Content Validity Research Articles

E-professionalism assessment instruments in healthcare professionals: a systematic review protocol

IntroductionSocial media has an impact on the reach and speed with which information is disseminated, benefiting patients and healthcare professionals by sharing knowledge, even from a distance. However, these channels...

Development and validation of the nurses’ touch comfort evaluation scale in China

BackgroundTouch comfort refers to the level of comfort nurses feel internally when touching patients. Good touch comfort indicates that nurses feel very comfortable during such interactions. With the steady advancement of the “Healthy China” initiative, there is an increasing demand for humanistic care. Good touch comfort is a critical prerequisite for nurses to complete humanistic care measures efficiently. However, there is currently a lack of effective localized measurement tools to evaluate the touch comfort for Chinese nurses. This study aimed to develop a nurses’ touch comfort evaluation scale suitable for Chinese nursing culture and to test its psychometric properties.MethodsThe nurses’ touch comfort evaluation scale was developed in three stages. In stage 1, a literature review and team discussions were used to create the initial item pool, followed by two rounds of expert consultations and a pre-survey to refine the items and form the initial scale. In Stage 2, a questionnaire survey was conducted with 231 nurses. Item analysis and exploratory factor analysis (EFA) were employed to optimize the items and explore the scale’s structure, resulting in a predictive scale. In Stage 3, the performance of the scale was validated with a sample of 355 nurses, leading to the final version of the scale. Confirmatory factor analysis (CFA) and content validity were used to evaluate the scale’s validity, while Cronbach’s alpha coefficient, split-half reliability, and test-retest reliability were applied to assess its reliability.ResultsThe final scale comprises 4 dimensions (treatment task, physiological comfort, individualized assistance, and emotional support) with 35 items, accounting for 76.661% of the cumulative variance. The scale’s Cronbach’s alpha coefficient, split-half reliability, and test-retest reliability were 0.981, 0.927, and 0.886, respectively. Confirmatory factor analysis results indicated: standardized chi-square statistics(χ2/df) = 3.432, root mean square error of approximation (RMSEA) = 0.083, comparative fit index(CFI) = 0.911, incremental fit index(IFI) = 0.911, Tacker-Lewis index(TLI) = 0.902, parsimonious comparative fit index (PCFI) = 0.830, parsimony normed fit index(PNFI) = 0.801, combined reliability (CR) values ranged from 0.933 to 0.972, average variance extracted (AVE) values ranged from 0.671 to 0.780, and heterotrait-monotrait ratio (HTMT) values ranged from 0.780 to 0.886, indicating good construct validity. Both scale-level and item-level content validity were 1.ConclusionThe nurses’ touch comfort evaluation scale has acceptable reliability and validity, making it an effective tool for assessing the touch comfort of nurses in China.

Cross-cultural adaptation and content validation of the Nurses’ Professionalism Inventory to the Portuguese context: a methodological study

Cross-cultural adaptation and content validation of the Nurses’ Professionalism Inventory to the Portuguese context: a methodological study

Development, Content Validity, and Test-Retest Reliability of a Childhood Hydrocephalus Severity Scale.

This study aimed to develop and validate a reliable, multi-domain scale for assessing childhood hydrocephalus severity and to enhance communication, guide treatment decisions, and improve patient care. A stepwise consensus approach informed by a modified Delphi technique was employed. Healthcare professionals participated in anonymous surveys and face-to-face meetings to define the core domains of the scale. Content validity, internal consistency, and inter-rater reliability were assessed. The Delphi process yielded a refined 7-item, 10-point Childhood Hydrocephalus Severity Scale (CHS) focussing on age, Evans index, associated malformations, neurological deficit, intraventricular haemorrhage, and mid-arm circumference. Content validity analysis using the Content Validity Index (CVI) demonstrated strong agreement (mean I-CVI = 0.91) among experts regarding the relevance of CHS items. All individual item CVI scores exceeded 0.8, supporting the inclusion of each factor. The CHS exhibited excellent internal consistency (Cronbach's alpha = 0.988). High intraclass correlation coefficients (ICC) were observed for both single measures (ICC = 0.902, 95% CI: 0.862-0.931) and average measures (ICC = 0.985, 95% CI: 0.978-0.990), indicating near-perfect agreement between raters. Both ICC values were statistically significant (p < 0.001). The CHS demonstrates promising potential as a reliable and valid tool for childhood hydrocephalus severity assessment. This scale has the potential to enhance communication, guide treatment decisions, and improve patient care in childhood hydrocephalus.

