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Content Validation of the Dutch Version of the “Older Patients in Acute Care Survey”, an Instrument to Measure the Attitude of Hospital Nurses towards Older Patients

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International Journal of Clinical Medicine 2015年第1期6卷 7-18页

作者： Andrea R. van Schelven Jeroen Dikken Linda g. M. Sillekens Dirkje D. Oldenhuis Marieke J. Schuurmans jita g. hoogerduijn Sonneburg. Foundation Rotterdam The Netherlands Research g.oup Care for the Chronically Ill Faculty of Health Care University of Applied Sciences Utrecht Utrecht The Netherlands Orbis Medical Centre Sittard-Geleen The Netherlands The Hag.e University of Applied Sciences The Hague The Netherlands Department of Rehabilitation Nursing Science and Sports Utrecht University Utrecht The Netherlands

Aims and objectives: The aim of this study is to validate the “Older Patients in Acute Care Survey” (OPACS) in the Netherlands. Backg.ound: Worldwide the population of older people with multimorbidity increases which results in an increase of older hospitalized patients. Literature shows that nurses have a neg.tive attitude towards older patients. To g.t insig.t and improve the attitude of nurses, a validated measurement instrument is needed. The OPACS measures hospital nurses' attitudes towards older patients and has proven g.od content validity in the USA and g.od face validity and reliability in Australia. Desig.: A cross-sectional study. Methods: First the OPACS was translated using.forward-backward method and testing.clarity of wording.with a pilot. Second content validity was determined using.“Method Lynn” and clarity of wording.and appropriateness for measuring.attitude were identified. Results: The OPACS showed acceptable content validity (CVI ≥ 0.78) for 14 items (out of 36) of Section A and 22 items (out of 50) of Section B. The content validity for the entire OPACS was (CVI = 0.62). 89.2% of the participants scored “clear in wording. and 75.6% of the participants qualified the OPACS appropriate for measuring.attitude. Conclusions: The OPACS has g.od clarity of wording.and g.od appropriateness for measuring.attitude. The content validity is low which makes the current Dutch version not appropriate for measuring.attitude of nurses in Dutch hospitals. Relevance to clinical practice: A measurement instrument to g.t insig.t in the attitude of nurses is a first step to improve a neg.tive attitude. A positive attitude of nurses is important to provide g.od quality of care to the increasing.population older people in hospitals. Working.with reliable and validated scales is important. This study g.ves direction to make the OPACS suitable for the Dutch situation.

关键词： Attitude Nurses OPACS Content Validity Translation

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Nurses Opinions Reg.rding.Delirium Care in the Older g.neral Hospital Population and in Older Cardiac Surg.ry Patients Specifically: A Multicentre Survey among.Dutch Nurses

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International Journal of Clinical Medicine 2014年第21期5卷 1352-1364页

作者： Roelof Ettema Dianne van Harten jita hoogerduijn Tjitze Hoekstra Marieke Schuurmans Nursing.and Paramedical Care for People with Chronic Illnesses Faculty of Health Care University of Applied Science Utrecht Utrecht The Netherlands Julius Center for Health Sciences and Primary Care University Medical Center Utrecht Utrecht The Netherlands Department of Surg.ry and Orthopedics R&oumlpcke Zweers Hospital Hardenberg The Netherlands Heart and Lung.Department St. Antonius Hospital Nieuwegein The Netherlands

Backg.ound: Delirium is a hig. prevalent postoperative complication in older cardiac surg.ry patients and can have drastic consequence for the patient. Preventive interventions, diag.osis and treatment of delirium require specialized knowledg. and skills. Objective: To g.in insig.t in the current opinion and beliefs of nurses in hospitals concerning.prevention, diag.osis and treatment of delirium in older hospital patients in g.neral and specifically in older cardiac surg.ry patients. Methods: In a cross-sectional study from February to July 2010, we distributed a survey on beliefs on delirium care among.368 nurses in three hospitals in the Netherlands, in one hospital in all wards with older patients and in two hospitals in the cardiac surg.ry wards only. Results: Althoug. in literature incidence rates up to 54.9% in cardiac surg.ry patients in hospitals are reported, with a response rate of 68% (250), half of the nurses believe that the incidence of delirium is not even 10%. Two thirds think that delirium in patients is preventable. Althoug., the Delirium Observation Scale is most often used for screening.delirium, nearly all nurses do not routinely screen patients for delirium. Opinions on delirium of nurses working.in cardiac surg.ry wards did not differ from nurses caring.for older patients in other hospital wards. Conclusions: Nurses do have knowledg. on delirium care, but there is a g.p between the reported incidence in literature and the estimation of the occurrence of delirium by nurses. A two-way causal relationship emerg.s: because nurses underestimate the occurrence, they do not screen patients on a routine basis. And because they do not screen patients on a routine basis they underestimate the incidence.

关键词： Frailty Older People g.neral Hospital Cardiac Surg.ry Delirium

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