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Chou YF, Hsieh SI, Tseng YP, Yeh SL, Chiang MC, Hsiao CC, Lin CT, Hu ST, Chen SH, Liao MN. Development and Validation of the Interprofessional Collaboration Practice Competency Scale (IPCPCS) for Clinical Nurses. Healthcare (Basel) 2024; 12:806. [PMID: 38610228 PMCID: PMC11012165 DOI: 10.3390/healthcare12070806] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2023] [Revised: 03/12/2024] [Accepted: 04/05/2024] [Indexed: 04/14/2024] Open
Abstract
Interprofessional collaborative practice is a core competency and is the key to strengthening health practice systems in order to deliver safe and high-quality nursing practice. However, there is no Interprofessional Collaboration Practice Competency Scale (IPCPCS) for clinical nurses in Taiwan. Therefore, the purposes of this study were to develop an IPCPCS and to verify its reliability and validity. This was a psychometric study with a cross-sectional survey using convenience sampling to recruit nurses from the seven hospitals of a medical foundation. A self-designed structured IPCPCS was rolled out via a Google survey. The data were analyzed using descriptive statistics, principal-axis factoring (PAF) with Promax rotation, Pearson correlation, reliability analysis, and one-way ANOVA. PAF analysis found that three factors could explain 77.76% of cumulative variance. These were collaborative leadership and interprofessional conflict resolution, interprofessional communication and team functioning, and role clarification and client-centered care. The internal consistency of the three factors (Cronbach's α) was between 0.970 to 0.978, and the Pearson correlation coefficients were between 0.814 to 0.883. Significant differences were presented in the IPCPCS score by age, education level, total years of work experience, position on the nursing clinical ladder, and participation in interprofessional education. In conclusion, the three factors used in the IPCPCS have good reliability and construct validity. This scale can be used as an evaluation tool of in-service interprofessional education courses for clinical nurses.
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Affiliation(s)
- Yen-Fang Chou
- Department of Nursing, Chiayi Chang Gung Memorial Hospital, Chiayi County 61363, Taiwan; (Y.-F.C.); (C.-C.H.)
- School of Nursing, College of Nursing, Taipei Medical University, Taipei City 11031, Taiwan
- Department of Gerontology and Health Care Management, Chang Gung University of Science and Technology, Taoyuan City 33303, Taiwan
| | - Suh-Ing Hsieh
- Department of Nursing, Chang Gung University of Science and Technology, Taoyuan City 33303, Taiwan
| | - Yi-Ping Tseng
- Department of Nursing, Taoyuan Chang Gung Memorial Hospital, Taoyuan City 33378, Taiwan;
- School of Nursing, College of Medicine, National Taiwan University, Taipei City 10617, Taiwan
| | - Shu-Ling Yeh
- Department of Nursing, Keelung Chang Gung Memorial Hospital, Keelung City 20401, Taiwan; (S.-L.Y.); (S.-T.H.)
| | - Ming-Chu Chiang
- Department of Nursing, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung City 83301, Taiwan;
| | - Chia-Chi Hsiao
- Department of Nursing, Chiayi Chang Gung Memorial Hospital, Chiayi County 61363, Taiwan; (Y.-F.C.); (C.-C.H.)
| | - Chiu-Tzu Lin
- Department of Nursing, Linkou Chang Gung Memorial Hospital, Taoyuan City 33305, Taiwan;
| | - Shui-Tao Hu
- Department of Nursing, Keelung Chang Gung Memorial Hospital, Keelung City 20401, Taiwan; (S.-L.Y.); (S.-T.H.)
| | - Sue-Hsien Chen
- Administration Center, Chang Gung Medical Foundation, Taoyuan City 33305, Taiwan; (S.-H.C.); (M.-N.L.)
- Department of Nursing, Chang Gung University, Taoyuan City 33375, Taiwan
| | - Mei-Nan Liao
- Administration Center, Chang Gung Medical Foundation, Taoyuan City 33305, Taiwan; (S.-H.C.); (M.-N.L.)