Evaluating the content validity of the EQ-5D-Y for Chinese children and adolescents.

Health-related quality of life (HRQoL) is key for assessing healthcare outcomes in children and adolescents. The EQ-5D-Y-3L, adapted from the adult version, is widely used to measure HRQoL among 8-18 year-olds. Despite its effectiveness, concerns about its content validity persist, particularly in Chinese populations. This study evaluates the EQ-5D-Y's content validity in China, focusing on the comprehensiveness, relevance, and comprehensibility of its dimensions among both healthy and diseased children. A qualitative study was conducted with 30 participants (15 healthy, 15 diseased) aged 8-18 in Shanghai, China. The interviews explored participants' perspectives on the EQ-5D-Y's five dimensions, guided by the World Health Organization's (WHO) definition of health. Data were analyzed using a framework approach, with response challenges identified through an adapted model of response issues. A total of 126 codes were generated, with 87 retained and categorized into three themes: physical (n = 16), mental (n = 30), and social health (n = 4). While responses reflected all five EQ-5D-Y dimensions, social health was notably mentioned as crucial but was absent in the EQ-5D-Y. Participants suggested enhancements in mental health coverage and more specific examples for the current dimensions. The EQ-5D-Y is relevant for assessing HRQoL in Chinese children and adolescents but requires improvements, especially in incorporating social health. Enhancing question clarity and specificity could also improve its effectiveness. These findings guide potential refinements to better capture the health experiences of children.

Measuring health literacy: methods and tools for assessing general health literacy in adults

The measurement of health literacy (HL) began in the 1990s with instruments that focused on afunctional understanding of HL. Since then, the understanding of HL and the measurement of HL have evolved. This article reviews two particularly well-validated instruments for measuring comprehensive general health literacy: The Health Literacy Questionnaire (HLQ) and the HLS19-Q12questionnaire.The HLQ consists of nine scales with atotal of 44items covering different HL aspects of coping with illness. The HLQ has been validated in numerous studies and translated into 47languages. It has high content and criterion validity and is used, for example, in the WHO European Action Network on Health Literacy for Prevention and Control of Noncommunicable Diseases and in the European Joint Action on Cardiovascular Diseases and Diabetes (JACARDI). The ninescales can be used to create HL profiles of strengths and challenges.The HLS19-Q12is ashort questionnaire to measure general HL and is based on the HLS19-Q47. It consists of 12items, has been validated in more than 20countries, and has been translated into more than 30languages. The HLS19-Q12also has high content and criterion validity and is used in the Health Literacy Surveys of the WHO Action Network on Measuring Population and Organizational Health Literacy (M-POHL) and the European Joint Action Prevent Non-Communicable Diseases. Based on the 12items, atotal score is calculated that can be categorized into fourlevels of HL.In order to create acomparable database in the long run, it is recommended that these two instruments be used in studies, evaluations, and monitoring of HL.

The second victim experience and support tool: a cross-cultural adaptation, validation and psychometric evaluation of the Serbian version for pharmacy professionals (SR-SVEST-R).

