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Translating and testing the Alberta context tool for use among nurses in Swedish elder care
Ann Catrine Eldh1, Anna Ehrenberg, Janet E Squires
1Karolinska Institute, Department of Neurobiology, Care Sciences and Society, Stockholm, Sweden. anncatrine.eldh@ki.se
BMC Health Services Research
|February 21, 2013
Summary
The Alberta Context Tool (ACT) was translated to Swedish for use in elder care. Preliminary results show acceptable validity and reliability for nurses in this setting.
Area of Science:
- Healthcare research
- Knowledge translation
- Organizational context
Background:
- Organizational context is crucial for implementing research findings in healthcare.
- The Alberta Context Tool (ACT) measures 10 modifiable organizational context concepts.
- Swedish and Canadian healthcare share similarities, making ACT translation feasible for Sweden.
Purpose of the Study:
- To translate the Alberta Context Tool (ACT) into Swedish.
- To assess the preliminary validity, acceptability, and reliability of the Swedish ACT in elder care settings.
- To adapt the ACT for use by healthcare professionals in Sweden.
Main Methods:
- The ACT underwent translation and back-translation.
- A pilot test was conducted in ten Swedish elder care facilities.
- Data were collected on response processes, acceptability, and reliability (Cronbach's alpha).
Main Results:
- Nurses found ACT questions mostly relevant but sometimes unclear.
- Internal consistency (Cronbach's alpha > .70) was achieved for 5 of 8 concepts.
- 21 linguistic/semantic issues and 3 context deviations were identified and resolved.
Conclusions:
- Instrument translation requires careful linguistic, semantic, and contextual consideration.
- A collaborative team approach is essential for valid instrument translation.
- The Swedish ACT shows preliminary evidence of validity, reliability, and acceptability for nurses in elder care.
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