Determinants of Nephrology Provider Engagement in Comprehensive Pre-Dialysis Discussions with Older Adults: Scale Development and Psychometric Evaluation.

Autor: Montoya V; Assistant Professor, Nursing Practice Department, College of Nursing, University of Central Florida, Orlando, FL.; Chair of ANNA's Research Committee (2020-2021).; member of ANNA's Sunshine State Chapter., Conner N; Associate Dean for Academic Excellence, University of Central Florida, College of Nursing, Academic Health Sciences Center, Orlando, FL., Yan X; Professor, Department of Statistics and Data Science, University of Central Florida, Orlando, FL., Thiamwong L; Associate Professor, Nursing Systems Department, College of Nursing, University of Central Florida, Orlando, FL.
Jazyk: angličtina
Zdroj: Nephrology nursing journal : journal of the American Nephrology Nurses' Association [Nephrol Nurs J] 2021 Nov-Dec; Vol. 48 (6), pp. 537-546.
Abstrakt: Comprehensive pre-dialysis discussions between providers and older adults over age 75 years are needed but often lacking. The aim of this study was to develop an instrument to assess behavioral determinants of nephrology provider use of comprehensive pre-dialysis discussions with older adults. Study design consisted of cross-sectional development of the instrument and preliminary psychometric evaluation. Items were based on an integrated literature review, expert clinician input, and the Theory of Planned Behavior. Nephrologists, nurse practitioners, and physician assistants completed the instrument (n = 71). Baseline demographic data, exploratory factor analysis, and Cronbach's alpha were analyzed. Initial factor analysis using principal components analysis and subsequent orthogonal rotation revealed loading on a four-factor model. Cronbach's alphas for the instrument/items were 0.89/0.83 to 0.94. Variance explained by the four factors was 58%.
Competing Interests: The authors reported no actual or potential conflict of interest in relation to this nursing continuing professional development (NCPD) activity.
(Copyright© by the American Nephrology Nurses Association.)
Databáze: MEDLINE
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