The second victim phenomenon, involving emotional and psychological distress after adverse events, is underexplored among pharmacy professionals. The validated Second Victim Experience and Support Tool measures these experiences and support options, with the improved version also assessing resilience. This study aimed to validate the Second Victim Experience and Support Tool-Revised, measure the second victim phenomenon, and present results among pharmacy professionals in Serbia. This cross-sectional study included 350 pharmacy professionals (MPharm and technicians). The questionnaire, with 9 factors and 35 statements, was translated and adapted following guidelines, and thecontent wasvalidated by five experts. A pre-test with 30 participants ensured clarity, followed by Confirmatory Factor Analysis for construct validity and Cronbach's Alpha for reliability. Content validity was confirmed with item scores from 0.8 to 1 and a mean scale score of 0.83. Factor analysis identified 9 factors and 30 items (Chi-square = 545.6, degrees of freedom = 366, p < 0.001). The model fit was supported by a Root Mean Square Error of Approximation of 0.037, a Comparative Fit Index of 0.958, a Tucker-Lewis Index of 0.950, and a Standardised Root Mean Square Residual of 0.040. Reliability analysis showed a Cronbach's alpha of 0.88, with factor values from 0.60 to 0.90. Among participants, 49.5% feared future events, 47.4% felt exhausted, 22.6% considered quitting, 72.6% valued peer support, and 28.9% improved work quality. The Serbian resilience measuring tool is valid and reliable, effectively evaluating second victim experiences and support, with half of pharmacy professionals affected.

Cross-Cultural Adaptation and Validation of the Voice Disability Coping Questionnaire (VDCQ) in Tamil.

The Voice Disability Coping Questionnaire (VDCQ) is a valuable tool for assessing coping strategies in individuals with voice disorders. The scarcity of evidence on coping strategies for voice-related problems globally highlights the need to establish the validity and reliability of the VDCQ in specific populations and languages. Cross-cultural adaptation is necessary to ensure the tool's linguistic and cultural relevance for Tamil-speaking individuals with dysphonia. This study aimed to cross-culturally adapt the VDCQ into Tamil (VDCQ-T) and evaluate its validity and reliability for use in Tamil-speaking populations with voice disorders. The study followed a standardized process for translation and cultural adaptation, involving forward translation, expert panel review, back-translation, and pilot testing. Content validity was assessed by a panel of five speech-language pathologists, three Tamil language experts, and feedback from participants. The VDCQ-T was administered to 150 participants (75 with voice disorders and 75 controls). Principal component analysis (PCA) was performed to extract factors, and the questionnaire's reliability was evaluated using Cronbach's alpha and test-retest reliability with the intraclass correlation coefficient (ICC). PCA revealed four distinct factors: social support (factor I), passive coping (factor II), avoidance (factor III), and information seeking (factor IV). The questionnaire demonstrated high internal consistency with a Cronbach's alpha of 0.909, and test-retest reliability showed an ICC of 0.782. The VDCQ-T showed significant differences between the voice disorder group and the control group, confirming its construct validity. Although subgroup analysis for specific voice disorders was limited, the results suggest that the tool is broadly applicable to individuals with dysphonia. VDCQ-T is a valid and reliable instrument for assessing coping strategies in Tamil-speaking individuals with voice disorders. The findings emphasize the importance of social support in managing dysphonia. Future studies should explore subgroup differences and include a more diverse sample to enhance generalizability.

“Communication strategies used by health professionals and senior health professional students with people with aphasia – an overview of the Portuguese reality”

