Psychometric Testing of the Traditional Chinese Version of the Fear of Progression Questionnaire-Short Form in Cancer Survivors

Background and PurposeFear of cancer recurrence (FCR) is a frequent psychological adverse effect among cancer survivors. This study aimed to test the psychometric properties of the Traditional Chinese version of the 12-item Fear of Progression Questionnaire-Short Form (FoP-Q-SF).MethodsAn online survey was conducted with 311 cancer survivors in Hong Kong. The factor structure, known-group validity, and internal consistency reliability were examined.ResultsThe values measuring validity is good, with acceptable goodness-of-fit indexes (RMSEA = 0.073, SRMR = 0.042, CFI = 0.954), moderate to large correlations with unmet needs (0.339.0.816), being female, younger, had completed treatment ≤ 2 years, and had undergone chemotherapy/radiotherapy scored significantly higher on the FoP-Q-SF. The Cronbach’s alpha of the scale was .922.ConclusionsHigh validity and reliability indicate the scale’s value in assessing FCR in Hong Kong cancer survivors.

Evaluation of the Caregiver Preparedness Scale in African American and White Caregivers of Persons With Dementia During Post-Hospitalization Transition

Background and PurposeThe Preparedness for Caregiving Scale (PCS) is a widely used instrument to measure caregiver preparedness. The purpose was to evaluate the PCS in African American and White caregivers of patients with dementia upon discharge from the hospital.MethodsFactor structure, measurement invariance, and predictive validity of the PCS were assessed in a sample of 292 family caregivers/patient dyads.ResultsOne-factor structure of the PCS and measurement invariance by race was fully supported. Predicative validity revealed significant association between the PCS and anxiety (β = −.41, t = −7.61(287), p < .001), depression (β = −.44, t = −8.39(287), p < .001), and strain (β = −.48, t = −9.29(287), p < .001).ConclusionThe PCS is a valid and meaningful tool to measure preparedness in African American and White family caregivers of persons with dementia during post-hospitalization transition.

The Development and Testing of the MISSCARE Survey OR

BackgroundAn acceptable, reliable, and valid survey instrument to measure missed nursing care in perioperative settings has not been developed.PurposeTo develop and conduct psychometric testing of the MISSCARE Survey OR.MethodsData were collected nationwide from 1,693 operating room (OR) nurses who completed the MISSCARE Survey OR. The survey contained two sections: Part A, “Elements of perioperative nursing care” (32 questions) and Part B, “Reasons for missing nursing care” (17 questions).ResultsThe MISSCARE Survey OR demonstrated acceptability, as few respondents missed questions in Part A (0.1%–1.1%) and Part B (0.8%–1.3%). Exploratory factor analysis revealed five subscales in Part A (Legal, Preparation, Safety, Communication, and Closing) and four in Part B (Urgency, Staffing, Materials, and Teamwork). In Part A, the five-factor solution explained 44% of the variance. In Part B, the four-factor solution explained 53% of the variance. Alpha coefficients for subscales in Part A ranged from 0.71 to 0.84 and 0.74 to 0.90 for Part B. Validity was measured using content validity, criterion validity, and construct validity. A panel of OR nurse experts established content validity. Criterion validity compared hospitals with fewer than six ORs to hospitals with hospitals with more than six ORs where it was hypothesized aprior that nurses in hospitals with fewer ORs would have missed less care (X = −.123, standard error [SE] = .041, p = .003). Construct validity was tested through exploratory and confirmatory factor analyses (CFA). Correlation coefficients for Part A ranged from 0.34 to 0.73 and 0.60 to 0.73 for Part B. Overall model fit was acceptable: goodness-of-fit index (GFI) and CFA were greater than 0.90, standardized root mean square residual (SMRM) was less than 0.06, and root mean square error of approximation (RMSEA) less than 0.08.ConclusionThe MISSCARE Survey OR promises to be a reliable, valid indicator of the extent of and reasons for missed nursing care.

The Creation and Validation of Active Cooperative Behavior Scales for Nurses

Background and PurposeGeneral conflict management instruments are employed in healthcare settings despite their lack of focus on active and cooperative behaviors which are linked to positive outcomes. The purpose of this study is to create and validate active cooperative behavior scales for nurses.MethodsTwo convenience samples were collected via an online panel and a public registry of nurses to create and validate the new scales using factor analysis, and hierarchical regression in a nursing/healthcare sample.ResultsThe newly created active cooperative behavior scales (ACBS) showed acceptable internal consistency and explained more variance on job satisfaction than a commonly used compromising subscale.ConclusionsThe ACBS can assist currently practicing nurses and hospitals in identifying easily implementable behaviors, active listening, appropriate assertiveness, and brainstorming, that lead to effective conflict management.

Development and Psychometric Testing of a Self-Rated Scale Based on National Nursing Core Competency Standards

Background and PurposeThe objectives of this study were to develop a National Nursing Core Competency Standards (NNCCS)-based instrument and determine its construct validity and internal consistency reliability.MethodsA methodologic research design was used to validate the 59-item scale based on the responses of 600 nurses. The scale items were culled from the client care, leadership and management, and research competencies identified in the NNCCS.ResultsThe results of the analyses confirmed 53 items and gave rise to a five-factor solution. The five dimensions are leadership, management, research, ethico-legal, and strategic competencies.ConclusionsThe seminal psychometric testing provided an evidence of acceptable validity and reliability of the proposed instrument. Further testing was recommended to accrue the psychometric soundness of the instrument.

