Diagnostic Performances of an Occupational Burnout Detection Method Designed for Healthcare Professionals

Background: We aimed to assess the validity (criterion and cross-cultural validity) and reliability of the first occupational burnout (OB) detection tool designed for healthcare professionals in Belgium in the context of Swiss medical practice. Methods: First, we assessed the sensitivity and specificity of the Tool. We developed this tool based on the consultation reports of 42 patients and compared its detection to the results of the Oldenburg Burnout Inventory (OLBI), filled-in by patients before a consultation. Second, we performed an inter-rater reliability (IRR) assessment on the OB symptoms and detection reached by the Tool between a psychiatrist, two psychologists, and an occupational physician. Results: The Tool correctly identified over 80% of patients with OB, regardless of the cutoff value used for OLBI scores, reflecting its high sensitivity. Conversely, its specificity strongly varied depending on the OLBI cutoff. There was a slight to fair overall agreement between the four raters on the detection of OB and the number of OB symptoms. Around 41% of symptoms showed a substantial to an almost perfect agreement, and 36% showed a slight to a moderate agreement. Conclusions: The Tool seems useful for identifying OB of moderate and strong severity in both the Belgian and Swiss contexts.

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Validity and Reliability of a Systematic Database Search Strategy to Identify Publications Resulting From Pharmacy Residency Research Projects

Journal of Pharmacy Practice ◽

10.1177/0897190014566316 ◽

2016 ◽

Vol 29 (4) ◽

pp. 406-414 ◽

Cited By ~ 2

Author(s):

Namhee Kwak ◽

Joshua T. Swan ◽

Nathaniel Thompson-Moore ◽

Michael G. Liebl

Keyword(s):

Online Survey ◽

Search Strategy ◽

High Sensitivity ◽

Systematic Search ◽

Similar Proportion ◽

Validity And Reliability ◽

Perfect Agreement ◽

Blind Comparison ◽

Root Word ◽

Sensitivity Specificity

Purpose: This study aims to develop a systematic search strategy and test its validity and reliability in terms of identifying projects published in peer-reviewed journals as reported by residency graduates through an online survey. Methods: This study was a prospective blind comparison to a reference standard. Pharmacy residency projects conducted at the study institution between 2001 and 2012 were included. A step-wise, systematic procedure containing up to 8 search strategies in PubMed and EMBASE for each project was created using the names of authors and abstract keywords. In order to further maximize sensitivity, complex phrases with multiple variations were truncated to the root word. Validity was assessed by obtaining information on publications from an online survey deployed to residency graduates. Results: The search strategy identified 13 publications (93% sensitivity, 100% specificity, and 99% accuracy). Both methods identified a similar proportion achieving publication (19.7% search strategy vs 21.2% survey, P = 1.00). Reliability of the search strategy was affirmed by the perfect agreement between 2 investigators (k = 1.00). Conclusion: This systematic search strategy demonstrated a high sensitivity, specificity, and accuracy for identifying publications resulting from pharmacy residency projects using information available in residency conference abstracts.

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Study on Field Demonstration of High Sensitivity SF6 Leakage Detection Method for Gas Insulated Switchgear

IEEJ Transactions on Power and Energy ◽

10.1541/ieejpes.140.409 ◽

2020 ◽

Vol 140 (5) ◽

pp. 409-414

Author(s):

Masaru Tatemi ◽

Hisao Inami ◽

Toshiaki Rokunohe ◽

Makoto Hirose

Keyword(s):

Detection Method ◽

High Sensitivity ◽

Leakage Detection ◽

Gas Insulated Switchgear

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The Portuguese Performance Assessment of Self-Care Skills Measure: Validity and Reliability

OTJR Occupation Participation and Health ◽

10.1177/15394492211021309 ◽

2021 ◽

pp. 153944922110213

Author(s):

Pedro L. Ferreira ◽

Ana L. Simões ◽

Marília Dourado ◽

Margo B. Holm ◽

Joan C. Rogers

Keyword(s):