ABSTRACT Introduction Aphasia is a communicative disorder prevalent in about one-third of stroke survivors. People with aphasia (PWA) typically require lifelong healthcare support and frequent consultations with various health professionals (HP) who must be well-prepared to adapt their communication to effectively communicate with them. This study aims to analyse the communication strategies used by Portuguese HP, namely nurses, physiotherapists, occupational therapists, speech and language therapists, and other professionals in contact with PWA, as well as senior health professional students (SHPS) of these professions, when communicating with PWA. Methods & Procedures A cross-sectional mixed-methods convergent design, incorporating a self-developed survey with both quantitative and qualitative strands was conducted. The content validity of the questionnaire was ensured by an expert panel, based on individual agreement with its items. Seven HP (3 speech and language therapists, 2 physiotherapists, 1 physician, 1 neuropsychologist) were part of this expert panel. The Content Validity Index (CVI) was calculated, and a value of > 0.90 was obtained for all its items. The questionnaire developed, which includes both quantitative and qualitative sections, was completed online by HP/SHPS. HP/SHPS who underwent training in Portugal and have/had contact with PWA were included. Quantitative analysis was performed using Microsoft Excel (2013 version). Open-ended questions were analyzed using deductive content analysis. Results HP/SHPS (N = 223) reported using mostly verbal strategies (e.g. Ask PWA to explain in an alternative way, time to respond, slow down speech rate, yes/no questions, rephrase/clarify) and visual strategies (e.g. writing, drawing, pictures, augmentative and alternative communication) when communicating with PWA. The same strategies are reportedly for different purposes (improving PWA expression and comprehension and revealing PWA competence). Conclusions HP/SHPS, independently of their professional background, tended to use the same strategies for different purposes, which may indicate a lack of knowledge about PWAs’ competencies and limitations, as well as the best strategies to facilitate communication with them. Given the increasing aging of the Portuguese population and the estimated number of PWA, more information in this area is recommended, particularly by integrating these topics into the formal training of HP and/or offering additional training throughout their careers.

Cross-cultural adaptation and validation of the Persian version of the oral health values scale

BackgroundThe decisions individuals make regarding oral health reflect their values. Prioritizing oral and dental health is essential for public health. This study aimed to evaluate the validity and reliability of the Persian version of the Oral Health Values Questionnaire.MethodsA cross-sectional study was conducted involving 500 adults aged 18 years and older at health centers in Shiraz in 2023. The Original Oral Health Values Scale (OHVS) questionnaire was translated into Persian using a forward-backward translation. Participants completed the Persian version of the OHVS, which comprises a 12-item scale with a four-factor structure: professional dental care, appearance and health, flossing, and preservation of natural teeth. The Content Validity Index (CVI), Content Validity Ratio (CVR) and Scale-Level Content Validity Index (S-CVI/Ave) were assessed. Test-retest reliability and Cronbach’s alpha were used to evaluate the internal consistency of the questionnaire. To determine the adequacy of the sample size, the Kaiser-Meyer-Olkin (KMO) index, with a minimum value of 0.7, Bartlett’s test of sphericity, eigenvalues greater than 1, and the Varimax rotation method were utilized, using SPSS Version 24 statistical software.ResultsAll questions demonstrated satisfactory Content Validity Ratio (CVR) and Content Validity Index (CVI), scoring above the expected thresholds of 0.8 and 0.9, respectively. The test-retest correlation results confirmed the reliability of the questionnaire, with correlation coefficients exceeding 0.7 for all questions and their sub-areas. Internal consistency was also established usings domains. Factor analysis revealed four primary components with eigenvalues greater than 1, which collectively accounted for 58.963% of the total variance.ConclusionsThe Persian version of the OHVS demonstrated excellent validity and reliability. Consequently, it can be regarded as a reliable and valuable tool for epidemiological and behavioral dental studies.

Development and psychometric validation of a clinical instrument for infant feeding and lifestyle evaluation.

There is an absence of a comprehensive clinical instrument to assess and track the development of non-ideal feeding practices and lifestyle behaviours in early childhood. Our primary aim was to develop and validate an assessment instrument, called Feeding, Lifestyle, Activity Goals (FLAGs), designed to serve as a feeding, lifestyle and activity behaviour checklist for children aged 0-2 years. This study took place between January and May 2023. Experts evaluated content validity using the criteria of relevance, clarity, simplicity and ambiguity, to calculate the item content validity index (I-CVI) and scale CVI (S-CVI) (acceptable cutoff ≥ 0.80). Face validity was assessed by caregivers. Repeated assessments were also performed to determine test-retest reliability based on intra-class correlation (ICC) (acceptable cutoff > 0.75). Construct validity was established through principal component analysis (PCA), and internal consistency was measured using Cronbach's α coefficient (acceptable cutoff ≥ 0.70). FLAGs consists of 19 items, with a I-CVI of 1.00 in 12 out of 19 items, and S-CVI average of >0.90 for relevance, simplicity and clarity. Among 198 caregivers, 99.0% responded 'agree' and 'strongly agree' in the criteria of clarity and ambiguity; 99.5% in criterion of relevance, and 100% in criterion of simplicity. PCA showed a two-component structure (55.9% variance). Overall Cronbach's α was 0.71. Participants repeated FLAGs assessment on an average of 9 days apart, with ICC of 0.861 (p < 0.001) for the total FLAGs scores. We have developed an instrument which assesses an infant's feeding and lifestyle behaviour from 0 to 2 years, and this has been assessed to have acceptable validity and reliability.

