AACN Synergy Model’s Characteristics of Patients: Psychometric Analyses in a Tertiary Care Health System

2007 ◽  
Vol 16 (2) ◽  
pp. 158-167 ◽  
Author(s):  
Barbara B. Brewer ◽  
Anne W. Wojner-Alexandrov ◽  
Nora Triola ◽  
Christine Pacini ◽  
Melanie Cline ◽  
...  
Keyword(s):  
Critical Care ◽  
Case Report ◽  
Construct Validity ◽  
Patient Care ◽  
Internal Consistency ◽  
Internal Consistency Reliability ◽  
Critical Care Nurses ◽  
Case Report Form ◽  
Second Phase ◽  
Interaction Factor

• Background Models for delivery of patient care that recognize the relationship between the characteristics of the patient and the competencies of the nurse are essential for high-quality outcomes.• Objectives (1) To test application of a case report form used to assess patients’ characteristics as defined by the American Association of Critical-Care Nurses (AACN) Synergy Model for Patient Care in a general population of pediatric and adult patients and (2) to evaluate the internal consistency reliability and construct validity of the patient characteristics measure found on the American Association of Critical-Care Nurses Web site.• Methods A cross-sectional correlational study was conducted in 2 phases. The first phase consisted of secondary data analysis of 481 ratings of patients provided by 11 expert nurses. The second phase consisted of primary data collection of 279 ratings of patients provided by 116 general and critical care nurses. The case report form was used to rate characteristics of patients in both phases; a self-rated nursing proficiency scale was used in the second phase. Descriptive statistics were used to describe the sample. Correlational techniques were used to evaluate internal consistency reliability and evidence of construct validity.• Results The case report form based on the AACN Synergy Model’s characteristics of patients showed satisfactory internal consistency reliability and evidence of discriminant construct validity. Exploratory factor analysis resulted in a 2-factor solution representing an intrapersonal interaction factor and an interpersonal interaction factor.• Conclusion The case report form for assessing characteristics of patients showed utility in a general population of adult and pediatric patients, some critically ill and some not. Nurses without previous knowledge of the AACN Synergy Model were able to apply the model during routine patient care.

scholarly journals Development and validation of a multiple-choice question-based delirium care knowledge quiz for critical care nurses

2021 ◽  
Author(s):  
Mu-Hsing Ho
Keyword(s):  
Critical Care ◽  
Construct Validity ◽  
Internal Consistency ◽  
Item Difficulty ◽  
Item Analysis ◽  
Intraclass Correlation ◽  
Multiple Choice ◽  
Critical Care Nurses ◽  
Face Validity ◽  
Development And Validation

ABSTRACTAimsTo develop and psychometrically test a multiple choice questions (MCQs)-based quiz of delirium care knowledge for critical care nurses.DesignInstrument development and psychometric evaluation study.MethodsThe development and validation process including two phases. Phase I focused on the quiz development, conducted by the following steps: (1) generated initial 20-item pool; (2) examined content validity and (3) face validity; (4) conducted pilot testing, data were collected from 217 critical care nurses via online survey during 01 October to 07 November, 2020; (5) performed item analysis and eliminated items based on the item difficulty and discrimination indices. The MCQs quiz was finalised through the development process. Then, phases II emphasised the quiz validation, to estimate the internal consistency, split-half and test-retest reliability, and construct validity using parallel analysis with the exploratory factor analysis (EFA).ResultsA final 16-item MCQs quiz was emerged from the item analysis. The Kuder– Richardson Formula 20 coefficient for the overall quiz showed good internal consistency (0.85), and the intraclass correlation coefficient with a 30-day interval also indicated that the questionnaire had satisfactory stability (0.96). The EFA confirmed appropriate construct validity for the quiz, four factors could explain the total variance of 60.87%.ConclusionThis study developed the first MCQs quiz for delirium care knowledge and it is a reliable and valid tool that can be implemented to assess the level of delirium care knowledge.ImpactThis study offers an evidence-based quiz designed for future research and education purposes in delirium care that has significant implications for knowledge test by using MCQs in clinical practice.

