"Autonomy & Management in Prison Nursing". Development and validation of a mobile application.

Background and Objectives: safety is one of the key elements of health care organization in improving the quality of care. Involving patients in improving patient safety is the recent World Health Organization’ approach. participation can reduce medical errors and increase patient safety. There is not any valid and reliable Persian questionnaire to assess patient participation in safe car. Therefore, the purpose of this study was to assess the validity and reliability of the Persian version of the questionnaire: Patient Willingness to Ask Safety Questions Survey (PWASQS). Material and Methods: In this study, 30 patients participated. The PWASQS’ questionnaire consisted of nine dimensions and 41 questions that were scored on a five-point Likert scale. The questionnaire questions indicated the patients' willingness to ask any questions related to their safety from the physicians and the nurses. Content Validity Ratio (CVR) and Content Validity Index (CVI) were used to evaluate the content validity and its internal reliability was determined using Cronbach's alpha coefficient. Results: In the present study, the total CVR of the questionnaire was 0.89, which varied from 0.79 to 0.95 for different dimensions, and the CVI was 0.94 for different dimensions ranged from 0.89 to 1. Cronbach's alpha coefficient of the whole questionnaire was 0.7 9which for each of the dimensions ranged from 0.7 to 0.96, indicating appropriate reliability of the questions. Conclusion: The results of this study showed that the translated version of the PWASQS questionnaire has a relatively acceptable reliability and validity can be used to measure patients' willingness to improve patient safety. ticipation in safe car. Therefore, the purpose of this study was to assess the validity and reliability of the Persian version of the questionnaire: Patient Willingness to Ask Safety Questions Survey (PWASQS). Material and Methods: In this study, 30 patients participated. The PWASQS’ questionnaire consisted of nine dimensions and 41 questions that were scored on a five-point Likert scale. The questionnaire questions indicated the patients' willingness to ask any questions related to their safety from the physicians and the nurses. Content Validity Ratio (CVR) and Content Validity Index (CVI) were used to evaluate the content validity and its internal reliability was determined using Cronbach's alpha coefficient. Results: In the present study, the total CVR of the questionnaire was 0.89, which varied from 0.79 to 0.95 for different dimensions, and the CVI was 0.94 for different dimensions ranged from 0.89 to 1. Cronbach's alpha coefficient of the whole questionnaire was 0.7 9which for each of the dimensions ranged from 0.7 to 0.96, indicating appropriate reliability of the questions. Conclusion: The results of this study showed that the translated version of the PWASQS questionnaire has a relatively acceptable reliability and validity can be used to measure patients' willingness to improve patient safety.

CBRN events can occur randomly or intentionally. Rapid and appropriate response to CBRN events can significantly mitigate the adverse effects on physical health and reduce mortality rates. The effectiveness of these responses largely depends on the preparedness of hospital emergency Clinical staff. This study was a mixed-methods research aiming to develop and validate a psychometric research instrument in 2025. Based on the review of the literature regarding CBRN events, the items were extracted, rewritten, and validated. In the quantitative phase, the validity of the questionnaire was evaluated in terms of face, content, and construct validity, and its reliability was evaluated based on internal consistency and stability (Cronbach's alpha and Interclass Correlation Coefficient [ICC]). The designed questionnaire included 6 dimensions and 65 items. The dimensions included (1) programs and guidelines, treatment of the injured; (2) exercise; (3) decontamination and waste management; (4) education and human resources; (5) prevention, coordination, and security; and (6) PPE. The content and face validity of the questionnaire were approved by the specialists and experts of hospital emergency and health in disasters and emergencies. The content validity ratio was >0.6 for all items. The content validity index was also approved for all items. The Cronbach's alpha coefficient and ICC were respectively 0.977 and 0.972 for the total questionnaire. Hospital Emergency Clinical Staff play a vital role in responding to CBRN events; therefore, policies, programs, coordination efforts, budgets, and other necessary measures are strongly recommended to increase ED clinical staff preparedness against CBRN events.

