Validity of the Maslach Burnout Inventory – Human Services Survey among Sri Lankan Nursing Officers

This study assessed the validity and reliability of Maslach Burnout Inventory-Human Services Survey (MBI-HSS) among Sri Lankan nursing officers. Although the factorial structure and reliability of the MBI-HSS is established across different countries and cultures there is minimal research on burnout or its measurement instruments in South Asian settings. The pre-tested Sinhala version of MBI-HSS was administered to a simple random sample of 191 nursing officers employed in a tertiary care hospital in Colombo. Confirmatory factor analysis was used to assess the construct validity of the hypothesized three-factor (emotional exhaustion, depersonalization and reduced personal accomplishment) structure. A three-factor model fitted the data better than a one-factor or a two-factor model. Two items (4 and 13) were identified as having poor psychometric properties. Deletion of Item 4 resulted in the best fitting model. A modified version of the Sinhala MBI-HSS without item 4 seems to be a highly suitable instrument to assess burnout among Sri Lankan nursing officers.     

A validation and short form of the Basic Character Inventory

The Basic Character Inventory (BCI) contains 136 items, 17 lower-order personality factors and three higher-order personality factors derived from psychoanalytic theory: Oral, Obsessive Compulsion, and Hysteria. Previous research that investigated the BCI's psychometric properties examined small, special populations and did not use modern statistical methods to validate the BCI. The present study validates the BCI via confirmatory factor analyses using a large sample of 6,285 Norwegian nursing and teaching students. Reliability, convergent validity, and divergent validity of the BCI were also assessed. Results indicated general support for the original BCI factor structure in a reduced form of the BCI that possesses strong reliability and validity, and is suitable for use in time-limited measurement settings.     

Psychometric instability of measures in novel settings: Use of psychiatric rating scales in nursing homes

Researchers have become increasingly concerned about problems of the quality of measurement in applied evaluation settings. Of particular importance is change in both the reliability and the validity of a measure that is used in a novel setting. This problem is illustrated by an attempt to use psychiatric rating scales to assess the behavior of chronic mental patients currently residing in nursing homes. Methods for assessing changes in both reliability and validity are presented, along with suggestions for how to deal with these problems.This research was supported in part by an Extramural Research Grant from the State of Illinois Department of Mental Health and Developmental Disabilities.     

Preliminary investigation of the Kitchen Picture Test (KPT): A new screening test of practical judgment for older adults

Judgment is widely recognized as an important executive function, and deficits in judgment can lead to health risks, safety concerns, and hospitalizations. Surprisingly, relatively few tests of judgment have been developed specifically for older adults—a population particularly vulnerable to executive and functional declines. The Kitchen Picture Test (KPT) is a new screening measure of practical judgment. In two independent studies (Study 1, N = 99 nursing home patients; Study 2, N = 163 nursing home and assisted living patients), psychometric analyses confirmed strong evidence for reliability, construct validity, and predictive validity. A receiver operating characteristic (ROC) curve was calculated from sensitivity and 1-specificity values for diagnoses of dementia versus no dementia. A KPT cut score can be used for identifying persons to be referred to appropriate health-care professionals who have specific expertise in the evaluation and treatment of cognitive impairment.     

ENHANCING THE SOCIAL ENVIRONMENTS OF ELDERLY NURSING HOME RESIDENTS: ARE HIGH RATES OF INTERACTION ENOUGH?

We investigated the social validity of a common intervention (i.e., serving food during a social hour) that has been reported to facilitate social interaction among nursing home residents. Using a group reversal design, rates of interaction were measured. In addition, the vocal content of the interactions was recorded and coded by raters blind to condition. Rates of interaction more than doubled during the treatment phases, but ineffective vocal behavior accounted for the bulk of the increase. Results suggest the need to examine the utility of such programs in nursing homes.     

