Contact Us

What is JoVE Visualize?

Adaptation and validation of the evidence-based practice profile (EBP(2)) questionnaire in a Norwegian primary healthcare setting

Affiliations
  • 1Department of Rehabilitation Science and Health Technology, Faculty of Health Science, Oslo Metropolitan University, Oslo, Norway. nilsgunn@oslomet.no.
  • 2Department of Health and Functioning, Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway.
  • 3Department of Welfare and Participation, Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway.
  • 4Faculty of Health Sciences, OsloMet – Oslo Metropolitan University, Oslo, Norway.
  • 5Department of Rehabilitation Science and Health Technology, Faculty of Health Science, Oslo Metropolitan University, Oslo, Norway.

|

August 6, 2024

Abstract

BACKGROUND

Access to valid and reliable instruments is essential in the field of implementation science, where the measurement of factors associated with healthcare professionals’ uptake of EBP is central. The Norwegian version of the Evidence-based practice profile questionnaire (EBP-N) measures EBP constructs, such as EBP knowledge, confidence, attitudes, and behavior. Despite its potential utility, the EBP-N requires further validation before being used in a cross-sectional survey targeting different healthcare professionals in Norwegian primary healthcare. This study assessed the content validity, construct validity, and internal consistency of the EBP-N among Norwegian primary healthcare professionals.

METHODS

To evaluate the content validity of the EBP-N, we conducted qualitative individual interviews with eight healthcare professionals in primary healthcare from different disciplines. Qualitative data was analyzed using the “text summary” model, followed by panel group discussions, minor linguistic changes, and a pilot test of the revised version. To evaluate construct validity (structural validity) and internal consistency, we used data from a web-based cross-sectional survey among nurses, assistant nurses, physical therapists, occupational therapists, medical doctors, and other professionals (n = 313). Structural validity was tested using a confirmatory factor analysis (CFA) on the original five-factor structure, and Cronbach’s alpha was calculated to assess internal consistency.

RESULTS

The qualitative interviews with primary healthcare professionals indicated that the content of the EBP-N was perceived to reflect the constructs intended to be measured by the instrument. However, interviews revealed concerns regarding the formulation of some items, leading to minor linguistic revisions. In addition, several participants expressed that some of the most specific research terms in the terminology domain felt less relevant to them in clinical practice. CFA results exposed partial alignment with the original five-factor model, with the following model fit indices: CFI = 0.749, RMSEA = 0.074, and SRMR = 0.075. Cronbach’s alphas ranged between 0.82 and 0.95 for all domains except for the Sympathy domain (0.69), indicating good internal consistency in four out of five domains.

CONCLUSION

The EBP-N is a suitable instrument for measuring Norwegian primary healthcare professionals’ EBP knowledge, attitudes, confidence, and behavior. Although EBP-N seems to be an adequate instrument in its current form, we recommend that future research focuses on further assessing the factor structure, evaluating the relevance of the items, and the number of items needed.

REGISTRATION

Retrospectively registered (prior to data analysis) in OSF Preregistration. Registration DOI: https://doi.org/10.17605/OSF.IO/428RP .

Keywords:

Related Concept Videos

JoVE Research Video for Primary Healthcare Services 01:30

1.2K

Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call…

JoVE Research Video for Nursing Clinical Information System 01:27

572

Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:

Efficient Information Management: NCIS is designed to manage patient information efficiently, making it easily accessible to…

JoVE Research Video for Documentation in Long-Term and Home Healthcare Setting 01:29

584

Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities

• Purpose: Documentation in long-term care facilities is critical for interprofessional resident assessment and planning. It ensures that all aspects of a resident's care – from medical needs to daily living assistance – are thoroughly…

JoVE Research Video for Data Validation 01:03

4.5K

Data validation is an essential part of a comprehensive assessment. Validation is confirming or verifying and opening the door to gathering more assessment data as it clarifies vague or unclear data. The process of checking and verifying the collected information is called data validation. The primary purpose of data validation is to ensure data is as free from error, bias, and misinterpretation as possible.
Nursing assessment guides are generally based on holistic models rather than medical…

JoVE Research Video for Methods of Documentation III: PIE 01:21

969

Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:

Problem: Patient care is organized around issues identified or nursing diagnoses in the PIE system. Each problem is labeled with a "P" followed by a number….

JoVE Research Video for Methods of Documentation II: POMR 01:26

744

The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.

Database: This section documents crucial medical information…