2.50
Hdl Handle:
http://hdl.handle.net/10755/308563
Category:
Abstract
Type:
Presentation
Title:
Development of a Delirium and Dementia Self Efficacy Scale
Author(s):
Dienger, Joy; Baas, Linda; Milne, Janet; Rentz, Clarissa
Lead Author STTI Affiliation:
Beta Iota
Author Details:
Joy Dienger, RN, PhD, Joy_Dienger@TriHealth.com; Linda Baas, PhD, CS-ACNP; Janet Milne, RN, MSN, GNP; Clarissa Rentz, RN, MSN, GCNS-BC
Abstract:

Session presented on: Tuesday, November 19, 2013

With the increased number of elderly patients seen in practice, it is imperative that nursing staff feel confident caring for patients with delirium or dementia.  No published Delirium/Dementia Self-Efficacy (DDSE) tool could be found. For an intervention study, a chapter of the Alzheimer’s Association and two Magnet designated teaching hospitals developed the 24 item DDSE designed to assess confidence in ability to perform cognitive processes and skills required when caring for a patient at high risk for or experiencing delirium. The study was approved by the IRBs at both institutions and involved staff from four medical-surgical or telemetry adults units. The sample consisted of nurses (n=167) and patient care assistants (PCA) (n=67) who were primarily female (84.3%), Caucasian (81.4%) with a mean age of 33 (±9.9) years with 8.3 (±8) years in health care.  Reliability and validity of the DDSE are reported here.  Two items were deleted due to poor performance resulting in a Cronbach alpha of .92. Principal Components with varimax rotation was used to assess construct validity of the remaining 22 items. Two factors meeting accepted criteria for item loading emerged: (1) cognitive performance that included items related to obtaining data and planning care; (2) skill performance that included tasks and behavioral aspects of care and communication.  There was little difference when the analysis was performed for only for the RNs or the PCAs therefore the group was combined for the final configuration.  Of interest, there was a significant correlation between years in healthcare and overall self-efficacy (r=.19, p=.01) and the cognitive performance scale (r=.192, p=.001), but not on the skill performance scale. The DDSE is a psychometrically sound tool that others may find helpful in assessing the perceived ability of staff in providing care to patients at risk for delirium.
Keywords:
tool development; delirium; self efficacy
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleDevelopment of a Delirium and Dementia Self Efficacy Scaleen_GB
dc.contributor.authorDienger, Joyen_GB
dc.contributor.authorBaas, Lindaen_GB
dc.contributor.authorMilne, Janeten_GB
dc.contributor.authorRentz, Clarissaen_GB
dc.contributor.departmentBeta Iotaen_GB
dc.author.detailsJoy Dienger, RN, PhD, Joy_Dienger@TriHealth.com; Linda Baas, PhD, CS-ACNP; Janet Milne, RN, MSN, GNP; Clarissa Rentz, RN, MSN, GCNS-BCen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308563-
dc.description.abstract<p>Session presented on: Tuesday, November 19, 2013</p>With the increased number of elderly patients seen in practice, it is imperative that nursing staff feel confident caring for patients with delirium or dementia.  No published Delirium/Dementia Self-Efficacy (DDSE) tool could be found. For an intervention study, a chapter of the Alzheimer’s Association and two Magnet designated teaching hospitals developed the 24 item DDSE designed to assess confidence in ability to perform cognitive processes and skills required when caring for a patient at high risk for or experiencing delirium. The study was approved by the IRBs at both institutions and involved staff from four medical-surgical or telemetry adults units. The sample consisted of nurses (n=167) and patient care assistants (PCA) (n=67) who were primarily female (84.3%), Caucasian (81.4%) with a mean age of 33 (±9.9) years with 8.3 (±8) years in health care.  Reliability and validity of the DDSE are reported here.  Two items were deleted due to poor performance resulting in a Cronbach alpha of .92. Principal Components with varimax rotation was used to assess construct validity of the remaining 22 items. Two factors meeting accepted criteria for item loading emerged: (1) cognitive performance that included items related to obtaining data and planning care; (2) skill performance that included tasks and behavioral aspects of care and communication.  There was little difference when the analysis was performed for only for the RNs or the PCAs therefore the group was combined for the final configuration.  Of interest, there was a significant correlation between years in healthcare and overall self-efficacy (r=.19, p=.01) and the cognitive performance scale (r=.192, p=.001), but not on the skill performance scale. The DDSE is a psychometrically sound tool that others may find helpful in assessing the perceived ability of staff in providing care to patients at risk for delirium.en_GB
dc.subjecttool developmenten_GB
dc.subjectdeliriumen_GB
dc.subjectself efficacyen_GB
dc.date.available2013-12-19T17:32:58Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:32:58Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
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