Validation of a reflective thinking instrument for third-year undergraduate nursing students participating in high-fidelity simulation

Background: nursing students are required to think reflectively in both real and simulated clinical practice. Although the Reflective Thinking instrument is reliable in its measurement of reflective thinking, its validity is unknown. Method: confirmatory factor analysis was undertaken in an iterative manner within a non-equivalent control-group study to measure nursing students’ reflective thinking and satisfaction with high-fidelity simulation. The validity and reliability of the Reflective Thinking instrument was tested. Results: the resulting instrument consisted of 15 items across four factors. The final model was plausible as it demonstrated ‘goodness of fit’; however, it had neither convergent or discriminatory validity, nor reliability. Internal consistency was fair to reasonable for the four subscales. Conclusion: the testing of the Reflective Thinking instrument using confirmatory factor analysis is a vital initial step in the modification of this instrument. Further development using exploratory factor analysis will enhance the instrument’s relevance within high-fidelity simulation.     

Validation of the Functional Assessment of Chronic Illness Therapy—Spiritual Well-being (FACIT-Sp12) on French Old People

The study aimed to develop a French version of the Functional Assessment of Chronic Illness Therapy—Spiritual Well-being short version (FACIT-Sp12), in order to provide a self-reported measure for French people in the field of gerontology. The study involving 63 nursing home residents was conducted to evaluate the construct validity, reliability, and convergence validity of the FACIT-Sp12. A confirmatory factor analysis corroborated a three-factor model (Meaning, Peace and Faith) with modifications for two items, also valid among people with cognitive impairment. Subscales showed good internal consistency and are correlated with quality of life and depression. In conclusion, the validated French version is an suitable instrument to study the maintenance and promotion of quality of life in the elderly.     

Assessing the well-being of patients with dementia: validity and reliability of the Spanish version of the Dementia Care Mapping (DCM) tool / La evaluación del bienestar en pacientes con demencia: validez y fiabilidad de la versión española del Dementia Care Mapping (DCM)

Abstract

Based on person-centred care (PCC), new instruments to assess the quality of life of elderly people with dementia, such as the Dementia Care Mapping (DCM) tool, have been developed. The aim of the study was to determine the psychometric properties of the DCM tool for its use in research into nursing homes. Sixty-eight elderly people who had dementia living in four different nursing homes participated in the study. DCM was applied twice (with six months difference between each administration) and its results were compared with the GENCAT scale of quality of life. Results showed that DCM has a limited concurrent validity, test-retest reliability and inner consistency, which questions its use as a research tool. The authors discuss the difficulty of evaluating the quality of life in people who have dementia and what the DCM tool really evaluates.     

The support appraisal for work stressors inventory: Construction and initial validation

In order to better understand the role of perceived available support in buffering the negative effects of workplace stressors, a new multidimensional measure of perceived available support, the SAWS, was developed. Initial item development and content validation were conducted, followed by scale evaluation and validation. Two samples of 190 and 170 nursing staff supported the hypothesized structure of the scale, and provided evidence for discriminant validity amongst the sub-constructs of source of support (e.g., support from supervisor) and supportive function (e.g., emotional support). Criterion-related validity of the SAWS constructs were supported by measures of network orientation and relationship closeness. Evidence for predictive validity was provided by examining the moderating effects of the SAWS constructs on the relationship between work-family conflict and adjustment outcomes. The final SAWS inventory assesses three sources of support, and within each source, assesses four distinct supportive functions.     

The measurement of role taking in young adults

Sociometry is presented as an alternative way of measuring role taking, specifically, an alternative to an often used projective measure, the Role-Taking Task (RTT). Study 1 assesses role taking in 161 college students. In this study, a sociometric measure, the Peer Role-Taking Questionnaire (PRTQ) was shown to correlate with class year, group status, social choice, and friendship. In contrast, the RTT correlated weakly with grade point average and some personality test measures. In Study 2, the PRTQ, and not the RIT, was associated with interaction skills in a sample of 39 college nursing students. The PRTQ and RTT did not correlate with each other in either study. The validity and reliability of these two role-taking measures are discussed. It is suggested that researchers need to examine the adequacy of the role-taking measures they use.     

