Sima Safarzadeh
Keyword(s):  
Construct Validity ◽  
Content Validity ◽  
Work Experience ◽  
Pearson Correlation ◽  
Face Validity ◽  
Error Reporting ◽  
Cronbach’S Alpha ◽  
Cross Sectional ◽  
Cronbach's Alpha ◽  
The Status

Background:One of the goals of nursing is to provide safe patient care and medical errors are one of the most important threats in this field.Therefore, the purpose of this study is to assess the status of error reporting culture and determine its relationship with demographic characteristics.Methods:This descriptive,analytical and cross-sectional study was carried out among 239 nurses of amiralmomenin and bouali hospitals. First,face validity and then content validity were performed by 15 nursing experts and the questionnaire was distributed and collected. The normal distribution of data was confirmed by Kolmogorov-Smirnov test. The reliability and construct validity were performed with Cronbach’s Alpha test and exploratory factor analysis by PCM.The status of reporting culture was determined by computing descriptive statistics and its relation with demographic variables with Pearson correlation test and logistic regression test with SPSS software version 16.Results:The content validity with CVR &CVI of 0.820 and 0.920 were confirmed. The reporting culture was favorable with a mean and standard deviation of 2.674 and 0.475.The reliability with Cronbach's alpha of 0.747 and the construct validity with a KMO of 0.727 and Significance of the Bartlett test were confirmed and 3 subscales were extracted. The relationship between age and work experience with the reporting culture with a correlation of 0.009 and 0.013 with a significant < 0.05 were rejected But with the variable of gender(=female) with a chance of 2.536 and the significant of 0.006 was confirmed.Conclusion:Developing a safety culture in hospitals by implementing various health programs improves the reporting culture,but the mental climate is undesirable and requires major steps to reduce worries and negative outcomes after reporting.The presence of female nurses in comparison with men improves the error reporting culture.Perhaps the main reason is patriarchy in Iranian culture.

The Person-Centered Care Assessment Tool (P-CAT) in Nursing Home: Psychometric Evaluation of the Italian Version

2020 ◽  
pp. JNM-D-18-00090
Author(s):  
Martina Debiasi ◽  
Alessandra Zenere ◽  
Marianna Baggia ◽  
Maria Elisabetta Zanolin ◽  
Anna Brugnolli
Keyword(s):  
Factor Analysis ◽  
Construct Validity ◽  
Assessment Tool ◽  
Italian Version ◽  
Cronbach’S Alpha ◽  
Cronbach's Alpha ◽  
Person Centered Care ◽  
Care Assessment ◽  
Centered Care ◽  
Test Retest Reliability

Background:The Person-centered Care Assessment Tool (P-CAT) was developed as a self-reporting assessment scale for the healthcare staff ratings of the person-centeredness of their nursing practice.Aim:This study investigates the psychometric proprieties of P-CAT tool in a sample of staff working in residential units for older people, in the North of Italy.Methods:Internal consistency and reliability were examined using the Cronbach’s alpha coefficient. Exploratory factor analysis was used to evaluate construct validity, homogeneity analysis performed to evaluate internal homogeneity of the items and equidistance of item options, test–retest reliability examined by the Pearson correlation coefficient and the intraclass correlation (ICC) coefficient. The P-CAT score was standardized to a 100-point scale, the score differences among groups were compared with one-way ANOVA.Results:The exploratory factor analysis supported the construct validity of a two-factor solution. The mean standardized score of P-CAT was 67.3 (SD 12.8) and Cronbach’s alpha was .79 for subscale 1 and .75 for subscale 2. The ICC coefficient was .87.Conclusion:Reliability and homogeneity were satisfactory for the whole P-CAT tool (Cronbach’s alpha ≥ .70). Test–retest reliability showed temporal stability of the scale (r Pearson .86, ICC .86). The Italian version of the P-CAT was found to be valid, reliable, and applicable for further research. Two subscales are recommended for the Italian version.

scholarly journals Validation of a Survey Questionnaire on Organ Donation: An Arabic World Scenario

2018 ◽  
Vol 2018 ◽  
pp. 1-10 ◽  
Author(s):  
Rajvir Singh ◽  
Tulika Mehta Agarwal ◽  
Hassan Al-Thani ◽  
Yousuf Al Maslamani ◽  
Ayman El-Menyar
Keyword(s):  
Construct Validity ◽  
Organ Donation ◽  
Content Validity ◽  
Domain Knowledge ◽  
Intraclass Correlation ◽  
Principal Component ◽  
Demographic Information ◽  
Cronbach’S Alpha ◽  
Cronbach's Alpha ◽  
Arabic And English