Translation and psychometric properties of the Persian version of the mental health quality of life (MHQoL) questionnaire

BackgroundPatients with psychiatric disorders often experience a reduced quality of life. To accurately assess their well-being, reliable and culturally appropriate tools are essential. The Mental Health Quality of Life (MHQoL) questionnaire, which has seven questions, is designed for this purpose. This study aimed to translate and evaluate the psychometric properties of the MHQoL tool among patients with psychiatric disorders at the psychiatric department of Baqiyatallah Hospital.MethodsThis study employed a methodological approach with a descriptive cross-sectional design. After obtaining written permission from the original developer and following the World Health Organization protocol, the Persian version of the questionnaire was administered to 300 psychiatric patients hospitalized in a psychiatric ward in Tehran from October 2022 to March 2023. Of the participants, 39% were female and 61% were male. The questionnaire’s face validity, content validity, and construct validity were subsequently evaluated. To determine reliability, Cronbach’s alpha coefficient and test-retest methods were used.ResultsThrough exploratory factor analysis (N = 150) and confirmatory factor analysis (N = 150), one factor was extracted that explained 59.45% of the total observed variance. The model exhibited a good fit, with a GFI of 0.90, CFI of 0.97, IFI of 0.97, NFI of 0.95, PNFI of 0.64, RMSEA of 0.14, CMIN/DF of 3.5, and RMR of 0.049. The Persian version of the MHQoL tool demonstrated high reliability, with a Cronbach’s alpha of 0.876 and an intraclass correlation coefficient of 0.979.ConclusionsThe current study’s findings suggest that the Persian version of the MHQoL is valid and reliable for assessing the quality of life in Persian patients with psychiatric disorders.

Construction and initial validation of an academic impostor syndrome measure

Abstract Impostor syndrome has been identified as a growing problem in professional and academic settings. It has been associated with diminished confidence and inhibited performance. In the context of education, it has been reported as maladaptive to enrolment, retention, integration, wellbeing, and academic performance. One inhibiting factor is the lack of validated measures specific to education. Hence, the primary aim and original contribution of this study is the construction and initial validation of such a measure. This construction process was initially informed by a trawl of the literature on general impostor syndrome, with ten domains emerging from the reviews to provide content validity. Items were constructed in consultation with students as end users and academics from national and international symposia and seminars. The studies were carried out at two UK higher education institutions, with N = 339 undergraduates. Through iterative processes including item analysis, principal component analysis, and factor analyses, ten items were selected from a pool of thirty. These covered the ten literature domains and associated with good factor loadings (&gt; 0.45) and sound model fit indicators. Invariance testing of both student groups demonstrated equivalence of factor structure and factor loadings. To enhance the measure’s validity, the Five-Factor Model of Personality, Self-esteem, and Self-efficacy were included. The moderate correlations of these factors with academic impostor syndrome in expected directions may respectively signpost the approach and avoidance behaviours that counter or nurture the problem. The new measure is commended as a potentially useful tool for research and practice.