Performance Assessment ◽

Self Care ◽

The United States ◽

Factor Analyses ◽

Validity And Reliability ◽

Portuguese Population ◽

Perfect Agreement ◽

Portuguese Version ◽

And Gender ◽

Effective Assessment

Performance Assessment of Self-Care Skills (PASS) is a performance-based scale developed in the United States. Because of cultural differences, a Portuguese version was developed, then validated in the Portuguese population and tested ensuring reliability. The objective of this study was to create and test psychometric properties of a Portuguese version of PASS. A linguistic validation on older adults with physical/cognitive disabilities enabled us to validate P-PASS. Some original tasks were changed. Data were analyzed by PASS constructs (independence-safety adequacy), age, and gender. Construct validity (known-group analyses, factor analyses), with 98 individuals yielded excellent results. Reliability between two observers for 30 participants yielded almost perfect agreement for all three constructs. Independence scores were highest, followed by safety and adequacy. Men presented greater independence, as well as participants <60 years. We obtained results comparable with the original version. Conclusion. P-PASS is valid and reliable for the Portuguese population, enabling effective assessment of function and measurement of health outcomes.

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Complementary and Alternative Medicines Use during Pregnancy: A Systematic Review of Pregnant Women and Healthcare Professional Views and Experiences

Evidence-based Complementary and Alternative Medicine ◽

10.1155/2013/205639 ◽

2013 ◽

Vol 2013 ◽

pp. 1-10 ◽

Cited By ~ 21

Author(s):

Abdul Rouf Pallivalappila ◽

Derek Stewart ◽

Ashalatha Shetty ◽

Binita Pande ◽

James S. McLay

Keyword(s):

Systematic Review ◽

Healthcare Professionals ◽

Herbal Medicines ◽

Evidence Base ◽

Validity And Reliability ◽

Alternative Medicines ◽

Cochrane Database ◽

Medicines Use ◽

Data Validity ◽

Cam Use

Aims. To undertake a systematic review of the recent (2008–2013) primary literature, describing views and experiences of CAM use during pregnancy by women and healthcare professionals.Method. Medline, Cumulative Index to Nursing and Allied Health Literature, Cochrane Database of Systematic Review Library and Allied, and Complementary Medicine Database were searched. Studies reporting systemic CAM products (homeopathic preparations, herbal medicines, Vitamins and minerals, homeopathy, and special diets) alone or in combination with other nonsystemic CAM modalities (e.g., acupuncture) were included.Results. Database searches retrieved 2,549 citations. Removal of duplicates followed by review of titles and abstracts yielded 32 relevant studies. Twenty-two reported the perspectives of women and their CAM use during pregnancy, while 10 focused on healthcare professionals. The majority of studies had significant flaws in study design and reporting, including a lack of appropriate definitions of CAM and associated modalities, absence of detailed checklists provided to participants, the use of convenience sampling, and a general lack of scientific robustness in terms of data validity and reliability.Conclusion. To permit generalisability of study findings, there is an urgent need to expand the evidence base assessing CAMs use during pregnancy using appropriately designed studies.

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Validity and reliability of the Noor Evidence-Based Medicine Questionnaire: A cross-sectional study

PLoS ONE ◽

10.1371/journal.pone.0249660 ◽

2021 ◽

Vol 16 (4) ◽

pp. e0249660

Author(s):

Mohd Noor Norhayati ◽

Zanaridah Mat Nawi

Keyword(s):

Evidence Based Medicine ◽

Healthcare Professionals ◽

High Reliability ◽

Internal Consistency Reliability ◽

Evidence Based ◽

Validity And Reliability ◽

Cronbach’S Alpha ◽

Cross Sectional ◽

Cronbach's Alpha ◽

Based Medicine

Background Evidence-based medicine (EBM) is a widely accepted scientific advancement in clinical settings that helps achieve better, safer, and more cost-effective healthcare. However, presently, validated instruments to evaluate healthcare professionals’ attitude and practices toward implementing EBM are not widely available. Therefore, the present study aimed to determine the validity and reliability of a newly developed knowledge, attitude, and practice (KAP) questionnaire on EBM for use among healthcare professionals. Methods The Noor Evidence-Based Medicine Questionnaire was tested among physicians in a government hospital between July and August 2018. Exploratory factor analysis and internal consistency reliability-based Cronbach’s alpha statistic were conducted. Results The questionnaire was distributed among 94 physicians, and 90 responded (response rate of 95.7%). The initial number of items in the KAP domains of the Noor Evidence-Based Medicine Questionnaire were 15, 17, and 13, respectively; however, two items in the practice domain with communalities <0.25 and factor loadings <0.4 were removed. The factor structure accounted for 52.33%, 66.29%, and 55.39% of data variance in the KAP domains, respectively. Cronbach’s alpha values were 0.81, 0.81, and 0.84 for KAP domains, respectively, indicating high reliability. Conclusions This questionnaire can be used to evaluate the knowledge, attitudes, and behaviour of healthcare professionals toward EBM. Future testing of this questionnaire among other medical personnel groups will help expand the scope of this tool.