Objective. To validate a questionnaire for measuring factors influencing organ donation and transplant. Methods. The constructed questionnaire was based on the theory of planned behavior by Ajzen Icek and had 45 questions including general inquiry and demographic information. Four experts on the topic, Arabic culture, and the Arabic and English languages established content validity through review. It was quantified by content validity index (CVI). Construct validity was established by principal component analysis (PCA), whereas internal consistency was checked by Cronbach’s Alpha and intraclass correlation coefficient (ICC). Statistical analysis was performed by SPSS 22.0 statistical package. Results. Content validity in the form of S-CVI/Average and S-CVI/UA was 0.95 and 0.82, respectively, suggesting adequate relevance content of the questionnaire. Factor analysis indicated that the construct validity for each domain (knowledge, attitudes, beliefs, and intention) was 65%, 71%, 77%, and 70%, respectively. Cronbach’s Alpha and ICC coefficients were 0.90, 0.67, 0.75, and 0.74 and 0.82, 0.58, 0.61, and 0.74, respectively, for the domains. Conclusion. The questionnaire consists of 39 items on knowledge, attitudes, beliefs, and intention domains which is valid and reliable tool to use for organ donation and transplant survey.

scholarly journals Design and evaluation of psychometric properties of cigarette smoking tendency questionnaire for female adolescents (CTQFA)

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Alireza Jafari ◽  
Nooshin Peyman ◽  
Mahdi Gholian-Aval ◽  
Mehrsadat Mahdizadeh ◽  
Hadi Tehrani
Keyword(s):  
Cigarette Smoking ◽  
Construct Validity ◽  
Psychometric Properties ◽  
Content Validity ◽  
Psychometric Evaluation ◽  
Face Validity ◽  
Female Adolescents ◽  
Cronbach’S Alpha ◽  
Cross Sectional ◽  
Cronbach's Alpha

Abstract Background The tendency of women to smoke has increased in recent years and the prevalence of smoking among women is increasing. The purpose of this study was to design and evaluation the psychometric properties of the smoking tendency questionnaire for Iranian female adolescents. Methods This cross-sectional study was performed on 604 female adolescents in Iran in 2021. The bank of questions was designed based on the qualitative study concepts and review of the literature. To perform the psychometric evaluation, steps such as face validity (qualitative), content validity (qualitative and quantitative) and construct validity (confirmatory factor analysis) were performed. The reliability of the instrument was assessed using McDonald’s omega coefficient and Cronbach’s alpha coefficient. Results Based on the results of psychometrics (face, content, and construct validity), the number of questions was reduced from 102 to 52, and 50 questions were removed. Finally, a questionnaire with 52 questions and 5 subscales of the tendency to experience smoking (14 items), re-experience smoking (8 items), cigarette dependence (9 items), intention to quit smoking (9 items), and smoking cessation (12 items) was approved. The content validity ratio (CVR) and content validity index (CVI) for all questions were 0.770 and 0.938, respectively. The Cronbach’s alpha and McDonald’s omega coefficients for all questions were 0.903 and 0.904, respectively. Conclusion Based on the results of this questionnaire, 52 questions, and 5 subscales can be used to assess the tendency of female adolescents to cigarette smoking.

scholarly journals Instrument Development and Validation to Assess Care Barriers for Patients in Saudi Arabia with Oral Clefts

2021 ◽  
Vol 18 (7) ◽  
pp. 3399
Author(s):  
Layla Khogeer ◽  
Narmin Helal ◽  
Osama Basri ◽  
Sara Madani ◽  
Abeer Basri ◽  
...  
Keyword(s):  
Primary Care ◽  
Saudi Arabia ◽  
Content Validity ◽  
Assessment Tool ◽  
Cronbach’S Alpha ◽  
Study Objective ◽  
Cronbach's Alpha ◽  
Care Assessment ◽  
Final Questionnaire ◽  
Appointment Availability

The study objective was to construct and validate a tool to assess, measure, and evaluate the barriers and obstacles that patients with orofacial clefts (OFCs), and their families, face during treatment. The Effective Accessibility and Accommodation subscale, based on the translated Primary Care Assessment Survey and Primary Care Assessment Tool scales, was used as a reference for the questionnaire. A total of 165 parents from three main cleft referral centers in Saudi Arabia were interviewed. Questionnaire content validity was conducted by calculation of a content validity index for each item (I-CVI) as well as for the total scale (S-CVI). Reliability was tested using Cronbach’s alpha. Factor analysis and principal components analysis were performed to determine the factor structure of the instrument. The final questionnaire had nine items. Rating results showed both I-CVI and S-CVI scores of 1 and Cronbach’s alpha was 0.86. There were three factors (geographic accessibility, appointment availability and accessibility, and scheduling-related barriers) with eigenvalues above 1.00, which collectively accounted for 73% of the variance. In conclusion, this tool is valid and reliable to evaluate accessibility and barriers to care of patients with OFCs in Saudi Arabia.

