• Title/Summary/Keyword: Item factor

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Development and Psychometric Evaluation of the Patient Safety Violation Scale in Medical Oncology Units in Iran

  • Shali, Mahboobeh;Ghaffari, Fatemeh;Joolaee, Soodabeh;Ebadi, Abbas
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.9
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    • pp.4341-4347
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    • 2016
  • Background: Patient safety is one of the key components of nursing care for cancer cases. Valid and reliable context-based instruments are necessary for accurate evaluation of patient safety in oncology units. The aim of the present study was to develop and evaluate the psychometric properties of the Patient Safety Violation Scale in medical oncology units in Iran. Materials and Methods: In this methodological study, a pool of 58 items was generated through reviewing the existing literature. The validity of the 58-item scale was assessed through calculating impact score, content validity ratio, and content validity index for its items as well as conducting exploratory factor analysis. The reliability of the scale was evaluated by assessing its internal consistency and testretest stability. Study sample consisted of 300 oncology nurses who were recruited from thirteen teaching hospitals affiliated to Tehran University of Medical Sciences, Tehran, Iran. Results: Sixteen items were excluded from the scale due to having low impact scores, content validity ratios, or content validity indices. In exploratory factor analysis, the remaining 42 items were loaded on five factors including patient fall, verification of patientidentity, harm during care delivery, delay in care delivery, and medication errors. These five factors explained 62% of the total variance. The Cronbach's alpha of the scale and the test-retest interclass correlation coefficient were equal to 0.933 and 0.92, respectively. Conclusions: The 42-item Patient Safety Violation Scale is a simple and short scale which has acceptable validity and reliability. Consequently, it can be used for assessing patient safety in clinical settings such as medical oncology units and for research projects.

Measuring Sport Tourist Motivation: Implications for Sport Tourism Distribution

  • Seo, Won-Jae;Lewin, Lyle A.;Han, Seungjin;Park, Seong-Hee;Moon, Bo-Young;Kim, Min-Soo;Moon, Bora
    • Journal of Distribution Science
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    • v.17 no.3
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    • pp.49-55
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    • 2019
  • Purpose - The purpose of this study was to develop a motivation scale for participation sport tourism and to produce implications of potential use of MSPST for sport tourism distribution emphasizing the needs of sport tourists and the functions required to satisfy those needs. Research design, data, and methodology - The Motivation Scale for Participation Sport Tourism (MSPST) was developed in three stages. A literature review generated 8 dimensions with 42-items in the first stage. Second, an expert review phase refined the initial item pool, which resulted in 35 items. Result - Exploratory factor analysis was employed to produce an 8-factor, 28 item pool. The reduced version was confirmed via structural equation modeling, indicating an acceptable model of fit. The final MSPST consisted of 8 dimensions of motivation, including friendship, family, solitude, challenges, intrinsic, achievement, nature, and competition. Conclusions - The MSPST is a valid and reliable scale of tourists' motives for participating in sports. The results supported the suggested measures of motives associated with participation sport tourism regarding construct, convergent and discriminant validity. A body of knowledge about motives provides insights for policy-makers seeking to support distributional industries for sport tourism and finally to promote economy on both regional and national levels.

Development and Validation of a Practical Instrument for Injury Prevention: The Occupational Safety and Health Monitoring and Assessment Tool (OSH-MAT)

