Risser patient satisfaction scale: a validation study in Greek cancer patients

Background

The current healthcare climate is characterized by a constant battle for the provision of quality care with limited resources and with patient satisfaction receiving increased attention, there is a need for reliable and valid assessment measures. This study describes the adaptation, testing and validation of the Risser Patient satisfaction Scale in an oncology care setting in Greece. The rationale for this study lies in the scarcity of such measures in the Greek language.

Methods

This is a test retest validation study in Greece. Data were collected from 298 hospitalized cancer patients. The validation methodology included the assessment of the item internal consistency, using the Cronbach alpha coefficient. The test-retest reliability was tested by the Kappa correlation coefficient.

Results

The scale demonstrated very good psychometric properties. The internal consistency of the instrument was good, Cronbach’s alpha was found to be 0.78 (p<0.001) and Kappa coefficient for reproducibility was found to be K=0.89 (95% CI: 0.83-0.91 p<0.0001).

Conclusion

The findings demonstrated strong agreement of the scale, suggesting that the Greek version offers substantial reliability. This study provides a valid and reliable tool to assess patient satisfaction in oncology settings. Means to monitor patient satisfaction, a key aspect of the policy agenda for quality care remain important for nurse leaders to develop better care in oncology settings.

     

Greek adaptation and validation of the Patellofemoral Pain Syndrome Severity Scale

The purpose of this study was to cross-culturally adapt and validate the Greek version of the Patellofemoral Pain Syndrome (PFPS) Severity Scale, a self-reported instrument used for patients with PFPS. Four bi-lingual translators were involved in the translation and cultural adaptation procedures. Eighty-seven patients with PFPS (51 women and 36 men) participated in the study. To establish test–retest reliability, the patients were asked to complete the PFPS Severity Scale twice at initial visit; before and after physiotherapy treatment. The Greek version of the Knee Outcome Survey-Activities of Daily Living Scale (KOS-ADLS) was also administered once. Internal consistency of the translated instrument was measured using Cronbach α. An intraclass correlation coefficient was used to assess the test–retest reliability of the PFPS Severity Scale. Concurrent validity was measured by correlating the PFPS Severity Scale scores with the KOS-ADLS scores using Pearson’s correlation coefficient. The results showed that the Greek PFPS Severity Scale has good internal consistency (Cronbach α = 0.949), test–retest reliability (ICC = 0.946) and concurrent validity (r > 0.7). In conclusion, the Greek version of PFPS Severity Scale is a reliable and valid measure when administered to patients with PFPS.     

The De-Escalating Aggressive Behaviour Scale: development and psychometric testing

Title.  The De-Escalating Aggressive Behaviour Scale: development and psychometric testing.
Aim.  This paper is a report of a study to develop and test the psychometric properties of a scale measuring nursing students' performance in de-escalation of aggressive behaviour.
Background.  Successful training should lead not merely to more knowledge and amended attitudes but also to improved performance. However, the quality of de-escalation performance is difficult to assess.
Method.  Based on a qualitative investigation, seven topics pertaining to de-escalating behaviour were identified and the wording of items tested. The properties of the items and the scale were investigated quantitatively. A total of 1748 performance evaluations by students (rater group 1) from a skills laboratory were used to check distribution and conduct a factor analysis. Likewise, 456 completed evaluations by de-escalation experts (rater group 2) of videotaped performances at pre- and posttest were used to investigate internal consistency, interrater reliability, test–retest reliability, effect size and factor structure. Data were collected in 2007–2008 in German.
Findings.  Factor analysis showed a unidimensional 7-item scale with factor loadings ranging from 0·55 to 0·81 (rater group 1) and 0·48 to 0·88 (rater group 2). Cronbach's alphas of 0·87 and 0·88 indicated good internal consistency irrespective of rater group. A Pearson's r of 0·80 confirmed acceptable test–retest reliability, and interrater reliability Intraclass Correlation 3 ranging from 0·77 to 0·93 also showed acceptable results. The effect size r of 0·53 plus Cohen's d of 1·25 indicates the capacity of the scale to detect changes in performance.
Conclusion.  Further research is needed to test the English version of the scale and its validity.     

