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Development and validation of the Good Limb Position Management Scale for Stroke Patients with Hemiplegia by Nurses:
Minmin Leng1, Yan Dong2, Bei Liu3
1Department of Nursing, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China.
Background:
A good limb position (GLP) plays an important role in the rehabilitation process of patients who have had a stroke with hemiplegia. However, there remains a lack of effective assessment tools for clinical nurses to evaluate their GLP management practices.
Objective:
This study aimed to develop and test the psychometric properties of the Good Limb Position Management Scale for Stroke Patients with Hemiplegia by Nurses (GLPMSSPHN).
Design:
A quantitative and cross-sectional design.
Setting:
89 hospitals in 16 cities of China.
Participants:
A total of 516 participants completed the questionnaire and were finally used for the analyses.
Main Outcome Measures:
An initial scale was developed based on the Capability, Opportunity and Motivation-Behaviour model combined with a comprehensive literature review, semi-structured interviews, Delphi expert consultations and a pilot test. A field survey was then performed using the initial scale to test the reliability and validity of the scale. Reliability analysis was conducted by calculating Cronbach's α coefficients and test-retest reliability. The results of exploratory factor analysis and confirmatory factor analysis were used as the validity index to further verify the model structure of the scale and develop a formal scale.
Results:
The GLPMSSPHN was formulated with 4 dimensions and 35 items. Exploratory factor analysis extracted four factors, with a cumulative variance contribution rate of 81.842%, and confirmatory factor analysis indicated that the scale had good construct validity. The Cronbach's α coefficient of the scale was 0.978, and the test-retest reliability was 0.863.
Conclusions:
The GLPMSSPHN has ideal reliability and validity and provides a valid and reliable tool for clinical nurses to identify and assess the management level of GLP in patients who have had a stroke with hemiplegia.