Psychometric Properties of the “ICU Nurses” Perceptions Questionnaire of Self-Performance with Families of Critically Ill Patients (Persian Version)

Background and PurposeNurses' self-perception of their performance toward family members of patients is one of the most important issues in predicting family adaptive behaviors. This study analyze the psychometric properties of the Persian version of ICU nurses' perceptions questionnaire of self-performance with families of critically ill patients.MethodsAmong 135 intensive care nurses, to determine face validity, 10 nurses were asked to comment on, comprehensibility, grammar, and writing of items. Exploratory factor analysis was used to assess construct validity.ResultsThe intra-cluster correlation coefficient (ICC) was 0.82 and Cronbach's alpha was 0.74. Exploratory factor analysis showed the first nine related factors have 65.22% variance.ConclusionPersian version of “ICU nurses' perceptions of self-performance with families of critically ill patients” had good reliability and validity.

Reliability and Construct Validity of the Nurses' Intention to Use Deep Vein Thrombosis Preventive Measures Questionnaire

Background and purposeValid and reliable measurements are paramount to advance the science of intensive care unit (ICU) nursing. This study aimed to evaluate the reliability and construct validity of the Nurses' Intention to Use Deep Vein Thrombosis Preventive Measures Questionnaire among critically ill patients in an Egyptian ICU. A crosssectional, predictive design pilot-tested the psychometric properties of the questionnaire in a convenience sample of 78 RNs working in ICU.MethodsConstruct validity was examined using factor analysis.ResultsThe Kaiser–Meyer–Olkin measure of sampling was 0.71, and Bartlett's test of sphericity was significant (X2 = 410.16, p < .05). Four factors were identified through factor analysis. Cronbach's α assessed the internal consistency reliability with a value of .82.ConclusionOur analyses showed that the Nurses' Intention to Use Deep Vein Thrombosis Preventive Measures Questionnaire has good validity and reliability; however, further investigations will be completed.

Measuring Anticipated Loss of Aging Parents: Development of the Parent Anticipatory Loss Scale

Background and PurposeResearch indicates non-caregiving adult children with aging parents experience anticipatory loss for parents that consists of feelings of gratitude, sadness, and worry. The purpose of this research was to develop the Parent Anticipatory Loss Scale.MethodsInterview data from non-caregiving adult children and extant literature formed the basis for creating items measuring three components of Parent Anticipatory Loss. Expert content validity was established prior to administering the survey to a convenience sample of non-caregiving (N = 315), mostly Caucasian (n = 182, 57.6%) men (n = 202, 63.9%). The crowdsourcing platform, Mechanical Turk, provided an innovative method for sample recruitment.ResultsQuestions were eliminated as indicated during analysis, yielding a 19-item scale (α = 0.93) with three subscales (α = 0.897 for Gratitude, α = 0.841 for Sadness, and α = 0.833 for Worry). Exploratory factor analysis (Varimax rotation) showed gratitude accounted for 46% of the variance, with sadness and worry accounting for 9.5% and 5.3%.ConclusionsThe Parent Anticipatory Loss scale demonstrates good initial reliability and validity and can be used to measure anticipatory loss for aging parents. Further testing with cross cultural samples is warranted.

Turkish Validity–Reliability of Breast Cancer Beliefs Scale and the Effect of Socio-Demographic Factors on Breast Cancer Beliefs

Background/aimThis study was conducted to determine the validity and reliability of the Breast Cancer Cultural Beliefs Scale for women with breast cancer in Turkish society.Materials and methodsThe population of this study was composed of patients diagnosed with breast cancer who were treated for cancer in the Adult Chemotherapy Unit. A total of 178 women with breast cancer participated in this study.ResultsIn order to determine the factor structure of the scale, principal component analysis was performed. Cronbach's alpha was used to determine the reliability of the scale scores. The results explained 62.93% of the total variance of the scale. The result of the Kaiser–Meyer–Olkin test was determined to be 0.813, and that of Bartlett's test was 723.56. Cronbach's alpha coefficient of the scale was .74.ConclusionIt was determined that the Breast Cancer Cultural Beliefs Scale was a valid and reliable tool for assessing the cultural beliefs of women in Turkey.

Psychometric Evaluation of a 10-Item Health Insurance Knowledge Scale

BackgroundCollege students are a priority population for health insurance literacy interventions. Yet, there are few psychometric studies on measuring health insurance knowledge – a core construct of health insurance literacy.MethodsWe administered a health insurance survey to 2,250 college students. We applied Classical Test Theory and Item Response Theory methods to estimate psychometric properties of the Kaiser Family Foundation's 10-item health insurance knowledge quiz.ResultsThe scale is unidimensional, and a two-parameter logistic model best fit the data. IRT estimates indicated varying item discriminations (a range: 0.717–2.578) and difficulties (b range: −0.913–1.790). Precision of measurement was maximized for students half a standard deviation below the mean (θ = −0.686) health insurance knowledge ability.ConclusionsThis scale can be used to identify gaps in health insurance knowledge among college students and be applied in clinical and community health education practice.