Self-efficacy of caring for patients in the intensive care unit with delirium : Development and validation of a scale for intensive care unit nurses
Copyright © 2022 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved..
BACKGROUND: Improving the self-efficacy of intensive care unit nurses for delirium care could help them adapt to the changing situation of delirium patients. Validated measures of nurses' self-efficacy of delirium care are lacking OBJECTIVES: The objective of this study was to develop a Delirium Care Self-Efficacy Scale for assessing nurses' confidence about caring for patients in the intensive care unit and to examine the scale's psychometric properties.
METHODS: Draft scale items were generated from a review of relevant literature and face-to-face interviews with intensive care unit nurses; content validity was conducted with a panel of five experts in delirium. A group of nurses were recruited by convenience sampling from intensive care units (N = 299) for item analysis of the questionnaire, assessment of validity, and reliability of the scale. Nurse participants were recruited from nine adult critical care units affiliated with a hospital in Taiwan. Data were collected from August 2020 to July 2021.
RESULTS: Content validity index was 0.98 for the initial 26 items, indicating good validity. The critical ratio for item discrimination was 14.47-19.29, and item-to-total correlations ranged from 0.67 to 0.81. Principal component analysis reduced items to 13 and extracted two factors, confidence in delirium assessment and confidence in delirium management, which explained 66.82% of the total variance. Cronbach's alpha for internal consistency was 0.94 with good test-retest reliability (r = 0.92). High scale scores among participants were significantly associated with age (≥40 years), work experience in an intensive care unit (≥10 years), delirium education, and willingness to use delirium assessment tools.
CONCLUSIONS: The newly developed Delirium Care Self-Efficacy Scale demonstrated acceptable reliability and validity as a measure of confidence for intensive care nurses caring for and managing patients with delirium in the intensive care unit.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2023 |
|---|---|
| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:36 |
|---|---|
| Enthalten in: |
Australian critical care : official journal of the Confederation of Australian Critical Care Nurses - 36(2023), 4 vom: 08. Juli, Seite 449-454 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Chang, Yu-Ling [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Delirium |
|---|
| Anmerkungen: |
Date Completed 19.06.2023 Date Revised 19.06.2023 published: Print-Electronic Citation Status MEDLINE |
|---|
| doi: |
10.1016/j.aucc.2022.08.006 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM346542499 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM346542499 | ||
| 003 | DE-627 | ||
| 005 | 20231226031718.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231226s2023 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1016/j.aucc.2022.08.006 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1155.xml |
| 035 | |a (DE-627)NLM346542499 | ||
| 035 | |a (NLM)36137875 | ||
| 035 | |a (PII)S1036-7314(22)00117-5 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Chang, Yu-Ling |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Self-efficacy of caring for patients in the intensive care unit with delirium |b Development and validation of a scale for intensive care unit nurses |
| 264 | 1 | |c 2023 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 19.06.2023 | ||
| 500 | |a Date Revised 19.06.2023 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2022 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved. | ||
| 520 | |a BACKGROUND: Improving the self-efficacy of intensive care unit nurses for delirium care could help them adapt to the changing situation of delirium patients. Validated measures of nurses' self-efficacy of delirium care are lacking OBJECTIVES: The objective of this study was to develop a Delirium Care Self-Efficacy Scale for assessing nurses' confidence about caring for patients in the intensive care unit and to examine the scale's psychometric properties | ||
| 520 | |a METHODS: Draft scale items were generated from a review of relevant literature and face-to-face interviews with intensive care unit nurses; content validity was conducted with a panel of five experts in delirium. A group of nurses were recruited by convenience sampling from intensive care units (N = 299) for item analysis of the questionnaire, assessment of validity, and reliability of the scale. Nurse participants were recruited from nine adult critical care units affiliated with a hospital in Taiwan. Data were collected from August 2020 to July 2021 | ||
| 520 | |a RESULTS: Content validity index was 0.98 for the initial 26 items, indicating good validity. The critical ratio for item discrimination was 14.47-19.29, and item-to-total correlations ranged from 0.67 to 0.81. Principal component analysis reduced items to 13 and extracted two factors, confidence in delirium assessment and confidence in delirium management, which explained 66.82% of the total variance. Cronbach's alpha for internal consistency was 0.94 with good test-retest reliability (r = 0.92). High scale scores among participants were significantly associated with age (≥40 years), work experience in an intensive care unit (≥10 years), delirium education, and willingness to use delirium assessment tools | ||
| 520 | |a CONCLUSIONS: The newly developed Delirium Care Self-Efficacy Scale demonstrated acceptable reliability and validity as a measure of confidence for intensive care nurses caring for and managing patients with delirium in the intensive care unit | ||
| 650 | 4 | |a Review | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Delirium | |
| 650 | 4 | |a Instrument development | |
| 650 | 4 | |a Intensive care unit | |
| 650 | 4 | |a Reliability | |
| 650 | 4 | |a Self-efficacy | |
| 650 | 4 | |a Validity | |
| 700 | 1 | |a Hsieh, Ming-Ju |e verfasserin |4 aut | |
| 700 | 1 | |a Chang, Yu-Che |e verfasserin |4 aut | |
| 700 | 1 | |a Yeh, Shu-Ling |e verfasserin |4 aut | |
| 700 | 1 | |a Chen, Shao-Wei |e verfasserin |4 aut | |
| 700 | 1 | |a Tsai, Yun-Fang |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Australian critical care : official journal of the Confederation of Australian Critical Care Nurses |d 1993 |g 36(2023), 4 vom: 08. Juli, Seite 449-454 |w (DE-627)NLM012716693 |x 1036-7314 |7 nnns |
| 773 | 1 | 8 | |g volume:36 |g year:2023 |g number:4 |g day:08 |g month:07 |g pages:449-454 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1016/j.aucc.2022.08.006 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 36 |j 2023 |e 4 |b 08 |c 07 |h 449-454 | ||