scholarly journals Development and validation of a questionnaire to determine medical orders non-adherence: a sequential exploratory mixed-method study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Vahid Yazdi-Feyzabadi ◽  
Nouzar Nakhaee ◽  
Mohammad Hossein Mehrolhassani ◽  
Soheila Naghavi ◽  
Enayatollah Homaie Rad
Keyword(s):  
Construct Validity ◽  
Mixed Method ◽  
Content Validity ◽  
Reliability Assessment ◽  
Outpatient Clinics ◽  
Mixed Method Study ◽  
Cronbach’S Alpha ◽  
Cronbach's Alpha ◽  
Validity Assessment ◽  
Item Level

Abstract Background Patients’ non-adherence with medical orders of physicians in outpatient clinics can lead to reduced clinical effectiveness, inadequate treatment, and increased medical care expenses. This study was conducted to develop and validate a questionnaire to determine the reasons for patients’ non-adherence with physicians’ medical orders. Methods A sequential exploratory mixed-method study was conducted in two stages. The first stage comprised a qualitative stage to generate the primary items of the questionnaire. This stage provided findings of two sub-stages comprising a literature review and the findings of a qualitative conventional content analysis of 19 semi-structured interviews held with patients, physicians, and managers of the outpatient clinics in Kerman, an area located in southeastern Iran. The second stage comprised a quantitative study aiming evaluation of the instrument psychometric properties, including the face, content, construct, and reliability assessment of the questionnaire. Construct validity assessment was evaluated using exploratory factor analysis (EFA). The reliability assessment was done using assessing internal consistency (Cronbach’s alpha). To assess the construct validity of the questionnaire, four hundred and forty patients referred to outpatient clinics in Kerman were selected using stratified convenience sampling to fill out the questionnaire. The sample size was calculated using the Cochran formula. Qualitative and quantitative data were analyzed by MAXQDA 10 and Stata version 14, respectively. Results The primary items contained 57 items, of which 42 met the minimum acceptable value of 0.78 for item-level content validity index (I-CVI = 1 for 24 items and I-CVI = 0.8 for 18 items). Item-level content validity ratio (I-CVR) was confirmed for 18 items with a minimum acceptable value of 0.99 for five experts. Finally, 18 items obtained the acceptable value for both I-CVI and I-CVR indicators and were confirmed. Using EFA, four factors (intrapersonal-psychological, intrapersonal-cognitive, provider-related, and socio-economic reasons) with 18 items and Cronbach’s alpha coefficient of 0.70, 0.66, 0.73, and 0.71, respectively, were identified and explained 51% of the variance. The reliability of the questionnaire (r = 0.70) was confirmed. Conclusion The questionnaire with four dimensions is a valid and reliable instrument that can help determine the perceived reasons for non-adherence with medical orders in the outpatient services system.

scholarly journals Validation of a health promotion leadership self-efficacy measure in Jewish and Palestinian women

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Karjawlly ◽  
K Greenberg ◽  
M Nubani Husseini ◽  
N Agbaria ◽  
E leiter ◽  
...  
Keyword(s):  
Health Promotion ◽  
Construct Validity ◽  
Training Program ◽  
Leadership Training ◽  
Content Validity ◽  
Self Efficacy ◽  
Small Sample ◽  
Equation Modeling ◽  
Cronbach’S Alpha ◽  
Cronbach's Alpha

Abstract Background Health promotion (HP) leadership training is necessary to optimize health promotion in all sectors of society, and as in all interventions, there is a need for a measure to assess the effectiveness of leadership training and leadership self-efficacy. The current study aims to validate a 13-item self-report scale for use in health promotion leadership programs. The scale, in Hebrew and Arabic versions, assesses health-promotion leadership skills and self-efficacy (HPLSES). Methods Data for the Hebrew scale were collected as part of a leadership training program for women in Jerusalem and Beer Sheva workplaces (n = 38). The Arabic scale was administered as part of a healthy lifestyle and leadership training program conducted in community centers in East Jerusalem (n = 155). Data for both scales were collected at baseline and 6 months post-intervention. Validation of scales included a panel of experts to assess content validity, Cronbach's alpha to assess internal validity, and structural equation modeling (SEM) to assess construct validity. A specific model was designed to test predictive validity for both communities. Results Content validity was confirmed by a panel of experts. Preliminary correlation analysis between the instrument items showed high correlations for both time periods, which suggested difficulties in building distinct dimensions. Preliminary confirmatory models using exploratory/confirmatory models for the13 items showed reasonable loadings (Loading&gt;0.65). We obtained acceptable goodness-of-fit to the empirical data (Cronbach's alpha=0.90). Conclusions This scale demonstrated acceptable content, internal and construct validity for addressing leadership self-efficacy. It can be used in the evaluation of HP leadership training. Caution is advised in generalizing the results for the Jewish sample given the small sample size. Key messages This scale has been validated as a measure for assessing leadership self-efficacy. The scale can be used in evaluation of health promotion leadership trainings for the same population.