Adverse Events Reporting System as Experienced by Critical-Care Nurses in KwaZulu-Natal, South Africa

2018 ◽  
Vol 20 (1) ◽  
Author(s):  
Thusile Mabel Gqaleni ◽  
Busisiwe Rosemary Bhengu
Keyword(s):  
South Africa ◽  
Critical Care ◽  
Adverse Events ◽  
Patient Care ◽  
Family Involvement ◽  
Reporting System ◽  
Legal Framework ◽  
Critical Care Nurses ◽  
Kwazulu Natal ◽  
Life Threatening

Critically ill patients admitted to critical-care units (CCUs) might have life-threatening or potentially life-threatening problems. Adverse events (AEs) occur frequently in CCUs, resulting in compromised quality of patient care. This study explores the experiences of critical-care nurses (CCNs) in relation to how the reported AEs were analysed and handled in CCUs. The study was conducted in the CCUs of five purposively selected hospitals in KwaZulu-Natal, South Africa. A descriptive qualitative design was used to obtain data through in-depth interviews from a purposive sample of five unit managers working in the CCUs to provide a deeper meaning of their experiences. This study was a part of a bigger study using a mixed-methods approach. The recorded qualitative data were analysed using Tesch’s content analysis. The main categories of information that emerged during the data analysis were (i) the existence of an AE reporting system, (ii) the occurrence of AEs, (iii) the promotion of and barriers to AE reporting, and (iv) the handling of AEs. The findings demonstrated that there were major gaps that affected the maximum utilisation of the reporting system. In addition, even though the system existed in other institutions, it was not utilised at all, hence affecting quality patient care. The following are recommended: (1) a non-punitive and non-confrontational system should be promoted, and (2) an organisational culture should be encouraged where support structures are formed within institutions, which consist of a legal framework, patient and family involvement, effective AE feedback, and education and training of staff.

scholarly journals Beyond torture checklists: an exploratory study of the reliability and construct validity of the Torturing Environment Scale (TES)

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Pau Pérez-Sales ◽  
Raquel González-Rubio ◽  
Blanca Mellor-Marsá ◽  
Gonzalo Martínez-Alés
Keyword(s):  
Construct Validity ◽  
Internal Consistency ◽  
Quantitative Research ◽  
Subjective Experience ◽  
Basque Country ◽  
Internal Consistency Reliability ◽  
Torture Survivors ◽  
Security Forces ◽  
Validity Assessment ◽  
Environment Scale

Abstract Background Torture methods have traditionally been quantified using checklists. However, checklists fail to capture accurately both the almost infinite range of available methods of torture and the victims’ subjective experience. The Torturing Environment Scale (TES) was designed as a multidimensional alternative that groups torture methods according to the specific human function under attack. This study aims to do an exploratory assessment of the internal consistency reliability and discriminatory validity of the TES as part of a construct validity assessment in a sample of Basque torture survivors. Methods We applied the TES to a sample of 201 torture survivors from the Istanbul Protocol Project in the Basque Country Study (IPP-BC) to profile torturing environments in detention. To estimate the internal consistency reliability of the scale, categorical omega values were obtained for each subscale of the TES. To assess its discriminatory validity, the “known groups” method was used comparing mean scorings by gender, state security forces involved in the detention, and decade (the 1980s to the present) when the events took place. Results Men reported more physical pain, while women reported more attacks on self-identity and sexual integrity. The TES also showed significant differences as regards the security forces involved in the detention: Civil Guard (a militarised police) used more manipulation of the environment, threats, fear, pain and extreme pain, as compared to national and regional corps. Finally, although patterns of torture remained mostly unchanged across decades, more recent detentions included more emphasis on psychological attacks: context manipulation, humiliation linked to sexual identity, and attacks to meaning and identity. For all subscales of the TES, categorical omega values ranged from 0.44 to 0.72. Conclusion The TES may be a useful tool in profiling torturing environments. Its sensitivity to key contextual variables supports the discriminatory validity of the scale. While some of the subscales showed an acceptable degree of internal consistency, others require further analysis to improve reliability. The scale provides unique insights into the profile of contemporary torture. It will allow for future quantitative research on the relationship between different torturing environments and the medical and psychological consequences thereof.

