2.50
Hdl Handle:
http://hdl.handle.net/10755/154239
Type:
Presentation
Title:
Development of a Context Assessment Index (CAI)
Abstract:
Development of a Context Assessment Index (CAI)
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:McCarthy, Geraldine, PhD
P.I. Institution Name:University College Cork
Title:Professor
Co-Authors:Brendan McCormack, DPhil, BScN; Alice Coffey, MEd, BA; Jane Wright, PGDip and Paul Slater, PhD
[Research Presentation] Background: Little research exists on the context within which nursing care is delivered or of the dimensions of context, which promotes evidence based practice. The research to be presented identified the contextual indicators that enabled or hindered effective evidence based continence care in rehabilitation settings for older people. Aims: To develop, psychometric evaluate and test the utility of the CAI. Methods: Two study sites - an 80-bed rehabilitation unit in Southern Ireland and a 78-bed rehabilitation unit in Northern Ireland participated. A case study comprising of 2 phases was conducted. In Phase 1, the Royal College of Physician instrument measured prevalence and management of incontinence (n= 220), a staff knowledge questionnaire (n=97), the Nursing Work Index (n=133), semi structured observations (16 hours) of practice, and focus groups (n=26) were used to develop statements of context. In phase 2, a 54 item questionnaire was devised and completed by 960 RNs.á Principal components analysis, exploratory factor analysis, varimax rotated extraction, internal consistency reliability and test retest for reliability, stability and homogeneity were used to construct the resulting 40 item scale - the CAI. Results: Five factors: collaborative practice, evidence informed practice, respect for persons, practice boundaries and evaluation explained 64% of the variance. The internal consistency reliability of the CAI was 93, and ranged for subscales from 78 to 91. Conclusions: Context is a multidimensional phenomenon. The CAI has initial reliability and validity. It has extended knowledge on practice context and will continue to be tested within diverse practice context areas Context is a multidimensional phenomenon.áThe CAI has initial reliability and validity.á It has extended knowledge on practice context and will continue to be tested within diverse practice context areas.
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.titleDevelopment of a Context Assessment Index (CAI)en_GB
dc.identifier.urihttp://hdl.handle.net/10755/154239-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Development of a Context Assessment Index (CAI)</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">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">McCarthy, Geraldine, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University College Cork</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">g.mccarthy@ucc.ie</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Brendan McCormack, DPhil, BScN; Alice Coffey, MEd, BA; Jane Wright, PGDip and Paul Slater, PhD</td></tr><tr><td colspan="2" class="item-abstract">[Research Presentation] Background: Little research exists on the context within which nursing care is delivered or of the dimensions of context, which promotes evidence based practice. The research to be presented identified the contextual indicators that enabled or hindered effective evidence based continence care in rehabilitation settings for older people. Aims: To develop, psychometric evaluate and test the utility of the CAI. Methods: Two study sites - an 80-bed rehabilitation unit in Southern Ireland and a 78-bed rehabilitation unit in Northern Ireland participated. A case study comprising of 2 phases was conducted. In Phase 1, the Royal College of Physician instrument measured prevalence and management of incontinence (n= 220), a staff knowledge questionnaire (n=97), the Nursing Work Index (n=133), semi structured observations (16 hours) of practice, and focus groups (n=26) were used to develop statements of context. In phase 2, a 54 item questionnaire was devised and completed by 960 RNs.&aacute; Principal components analysis, exploratory factor analysis, varimax rotated extraction, internal consistency reliability and test retest for reliability, stability and homogeneity were used to construct the resulting 40 item scale - the CAI. Results: Five factors: collaborative practice, evidence informed practice, respect for persons, practice boundaries and evaluation explained 64% of the variance. The internal consistency reliability of the CAI was 93, and ranged for subscales from 78 to 91. Conclusions: Context is a multidimensional phenomenon. The CAI has initial reliability and validity. It has extended knowledge on practice context and will continue to be tested within diverse practice context areas Context is a multidimensional phenomenon.&aacute;The CAI has initial reliability and validity.&aacute; It has extended knowledge on practice context and will continue to be tested within diverse practice context areas.</td></tr></table>en_GB
dc.date.available2011-10-26T12:50:52Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:50:52Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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