Introduction: Childhood obesity is a complex global challenge linked to genetic, environmental and lifestyle factors, the prevention of which requires changing habits through health promotion and education; however, there is a lack of instruments to study this reality in a comprehensive and articulated manner. Objective: Design and evaluate the reliability and validity of a questionnaire to assess the dimensions of healthy eating, personal hygiene and physical activity in children between 8 and 12 years of age. Method: For this purpose, a study with a non-experimental design was proposed, developed in 5 stages: 1) item construction, 2) content validation by experts, 3) cognitive piloting, 4) analysis of item responses, and 5) reliability assessment. The first version of the self-administered questionnaire with a preliminary battery of 67 items gave way to an initial version of the instrument with 40 questions related to the three main dimensions of the questionnaire. Content validation techniques such as the Content Validity Ratio (CVR) and the Content Validity Index (CVI) were used during the instrument validation process. The 40 items designed were rated by 3 experts. A pilot test was conducted with 221 elementary school students. Results: all items had a CVR greater than 0.5823, indicating that the instrument can be used in its current state. In addition, the CVI value obtained was 0.9650, demonstrating a high content validity of the instrument. This result is revalidated by the high number of agreements among the experts in the “Indispensable” and “Useful but not indispensable” categories (118 out of 120 possible agreements). The internal consistency of the instrument was evaluated by calculating Cronbach's alpha coefficient for the 40 items that make up the three dimensions. The alpha coefficient obtained was 0.960, indicating high reliability of the instrument. In addition, the items of each dimension were analyzed and none of them presented a Cronbach's alpha coefficient lower than 0.85. Conclusions: Content validity yielded an overall CVI of 0.9650 and Cronbach's alpha coefficient for each dimension was 0.964, 0.957 and 0.964 for food, personal hygiene and physical activity, respectively. This indicates that the instrument is internally consistent and therefore reliable. Furthermore, it can measure one, two or all three dimensions, and can be used to measure the impact of educational interventions in these areas in the school population aged 8 to 12 years.

To translate and evaluate the psychometric properties of the Essentials of Magnetism II tool (EOM II) for Chinese nurses in critical care settings. The EOM II is a reliable and valid scale for measuring the healthy work environment (HWE) for nurses in Western countries, however, it has not been validated among Chinese nurses. The translation of the EOM II followed internationally recognized guidelines. The Chinese version of the Essentials of Magnetism II tool (C-EOM II) was reviewed by an expert panel for culturally semantic equivalence and content validity. Then, 706 nurses from 28 intensive care units (ICUs) affiliated with 14 tertiary hospitals participated in this study. The reliability of the C-EOM II was assessed using the Cronbach's alpha coefficient; the content validity of this scale was assessed using the content validity index (CVI); and the construct validity was assessed using the confirmatory factor analysis (CFA). The C-EOM II showed excellent content validity with a CVI of 0·92. All the subscales of the C-EOM II were significantly correlated with overall nurse job satisfaction and nurse-assessed quality of care. The CFA showed that the C-EOM II was composed of 45 items with nine factors, accounting for 46·51% of the total variance. Cronbach's alpha coefficients for these factors ranged from 0·56 to 0·89. The C-EOM II is a promising scale to assess the HWE for Chinese ICU nurses. Nursing administrators and health care policy-makers can use the C-EOM II to evaluate clinical work environment so that a healthier work environment can be created and sustained for staff nurses.

Background: Usability is an index to assess a product from the viewpoint of users satisfaction, efficiency and productivity improvement. The main attributes of usability that are derived from the human factors are and used in usability design of the interfaces Include: compatibility, consistency, flexibility, minimal action, perceptual limitation, usefulness, learnability, ease of use, minimal memory load, user guidance, satisfaction and errors. The main aim of this study was to assess the usability of interface design tool for a ventilator utilized in the hospitals of Arak city, Iran; and study its validation and reliability. Methods and Materials After constructing the initial questionnaire from the standard sources, specific techniques to determine the validity, and Cronbach's alpha coefficient were used for the validity and reliability study. The study procedure was: determining the scope and dimensions of the questions, drafting questionnaire, assigning members of the expert panel, study, questionnaire data acquisition and analysis methods, determining acceptance criteria of the questions and the content validity and reliability index. Results Final tool was a 42-items questionnaire. The content validity index (CVI) of questionnaire was 0.86. The results showed that the total Cronbach's alpha coefficient was 0.89 as an acceptable value for the reliability of questionnaire. Conclusion After the final questionnaire design and the appropriate validity and reliability of it, adopting this tool to assess the usability of breathing apparatus (ventilator) is recommended. With usability assessment of such vital instruments, quality improvement, higher efficiency and productivity as well as errors reduction and good design user interface will be achieved. Keywords: usability, ventilator, evaluation questionnaire, content validity, reliability