Assessment of Rorschach dependency measures in female inpatients diagnosed with borderline personality disorder

The psychometric properties and predictive validity of the Dependency Index (DI; Hilsenroth & Bornstein, 2002) and the Rorschach Oral Dependency Scale (ROD; Masling, Rabie, & Blondheim, 1967) were examined to determine if these implicit measures of dependency predict observable attachment-seeking behavior in 66 female inpatients diagnosed with borderline personality disorder. Results indicate that both scales produce excellent reliability estimates. The DI and ROD yield adequate base rates, and the distributions of scores approximate normal distributions. The DI was predictive of nursing staff observation of positive attachment/treatment compliance (r = .28, p = .02) but not excessive isolation. By contrast, the ROD predicted positive attachment/treatment compliance (r = .38, p = .002) and excessive isolation (r = -.35, p = .004). Texture responses predicted excessive isolation (r = -.25, p = .05). Discriminant validity was supported when neither dependency measure predicted hostile interactions or self-destructive behaviors. Hierarchical regression analyses revealed that the ROD demonstrated incremental validity over the DI and select Comprehensive System (Exner, 1993) variables associated with dependency.     

A comparison of the diagnostic accuracy of the AD8 and BCAT-SF in identifying dementia and mild cognitive impairment in long-term care residents

We compared the accuracy of the Brief Cognitive Assessment Tool—Short Form (BCAT-SF) and AD8 in identifying mild cognitive impairment (MCI) and dementia among long-term care residents. Psychometric analyses of 357 long-term care residents (n = 228, nursing home; n = 129, assisted living) in Maryland referred for neuropsychological evaluation evidenced robust internal consistency reliability and construct validity for the BCAT-SF. Furthermore, hierarchical logistic regression and receiver operating characteristic curve analyses demonstrated superior predictive validity for the BCAT-SF in identifying MCI and dementia relative to the AD8. In contrast, previously reported psychometric properties or cut scores for the AD8 could not be cross-validated in this long-term care sample. Based on these findings, the BCAT-SF appears to be a more reliable and valid screening instrument than the AD8 for rapidly identifying MCI and dementia in long-term care residents.     

Psychometric properties of the “Spanish Burnout Inventory” (SBI): Adaptation and validation in a Portuguese-speaking sample

IntroductionTeaching and nursing are two of the most stressful occupations. The Maslach Burnout Inventory (MBI) has some limitations that require using it with caution out of the American and Anglo-Saxon context. To address the problems associated with the MBI was developed the Spanish Burnout Inventory (SBI).ObjectiveThis study was designed to assess the psychometric properties of the Portuguese version of the SBI.MethodThe sample consisted of 211 teachers and 133 nurses from Portugal. The psychometric properties were examined through the following analyses: confirmatory factor analysis (CFA), reliability (Cronbach's alpha), and concurrent validity with the MBI.ResultsThe four-factor model obtained an adequate data fit for the sample. The Cronbach's alpha coefficient was adequate for the four scales of the instrument. Results supported the concurrent validity.ConclusionAs a whole, results show that the four-factor model of the SBI possesses adequate psychometric properties for the study of burnout in the Portuguese cultural context.     

An Orientation questionnaire

We describe the development of an Orientation Questionnaire (OQ), a standardized measure of the impairment of an older person's ability to communicate orientation information. Starting with a pool of selected items, we made a series of revisions that resulted in a 17-item questionnaire with a score range from 0 through 40 points. In additional studies we determined that OQ scores evidence adequate reliability (test-retest r = .969) and adequate validity (r with nurse ratings = .798 and .793; r with behavioral assessment = .807). The OQ scores discriminated groups on the basis of environmental structure (community vs. nursing home vs. neuropsychiatric hospital) and psychiatric diagnosis (organic vs. schizophrenic vs. no diagnosis). Tentative classification data are presented, and uses of the OQ are discussed.     