Construction and psychometric evaluation of the Swedish language Person-centred Climate Questionnaire – staff version

Aim  The aim of the study was to construct and evaluate psychometric properties of the Swedish language Person-centred Climate Questionnaire – staff version.
Background  Person-centred care is often quoted but ill defined, and the literature warrants the development of valid and reliable measurement tools.
Methods  During 2006, a questionnaire was constructed and distributed to a sample of Swedish hospital staff ( n  = 600). Questionnaire data was subjected to item analysis and reduction. Psychometrical properties of the questionnaire were evaluated.
Results  The 14-item Person-centred Climate Questionnaire showed satisfactory psychometric properties. Measures of validity were good, internal consistency was high, Cronbach's alpha was satisfactory for the total scale (0.88) and test–retest reliability was adequate.
Conclusion  The results indicate that the staff Person-centred Climate Questionnaire is a valid and reliable tool for assessing staff perceptions of the person centredness of hospital environments.
Implications for nursing management  This instrument makes it possible to study the degree of person-centredness in relation to different organizational systems, environments, staff groups and managerial styles. In addition, staff variables such as turnover rates, health outcomes and efficacy can be related to staff perceived person centredness of the organization.     

抗凝治疗量表中文版效度及信度分析

目的 抗凝治疗量表（anti clot treatment scale, ACTS）是评价患者抗凝治疗满意度的有效工具,该量表分为负担和获益两个维度。本文对中文版ACTS信度及效度进行评估。方法 通过多阶段抽样法,抽取服用抗凝药物4周以上心房颤动患者,调查其ACTS评分,采用结构效度、内部信度和重测信度分别对量表的信度和效度进行评价。结果 共计1 379例患者完成量表评价,通过主成分分析提取4个因子,共同因子累计总变异解释率为67.164%;内部信度分析抗凝负担维度（13条目）及抗凝获益维度（4条目）Cronbach's α系数分别为0.823及0.968;重测信度分析提示组间相关系数在负担和获益维度分别为0.783和0.674（P<0.01）。结论 中文版ACTS具有良好效度及信度,为抗凝治疗患者自测满意度提供良好评估工具。     

Psychometric evaluation of the English language Person-centred Climate Questionnaire – staff version

edvardsson d ., koch s . & nay r . (2010) Journal of Nursing Management   18, 54–60
Psychometric evaluation of the English language Person-centred Climate Questionnaire – staff version
Aim  The present study aimed to evaluate psychometric properties of the English language Person-centred Climate Questionnaire – staff version (PCQ-S).
Background  Person-centred care emphasizes the individual's perspective in the care process. However, the concept is subject to some debate and few measurement tools exist.
Methods  During 2 months in 2007, the Swedish PCQ-S was translated to English and distributed to a sample of Australian hospital staff ( n  = 52). Psychometric evaluation using statistical estimates of validity and reliability were performed.
Results  The 14-item questionnaire showed high reliability as Cronbach's alpha was satisfactory for the total scale (0.89), and for the four subscales: 0.87, 0.79, 0.82 and 0.69. Test–retest reliability were evaluated in a subsample of 40 staff and resulted in P -values >0.05 between mean scores of the PCQ-S at test and retest, r -values between 0.6 and 0.9, and a two-way mixed effects model, single measures intra-class correlations of 0.75 with a confidence interval of 0.58–0.86. Validity of the scale needs further evaluation.
Conclusions and implications for nursing management  The English PCQ-S makes possible studies of associations between person-centredness and different organizational systems, environments, staff characteristics and health and managerial styles. However, scale validity needs further evaluation.     