Validation of the Beliefs of Physical Activity among Clergy (B-PAC) Instrument

2017 ◽  
Vol 32 (2) ◽  
Author(s):  
Shannon Gwin ◽  
Paul Branscum ◽  
E. Laurette Taylor
Keyword(s):  
Physical Activity ◽  
Factor Analysis ◽  
Construct Validity ◽  
Psychometric Properties ◽  
Internal Consistency ◽  
Internal Consistency Reliability ◽  
Retest Reliability ◽  
Reliable Instrument ◽  
The Stability ◽  
Test Retest Reliability

The purpose of this study was to create a valid and reliable instrument to evaluate theory-basedbeliefs towards physical activity among clergy members. Data were collected from 174 clergy that par-ticipated in a 15-item online and paper-based survey. Psychometric properties of the instrument includedconfirmatory factor analysis (construct validity), and cronbach’s alpha (internal consistency reliability).In addition, the stability (test-retest reliability) of each subscale was evaluated with a sub-sample of 30participants. Results show the instrument was both valid and reliable, and will be useful in future studiestargeting this population. Future implications are discussed.

A Clinical Screening Procedure for Assessing Consonant Cluster Production

1995 ◽  
Vol 4 (1) ◽  
pp. 59-65 ◽  
Author(s):  
Thomas W. Powell
Keyword(s):  
Construct Validity ◽  
Internal Consistency ◽  
Internal Consistency Reliability ◽  
Individualized Treatment ◽  
Intervention Programs ◽  
Treatment Programs ◽  
Consonant Cluster ◽  
Technical Adequacy ◽  
Clinical Screening ◽  
Factor Analytic

This paper describes a 64-item clinical screening task designed to assess the accuracy of children's consonant cluster productions. This procedure is designed to help speech-language pathologists develop intervention programs to improve children's production of clusters by facilitating the identification of error patterns. Once such patterns have been identified, individualized treatment programs designed to maximize generalization may be developed. The task was administered to 100 4- and 5-year-old subjects to assess the technical adequacy of the procedure. Internal consistency reliability of the task was high, and the procedure was also shown to assess an appropriately diverse array of word-initial and word-final consonant clusters. Finally, the construct validity of the task was supported by factor analytic procedures.

Diagnosis of chronic post-hypoxic myoclonus in near hanging survivor: Case report

2020 ◽  
Vol 32 (1) ◽  
pp. 5-8
Author(s):  
David Hersey
Keyword(s):  
Critical Care ◽  
Case Report ◽  
Cognitive Function ◽  
Attempted Suicide ◽  
Late Onset ◽  
Respiratory Arrest ◽  
Critical Care Nurses ◽  
Impaired Cognitive Function ◽  
Rare Syndrome

A 39-year-old male, who attempted suicide by hanging, developed chronic myoclonus with intact cognitive function. Chronic post-hypoxic myoclonus is a rare syndrome that may develop after a respiratory arrest and it presents as late onset and persistent purposeful myoclonus with preserved or slightly impaired cognitive function. Increasing critical care nurses’ awareness of chronic post-hypoxic myoclonus will lead to earlier diagnosis of this rare syndrome.

The Canfield Learning Styles Inventory: An Assessment of Its Usefulness in Accounting Education Research

2001 ◽  
Vol 16 (3) ◽  
pp. 341-365 ◽  
Author(s):  
Barbara J. Eide ◽  
Marshall A. Geiger ◽  
Bill N. Schwartz
Keyword(s):  
Education Research ◽  
Learning Styles ◽  
Construct Validity ◽  
Learning Style ◽  
Internal Consistency ◽  
Critical Evaluation ◽  
Internal Consistency Reliability ◽  
Accounting Education ◽  
Learning Styles Inventory ◽  
Test Retest Reliability

