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Development and validation of knowledge, attitude and practice questionnaire for pediatric nurses to prevent central
Xinyu Feng1, Hui Luo1, Mengyuan Liu1
1Xiangya School of Nursing, Central South University, Changsha, Hunan, China.
Insights
A new questionnaire assesses pediatric nurses' knowledge, attitude, and practice (KAP) regarding central venous device-related thrombosis prevention in hospitalized children. This validated tool aids in evaluating and improving preventive care strategies.
Area of Science:
- Pediatric Nursing
- Evidence-Based Practice
- Healthcare Quality Improvement
Background:
- Central venous device-related thrombosis (CVDT) is a significant risk for hospitalized children.
- Pediatric nurses are crucial in preventing CVDT, but assessment tools for their knowledge, attitude, and practice (KAP) were lacking.
- This study addresses the need for a standardized tool to evaluate pediatric nurses' KAP regarding CVDT prevention.
Approach:
- Developed a questionnaire based on the knowledge, attitude, and practice (KAP) theory.
- Compiled an item pool through literature review and expert consultation.
- Conducted a pre-survey with 457 pediatric nurses, followed by item analysis, reliability, and validity testing.
Key Points:
- The final 54-item questionnaire covers knowledge, attitude, and practice dimensions.
- Exploratory factor analysis revealed distinct factors within each dimension.
- High content validity index (0.968-1.000) and Cronbach's alpha coefficients (0.926-0.973) indicate strong reliability and validity.
- Retest reliability ranged from 0.688 to 0.898.
Conclusions:
- The developed questionnaire demonstrates good reliability and validity.
- It is suitable for assessing pediatric nurses' KAP in preventing central venous device-related thrombosis in hospitalized children.
- This tool can inform targeted educational interventions and improve patient safety.
Aim:
This study aimed to develop and validate a scientific and standardized knowledge, attitude and practice questionnaire of pediatric nurses' preventive care for central venous device-related thrombosis among hospitalized children.
Background:
Pediatric nurses play a significant role in the prevention of central venous device-related thrombosis for hospialized children. However, the status of pediatric nurses' knowledge, attitude and practice of central venous device-related thrombosis prevention has not been revealed due to the lack of assessment tools.
Methods:
This questionnaire was framed by the theory of knowledge, attitude and practice. The item pool was compiled through a literature review and a preliminary questionnaire was formed based on expert consultation. A total of 457 pediatric nurses from 10 tertiary class A general hospitals and specialized pediatric hospitals in China were selected for pre-survey. Item analysis, reliability and validity test were conducted to refine and evaluate the items to form a formal questionnaire.
Results:
A total of 54 items were proposed in three dimensions of knowledge, attitude and practice. In the exploratory factor analysis, five, three and three common factors were extracted for each dimension, accounting for 60.552%, 89.829% and 84.258% of the total variance, respectively. The content validity index of the three dimensions ranged from 0.968 to 1.000 at the scale level and from 0.833 to 1.000 at the item level. The Cronbach's α coefficients for the total questionnaire and each dimension were between 0.926 and 0.973. The retest reliability for the total questionnaire and each dimension was between 0.688 and 0.898.
Conclusion:
The proposed questionnaire has good reliability and validity and it can be applied to evaluate pediatric nurses' knowledge, attitude and practice in preventing central venous device-related thrombosis for hospitalized children.
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