Development and Psychometric Evaluation of the Pain Impact Inventory

Objectives:   The aim of this study was to develop and psychometrically evaluate an instrument for measuring the impact of chronic pain on daily life.
Methods:   The study comprised 384 respondents (aged between 18–102 years) who reported chronic pain. The instrument "Pain Impact Inventory" (PII) was evaluated in terms of face, content, construct and criterion validity, as well as two reliability measures. Reliability was measured by means of test–retest (with a 2-week interval) while Cronbach's alpha was used to measure internal consistency.
Results:   The results showed that the PII had acceptable validity and reliability. The PII contains 20 items and was found to have a nested design with five sub-scales (Physical impact, Psychological impact, Impact on social life, Social support, and Control) and two overarching dimensions ("Impact" and "Support").
Conclusions:   The initial tests showed that the PII seems to be a psychometrically sound instrument for measuring the impact of pain on daily life from a multidimensional perspective.     

Greek cultural adaption and validation of the Kujala anterior knee pain scale in patients with patellofemoral pain syndrome

Purpose: To cross-culturally adapt and validate the Greek version of the Kujala anterior knee pain scale (KAKPS). Methods: The Greek KAKPS was translated from the original English version following standard forward and backward translation procedures. The survey was then conducted in clinical settings by a questionnaire comprising the Greek KAKPS and patellofemoral pain syndrome (PFPS) severity scale. A total of 130 (62 women and 68 men) Greek-reading patients between 18 and 45 years old with anterior knee pain (AKP) for at least four weeks were recruited from physical therapy clinics. To establish test–retest reliability, the patients were asked to complete the KAKPS at initial visit and 2–3 days after the initial visit. The Greek version of the PFPS severity scale was also administered once at initial visit. Internal consistency of the translated instrument was measured using Cronbach’s α. An intraclass correlation coefficient was used to assess the test–retest reliability of the KAKPS. Concurrent validity was measured by correlating the KAKPS with the PFPS severity scale using Pearson’s correlation coefficient. Results: The results showed that the Greek KAKPS has good internal consistency (Cronbach’s α?=?0.942), test–retest reliability (ICC?=?0.921) and concurrent validity (r?>?0.7). Conclusions: This study has shown that the Greek KAKPS has good internal consistency, test–retest reliability and concurrent validity when correlated with the PFPS severity scale in adult patients with AKP for at least four weeks.

• Implications for rehabilitation

• The Greek version of the KAKPS has been found to be reliable and valid when used in adult patients with AKP for at least four weeks.

• The results of the psychometric characteristics were compatible with those of the original English version.

• The KAKPS could be applied in a Greek-speaking population to assess functional limitations and symptoms in patients aged 18–45 years old with AKP for at least four weeks.

     

The patient satisfaction with nursing care quality: the psychometric study of the Serbian version of PSNCQ questionnaire

Scand J Caring Sci; 2012; 26; 598–606 The patient satisfaction with nursing care quality: the psychometric study of the Serbian version of PSNCQ questionnaire Introduction: Patient satisfaction with nursing is the most important predictor of patients’ overall satisfaction with their hospital care. According to the Law of Health Care of Republic of Serbia monitoring of patients’ satisfaction with hospital service is mandatory; however, the questionnaire applied to that purpose includes only several questions directly addressing the nursing care issue. Aim: The aim of the present study was to evaluate psychometric properties of the Serbian version Patient Satisfaction Nursing Care Quality Questionnaire (PSNCQQ) and explore patients’ satisfaction of nursing care they received and assess the relationship between patient satisfaction and patient characteristics. Methods: This cross‐sectional study included a sample population of 240 patients who were discharged from surgical clinics of the Clinical Center of Vojvodina in Novi Sad. The PSNCQQ was translated into Serbian according to standard procedures for forward and backward translation. Factor analysis was used to determine the construct validity, and predictive validity of the questionnaire was previously assessed. Cronbach’s α coefficient and item analysis was conducted to evaluate reliability of the scale. Results: The Serbian version Patient Satisfaction Nursing Care Quality Questionnaire (PSNCQQ) showed a one‐factor structure, Cronbach’s α reliability coefficient was excellent 0.94 and was similar across hospital categories. The correlation coefficient between 19 items and the total scale was high, and ranged from 0.56 to 0.76. Patients’ age, educational level and previous hospitalization period were important factors that affected their satisfaction with nursing care. Conclusion: The study provides a new tool for measuring patient satisfaction with nursing care in Serbia that may present a useful instrument for nursing care managers in improving the nursing care process.     