Recent reviews of accounting education research have called for continued assessment of learning style inventories in accounting contexts (Geiger and Boyle 1992; Rebele et al. 1998). This study presents a critical evaluation of the psychometric properties of the Canfield Learning Styles Inventory (LSI), proposed by Francis et al. (1995) as an instrument for possible use by accounting educators. The study administered two versions (standard and scrambled) to 531 accounting majors from eight universities, applying a test-retest strategy after a 4–5 week interval. The versions were examined for internal consistency reliability, test-retest reliability, classification stability, and construct validity. We found moderate internal consistency (item analyses scores weaker than those reported by Canfield [1988]) and a substantial amount of learner-type classification instability across the two administrations. In terms of construct validity, two-factor solutions were not consistent with those reported by Canfield (1988). Further, three-factor solutions also were not consistent with Canfield's three learning domains. Therefore, along with limited theoretical support and the lack of empirical justification, we find little support for the use of the Canfield LSI in accounting education research.

Current nursing practice of point-of-care laboratory diagnostic testing in critical care units

1995 ◽  
Vol 4 (6) ◽  
pp. 429-434 ◽  
Author(s):  
Lamb LSJr ◽  
RS Parrish ◽  
SF Goran ◽  
MH Biel
Keyword(s):  
Critical Care ◽  
Patient Care ◽  
Laboratory Testing ◽  
Point Of Care ◽  
Diagnostic Testing ◽  
Critical Care Nurses ◽  
Point Of Care Testing ◽  
Critical Care Units ◽  
In Vitro Diagnostic

BACKGROUND: The development of user-friendly laboratory analyzers, combined with the need for rapid assessment of critically ill patients, has led to the performance of in vitro diagnostic testing at the point of care by personnel without formal laboratory training. OBJECTIVES: To determine the range of laboratory testing performed by critical care nurses and their attitudes toward this role. METHODS: A survey of critical care nursing consultants was conducted, using a modified Likert scale, to assess objective measures of point-of-care testing practice in critical care units and to determine nurses' attitudes toward the practice of point-of-care testing. Statistical analysis was performed to determine significant trends in responses. RESULTS: Of the units responding to the survey, 35% used critical care nurses exclusively to perform point-of-care testing, 32.5% used laboratory technicians and critical care nurses, and 25% used other personnel. Of critical care nurses performing laboratory testing, 95.5% performed blood glucose analysis; 18.7%, arterial blood gas analysis; 4.5%, electrolyte analysis; 4.5%, hematology profiles; and 22.7%, other testing. Most agreed that stat tests were not reported promptly, thereby necessitating bedside testing. Respondents indicated that they would prefer that laboratory personnel operate in vitro diagnostic equipment and that requirements for critical care nurses to perform laboratory testing detracted from other patient care duties. CONCLUSIONS: Most nurses who perform point-of-care testing responded that it was necessary and helpful in patient management. However, they would prefer, because of their other patient care responsibilities, that laboratory personnel take this responsibility.

The Health Professions Stress Inventory: Factor Structures for Pharmacists

1994 ◽  
Vol 79 (1) ◽  
pp. 515-519 ◽  
Author(s):  
Gireesh V. Gupchup ◽  
Alan P. Wolfgang
Keyword(s):  
Construct Validity ◽  
Patient Care ◽  
Internal Consistency ◽  
Health Professions ◽  
Professional Recognition ◽  
Show Evidence ◽  
Stress Inventory ◽  
Related Stress ◽  
Job Related Stress ◽  
Orthogonal And Oblique Rotations

Scores from a sample of pharmacists on the Health Professions Stress Inventory were factor analyzed to identify any underlying components of these professionals' job-related stress. Data were collected via mail questionnaires from a nationwide sample of 573 practicing pharmacists. Three- and four-factor solutions, using both orthogonal and oblique rotations, were compared. Based on these comparisons, a four-factor oblique solution was judged to be most appropriate, the four factors being labeled Professional Recognition, Patient Care Responsibilities, Job Conflicts, and Professional Uncertainty. The factors show evidence of internal consistency and construct validity.

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