A114 INTERRATER RELIABILITY BETWEEN ENDOSCOPISTS USING LOW-COST SIMULATED POLYPS

Abstract Background The identification and removal of polyps are essential skills as they remove premalignant lesions found ad hoc during colonoscopy. Simulation training helps with trainee learning curves and help train novices in polyp identification and polypectomy skills acquisition. The cost of simulators, however, limits trainee access to simulation-based training. Aims To determine the interrater reliability between endoscopists in identifying the Paris Classification of low-cost simulated polyps. Methods Using the Paris classification, novel simulated polyps with various morphologies were developed. 5 endoscopists of varying experience levels (1 expert (&amp;gt;1000 endoscopies), 2 intermediates (500-1000 endoscopies), and 2 novices (&amp;lt;500 endoscopies)) completed a knowledge test. The knowledge test showed images of simulated polyps and the endoscopists identified the Paris classification (Figure 1). The primary outcome measure was the interrater reliability between endoscopists during the knowledge test. A two-way random effects intraclass correlation coefficient (ICC), with absolute agreement between the raters was used to estimate the interrater reliability. Another outcome measure was content validity which was assessed via survey completed by 3 experts and 21 novice endoscopists during a previous simulation course. Results The raters correctly identified all 1p polyps. The Average Measures ICC between all 5 raters was 0.961 (95% CI: 0.93-0.98) indicating excellent reliability. One rater correctly identified all 1s polyp and was removed from ICC analysis due to lack of variance. The Average Measures ICC for 1s polyps was 0.524 (95%CI: 0.15-0.76) indicating moderate reliability. All errors were misidentification of 1s for 2a polyps. The survey showed content validity in terms of setup, usefulness in trainee programs, realism, and perceived trainee improvement. Conclusions Excellent reliability for 1p polyps suggests its usefulness for training polypectomy. Further work is needed to differentiate 1s polyps from 2a polyps. A limitation to interrater reliability is the use of images instead of videos in the knowledge test. The content validity of the polyps suggests practicality for low-cost training to achieve trainee improvement. Further studies are needed to assess other polyp classifications and correlate endoscopist experience level with ability to identify the simulated polyps. Knowledge Test Scores of 5 Endoscopists ICC, intraclass correlation coefficient. (*)excluded from ICC analysis due to lack of variance. Figure 1. Simulated gel polyps based on Paris classification A-B) 1p, C-D) 1s. Funding Agencies None

A214 CONSTRUCTION AND VALIDATION OF A FRAILTY INDEX FOR THE INFLAMMATORY BOWEL DISEASE POPULATION

Abstract Background Frailty can be defined as a state of vulnerability to adverse health events, resulting from a reduction in physiological processes that are protective for health. Measuring frailty in populations with chronic immune-mediated disease, such as Inflammatory Bowel Disease (IBD), is becoming increasingly important. A Frailty Index (FI) operates within the Deficits Accumulation model and is a valid and accepted method of measuring frailty. Much of the work done in the field of frailty and IBD describes the association of frailty with post-operative complications and mortality. These studies have used various methods to determine a patient’s degree of frailty such as use of ICD codes and claims-based scoring. Aims: Aims To develop an FI for the IBD patient population using an accumulation of deficits approach. Methods A standardized method for constructing an FI using data from the SPOR IMAGINE IBD cohort was applied to a pan-Canadian, observational prospective study. Seventy-seven deficits were selected to be incorporated into the index, most from psychological or gastrointestinal variables. Construct and content validity of the index was assessed. The index was trichotomized based on established cut points and was then compared to patient demographics in the baseline cohort. Results An IBD Frailty Index (FI) was created using a validated 10 step process with baseline data from 2714 participants in the SPOR IMAGINE cohort. The IBD FI is made up of 77 items, and is primarily composed of physical, functional and psychological health deficits. The IBD FI showed a right skew, which is characteristic of most FIs. In this distribution the upper limit (99th percentile) of FI score is 0.529 displaying a submaximal limit, and the mean FI score was higher in women (0.19) (95% CI: 0.13, 0.15] compared to men (0.14), which are characteristic to valid FI tools. The mean age of our cohort was 45.8 years (SD: 15), mean FI score was 0.17 (SD: 0.12) (lower than in other immune mediated diseases), and 30.6% of our sample was categorized as frail (FI score &amp;gt;0.21). Surprisingly the IBD FI scores were not positively associated with age, though they were associated with IBD symptom severity (R=0.767). Conclusions Frailty is an important health measure that provides a holistic picture of an individual’s health. We operationalized the accumulation of deficits approach to frailty and created a frailty measurement tool for the IBD population using variables from a wide variety of health domains. Future research projects using the IBD FI should investigate the scores’ predictive abilities for mortality and should explore the differences in frailty between patients diagnosed in middle of life (first epidemiological peak) versus later in life. Funding Agencies None

