Abstract
ObjectivesThis study aimed to develop and validate scales to assess attitudes towards patient’ s use of TCM (APUTCM) and to measure a communicative competence in TCM (CCTCM) among nurses.MethodsThe instrument development process was conducted from Sep 2013 to Jul 2014, using the following steps: 1) item development; 2) internal review and refinement; 3) face and content validation; 4) instrument administration to a development sample; and 5) evaluation of validity and reliability. A convenience sample was used to recruit registered and advanced practice nurses who worked in different regions throughout Taiwan. A total of 755 respondents completed the online questionnaire. Statistical analyses were performed using the software of SPSS Version 21.0 and Analysis of Moment Structures (AMOS) version 24.0.ResultsThe scale-level indexes (S-CVI) of content validity for both scales were over 80%. The reliabilities for the 13-item APUTCM scale and for the five-item CCTCM scale were 0.88 and 0.84, respectively. The model suitability for both scales was assessed, and the findings revealed suitable parameters for all indicators: GFI = 0.954, AGFI = 0.932, CFI = 0.959, RMSEA = 0.62, and chi-square/df = 3.891 for APUTCM; and GFI = 0.992, AGFI = 0.969, CFI = 0.992, RMSEA = 0.63, and chi-square/df = 4.04 for CCTCM. The convergent and divergent validity of scores on both scales provided evidence in the expected direction.ConclusionThis scale development study provides preliminary evidence that suggests that the 13-item APUTCM and the five-item CCTCM are reliable and valid scales for assessing attitudes toward patient’s TCM use and communicative competence in TCM.
Highlights
The definition of Traditional & complementary medicine (TCM) by the World Health Organization (WHO) refers to a broad set of health care are knowledge, skill, and practices approaches not fully integrated into the dominant health-care system [1]
Demographic characteristics A total of 755 respondents who were recruited from January to April 2014 participated in this study
There were significant differences between the two groups in the scores of the attitudes towards patient’ s use of TCM (APUTCM) scale (t = − 7.92, p < .001) and the competence scale in TCM (CCTCM) scale (t = − 4,87, p < .001). This scale development study provides preliminary evidence supporting the reliability and validity of the 13item APUTCM scale and the five-item CCTCM scale assessing the attitudes of nurses’ towards patient’s TCM use and communicative competence in TCM, as the findings show good internal consistency and strong construct validity
Summary
The definition of Traditional & complementary medicine (TCM) by the World Health Organization (WHO) refers to a broad set of health care are knowledge, skill, and practices approaches not fully integrated into the dominant health-care system [1]. TCM is an umbrella term that encompasses various health services that do not belong to conventional medicine, such as traditional medicine, complementary medicine, alternative medicine, herbal medicine, integrative medicine, and so on. The prevalence of TCM providers use among adults was. The popularity of TCM use among patient population is respectively high. The common reasons for the non-disclosure of CAM use among patients with arthritis are because they are experienced by unsupportive or negative attitudes from healthcare professionals and lack of knowledge about TCM [4]. Most nurses (73%) do not ask patients about TCM use [5]. As noted in the literature review, we have found globally that many nurses have a
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