Validity and reliability testing of the Oulu patient classification: instrument within primary health care for the older people

Aim.  The aim of the study was to evaluate the reliability and validity of The Oulu Patient Classification (OPC) instrument to see whether the instrument that has been developed for hospital care is valid and useful within primary health care for older people.
Background.  Although different patient classification instruments have been under development since the 1960s, this is still a very important research area today.
Method.  Inter-rater reliability testing of the OPC instrument was undertaken. The inter-rater reliability was tested through parallel classification ( n  = 1722). Validity testing was conducted as an expert validation of the manual for the OPC instrument, using a questionnaire during June and July of 2005 ( n  = 61).
Results.  The inter-rater reliability testing achieved over 70% consensus, Cohen's Kappa showed a strong consensus for OPC classifications (0.65). The reliability measured with Cronbach's Alpha was also acceptable.
Conclusion.  The results show that the OPC instrument provides a good overview of the patient's care needs and is a reliable instrument within primary health care for older people.     

晚期癌症患者安宁疗护态度量表的汉化及信效度分析

目的 对安宁疗护态度量表（Palliative Care Attitudes Scale,PCAS-9）进行汉化,并检验其信效度。方法 通过Brislin模型汉化量表,经过文化调适后,选取440名癌症晚期患者进行测试,检验量表的信度效度。结果 中文版安宁疗护态度量表共有9个条目,探索性因子分析提取3个公因子,累积方差贡献率为81.518%。验证性因子分析显示模型的各项指标均达到标准,模型拟合良好。总量表的Cronbach α系数为0.863,各个分量表的Cronbach α系数分别为0.875、0.901、0.872;2周后量表总的重测信度为0.862,各个分量表的重测信度为0.762、0.747、0.910。结论 中文版安宁疗护态度量表具有较好的信效度,可用于测评晚期癌症患者对安宁疗护的态度。     

Reynolds Adolescent Depression Scale – Second Edition: initial validation of the Korean version

Title.  Reynolds Adolescent Depression Scale – Second Edition: initial validation of the Korean version.
Aim.  This paper is a report of a study conducted to test the validity and reliability of the Reynolds Adolescent Depression Scale – Second Edition in Korean culture.
Background.  Depression is a significant mental health problem in adolescents. The Reynolds Adolescent Depression Scale – Second Edition has been shown to be a useful tool to assess depression in adolescents, with extensive research on this measure having been conducted in western cultures. Measures developed in western cultures need to be tested and validated before being used in Asian cultures.
Method.  The participants were a convenience sample of 440 Korean adolescents with a mean age of 13·78 years ( sd  = 0·95) from grades 7 to 9 in three public middle schools in South Korea. A cross-sectional design was used. Back-translation was used to create the Korean version, with additional testing for cultural meaning and comprehension. The data were collected at the end of 2004.
Results.  Internal consistency reliability for the Korean version of the Reynolds Adolescent Depression Scale – Second Edition was 0·89, with subscale reliability ranging from 0·66 to 0·81. Evidence for criterion-related, convergent and discriminant validity for the Korean version of the Reynolds Adolescent Depression Scale – Second Edition was found. Confirmatory factor analysis supported the 4-factor structure of Reynolds Adolescent Depression Scale – Second Edition.
Conclusion.  Our results support the validity and reliability for the Korean version of the Reynolds Adolescent Depression Scale – Second Edition as a measure of depression and suggest that it can be used to screen students and to evaluate the effectiveness of preventive interventions in school settings.     