  • Sun, Yi;Arning, Martin;Bochmann, Frank;Borger, Jutta;Heitmann, Thomas
    • Safety and Health at Work
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    • v.9 no.2
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    • pp.140-143
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    • 2018
  • Background: The Occupational Safety and Health Monitoring and Assessment Tool (OSH-MAT) is a practical instrument that is currently used in the German woodworking and metalworking industries to monitor safety conditions at workplaces. The 12-item scoring system has three subscales rating technical, organizational, and personnel-related conditions in a company. Each item has a rating value ranging from 1 to 9, with higher values indicating higher standard of safety conditions. Methods: The reliability of this instrument was evaluated in a cross-sectional survey among 128 companies and its validity among 30,514 companies. The inter-rater reliability of the instrument was examined independently and simultaneously by two well-trained safety engineers. Agreement between the double ratings was quantified by the intraclass correlation coefficient and absolute agreement of the rating values. The content validity of the OSH-MAT was evaluated by quantifying the association between OSH-MAT values and 5-year average injury rates by Poisson regression analysis adjusted for the size of the companies and industrial sectors. The construct validity of OSH-MAT was examined by principle component factor analysis. Results: Our analysis indicated good to very good inter-rater reliability (intraclass correlation coefficient = 0.64-0.74) of OSH-MAT values with an absolute agreement of between 72% and 81%. Factor analysis identified three component subscales that met exactly the structure theory of this instrument. The Poisson regression analysis demonstrated a statistically significant exposure-response relationship between OSH-MAT values and the 5-year average injury rates. Conclusion: These analyses indicate that OSH-MAT is a valid and reliable instrument that can be used effectively to monitor safety conditions at workplaces.

Psychometric Evaluation of a Need Scale for Cancer Patients Undergoing Follow-up Care (추후관리 받는 암환자의 요구 측정도구 개발 및 평가)

  • Lee, Eun-Hyun;Moon, Seong-Mi;Cho, Soo-Yeon;Oh, Young-Taek;Chun, Mi-Son;Kim, Sung-Hwan;Kim, Jae-Sung;Kim, Hye-Kyung
    • Journal of Korean Academy of Nursing
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    • v.40 no.4
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    • pp.551-560
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    • 2010
  • Purpose: The purpose of this present study was to develop and evaluate the psychometric properties of a needs scale for patients with cancer undergoing follow-up care (NS-C). Methods: A preliminary NS-C of 48 was derived from literature reviews and in-depth interviews with patients with cancer. Content validation of the items was established by oncology physicians and nurses. Each item was scored on a five-point Likert scale. The preliminary NS-C and Eastern Cooperative Oncology Group (ECOG) performance status questionnaires were administered to 873 patients with cancer recruited from three university hospitals. The data were analyzed using factor analysis, multidimensional scaling analysis, ANOVA, Pearson correlation coefficients, and Cronbach's alpha. Results: From the factor analysis, 25 significant items in six subscales were derived. The subscales were named physical symptoms, diet and exercise, support, relationship with health professionals, treatment/prognosis, and keeping mind under control. The NS-C also established item convergent and discriminant validity, and known-groups validity. Cronbach's alpha of the subscales ranged from .90 to .92. Conclusion: This study suggests that the NS-C is an easy, reliable and valid instrument to measure the needs of patients with cancer. Health professionals may use the NS-C for patients with cancer both in practice and research.

THE RELATIONSHIP BETWEEN TRAUMA AND TEMPOROMANDIBULAR JOINT DISORDER (외상과 턱관절 장애 연관성에 관한 연구)

  • Kim, Young-Kyun;Yun, Pil-Young;Ahn, Min-Seok;Kim, Jae-Seun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.31 no.5
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    • pp.375-380
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    • 2009
  • Objective : Trauma has been a controversial issue although it has been considered to be a major factor for the temporomandibular disorder(TMD). We evaluated the relationship between macrotrauma or microtrauma and TMD. Methods : This study was performed in patients with TMD undergoing treatment at SNUBH from October 2006 to January 2007. Sixty one male patients and 166 female patients(total 227) were included and the average age was 34 years(ranging from 14 to 85 years). We investigated the possible etiologic factors, diagnosis and treatment with the review of medical records and radiography. Chronic pain, depression, somatic score(including pain item), somatic score(excluding pain item) were evaluated on the basis of diagnostic index from the Research Diagnostic Criteria on TMD. Results : Eighteen patients(7.9%) out of 227 patients suffered from TMD as a result of macrotrauma. Ninety four(41.4%) patients had microtrauma and six patients(2.6%) had both macro- and microtrauma(etiologic factor). The main symptoms included pain. joint noise and mouth opening limitation while the other symptoms were headache and tinnitus. The patients had suffered from TMD for average 41 weeks (ranging from 1 to 480 weeks). 116 patients took splint as a major treatment. As a prognosis, 19 patients(8.4%) recovered completely. 26(11.0%) had improvement and 181(80%) had persistent symptoms. 1 patient(0.4%) underwent an arthroplasty. Diagnostic index from RDC chart showed that macrotrauma was the highest score(except depression score) among the other etiologic factors. Conclusion : This study showed that macro- and microtrauma can be considered to be the major etiologic factors of TMD, which also affect the chronic, depression and somatic discomfort.

