Translation and validation of the Alberta Context Tool for use in Norwegian nursing homes.

Jannicke Igland,Birgitte Graverholt,Kristine B Titlestad,Thomas Potrebny,Birgitte Espehaug,Anne Haugstvedt,Bente E Bendixen

doi:10.1371/journal.pone.0258099

Jannicke Igland, Birgitte Graverholt + Show 5 more

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https://doi.org/10.1371/journal.pone.0258099

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Abstract

PurposeOrganizational context is recognized as important for facilitating evidence-based practice and improving patient outcomes. Organizational context is a complex construct to measure and appropriate instruments that can quantify and measure context are needed. The aim of this study was to translate and cross-culturally adapt the Alberta Context Tool (ACT) to Norwegian, and to test the reliability and structural validity among registered nurses (RNs) and licenced practice nurses (LPNs) working in nursing homes.MethodsThis study was a validation study utilizing a cross-sectional design. The sample consisted of n = 956 healthcare personnel from 28 nursing homes from a municipality in Norway. In the first stage, the ACT was translated before being administered in 28 nursing homes. In the second stage, internal consistency and structural validity were explored using Cronbach’s alpha and confirmatory factor analysis.ResultsA rigorous forward-and-back translation process was performed including a team of academics, experts, professional translators and the copyright holders, before an acceptable version of the ACT was piloted and finalized. The Norwegian version of the ACT showed good internal consistency with Chronbachs alpha above .75 for all concepts except for Formal interactions where the alpha was .69. Structural validity was acceptable for both RNs and LPNs with factors loadings more than .4 for most items.ConclusionsThe Norwegian version of the ACT is a valid measure of organizational context in Norwegian nursing homes among RNs and LPNs.

Highlights

Organizational context is recognized as important in facilitating evidence-based practice (EBP) and improved patient outcomes [1,2,3,4,5]
Structural validity was acceptable for both registered nurses (RNs) and licenced practice nurses (LPNs) with factors loadings more than .4 for most items
The Norwegian version of the Alberta Context Tool (ACT) is a valid measure of organizational context in Norwegian nursing homes among RNs and LPNs

Summary

Introduction

Organizational context is recognized as important in facilitating evidence-based practice (EBP) and improved patient outcomes [1,2,3,4,5]. Interventions that consider contextual factors can address and modify factors within the context, and facilitate for evidence-based practice (EBP) and continuously improve safe patient care [6,12]. Exploring contextual factors specific to the healthcare setting has been highlighted as important to succeed with implementation efforts [13,14]. This is important in long-term care (LTC), which provides older adults with healthcare and support. The scarcity of research on context to guide and support implementation of evidencebased knowledge in the setting of older adults is unfortunate and an area where more research is needed [14]

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Conclusion