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Barriers of Adherence among Palestinian Healthcare Professionals towards the Protocol of Health Education and Counselling on Healthy Behaviours for Non-Communicable Diseases

Ethiopian Journal of Health Sciences ◽

10.4314/ejhs.v31i1.9 ◽

2021 ◽

Vol 31 (1) ◽

Author(s):

Ahmed Hassan Albelbeisi ◽

Ali Albelbeisi ◽

Abdel Hamid El Bilbeisi ◽

Mahmoud Taleb ◽

Amirhossein Takian ◽

...

Keyword(s):

Health Education ◽

Psychometric Properties ◽

Healthcare Professionals ◽

Gaza Strip ◽

Communicable Diseases ◽

Arabic Version ◽

Validity And Reliability ◽

Cross Sectional ◽

Non Communicable Diseases ◽

Study Results

BACKGROUND፡ Despite the huge numbers of the universally produced and employed protocols, the adherence with them is still low to moderate in the healthcare settings. This study was employed to assess the attitudes of Palestinian healthcare professionals in Gaza Strip to health education and counseling on healthy behaviours protocol (WHO-PEN Protocol 2), for patients with non-communicable diseases in the Ministry of Health primary healthcare centers.METHODS: This cross-sectional study was conducted with a census sample of all governmental family physicians and nurses (n=175). The study questionnaire was developed based on Cabana theoretical framework. The Arabic version questionnaire was developed based on the cross-cultural adaptation framework. The psychometric properties of the Arabic version questionnaire was finally evaluated.RESULTS: The psychometric properties of the Arabic version questionnaire showed good construct validity and internal consistency reliability. The overall adherence level to WHO-PEN Protocol 2 was 70.0, SD=6.9. The main perceived barriers were lack of incentive, patients’ factors, and lack of time. In general, most of healthcare professional respondents had a positive attitude toward the protocol, but this attitude was not predictor to protocol adherence.CONCLUSION: The good validity and reliability of the questionnaire can provide support for the accuracy of the study results. Varied implementation strategies targeting the major barriers derived from the study are extremely required for addressing the lack of incentives, patients’ factors and time constraints.

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Structured Approach for Evaluating Strategies for Cancer Ascertainment Using Large-Scale Electronic Health Record Data

JCO Clinical Cancer Informatics ◽

10.1200/cci.17.00072 ◽

2018 ◽

pp. 1-12 ◽

Cited By ~ 6

Author(s):

Ashley Earles ◽

Lin Liu ◽

Ranier Bustamante ◽

Pat Coke ◽

Julie Lynch ◽

...

Keyword(s):

Large Scale ◽

High Sensitivity ◽

Performance Comparison ◽

Administrative Claims ◽

Electronic Health Record Data ◽

Perfect Agreement ◽

Electronic Health ◽

Record Review ◽

Structured Approach ◽

Manual Record

Purpose Cancer ascertainment using large-scale electronic health records is a challenge. Our aim was to propose and apply a structured approach for evaluating multiple candidate approaches for cancer ascertainment using colorectal cancer (CRC) ascertainment within the US Department of Veterans Affairs (VA) as a use case. Methods The proposed approach for evaluating cancer ascertainment strategies includes assessment of individual strategy performance, comparison of agreement across strategies, and review of discordant diagnoses. We applied this approach to compare three strategies for CRC ascertainment within the VA: administrative claims data consisting of International Classification of Diseases, Ninth Revision (ICD9) diagnosis codes; the VA Central Cancer Registry (VACCR); and the newly accessible Oncology Domain, consisting of cases abstracted by local cancer registrars. The study sample consisted of 1,839,043 veterans with index colonoscopy performed from 1999 to 2014. Strategy-specific performance was estimated based on manual record review of 100 candidate CRC cases and 100 colonoscopy controls. Strategies were further compared using Cohen’s κ and focused review of discordant CRC diagnoses. Results A total of 92,197 individuals met at least one CRC definition. All three strategies had high sensitivity and specificity for incident CRC. However, the ICD9-based strategy demonstrated poor positive predictive value (58%). VACCR and Oncology Domain had almost perfect agreement with each other (κ, 0.87) but only moderate agreement with ICD9-based diagnoses (κ, 0.51 and 0.57, respectively). Among discordant cases reviewed, 15% of ICD9-positive but VACCR- or Oncology Domain–negative cases had incident CRC. Conclusion Evaluating novel strategies for identifying cancer requires a structured approach, including validation against manual record review, agreement among candidate strategies, and focused review of discordant findings. Without careful assessment of ascertainment methods, analyses may be subject to bias and limited in clinical impact.