Psychometrics of the Attitude Scale towards the use of Artificial Intelligence Technologies in Nursing

BackgroundIt is clear that nursing practice is directly affected by artificial intelligence (AI), and in this regard, a need is felt for more information on the knowledge and attitudes of nurses to the use of AI technology in nursing care practice. However, no inclusive measurement instrument tested for validity and reliability evaluating the attitudes of nurses to the use of AI technology was found. The aim of this research was to develop and test the validity of the Attitude Scale Towards the Use of Artificial Intelligence Technologies in Nursing (ASUAITIN) in the Turkish language.MethodsThe research was a methodological and cross-sectional study, designed to develop and test the validity of the ASUAITIN. STROBE guidelines were followed in the study. In order to create the starting materials, the researchers made a scan of the literature. Two hundred nurses working in the internal medicine, surgical and intensive care departments of a university hospital in the Marmara Region of Turkey were included in the study. Items were assessed for content validity. ASUAITIN was tested for construct validity and internal consistency reliability.ResultsASUAITIN consists of 15 items. It has two dimensions, positive attitude, and negative attitude to AI technology in nursing practice, and practice and explains 67.762% of total variance. Item loads were between 0.529 and 0.866. Cronbach alpha values were calculated to be 0.910 for the total scale, 0.933 for Factor 1, and 0.917 for Factor 2.ConclusionsThe results of this study show that the ASUAITIN scale are validated and reliable measurement tool. ASUAITIN can be used as an instrument to assess the attitudes to AI technology in practice among nurses working in the clinical field.Clinical trial numberNot applicable.

Patient safety attitude scale in dentistry: development and validation study in Türkiye

BackgroundThis cross-sectional study aimed to develop a measurement tool to assess dental health workers’ attitudes towards patient safety.MethodsThe candidate items for the questionnaire were developed and assessed for content validity by an expert panel. The reliability and validity of the Patient Safety Attitude Scale were examined by administering the finalized items to a sample of 312 dental healthcare professionals in Province Ankara. Participation was voluntary, and data were collected via the SurveyMonkey web platform. SPSS 26 and AMOS 24 were used for reliability and validity analysis.ResultsThe study found that most dental healthcare workers, with a mean age of 30.4 years and 74.4% female, reported moderate to high workloads, while only 7.1% had a light workload. Among them, 41% had received patient safety training, and 54.8% had witnessed a medical error. Factor analysis identified two factors: ‘risk management’ and ‘ethical attitude,’ together explaining 53.09% of the variance. The Cronbach’s alpha value for the overall scale was 0.911, with ‘risk management’ (CA = 0.896) and ‘ethical attitude’ (CA = 0.692) demonstrating adequate internal consistency. A weak positive correlation was observed between patient safety attitudes and ethical knowledge, with higher safety scores among women and trained participants.ConclusionsThis study develops and validates a Patient Safety Attitude Scale in Dentistry Practices that can be used.