Aim: Students of preprimary age group are facing stress in school because of life events such as curricular and social factors. Prolonged stress of those children may lead to different types of health hazards in future life. Thus, the aim of this study was to construct a questionnaire which may be used to find out severity of stress among preprimary students. Methods: It was a descriptive study based on teacher report. Five hundred and five students were selected by random sampling for this study by questionnaire method, and the report was given by teachers. The questionnaire used for this study was preprimary stress questionnaire. After collection of data, the questionnaires were analyzed for Cronbach's alpha (α) coefficient for reliability and content validity index (CVI) for validity of questionnaire. Result: Corrected item-total correlation of all items was more than 0.3, so all items were included in questionnaire. Cronbach's alpha coefficient of questionnaire was found to be 0.925 and it lied between 0.87 and 1. Conclusion: After data analysis it was found that the Cronbach's alpha coefficient value was excellent and CVI was acceptable. Thus, this questionnaire was a reliable and valid instrument for assessment of severity of stress in preprimary school students, so that the future health hazards of children are prevented.

Cross-Cultural Adaptation and Validation of Vocal Fatigue Index to the Azerbaijani-Turkish.

Translation, Cross-Cultural Adaptation, and Psychometric Validation of the Azerbaijani-Turkish Version of the Voice Symptom Scale (AT-VoiSS).

Background: Professional identity is a vital component of medical education that influences the future practice of medical students. Currently, there is a lack of a reliable and valid Persian scale for measuring students' readiness for professional identity. Objectives: This study aims to determine whether the Professional Self-identity Questionnaire (PSIQ) can be adapted for Persian healthcare professions. Methods: A descriptive-correlation study was conducted among medical students (years 4 - 7) at Shiraz Medical School. A total of 175 students completed the Persian version of the PSIQ using stratified sampling. The PSIQ consists of nine items. Categorical Confirmatory Factor Analysis (CCFA) and Cronbach's alpha coefficient were used to assess the questionnaire's validity and reliability. The questionnaire was translated into Persian by two independent translators whose first language was Persian, and an agreement was reached. Data analysis and the path diagram were conducted using R.3.6.2 software with the lavaan and semPlot packages. Results: An eight-person expert panel approved the face, content, and structural validity of the questionnaire. The items' Content Validity Index (CVI) exceeded 0.79, and the questionnaire's overall Content Validity Ratio (CVR) exceeded 0.75, according to the Lawshe table. The goodness-of-fit indices for the professional self-identity model included the root mean square error of approximation (RMSEA), Tucker-Lewis Index (TLI), and Comparative Fit Index (CFI) (RMSEA = 0.055, CFI = 0.996, and TLI = 0.994). The Cronbach's alpha coefficients for the three subscales—"profession-specific tasks," "generic attributes," and "inter-personal tasks"—were 0.762, 0.622, and 0.747, respectively (P-value < 0.05). The internal consistency of the entire questionnaire, measured by Cronbach's alpha, was 0.873. These statistical results indicate that the hypothesized three-factor model fit the sample data well. Consequently, all nine items were significantly loaded on the three domains. Conclusions: The Persian-translated version of the PSIQ appears to be an appropriate, valid, and reliable tool for assessing the professional self-identity attitudes of medical students in Iran.