scholarly journals Developing an innovative clinical governance assessment framework for Dental Schools in Iran

2019 ◽  
Vol 5 (6) ◽  
Keyword(s):  
Literature Review ◽  
Construct Validity ◽  
Internal Consistency ◽  
Content Validity ◽  
Goodness Of Fit ◽  
Assessment Framework ◽  
Alpha Coefficient ◽  
Cronbach’S Alpha ◽  
Cronbach's Alpha ◽  
Dental Schools

Objectives: The aim of this study was to develop and validate a DCG assessment framework for use in local dental schools in Iran. Methods: A mixed method (qualitative and quantitative) was used in the present investigation. The study was performed in 3 steps, including: a) thorough literature review, b) focused group discussion and c) Application of validated instrument. The content validity index (CVI) and content validity ratio (CVR) were calculated for each question. The Cronbach's alpha coefficient was calculated to evaluate the internal consistency and reliability for this questionnaire. The Smart PLS software was used for calculation of Goodness of Fit (GOF) for confirmatory factorial analysis to determine construct validity of this questionnaire. Results: Initially, 140 items covering 7 DCG domains were identified after comprehensive literature review. Ten specialists participated in the expert panel, rating independently on the necessity, relevancy, simplicity and clarity of each question. Expert’s ratings were used to calculate the validity for each question. The questions with CVI lower than 0.79 and the CVR less than 0.62 were excluded. Reliability analysis was conducted by calculating intra class coefficient (ICC) and Cronbach's alpha coefficient which were 0.88 and 0.92 respectively. This shows good reliability and internal consistency of the questionnaire. Construct validity determined by computing Goodness of Fit index. The result was 0.622, which indicates a good level of construct validity. After validation process, 124 out of 140 questions left to cover the 7 domains of DCG in our newly developed and validated framework. Conclusions: The newly developed and standardized DCG framework can be used for assessment of compliance level among Iranian dental schools at the national level.

scholarly journals Development and Validation of a Knowledge, Attitude and Practice Questionnaire on Antibiotic Use in Arabic and French Languages in Lebanon

2022 ◽  
Vol 19 (2) ◽  
pp. 687
Author(s):  
Narmeen Mallah ◽  
Rubén Rodríguez-Cano ◽  
Danielle A. Badro ◽  
Adolfo Figueiras ◽  
Francisco-Javier Gonzalez-Barcala ◽  
...  
Keyword(s):  
Construct Validity ◽  
Content Validity ◽  
Mean Squared Error ◽  
Intraclass Correlation ◽  
Antibiotic Use ◽  
Face Validity ◽  
Cronbach’S Alpha ◽  
Validity Index ◽  
Content Validity Index ◽  
Cronbach's Alpha

Objectives: Validated knowledge–attitude–practice (KAP) questionnaires are essential to design and evaluate intervention programs on antibiotic use. Recently, we validated the first KAP questionnaire on antibiotics in Spain. Cross-cultural adaptation and validation of research tools increase their universal usefulness. Here, we aimed to validate the questionnaire in a developing country with different socioeconomic characteristics from that of Spain. Methods: We translated the previously developed KAP-questionnaire into Arabic and French, tailored it and then validated it in adult population in Lebanon. The item content validity index (I-CVI), scale content validity index (S-CVI/Ave) and modified Kappa (k*) were calculated. The construct validity of the questionnaire was evaluated using confirmatory factorial analysis (CFA, N = 1460) and its reliability was assessed using intraclass correlation coefficients (ICC, N = 100) and Cronbach’s alpha statistic. Results: ICV-I (>0.78), k* (equal to ICV-I for all items) and S-CVI/Ave (≥0.95) confirmed the questionnaire content validity. Pilot testing (N = 40) and face validity showed the understandability of the questionnaire by the population. Test–retest reliability analysis (N = 100) yielded ICC ≥ 0.59 for all knowledge and attitude items, showing the capacity of the questionnaire to generate reproducible results. CFA evidenced adequate fit of the chosen model, thus establishing the construct validity of the questionnaire (root mean squared error approximation = 0.053, standardized root mean square residual = 0.045, comparative fit index = 0.92 and Tucker–Lewis index = 0.90). The questionnaire showed an acceptable internal reliability (Cronbach’s alpha = 0.62) and was highly accepted in Lebanon (response rate = 96% and item response rates ≥ 94%). Conclusions: The validity of the KAP-questionnaire on antibiotics in Arabic and French was demonstrated in Lebanon.

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