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Psychometric evaluation of instruments measuring the work environment of healthcare professionals in hospitals: a systematic literature review

International Journal for Quality in Health Care ◽

10.1093/intqhc/mzaa072 ◽

2020 ◽

Vol 32 (8) ◽

pp. 545-557

Author(s):

Susanne M Maassen ◽

Anne Marie J W Weggelaar Jansen ◽

Gerard Brekelmans ◽

Hester Vermeulen ◽

Catharina J van Oostveen

Keyword(s):

Literature Review ◽

Work Environment ◽

Systematic Literature Review ◽

Health Care Professionals ◽

Healthcare Professionals ◽

Working Environment ◽

Psychometric Validation ◽

Validity And Reliability ◽

Eligibility Criteria ◽

Wide Range

Abstract Purpose Research shows that the professional healthcare working environment influences the quality of care, safety climate, productivity, and motivation, happiness, and health of staff. The purpose of this systematic literature review was to assess instruments that provide valid, reliable and succinct measures of health care professionals’ work environment (WE) in hospitals. Data sources Embase, Medline Ovid, Web of Science, Cochrane CENTRAL, CINAHL EBSCOhost and Google Scholar were systematically searched from inception through December 2018. Study selection Pre-defined eligibility criteria (written in English, original work-environment instrument for healthcare professionals and not a translation, describing psychometric properties as construct validity and reliability) were used to detect studies describing instruments developed to measure the working environment. Data extraction After screening 6397 titles and abstracts, we included 37 papers. Two reviewers independently assessed the 37 instruments on content and psychometric quality following the COSMIN guideline. Results of data synthesis Our paper analysis revealed a diversity of items measured. The items were mapped into 48 elements on aspects of the healthcare professional’s WE. Quality assessment also revealed a wide range of methodological flaws in all studies. Conclusions We found a large variety of instruments that measure the professional healthcare environment. Analysis uncovered content diversity and diverse methodological flaws in available instruments. Two succinct, interprofessional instruments scored best on psychometrical quality and are promising for the measurement of the working environment in hospitals. However, further psychometric validation and an evaluation of their content is recommended.

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Ethernet Motion-Sensor Based Alarm System for Epilepsy Monitoring

International Journal of E-Health and Medical Communications ◽

10.4018/jehmc.2012070104 ◽

2012 ◽

Vol 3 (3) ◽

pp. 45-53

Author(s):

Stéphane Bonnet ◽

Pierre Jallon ◽

Alain Bourgerette ◽

Michel Antonakios ◽

Vencesslass Rat ◽

...

Keyword(s):

Healthcare Professionals ◽

Detection Method ◽

Alarm System ◽

Motion Sensors ◽

Motion Analysis System ◽

Night Time ◽

Analysis System ◽

Wearable Motion Sensors ◽

Epilepsy Monitoring ◽

Specialized Institution

In several biomedical domains, it would be interesting to monitor subjects over night time using wearable motion sensors and trigger an alarm if a specific movement has been detected by processing the accelerometer readings. In this paper, the authors describe an innovative architecture for such an alarm system in the context of epilepsy monitoring. The main ingredients of the proposed system are wireless motion sensors, a radio-frequency transceiver linked to an Ethernet gateway and an acquisition server that incorporates real-time detection method. This motion analysis system is further integrated in the dataflow of an existing medicalized alarm system and an event is sent to healthcare professionals every time a seizure is detected by the expert system. The EPIMOUV system has been evaluated, during a 6-month period, in a specialized institution with epilepsy pharmaco-resistant residents.

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