Validity and Reliabilty of the Factorial Survey for Assessing Nurse Decision-Making

2.50
Hdl Handle:
http://hdl.handle.net/10755/154563
Type:
Presentation
Title:
Validity and Reliabilty of the Factorial Survey for Assessing Nurse Decision-Making
Abstract:
Validity and Reliabilty of the Factorial Survey for Assessing Nurse Decision-Making
Conference Sponsor:Sigma Theta Tau International
Conference Year:2004
Conference Date:July 22-24, 2004
Author:Ludwick, Ruth, PhD, RNC
P.I. Institution Name:Kent State University
Co-Authors:Susan Jones, PhD, RN; Rich Zeller, PhD
Objective: The aim was to evaluate the validity and reliability of the factorial survey method. Design: This experimental design combines advantages of factorial experiments with sample survey procedures using randomly generated vignettes as the central design element. A recent case survey, a test-retest of vignettes, and semi-structured interviews supplemented the basic design. Sample: In 2003, 226 nurses (randomly selected nursing homes in a 7 county region participated in this study. Concept: The design was tested using nurses' judgment about acute resident confusion and subsequent clinical decision-making about restraint use. Methods: A 3-part survey was used: a) open ended questions about recent experience with confused residents, b) 3 vignettes, and c) demographic information. A retest of vignettes and semi-structured interviews were conducted with 10 % of the sample. Multiple regression was used for vignette analysis. Descriptive statistics were used to summarize the findings from the subjects' most recent case for comparison of the similarities and differences. A Repeated Measures Within Subjects ANOVA was used to evaluate the reliability over time of vignette responses. Independent analysts categorized the semi-structured most recent case data. Findings: This study showed there is considerable consensus among nurses on when to report and document resident confusion and when to use (or not) restraints. The similarity of the emergent categories revealed the degree to which multiple analysts share common interpretations of the meanings inferred from the qualitative data used to describe subjects' most recent cases and demonstrate. Conclusions: The factorial survey is a valid and reliable measure to assess judgments and decision-making of nurses. Implications: Nurses can use the factorial survey to gain the strengths of survey research and the robustness of the experiment from factorial designs and the design can be used across settings (e. g. nursing homes and across practices like LPNs and RNs).
Repository Posting Date:
26-Oct-2011
Date of Publication:
22-Jul-2004
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleValidity and Reliabilty of the Factorial Survey for Assessing Nurse Decision-Makingen_GB
dc.identifier.urihttp://hdl.handle.net/10755/154563-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Validity and Reliabilty of the Factorial Survey for Assessing Nurse Decision-Making</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">2004</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July 22-24, 2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Ludwick, Ruth, PhD, RNC</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Kent State University</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">rludwick@kent.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Susan Jones, PhD, RN; Rich Zeller, PhD</td></tr><tr><td colspan="2" class="item-abstract">Objective: The aim was to evaluate the validity and reliability of the factorial survey method. Design: This experimental design combines advantages of factorial experiments with sample survey procedures using randomly generated vignettes as the central design element. A recent case survey, a test-retest of vignettes, and semi-structured interviews supplemented the basic design. Sample: In 2003, 226 nurses (randomly selected nursing homes in a 7 county region participated in this study. Concept: The design was tested using nurses' judgment about acute resident confusion and subsequent clinical decision-making about restraint use. Methods: A 3-part survey was used: a) open ended questions about recent experience with confused residents, b) 3 vignettes, and c) demographic information. A retest of vignettes and semi-structured interviews were conducted with 10 % of the sample. Multiple regression was used for vignette analysis. Descriptive statistics were used to summarize the findings from the subjects' most recent case for comparison of the similarities and differences. A Repeated Measures Within Subjects ANOVA was used to evaluate the reliability over time of vignette responses. Independent analysts categorized the semi-structured most recent case data. Findings: This study showed there is considerable consensus among nurses on when to report and document resident confusion and when to use (or not) restraints. The similarity of the emergent categories revealed the degree to which multiple analysts share common interpretations of the meanings inferred from the qualitative data used to describe subjects' most recent cases and demonstrate. Conclusions: The factorial survey is a valid and reliable measure to assess judgments and decision-making of nurses. Implications: Nurses can use the factorial survey to gain the strengths of survey research and the robustness of the experiment from factorial designs and the design can be used across settings (e. g. nursing homes and across practices like LPNs and RNs).</td></tr></table>en_GB
dc.date.available2011-10-26T13:05:54Z-
dc.date.issued2004-07-22en_GB
dc.date.accessioned2011-10-26T13:05:54Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.