Factorial Validity of the Chinese Version of Barriers to Medication Administration

2.50
Hdl Handle:
http://hdl.handle.net/10755/156400
Type:
Presentation
Title:
Factorial Validity of the Chinese Version of Barriers to Medication Administration
Abstract:
Factorial Validity of the Chinese Version of Barriers to Medication Administration
Conference Sponsor:Sigma Theta Tau International
Conference Year:2006
Author:Chiang, Hui Ying, PhD
P.I. Institution Name:Chi-Mei Foundation Medical Center
Title:Nursing Supervisor, Assistant Professor
In order to explore nurses? perceived barriers to medication administration error (MAE) reporting, validation of the Chinese version of Barriers to Mediation Administration Error Reporting (C-BMAER) is imperative. This can provide an instrument involving cultural domains and having evidence of psychometric testing for further research on medication safety in Taiwan. Objectives: This study was designed to confirm the factor structure of the C-BMAER composing of the Reasons Why Medication Administration Errors Are Not Reported questionnaire and cultural subscales related to collectivistic characteristics: hierarchy of authority and face-saving. Methods: Forward and backward translations were applied to the 25-item C-BMAER with 6-point Likert-type scale. Data were collected from 597 nurses in a Taiwanese hospital. The data set was randomly split into two parts for factor analysis testing. Item analysis, internal consistency, and expert validity were first examined. A principal component analysis with Varimax rotation was applied to identify a proposed factor structure. Further, the construct validity of C-BMAER was confirmed by confirmatory factor analysis. Results: A model of C-BMAER included 5 factors: fear, reporting process, power distance, administrative barrier, and coworker-face needs. Cronbach?s alphas of the five subscales ranged from .83 to .66. The total scale coefficient alpha was .89. This model explained 55.10% of the total variance in nurses? perceived barriers to MAE reporting. The overall measurement of model fix indices showed that the hypothesized model fit the data closely after 4 modifications (?2 = 514.84 df = 262, root mean square error of approximation = .056, goodness-of-fit index = .88). Discussion: The C-BMAER is a valid instrument with acceptable internal consistency. Three factors of C-BMAER are similar to original scale and two cultural factors are supported. This instrument can be served as a measure of reporting systems for medication safety improvement.
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.titleFactorial Validity of the Chinese Version of Barriers to Medication Administrationen_GB
dc.identifier.urihttp://hdl.handle.net/10755/156400-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Factorial Validity of the Chinese Version of Barriers to Medication Administration</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">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Chiang, Hui Ying, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Chi-Mei Foundation Medical Center</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Nursing Supervisor, Assistant Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">beatrice532002@yahoo.com.tw</td></tr><tr><td colspan="2" class="item-abstract">In order to explore nurses? perceived barriers to medication administration error (MAE) reporting, validation of the Chinese version of Barriers to Mediation Administration Error Reporting (C-BMAER) is imperative. This can provide an instrument involving cultural domains and having evidence of psychometric testing for further research on medication safety in Taiwan. Objectives: This study was designed to confirm the factor structure of the C-BMAER composing of the Reasons Why Medication Administration Errors Are Not Reported questionnaire and cultural subscales related to collectivistic characteristics: hierarchy of authority and face-saving. Methods: Forward and backward translations were applied to the 25-item C-BMAER with 6-point Likert-type scale. Data were collected from 597 nurses in a Taiwanese hospital. The data set was randomly split into two parts for factor analysis testing. Item analysis, internal consistency, and expert validity were first examined. A principal component analysis with Varimax rotation was applied to identify a proposed factor structure. Further, the construct validity of C-BMAER was confirmed by confirmatory factor analysis. Results: A model of C-BMAER included 5 factors: fear, reporting process, power distance, administrative barrier, and coworker-face needs. Cronbach?s alphas of the five subscales ranged from .83 to .66. The total scale coefficient alpha was .89. This model explained 55.10% of the total variance in nurses? perceived barriers to MAE reporting. The overall measurement of model fix indices showed that the hypothesized model fit the data closely after 4 modifications (?2 = 514.84 df = 262, root mean square error of approximation = .056, goodness-of-fit index = .88). Discussion: The C-BMAER is a valid instrument with acceptable internal consistency. Three factors of C-BMAER are similar to original scale and two cultural factors are supported. This instrument can be served as a measure of reporting systems for medication safety improvement.</td></tr></table>en_GB
dc.date.available2011-10-26T14:44:43Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T14:44:43Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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