Developing and Testing a Spiritual Care Questionnaire in the Iranian Context

As most research exploring nurses?? perceptions on the topic of spiritual care was conducted in Western countries, these findings may not be applicable in Iran because of cultural and health system differences. Therefore, a new survey instrument was developed for the Iranian context. The study was conducted in two steps: (1) development and validation of items for perception scale and (2) distribution of the questionnaire among nursing students to determine scale reliability and construct validity. The preliminary scale consisted of 50 items designed to measure the participants?? perception of spiritual care. Construct validity of the scale was examined on the remaining 33 items. On interpretation of the items, the following four components were identified: (1) meeting patient as a being in meaning and hope, (2) meeting patient as a being in relationship, (3) meeting patient as a religious being, and (4) meeting patients as a being with autonomy. The results in this paper showed that preserving dignity in the nurses?? practice meant getting involved in interpersonal caring relationships, with respect for the involved peoples?? religious beliefs and their autonomy. Proper education and professionally led supervision with reflection on past and recent experiences may develop student nurses?? and nurses?? perceptions as well as their attitudes toward spiritual care and to achieve a realistic view of the profession.     

The Reliability and Validity of Prostate Cancer Fatalism Inventory in Turkish Language

This study aimed to conduct the reliability and validity study of the Prostate Cancer Fatalism Inventory in Turkish language. The study carried out in methodological type and consisted of 171 men. The ages of the participants ranged between 40 and 82. The content validity index was determined to be 0.80, Kaiser–Meyer–Olkin value 0.825, Bartlett’s test X ² = 750.779 and p = 0.000. Then the principal component analysis was applied to the 15-item inventory. The inventory consisted of one dimension, and the load factors were over 0.30 for all items. The explained variance of the inventory was found 33.3 %. The Kuder–Richardson-20 coefficient was determined to be 0.849 and the item-total correlations ranged between 0.335 and 0.627. The Prostate Cancer Fatalism Inventory was a reliable and valid measurement tool in Turkish language. Integrating psychological strategies for prostate cancer screening may be required to strengthen the positive effects of nursing education.     

Social Advocacy: A Call for Nursing Action

The nursing profession has long held advocacy on behalf of a patient as a tenet of protection for the patient, particularly in the hospital setting. In more recent years, nursing has indicated that advocacy is a critical professional nursing function on behalf of individual patients and for addressing societal issues, a role similar to other professionals such as chaplains. This paper will reflect on the history of nursing ethics and advocacy, examine the current state of the research and literature surrounding social advocacy and social justice, and discuss implications for the future of nursing and nursing research. Particular focus will be placed on the preparation for the nurse to act as a social advocate and for nursing to begin overtly addressing social issues.     

某三甲医院各时段临床护理工作量的调查研究

通过测量不同科室不同时段的护理工作量,为护理人力资源管理提供科学依据。随机选取某三级甲等医院8个临床科室,采用观察法对每班护士进行一对一的现场跟踪调查,对8个临床科室不同时段的直接护理时间和间接护理时间进行测定,以分钟为单位记录,并计算得出护理工作量。不同科室不同时段护理工作量不同,不同科室同一时段护理工作量也不完全相同,同一科室不同时段护理工作量也不相同。10～12、12～14、19～21、23～1、7～9这五个时段各科室护理工作量集中,密集程度高,护士超负荷工作,而部分时段护士闲置,造成了护理人力资源浪费。医院相关部门可以通过定期对不同科室不同时段临床护理工作量的测量,来了解各科室所需要的护理人力,为配置护理人力资源提供客观数据支持。护理管理者应根据不同科室不同时段护理工作量的变化采取弹性排班。