脑卒中后失能综合评估量表的汉化与信效度检验

目的 对脑卒中后失能综合评估量表进行汉化及信效度检验,探索该量表在国内的临床适用性。方法 采用Brislin双人直译-回译法、专家评议、预调查对量表进行文化调适,便利抽取203名脑卒中患者进行调查,对中文版量表进行项目分析,并验证其重测信度、评定者间信度、内容效度、效标关联效度。结果 脑卒中后失能综合评估量表重测信度相关性分析结果显示相关系数为0.988;评定者间信度Kappa系数为0.846（95%置信区间为0.793~0.899）,P<0.001;各条目内容效度指数均在0.833~1.000之间,量表内容效度指数为0.935;以改良Rankin量表为标准,效标关联效度系数为0.896。结论 中文版脑卒中后失能综合评估量表具有良好的信效度,可作为我国临床脑卒中失能评估工具。     

肺移植特异性生活质量量表的汉化及信效度检验

目的 对肺移植特异性生活质量量表（The Lung Transplant Quality of Life Survey,LT-QOL）进行汉化,并在肺移植术后患者中检验其信效度。方法 通过正译、回译、文化调试和预调查对LT-QOL进行汉化。通过2轮专家咨询进行内容效度评价。2019年11月—2021年3月,选取于无锡市某三级甲等医院肺移植门诊就诊的308例肺移植术后患者进行调查,评价量表的信效度。结果 中文版LT-QOL包括3个维度、11个方面、40个条目。量表水平的内容效度指数为0.912,条目水平的内容效度指数为0.781~1.000。探索性因子分析提取11个公因子,累计方差贡献率为71.424%。总量表的Cronbach’s α系数为0.947,各公因子的Cronbach’s α系数为0.710~0.929;总量表的重测信度为0.870,各公因子的重测信度为0.726~0.894。结论 中文版LT-QOL具有良好的信效度,适合中国文化背景下肺移植术后患者生活质量的评估。     

Family satisfaction in the intensive care unit: cross-cultural adaptation of a questionnaire

PURPOSE: Family needs and expectations are often unmet in the intensive care unit (ICU), leading to dissatisfaction. This study assesses cross-cultural adaptability of an instrument evaluating family satisfaction in the ICU. MATERIALS AND METHODS: A Canadian instrument on family satisfaction was adapted for German language and central European culture and then validated for feasibility, validity, internal consistency, reliability, and sensitivity. RESULTS: Content validity of a preliminary translated version was assessed by staff, patients, and next of kin. After adaptation, content and comprehensibility were considered good. The adapted translation was then distributed to 160 family members. The return rate was 71.8%, and 94.4% of questions in returned forms were clearly answered. In comparison with a Visual Analogue Scale, construct validity was good for overall satisfaction with care (Spearman rho = 0.60) and overall satisfaction with decision making (rho = 0.65). Cronbach alpha was .95 for satisfaction with care and .87 for decision-making. Only minor differences on repeated measurements were found for interrater and intrarater reliability. There was no floor or ceiling effect. CONCLUSIONS: A cross-cultural adaptation of a questionnaire on family satisfaction in the ICU can be feasible, valid, internally consistent, reliable, and sensitive.     

Earplugs improve patients' subjective experience of sleep in critical care

Aims:  This study aimed to determine the effects of earplug use on the subjective experience of sleep for patients in critical care.
Background:  The negative effects of noise in critical care include sleep disturbances, increased stress response, and reduced patient satisfaction. The nature of critical care often precludes quiet time protocols. Previous studies indicated that earplugs can improve REM sleep and sleep efficiency. This study examined the effects of earplugs as a non-invasive method for improving the subjective sleep experience and increasing patient satisfaction.
Design:  Quasi-experimental intervention study with random assignment of subjects.
Method:  Subjects were non-ventilated, non-sedated adults admitted to critical care. The intervention group used earplugs during nighttime sleep hours allowing short term removal during patient care. Participants completed the Verran-Snyder-Halpern Sleep Scale, an 8-question visual analogue scale, to describe their subjective response to sleep. Two sample T-tests were used to detect differences between the group scores.
Results:  88 participants (49 intervention/39 control) completed the study. Mean age 63, 56% males, 93% Caucasian. Total sleep satisfaction scores were significantly better for the intervention group (p = .002). Seven of the subjective categories were independently significant (p = .005-.044). One category, satisfaction with the amount of time needed to fall asleep, was not significant (p = .111).
Conclusions:  Earplug use improved the subjective experience of sleep for un-medicated critical care patients without interfering with care delivery.
Relevance to Practice:  The negligible cost and low level of invasiveness of earplugs makes this preferable as a primary intervention to promote sleep while avoiding unnecessary sedating medications.     

