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Development and Validation of the EBP-Affinity Questionnaire: A Mixed-Method Study.

Lenny J Tange1,2, Maud Heinen3, Raymond T C M Koopmans1,4

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Summary
This summary is machine-generated.

Certified nurse assistants (CNAs) and vocationally-trained registered nurses (VTRNs) play key roles in evidence-based practice (EBP) in nursing homes. A new, reliable, and valid questionnaire measures their affinity with EBP, aiding tailored training and improved care.

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Area of Science:

  • Nursing Home Care
  • Evidence-Based Practice
  • Healthcare Professional Education

Background:

  • Implementing evidence-based practice (EBP) in nursing homes is crucial for enhancing care quality and reducing costs.
  • Certified nurse assistants (CNAs) and vocationally-trained registered nurses (VTRNs) are primary caregivers in nursing homes, yet EBP is often underrepresented in their training.
  • Understanding their affinity for EBP is essential for effective implementation.

Purpose of the Study:

  • To develop a reliable and valid questionnaire to measure affinity with EBP among CNAs and VTRNs in nursing homes.
  • To assess the psychometric properties of the developed questionnaire.

Main Methods:

  • A mixed-method design following the COSMIN-checklist.
  • Phase 1 involved item generation from existing sources, expert consensus rounds, and a pilot study.
  • Phase 2 assessed psychometric properties, including principal component analysis and Rasch modeling for measurement invariance.

Main Results:

  • Experts confirmed significant roles for CNAs and VTRNs in EBP.
  • A 26-item questionnaire, the 'Evidence-Based Practice-Affinity Questionnaire,' was developed.
  • Principal component analysis revealed a two-factor structure with good internal reliability and Rasch model fit, demonstrating measurement invariance between CNAs and VTRNs.

Conclusions:

  • CNAs and VTRNs have important roles in EBP within nursing homes.
  • The 'Evidence-Based Practice-Affinity Questionnaire' is a reliable and valid tool for assessing EBP affinity in these professionals.
  • This tool can guide tailored training programs to enhance EBP implementation in nursing homes.