Development and validation of the Family Meaning of Nursing-Home Visits Scale

Aims and objectives.  The purpose of this study was to develop and test a Family Meaning of Nursing‐Home Visits Scale that can be used to assess and document family members’ rationale for visiting nursing home residents. Background.  Understanding the meaning ascribed by families for visiting nursin...

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Veröffentlicht in:Journal of clinical nursing 2012-08, Vol.21 (15-16), p.2108-2117
Hauptverfasser: Tsai, Hsiu-Hsin, Tsai, Yun-Fang, Huang, Tzu-Shin
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container_title Journal of clinical nursing
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creator Tsai, Hsiu-Hsin
Tsai, Yun-Fang
Huang, Tzu-Shin
description Aims and objectives.  The purpose of this study was to develop and test a Family Meaning of Nursing‐Home Visits Scale that can be used to assess and document family members’ rationale for visiting nursing home residents. Background.  Understanding the meaning ascribed by families for visiting nursing home residents is necessary to develop intervention programmes that facilitate the quality of families’ nursing home visits. No valid and reliable instrument is available in Taiwan or elsewhere to accurately document the meaning of family visits to nursing home residents. Design.  A cross‐sectional design was used to collect survey data from family members of nursing home residents as the quantitative component of a mixed‐methods study. Items were developed based on qualitative data from our previous research and that of others. This initial pool of items was used to develop and validate the scale. Methods.  The validity of the scale was confirmed by exploratory factor analysis and criterion‐related validity testing. Internal consistency reliability was assessed by Cronbach’s alphas. Results.  Factor analysis yielded a six‐factor final solution (32 items), accounting for 66·76% of the variance. For criterion‐related validity, ‘responsibility for care quality’ was negatively correlated with satisfaction with nursing home caregiving (r = −0·23, p 
doi_str_mv 10.1111/j.1365-2702.2012.04150.x
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Background.  Understanding the meaning ascribed by families for visiting nursing home residents is necessary to develop intervention programmes that facilitate the quality of families’ nursing home visits. No valid and reliable instrument is available in Taiwan or elsewhere to accurately document the meaning of family visits to nursing home residents. Design.  A cross‐sectional design was used to collect survey data from family members of nursing home residents as the quantitative component of a mixed‐methods study. Items were developed based on qualitative data from our previous research and that of others. This initial pool of items was used to develop and validate the scale. Methods.  The validity of the scale was confirmed by exploratory factor analysis and criterion‐related validity testing. Internal consistency reliability was assessed by Cronbach’s alphas. Results.  Factor analysis yielded a six‐factor final solution (32 items), accounting for 66·76% of the variance. For criterion‐related validity, ‘responsibility for care quality’ was negatively correlated with satisfaction with nursing home caregiving (r = −0·23, p &lt; 0·01) and nursing home rehabilitation activities (r = −0·17, p &lt; 0·05). Cronbach’s α for each subscale ranged from 0·68–0·98, and Cronbach’s α for the total scale was 0·83. Conclusions.  The Family Meaning of Nursing‐Home Visits Scale has acceptable internal consistency reliability, good content validity and acceptable construct validity. Relevance to clinical practice.  The Family Meaning of Nursing‐Home Visits Scale provides nurses and healthcare providers an objective and consistent method to explore the priority of meanings family members assign to nursing home visits. 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Background.  Understanding the meaning ascribed by families for visiting nursing home residents is necessary to develop intervention programmes that facilitate the quality of families’ nursing home visits. No valid and reliable instrument is available in Taiwan or elsewhere to accurately document the meaning of family visits to nursing home residents. Design.  A cross‐sectional design was used to collect survey data from family members of nursing home residents as the quantitative component of a mixed‐methods study. Items were developed based on qualitative data from our previous research and that of others. This initial pool of items was used to develop and validate the scale. Methods.  The validity of the scale was confirmed by exploratory factor analysis and criterion‐related validity testing. Internal consistency reliability was assessed by Cronbach’s alphas. Results.  Factor analysis yielded a six‐factor final solution (32 items), accounting for 66·76% of the variance. For criterion‐related validity, ‘responsibility for care quality’ was negatively correlated with satisfaction with nursing home caregiving (r = −0·23, p &lt; 0·01) and nursing home rehabilitation activities (r = −0·17, p &lt; 0·05). Cronbach’s α for each subscale ranged from 0·68–0·98, and Cronbach’s α for the total scale was 0·83. Conclusions.  The Family Meaning of Nursing‐Home Visits Scale has acceptable internal consistency reliability, good content validity and acceptable construct validity. Relevance to clinical practice.  The Family Meaning of Nursing‐Home Visits Scale provides nurses and healthcare providers an objective and consistent method to explore the priority of meanings family members assign to nursing home visits. 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Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tsai, Hsiu-Hsin</au><au>Tsai, Yun-Fang</au><au>Huang, Tzu-Shin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Development and validation of the Family Meaning of Nursing-Home Visits Scale</atitle><jtitle>Journal of clinical nursing</jtitle><addtitle>J Clin Nurs</addtitle><date>2012-08</date><risdate>2012</risdate><volume>21</volume><issue>15-16</issue><spage>2108</spage><epage>2117</epage><pages>2108-2117</pages><issn>0962-1067</issn><eissn>1365-2702</eissn><abstract>Aims and objectives.  The purpose of this study was to develop and test a Family Meaning of Nursing‐Home Visits Scale that can be used to assess and document family members’ rationale for visiting nursing home residents. Background.  Understanding the meaning ascribed by families for visiting nursing home residents is necessary to develop intervention programmes that facilitate the quality of families’ nursing home visits. No valid and reliable instrument is available in Taiwan or elsewhere to accurately document the meaning of family visits to nursing home residents. Design.  A cross‐sectional design was used to collect survey data from family members of nursing home residents as the quantitative component of a mixed‐methods study. Items were developed based on qualitative data from our previous research and that of others. This initial pool of items was used to develop and validate the scale. Methods.  The validity of the scale was confirmed by exploratory factor analysis and criterion‐related validity testing. Internal consistency reliability was assessed by Cronbach’s alphas. Results.  Factor analysis yielded a six‐factor final solution (32 items), accounting for 66·76% of the variance. For criterion‐related validity, ‘responsibility for care quality’ was negatively correlated with satisfaction with nursing home caregiving (r = −0·23, p &lt; 0·01) and nursing home rehabilitation activities (r = −0·17, p &lt; 0·05). Cronbach’s α for each subscale ranged from 0·68–0·98, and Cronbach’s α for the total scale was 0·83. Conclusions.  The Family Meaning of Nursing‐Home Visits Scale has acceptable internal consistency reliability, good content validity and acceptable construct validity. Relevance to clinical practice.  The Family Meaning of Nursing‐Home Visits Scale provides nurses and healthcare providers an objective and consistent method to explore the priority of meanings family members assign to nursing home visits. 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subjects Adolescent
Adult
Aged
Aged, 80 and over
Correlation analysis
Cross-Sectional Studies
Discriminant analysis
factor analysis
Factor Analysis, Statistical
Families & family life
Family - psychology
Female
Humans
Male
Middle Aged
Nursing
nursing home
Nursing Homes
Rehabilitation
scale development
Surveys and Questionnaires - standards
Taiwan
Visitors to Patients - psychology
Young Adult
title Development and validation of the Family Meaning of Nursing-Home Visits Scale
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