Using Health-related quality of life (HRQL) in chronic patients with severe respiratory insufficiency (SRI) requires a valid instrument. Hence, this study aimed to translate and validate the Persian version of the Severe Respiratory Insufficiency Questionnaire in chronic patients with severe respiratory insufficiency. In this methodological study, the original version of the HRQL questionnaire in chronic patients with SRI was translated based on the approach presented by Wild et al. Face validity, content validity such as content validity index (CVI) and content validity ratio (CVR), convergent, and discriminant validity were evaluated. Moreover, construct validity evaluation was conducted by exploratory and confirmatory factor analyses (EFA & CFA).Reliability was also evaluated by calculating Cronbach's alpha and test-retest intraclass correlation coefficient (ICC). SPSS-16 and AMOS-24 software were used for data analysis. The target group approved the face validity of the questionnaire and the content validity index was 0.94. In total, 500 chronic patients with severe respiratory insufficiency participated in the construct validity. Seven factors were extracted in exploratory factor analysis as respiratory complaints, physical functioning, social relationship, anxiety, attendant symptoms and sleep, social functioning, and psychological well-being. These factors explained 73.91% of the total variance of the concept of HRQL in chronic patients with SRI. All factors confirmed in confirmatory factor analysis based on model fit indices [Comparative Fit Index (CFI)=0.94, Goodness of fit index (GFI)=0.94, Minimum Discrepancy Function by Degrees of Freedom divided (CMIN/DF) =2.99, and Root Mean Square Error of Approximation (RMSEA)=0.01]. Convergent and discriminant validity were also confirmed. Moreover, Cronbach's alpha coefficients of 0.84 and intraclass correlation coefficient of 0.82-0.96 with 15-day intervals confirmed the internal consistency of the instrument. According to the findings of the present study, the Persian version of the SRI questionnaire, with 7 subscales and 40 items, is a valid and reliable instrument to assess the HRQL in chronic patients with SRI.

Objective: The purpose of the study was to determine the validity and reliability of the Turkish version of the Digital Game Addiction Scale (DGAS-7) that was developed to explore the problematic gaming behavior of adolescents. Methods: The samples for this methodological study comprised 95 adolescents in the 9th, 10th and 11th grades of a high school in Istanbul who had played/continued to play computer/video games and were willing to participate in the study. The DGAS-7 is a 5-item Likert type, single-dimension scale made up of 7 questions. For its Turkish version, the scale was first translated and back-translated, and then submitted to an expert to check content validity. An evaluation of the reliability of the scale was made using item-total correlation, internal consistency (Cronbach's alpha) coefficient and test-retest correlation methods. The content validity index and concurrent validity were evaluated to assess validity, and explanatory factor analysis (AFA) and confirmatory factor analysis (CFA) were used to evaluate construct validity. Results: The mean age of the adolescents was 16.61±0.99 years and 69% were males. The Content Validity Index for the DGAS-7 was 0.92, Cronbach's alpha coefficient was 0.72 and item-total correlation ranged between 0.52 and 0.76. The correlation for the test-retest at three weeks was 0.80. In the explanatory factor analysis, 56.96% of the total variance on the one-dimensional scale was explained and factor loads ranged between 0.52-0.77. The confirmatory factor analysis revealed values of χ2=14.22, p=0.37, sd=14, RMSEA=0.012, AGFI=0.92, CFI=0.99, GFI=0.96, and SRMR=0.06, showing that the model was a good fit. Discussion/Conclusion: The results of the validity and reliability testing of the Turkish version of the DGAS-7 were found to be similar to the findings of the original scale. These results show that the Turkish version may be used as a valid and reliable tool in determining problem-causing digital gaming behavior among adolescents and also for purposes of early diagnosis and in other relevant research. It might be recommended that exploring the validity and reliability of the scale is repeated in different groups of subjects of similar ages and that the scale is used in prevalence studies.

The aim of this review is to critically appraise and summarize the quality of the measurement properties of all versions of the Stroke Specific Quality of Life Scale (SS-QOL) version 2.0. The Stroke Specific Quality of Life Scale version 2.0 was developed as a comprehensive measure in assessing the quality of life of stroke survivors. The shortened version and cross-culturally translated versions are further developed in different countries. A systematic review will clarify the levels of reliability and validity of all versions. The population of interest for this review will include adult stroke survivors of either sex diagnosed with a stroke (ischemic or hemorrhagic) who have no other comorbidities affecting their quality of life. The SS-QOL version 2.0 will be the specific instrument of interest, and the quality of life of stroke survivors will be the construct of interest in this review. The measures of reliability, validity, and responsiveness will be assessed as outcomes. Only the studies evaluating the reliability, validity, and responsiveness of all versions of the SS-QOL 2.0 will be included in the review. A literature search will be conducted for published studies in MEDLINE and Embase, and unpublished data in Google Scholar and ProQuest Dissertations and Theses. After a three-step search strategy, study selection will be done by two reviewers independently. Then, the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) methodology will be applied for assessment of methodological quality, data extraction, and synthesis. PROSPERO CRD42020211727.