Reliability and Validity on Measurement Instrument for Health Status Assessment in Occupational Workers (직장인들의 건강수준 평가를 위한 측정도구의 신뢰도와 타당도 분석)

  • Koh, Sang-Baek;Chang, Sei-Jin;Kang, Myung-Guen;Cha, Bong-Suk;Park, Jong-Ku
    • Journal of Preventive Medicine and Public Health
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    • v.30 no.2 s.57
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    • pp.251-266
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    • 1997
  • In order to test scaling assumption, and to assess the validity, reliability, and acceptability of the Short form 36(SF-36) health survey questionnaire, we conducted a survey. Samples were 296 workers who had been employed in small sized companies. All scale passed for item internal consistency(100% sucess rate) and item discriminant validity(100% success .ate). Reliability coefficients were ranged from the lowest 0.51 to the highest of 0.85. For 87.5% of the total workers, inconsistent responses were not observed. Only 3.0% of the total workers failed two or more checks. Factor analysis was performed using principal axis factor method and quartimax rotation. In this survey, the SF-36 retained available psychometric properties even when used in a generally healthy worker group. But further study with some consideration to develope health status measurement is expected : first, the definition of health status should be rationalized. Second, the measurement of outcome is an important consideration in evaluations of quality of care. But ambiguities hinder understanding of this important topic. Third, internal consistency should be interpreted with caution as an indication reliability because it ignores potentially important sources of variation that can occur over time.

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Residents' Behavior and Satisfaction for Outdoor Rest Space in Apartment Complex (아파트단지 옥외휴게공간의 이용행태와 만족도)

  • 홍형순;이은엽;오희영
    • Journal of the Korean Institute of Landscape Architecture
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    • v.32 no.2
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    • pp.55-67
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    • 2004
  • This study aims to analyze the actual state, the satisfaction index, and the satisfaction factor of the residents in the apartment adopting thematic outdoor rest space design. This study also proposes the basic data for the standard of resident-centered rest space design, not designer-centered or fashion-followed design. The results are as follows : First, most residents use near by rest space, and more use occur during the evenings; 17 hr. ∼ 21 hr. Most of residents use the rest space with their children, partner, or family. Residents usually take walks and take a rests in the rest space. Most residents use the rest space quietly. Of the rest facilities in the outdoor rest space, benches are most used, walks and pergolas are more frequently used. But waterscape facilities are not particularly used. The satisfaction index of the outdoor rest space is generally low. However, the satisfaction index of the rest space and facilities type shows that the evaluation of rest facilities(e.g. benches) is high. The satisfaction index of the decoration shows that the evaluation for the color and design of facilities is high. In the satisfaction index of the physical environment, the item about the size of rest space is highly appreciated. In the mental satisfaction index of the rest space, the item about whole atmosphere is highly appreciated. Of the factors affecting the general satisfaction index with outdoor rest space, the factor of physical environment is the most important independent-variable. Physical environment and facilities are more important influential factors than the atmosphere of outdoor rest space. In the future, the practical study searching for the preferences of the residents and the activation of use should be preceded.

Genotoxicity Study of HM10411, Recombinant Human Granulocyte Colony Stimulating Factor (재조합 인과립구 콜로니 자극인자 HM10411의 유전독성 연구)

