2.50
Hdl Handle:
http://hdl.handle.net/10755/165648
Category:
Abstract
Type:
Presentation
Title:
Psychometric Refinement of the Cancer Patient Need Survey
Author(s):
Lackey, Nancy
Author Details:
Nancy Lackey, PhD, Professor, University of Missouri-Kansas City, School of Nursing, Kansas City, Missouri, USA, email: Lackeyn@umkc.edu
Abstract:
Research related to patients with cancer requires psychometrically sound instruments in order to conduct more sophisticated studies that identify nursing interventions and determine nursing outcomes. The Cancer Patient Need Survey (CPNS), has been available for eight years. Users found it to be useful, but cited concerns about omission of some critical need items, organization of the need items, and length of the instrument. Therefore, duplicate items were removed; suggested items were added; need items reorganized (while maintaining the underlying factor structure); and instructions were simplified. Following these refinements, a psychometric descriptive study was developed. The purposes of this study were to test the altered format and instructions, validate the underlying factor structure, optimize the length of the instrument, and determine the reliability of the categories and overall instrument. The 69 items in this self-report survey were generated from the cancer patients themselves in two previous studies. The items were arranged in six categories, Physical, Help, Information, Coping, Cancer Shock, and Work, according to the Wingate-Lackey Model. There are two seven point, modified Likert-type scales following each item that allows subjects to rate the “importance” and “how well met” of each need item. Scores for items range from 1 (not important/not met) to 7 (very important/very well met). Content validity was established as the instrument was developed. A convenience sample of 580 patients with cancer was recruited from 14 agencies in a two-state mid-western metropolitan area covering both urban and rural areas. Following appropriate IRB procedures, the subjects were asked to fill out the CPNS and a demographic data form. Using exploratory factor analysis, the best solution was found to be six factors for the two scales. Overall reliability for both the “importance” and the “how well met” scales was 0.96. The reliabilities for the “importance” and “how well met” scales respectively for individual factors were: Psychological (0.92, 0.90); Coping (0.95, 0.93), Help (0.99, 0.90), Work (0.96, 0.96), Information (0.83, 0.81), and Physical (0.80, 0.79). Construct validity was established. The high reliabilities confirmed the need to optimize the length of the instrument. Duplications and items not loading on the six factors were eliminated. The findings will provide a sound basis for further psychometric study of the CPNS. The refined CPNS will be more effective in assessing and planning for needs of cancer patients in clinic and inpatient agencies.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2001
Conference Name:
26th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
San Diego, California, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titlePsychometric Refinement of the Cancer Patient Need Surveyen_GB
dc.contributor.authorLackey, Nancyen_US
dc.author.detailsNancy Lackey, PhD, Professor, University of Missouri-Kansas City, School of Nursing, Kansas City, Missouri, USA, email: Lackeyn@umkc.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/165648-
dc.description.abstractResearch related to patients with cancer requires psychometrically sound instruments in order to conduct more sophisticated studies that identify nursing interventions and determine nursing outcomes. The Cancer Patient Need Survey (CPNS), has been available for eight years. Users found it to be useful, but cited concerns about omission of some critical need items, organization of the need items, and length of the instrument. Therefore, duplicate items were removed; suggested items were added; need items reorganized (while maintaining the underlying factor structure); and instructions were simplified. Following these refinements, a psychometric descriptive study was developed. The purposes of this study were to test the altered format and instructions, validate the underlying factor structure, optimize the length of the instrument, and determine the reliability of the categories and overall instrument. The 69 items in this self-report survey were generated from the cancer patients themselves in two previous studies. The items were arranged in six categories, Physical, Help, Information, Coping, Cancer Shock, and Work, according to the Wingate-Lackey Model. There are two seven point, modified Likert-type scales following each item that allows subjects to rate the “importance” and “how well met” of each need item. Scores for items range from 1 (not important/not met) to 7 (very important/very well met). Content validity was established as the instrument was developed. A convenience sample of 580 patients with cancer was recruited from 14 agencies in a two-state mid-western metropolitan area covering both urban and rural areas. Following appropriate IRB procedures, the subjects were asked to fill out the CPNS and a demographic data form. Using exploratory factor analysis, the best solution was found to be six factors for the two scales. Overall reliability for both the “importance” and the “how well met” scales was 0.96. The reliabilities for the “importance” and “how well met” scales respectively for individual factors were: Psychological (0.92, 0.90); Coping (0.95, 0.93), Help (0.99, 0.90), Work (0.96, 0.96), Information (0.83, 0.81), and Physical (0.80, 0.79). Construct validity was established. The high reliabilities confirmed the need to optimize the length of the instrument. Duplications and items not loading on the six factors were eliminated. The findings will provide a sound basis for further psychometric study of the CPNS. The refined CPNS will be more effective in assessing and planning for needs of cancer patients in clinic and inpatient agencies.en_GB
dc.date.available2011-10-27T12:22:27Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:22:27Z-
dc.conference.date2001en_US
dc.conference.name26th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationSan Diego, California, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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