Psychometric properties of the Dutch version of the American nursing activity scale in an intensive care unit

Aim. To report the development and psychometric testing of the Dutch version of the Nursing Activity Scale in a Dutch intensive care unit nursing population. Background. The Nursing Activity Scale developed by Schutzenhofer measures professional clinical autonomy, by inquiring about the nurses’ intention to exercise their own clinical decisions. This autonomy is increasingly relevant due to the ongoing professionalization, nurses increasingly have to make their own clinical decisions. Design. Instrument development. Method. The study was conducted from November 2007–February 2008 and consisted of the following steps: translation, expert panel content validation, reliability testing and further content validation, test–retest stability examination, additional internal consistency, and validity assessment. Results. After the first reliability testing two items seen to describe a situation not applicable to intensive care unit nursing in the Netherlands were deleted from the questionnaire. In the test–retest stability assessment the intra class correlation coefficient was 0·76. The Cronbach’s alpha of the final questionnaire was 0·82. The alphas of the subsamples with higher scores were significantly different from those with lower scores, supporting the validity of the weighing of the items. Conclusion. The Dutch version of the nursing activity scale consists of 28 items and provides the opportunity to measure professional clinical autonomy for Dutch intensive care nurses using a well‐established method.     

中文版老年人睡眠类药物使用情况调查问卷的跨文化调适

目的 对英文版老年人睡眠类药物使用情况调查问卷进行翻译,形成中文版问卷,并测量问卷的心理计量学特征。方法 与源问卷作者取得联系获得授权,采用Brislin翻译模型汉化形成修订版问卷。采用项目区分度（极端组比较法及积差相关系数）进行项目分析;采用专家测评法进行内容效度分析;探索性因子分析及验证性因子分析进行结构效度分析;问卷信度采用Cronbach α系数表示。结果 中文版问卷共有12条目,问卷Cronbach α系数为0.76,重测信度系数ICC=0.97;内容效度（S-CVI/Ave）为0.98;利用探索性因子分析对问卷提取公因子,特征值≥1的公因子有3个,对总方差的累计贡献率为56.56%,结构方程模型结果显示调整卡方值=3.75、拟合优度指数=0.89、比较拟合指数=0.86、调整后拟合优度指数=0.84、递增拟合指数=0.86、近似误差均方根=0.09,模型拟合度良好。结论 修订的中文版老年人睡眠类药物使用情况调查问卷具有良好的信效度,为医疗卫生人员评估老年人睡眠类药物使用情况提供工具,为卫生保健体系制定策略提供参考依据。     

住院患者满意和体验监测量表的研制

目的:编制住院患者满意和体验监测量表,并对其进行信度、效度检验,为研究住院患者对护理工作满意度提供测评工具。方法:参考《护理结局分类》中患者满意度结局,自行设计患者满意度调查表,采用专家咨询法进行内容效度检验,向江苏省某"三甲"医院舒心病房患者发放调查表209份,进行内部一致性信度、结构效度检验。结果:调查表总的Cronbach’sα系数为0.95,内容效度指数为0.76。采用主成分分析法提取了5个公因子,累积贡献率为75.516%。经最大正交旋转方法提取因子,共提取出因子37个。结论:初步形成了信度、效度较好的住院患者满意和体验监测量表,为评价临床护理工作质量提供依据。