  • 권정;이미가엘;홍미영;조지희;정문구;권세창;이관순
    • Biomolecules & Therapeutics
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    • v.10 no.4
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    • pp.268-273
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    • 2002
  • Mutagenic potential of HM10411 (recombinant human granulocyte colony stimulating factor) was evaluated by bacterial reverse mutation test, in vitro chromosome aberration test and in vivo micronucleus test. The bacterial reverse mutation test was performed using the histidine auxotroph strains of Salmonella typhimurium TA100, TA1535, TA98, TA1537 and tryptophan auxotroph strain of Escherichia coli WP2 uvrA. The negative results of the bacterial reverse mutation test suggest that HM10411 does not induce mutation, in the genome of Salmonella typhimurium and E. coli under the conditions used. In addition, it has little clastogenicity either in vitro chromosome aberration test or in vivo micronucleus test. For in vitro chromosomal aberration test, Chinese hamster lung(CHL) cells were exposed to HM10411 of 23, 46 or 92 $\mu\textrm{g}$/ml for 6 or 24 hours in the absence and for 6 hours in the presence of metabolic activation system. There was no significant increase in the number of aberrant metaphase in HM 10411-treated groups at any dose levels both in the presence and absence of metabolic activation system. The micronucleus test was carried out using specific pathogen free(SPF) 7-week old male ICR mice, The test item, HM10411 was intraperitoneally administered at 1150, 2300 or 4600 $\mu\textrm{g}$/kg once a day for 2 consecutive days. There was no significant increase in the frequencies of micronucleated polychromatic erythrocytes(PCEs) at any treated groups compared with negative control group. Therefore, these results demonstrate that the test item, HM10411, was not mutagenic under the condition of these studies.

Reliability and Validity of the Korean Version of the Hoarding Rating Scale-Self-Report (한국판 저장행동평가척도의 표준화 연구)

  • Lee, Hye Min;Chang, Jhin Goo;Song, Hoo Rim;Lee, Soo Young;Hong, Minha;Kim, Se Joo;Kim, Chan-Hyung
    • Anxiety and mood
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    • v.17 no.2
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    • pp.73-77
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    • 2021
  • Objective : The Hoarding Rating Scale-Self-Report (HRS-SR) is a five-item scale that simply assesses the hoarding symptoms. We evaluated the factor structure, reliability, and validity of the Korean version of the HRS-SR (HRS-SR-K). Methods : A total of 144 individuals completed the self-administered questionnaires including HRS-SR-K, Obsessive-Compulsive Inventory-Revised-Korean version (OCI-R-K), Beck Depression Inventory (BDI), and Beck Anxiety Inventory (BAI). Psychometric properties of the HRS-SR-K were analyzed. Results : The Cronbach's α value for internal consistency of the HRS-SR-K was excellent (Cronbach's α=0.84). The construct validity was analyzed on the basis of principal component analysis and one-factor structure of the original scale was maintained. The HRS-SR-K total score and each item scores were more strongly correlated with the hoarding subscale score in OCI-R-K (convergent validity, r=0.71, p<0.01) than the corresponding scores of nonspecific depression or anxiety measures (discriminant validity). Conclusion : The HRS-SR-K is a simple and reliable self-report scale for examining the severity of hoarding symptoms.

Development of the Cultural Competence Scale for Registered Nurses (CCS-RN) (간호사의 문화간호역량 측정도구의 개발)

  • Kim, Kyung Won;Kim, Sun-Hee;Kim, Young Hee;Kim, Hyun Kyoung;Park, Hae Sook;Lee, Sun Hee;Jeong, Geum Hee
    • Research in Community and Public Health Nursing
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    • v.30 no.3
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    • pp.281-294
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    • 2019
  • Purpose: This study is to develop the Cultural Competence Scale for Registered Nurses (CCS-RN) and to examine its validity and reliability. Methods: The item pool was generated based on related scales, a wide review of the literature, and in-depth interviews with nurses according to Purnell's cultural competence model. Content validity was verified by nursing experts. Construct validity using exploratory factor analysis, convergent validity using correlation coefficients, discriminant validity, internal consistency reliability, and test-retest reliability were examined. Results: The CCS-RN consists of a 35-item/7-factor solution with 54.1% of the total variance explained. The convergent validity of CCS-RN was supported. Cronbach's ${\alpha}$ was .94 for the total scale and ranged from .77 to .90 for the seven factors. Test-retest reliability was moderate. Conclusion: The evaluation of the psychometric properties of the CCS-RN shows that this scale is expected to be a valid and reliable measure of cultural competence among nurses. This scale may be useful for assessing nurses' own cultural competence and thus contribute to strengthening cultural competence.