Understanding Nurses' Perceptions of Communication Between Nurses and Physicians using Construct Modeling

2.50
Hdl Handle:
http://hdl.handle.net/10755/154029
Type:
Presentation
Title:
Understanding Nurses' Perceptions of Communication Between Nurses and Physicians using Construct Modeling
Abstract:
Understanding Nurses' Perceptions of Communication Between Nurses and Physicians using Construct Modeling
Conference Sponsor:Sigma Theta Tau International
Conference Year:2011
Author:Bourke, Mary, RN, MSN, PhD
P.I. Institution Name:Indiana University
Title:Assistant Professor
Co-Authors:Paula McKinney RN, MSN, Magnet Director, ICU, CVICU
Michaelene Andersen RN, MSN, PET/Oncology
Carolyn Harlan BSN, RN, Physician Practice Manager
Annette Malston RN, RVT, RDCS, CVL Outcomes Management
Maria Pantaleo RN, MSN, Director/Patient Safety Officer
[22nd International Nursing Research Congress - Research Presentation] Purpose: A partnership was formed between a large regional hospital and nursing faculty from a large university. The partnership-facilitated research was created for the purpose of improving evidence based care. A communication team was formed that included one nursing faculty member and five staff nurses. AIMS: Communication between physicians and nurses was identified as an area that needed improvement to enhance patient care. Therefore, the team developed an instrument based on Construct Modeling, identifying dimensions of communication within the context of a hospital. The identified dimensions were used as a guide in the creation of items for the instrument. Construct modeling includes the following: the construct map, the design plan, the outcome space, and measurement model. Several iterations of the instrument were developed after consultation with peers. Usability testing was performed and changes were made based on feedback.
Methods: A final version of the survey was distributed to RN's who volunteered to participate. IRB approval was obtained. 
Results: The population used for this study were RN's currently working at the regional hospital. A research day was used as a convenient way to reach many nurses allowing them the opportunity to voluntarily participate in the research. Conclusion: This study used Rasch Model diagnostics and analysis to evaluate an instrument that measured nursing staff perceptions of communication between nurses and doctors. Rasch analysis allowed a more appropriate analysis of the data and provided detailed information about the psychometric properties of the instrument. Tool diagnostics were performed as follows: category frequencies and average measures, as well as, threshold estimates, probability curves, and category fit statistics. Validity was articulated within the context of the Rasch model. Person and item reliability indexes were clarified in relation to defining reliability of the instrument and interpretation of the data.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleUnderstanding Nurses' Perceptions of Communication Between Nurses and Physicians using Construct Modelingen_GB
dc.identifier.urihttp://hdl.handle.net/10755/154029-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Understanding Nurses' Perceptions of Communication Between Nurses and Physicians using Construct Modeling</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2011</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Bourke, Mary, RN, MSN, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Indiana University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">mbourke@iuk.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Paula McKinney RN, MSN, Magnet Director, ICU, CVICU<br/>Michaelene Andersen RN, MSN, PET/Oncology<br/>Carolyn Harlan BSN, RN, Physician Practice Manager<br/>Annette Malston RN, RVT, RDCS, CVL Outcomes Management<br/>Maria Pantaleo RN, MSN, Director/Patient Safety Officer</td></tr><tr><td colspan="2" class="item-abstract">[22nd International Nursing Research Congress - Research Presentation] Purpose:&nbsp;A partnership was formed between a large regional hospital and nursing faculty from a large university. The partnership-facilitated research was created for the purpose of improving evidence based care. A communication team was formed that included one nursing faculty member and five staff nurses.&nbsp;AIMS: Communication between physicians and nurses was identified as an area that needed improvement to enhance patient care. Therefore, the team developed an instrument based on Construct Modeling, identifying dimensions of communication within the context of a hospital. The identified dimensions were used as a guide in the creation of items for the instrument. Construct modeling includes the following: the construct map, the design plan, the outcome space, and measurement model. Several iterations of the instrument were developed after consultation with peers. Usability testing was performed and changes were made based on feedback. <br/>Methods: A final version of the survey was distributed to RN's who volunteered to participate. IRB approval was obtained.&nbsp; <br/>Results:&nbsp;The population used for this study were RN's currently working at the regional hospital. A research day was used as a convenient way to reach many nurses allowing them the opportunity to voluntarily participate in the research. Conclusion: This study used Rasch Model diagnostics and analysis to evaluate an instrument that measured nursing staff perceptions of communication between nurses and doctors. Rasch analysis allowed a more appropriate analysis of the data and provided detailed information about the psychometric properties of the instrument. Tool diagnostics were performed as follows: category frequencies and average measures, as well as, threshold estimates, probability curves, and category fit statistics. Validity was articulated within the context of the Rasch model. Person and item reliability indexes were clarified in relation to defining reliability of the instrument and interpretation of the data.</td></tr></table>en_GB
dc.date.available2011-10-26T12:41:28Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:41:28Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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