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A test instrument for palliative care.

M J M Adriaansen1, T van Achterberg

  • 1Department of Nursing, P.O. Box 6960, 6503, Netherlands. adriaansen@gr.han.nl

International Journal of Nursing Studies
|December 13, 2003
PubMed
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A new test instrument effectively measures palliative care course effects on nurses. While the expertise test is reliable, the self-efficacy tool requires cautious use due to inflated competency scores.

Area of Science:

  • Nursing Education
  • Palliative Care
  • Health Sciences Measurement

Background:

  • Assessing the impact of continuing education in palliative care is crucial for registered nurses (RNs) and licensed practical nurses (LPNs).
  • Development of validated instruments is necessary to accurately evaluate educational interventions in specialized nursing fields.

Purpose of the Study:

  • To develop and evaluate a test instrument for measuring the effects of a palliative care course on RNs and LPNs.
  • To assess the reliability and validity of the developed instrument for evaluating post-basic palliative care education.

Main Methods:

  • Methodological study involving the creation of a two-part test instrument: an expertise and insight test and a self-efficacy instrument.
  • Testing of the instrument across three distinct panels of healthcare professionals.

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  • Analysis of reliability and validity for the expertise component and assessment of the self-efficacy component's generalizability and discriminative power.

    • Main Results:

    • The expertise and insight test demonstrated adequate reliability and validity for evaluating palliative care course outcomes.
    • The self-efficacy instrument's utility was limited by the removal of communication items and showed less discrimination between respondent groups than expected.
    • A tendency for respondents, irrespective of background, to report high self-perceived competency was observed with the self-efficacy instrument.

    Conclusions:

    • The expertise and insight test is a viable tool for evaluating the effectiveness of palliative care education.
    • The self-efficacy instrument should be used with caution due to limitations in its generality and potential for inflated self-assessment.
    • Further refinement of self-efficacy measures in nursing education is warranted to ensure accurate assessment of competency.