The primary objective of the research was the development of the Tenrio-Alves-Novaski (TAN) performance assessment process in occupational safety management at hospital units, based on five drivers: pathological, reactive, bureaucratic, proactive, and sustainable.This process was applied and evaluated in 42 federal university hospital units.The method development consisted of designing a questionnaire based on bibliographic research, including guidelines from ISO 45001:2018.The tool's validation was conducted through the triangulation of various methods using the Delphi methodology over three rounds.Fourteen safety engineers with hospital experience participated, employing content validation methods (CVC) and Cronbach's alpha coefficient for apparent validation.After the Delphi method approved the questionnaire, seven expert judges were involved in the content validation, again using the CVC, content validity index (CVI), and Cronbach's alpha coefficient to assess reliability.The application resulted in completing two questionnaires: one regarding the TAN process on the performance level in occupational safety management at hospital units and another for characterizing the sociodemographic profile of safety engineers working in federal university hospitals, affiliated with the Brazilian Hospital Services Company (EBSERH).The intraclass correlation coefficient (ICC) and Cronbach's alpha were used to analyze the responses.The results revealed the assessment process's validity and efficacy in differentiating performance among hospitals, considering their distinct characteristics, and in enabling precise diagnostics on the performance level in occupational safety management.The TAN process and its diagnostics allow for the selection of hospitals or specific areas for more in-depth analyses, the definition of intervention strategies to improve safety management, and the identification of areas for development concerning the engineers' profiles.

Background: Anesthesia providers cross-contaminate their work environment. The hands of anesthesia providers are vectors for the transmission of infection between medical equipment in the anesthesia work environment and patients. The high work density of anesthesia providers around the patient has made it important to monitor infection control in the work environment and anesthesia procedures. This research aimed to find the best evidence for preventing or reducing infection in the anesthesia work environment. Methods: The measures required for the guidelines in the field of infection control in the anesthesia work environment were determined according to the available resources and the use of expert opinions of anesthesiologists and faculty members. Then, the guidelines for infection control in the anesthesia work environment were designed based on the evidence-based method (Stettler model). Also, it has been implemented in a limited way in the operating room. To assess the validity of the approach used in calculating the content validity coefficient (CVR) and the content validity index (CVI), Finally, the Test-Retest method, and Cronbach's alpha coefficient were used to determine reliability. Results: The guidelines for infection control in the anesthesia work environment were designed using evidence-based methods (Stettler's model). The content validity of anesthesia procedures requiring infection control guidelines was reported with a content validity index (CVI) of more than 0.79 and a content validity ratio (CVR) of more than 0.59. The reliability test was measured by Cronbach's alpha coefficient (0.806). Conclusion: Based on this study, the use of global infection control guidelines changes the attitude of anesthesia nurses and reduces the rate of infection in the anesthesia work environment. Also, the use of evidence-based methods facilitates the implementation of guidelines in the target environment.

PurposeThe present study was an attempt to investigate cross-cultural adaptability and evaluate the psychometric properties of the Persian version of the Manchester respiratory activities of daily living questionnaire ((MRADLQ-P).Patients and methodsIn a cross-sectional study, we selected 260 patients with severe respiratory diseases who needed to be admitted to the respiratory wards of this city hospital. The process of cultural localization of the questionnaire was performed based on a standard and valid process. Psychometric properties of the instrument were confirmed based on face and content validity assessments, convergent validity, discriminative validity and internal consistency. Data collected by demographic questionnaire, MRADL questionnaire and work ability index. Data were analyzed by SPSS 22 using descriptive statistics (mean and standard deviation), Spearman correlation coefficient, Cronbach's alpha coefficient, and Mann–Whitney test.ResultsThe mean age of participants was 48.8 ± 20.1 years. 176 (71.5%) were male. face content validity including content validity index (CVI) was 0.82 and content validity ratio and it was good. The questionnaire was measured at the same time as the work ability index, which Mann–Whitney test showed that the questionnaire has good differential power. Cronbach's alpha coefficient of 0.9 indicates a very good reliability of the questionnaire.ConclusionThe results show that intercultural psychometrics of MRADL questionnaire has good validity, reliability, and differential power that can be a good tool for use in future studies. Also, the translation of this checklist included translation into the target language, backward translation of the Persian versions into the original language, and comparisons and ambiguities to obtain a final and acceptable version.