Development of minimum data set and electronic registry for hemodialysis patients management

BackgroundThis study aimed to develop a minimum dataset and an electronic registry system for hemodialysis patients to evaluate hemodialysis patients’ treatment procedures and outcomes, conduct related research, and design therapeutic interventions.MethodsThis developmental research was performed in multiple phases, including content determination using the Delphi technique; database designing using MySQL; building a user interface using PHP; usability evaluation using the think-aloud method by 10 evaluators through a scenario consisting of 7 tasks; and finally, the system was piloted by entering the 160 patients’ paper records into the system.ResultsFollowing the CVR and CVI content validity assessment, 108 of the 118 extracted data elements (DEs) were validated. Then, using the Delphi technique, nephrologists chose 57 DEs and divided them into 4 information categories, including the patient’s clinical history, hemodialysis episodes, laboratory findings, and the outcomes of hemodialysis. The three tabs that made up the user interface were the homepage, information recording, reports, and definitions. The problems with appearance and performance were discovered using the think-aloud method, and they were then resolved. Finally, users had the opportunity to identify issues, improve the system’s capabilities, and express their satisfaction throughout the system’s three-month test period.ConclusionsThe E-hemodialysis registry was created based on knowledge gained from industrialized nations, opinions and suggestions from medical specialists, and the facilities that were accessible. Information from this system can be utilized as a starting point for evaluating the hemodialysis patients’ status, identifying problems, and making sensible decisions for the best possible planning and management of end-stage renal disease.

BioCheM-ID: measuring undergraduate STEM identity across biology, chemistry, and mathematics and understanding the impacts of informal STEM experiences

ABSTRACT Background STEM identity, a disciplinary identity that reflects an individual’s self-understanding in connection with science, technology, engineering, and mathematics (STEM), impacts students’ integration, retention, and success within STEM fields. Purpose This study aimed to develop a STEM identity instrument via structural equation modeling, the BioCheM-ID, to measure STEM identity across biology, chemistry, and mathematics among undergraduates enrolled in an introductory-level biology course. Design and methods As the first model in the literature to measure STEM identity across these three domains, the BioCheM-ID comprised five latent factors: biology perceived competence and interest, chemistry perceived competence and interest, mathematics perceived competence and interest, biology and chemistry beliefs, and mathematics beliefs. Content validity, internal structure validity, and internal consistency of data generated via the BioCheM-ID were investigated. A series of hierarchical multiple regression analyses was conducted to explore how student-centered factors, such as gender, race/ethnicity, major of study, and pre-college informal STEM learning experiences influence undergraduate STEM identity. Results Students’ major and participation in pre-college informal STEM learning experiences emerged as significant predictors of STEM identity, where STEM majors and students with mentoring and tutoring experiences reported a significantly higher STEM identity compared to their counterparts. The relationships between students’ educational aspirations, expectations, and STEM identity were explored, and positive correlations were observed. Students reported aspiring and expecting at least to earn a master’s or doctoral degree on average, highlighting the higher educational aspirations and expectations of the freshman students. Conclusions This study contributes to ongoing discussions on how to effectively support student populations in STEM, advocating for increased opportunities for early and meaningful STEM engagements.

LapAppendectomy4all: validation of a new methodology for laparoscopic appendectomy simulation and training.

Appendectomy, whether open or minimally invasive (MIS) is one of the most frequent procedures performed by young residents. We designed and tested a new methodology and a new inexpensive silicone model for Laparoscopic Appendectomy (LA) simulation. This study aimed to assess their fidelity, usefulness and educational value in an introduction to laparoscopy course. The course was open to first-year general surgery residents. The group was divided in two and one of the groups watched a video of the procedure before the simulation. Individual performances were assessed directly on the models, using a specific assessment scale. Participants answered a questionnaire at the end of the course for evaluation. Thirty-five residents participated in this study. Execution, quality, and global performance were higher in the group that had more experience with the model. Thirty-two trainees (91%) answered the questionnaire. There was a strong agreement that the model was adequate for this type of course and face and content validity was considered high/very high. Participants strongly agreed that this model gives more confidence to perform a real LA and almost 97% (n = 31) considered they have learned solid foundations about LA. This study shows face, content and construct validation and also educational value for this new low-cost, laparoscopic appendectomy model. The integration of this model in an introduction to laparoscopy course showed good results in regard to an increase of confidence among first-year surgery residents. It can be a valuable tool for learning and training laparoscopic appendectomy.