- Department of Nursing, Chang Gung University, Taoyuan City 33375, Taiwan
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Prasitanarapun R, Kitreerawutiwong N. The development of an instrument to measure interprofessional collaboration competency for primary care teams in the district health system of health region 2, Thailand. BMC PRIMARY CARE 2023; 24:55. [PMID: 36849902 PMCID: PMC9972642 DOI: 10.1186/s12875-023-02013-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/21/2022] [Accepted: 02/20/2023] [Indexed: 06/03/2023]
Abstract
BACKGROUND Evidence shows that interprofessional collaboration (IPC) practice contributes to the quality of health care. However, there are limited instruments to assess IPC in providing primary care in the district health system (DHS) in Thailand. The aim of this study is to develop a valid and reliable instrument to assess the IPC competency of primary care team members in DHSs. METHODS This study was designed as an exploratory mixed methods study. In the qualitative phase, 37 participants, including policymakers, practitioners, and academics with experience in primary care, were involved. Data were analysed using thematic analysis, and trustworthiness was verified by triangulation and peer debriefing. In the quantitative phase, content validity, exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and reliability were conducted, and the final version of the questionnaire was evaluated with 497 participants. RESULTS The findings showed an I-CVI range of 0.86-1.00 and S-CVI/UA = 0.87 for 49 items with a 5-point Likert scale. EFA suggested six factors: 1) collaborative teamwork, 2) population- and community-centred care, 3) communication and mutual respect, 4) clarification of roles and responsibilities, 5) interprofessional reflection, and 6) interprofessional values and mixed skills. In the CFA results, the model fit indices were acceptable (CFI = 0.99, RMSEA = 0.049, SRMR = 0.043) or slightly less than the goodness-of-fit values (GFI = 0.84). All subscales showed acceptable Cronbach's alpha values with a range of 0.86-0.94. CONCLUSIONS The developed IPC competency instrument was confirmed its validity and reliability that contributes to assessing the IPC competency of primary care teams in DHSs. This information provides evidence to support tailored intervention to promote the IPC competency of primary care team work to achieve a common goal.
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Affiliation(s)
- Raphiphaet Prasitanarapun
- Faculty of Public Health, Naresuan University, Muang District, Phitsanulok Province, Thailand
- Boromarajonani College of Nursing, Uttaradit, Faculty of Nursing, Praboromarajchanok Institute, Ministry of Public Health, Nonthaburi, Thailand
| | - Nithra Kitreerawutiwong
- Faculty of Public Health, Naresuan University, Muang District, Phitsanulok Province, Thailand.
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Sakakida C, Tadaka E, Arimoto A. Development and validation of a new Multidisciplinary Approach Competency Scale for Prevention of Child Abuse from Pregnancy (MUSCAT). PLoS One 2021; 16:e0249623. [PMID: 33822825 PMCID: PMC8023485 DOI: 10.1371/journal.pone.0249623] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2020] [Accepted: 03/23/2021] [Indexed: 11/18/2022] Open
Abstract
Child abuse remains a major global problem. A high-quality multidisciplinary approach involving different professionals for the early prevention of child abuse beginning from pregnancy is paramount because child abuse is associated with multiple potential risk factors at individual and societal levels. A multidisciplinary approach to preventing child abuse involves interprofessional coordination, and requires clear definitions of professional competency. However, no scale to measure professional competency for such multidisciplinary approaches is available. This study aimed to develop and validate the Multidisciplinary Approach Competency Scale for Prevention of Child Abuse from Pregnancy (MUSCAT). First, a draft scale comprising 30 items was developed based on a literature review, and then refined to 21 items through expert interviews. Next, a cross-sectional survey was conducted among experts from 1,146 child and maternal health institutions (health centers, perinatal medical centers/hospitals, child consultation centers, midwife clinics, and kindergartens) in 10 major prefectures and cities throughout Japan. The questionnaire collected respondents' demographic data and information about one child abuse case, and asked respondents to apply the provisional MUSCAT to the reported case. Finally, three of the 21 items were excluded by item analysis, leaving 18 items for exploratory factor analysis. Confirmatory factor analyses identified 10 items on two factors: "Collaborative Networking" and "Professional Commitment." The goodness of fit index was 0.963, adjusted goodness of fit index was 0.939, comparative fit index was 0.988, and root mean square error of approximation was 0.043. The Cronbach's alpha for the entire scale was 0.903, and values for the subscales were 0.840-0.875. The overall scale score was positively correlated with the Interprofessional Collaboration Competency Scale. The MUSCAT demonstrated acceptable internal consistency and validity, and has potential for use in advancing individual practice and team performance in multidisciplinary approaches for early prevention of child abuse.
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Affiliation(s)
- Chika Sakakida
- Tsurumi Welfare and Health Center, Yokohama City Office, Yokohama, Kanagawa, Japan
| | - Etsuko Tadaka
- Department of Community Health Nursing, Graduate School of Medicine, Yokohama City University, Yokohama, Kanagawa, Japan
| | - Azusa Arimoto
- Department of Community Health Nursing, Graduate School of Medicine, Yokohama City University, Yokohama, Kanagawa, Japan
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Mangiameli J, Hamiduzzaman M, Lim D, Pickles D, Isaac V. Rural disability workforce perspective on effective inter-disciplinary training-A qualitative pilot study. Aust J Rural Health 2021; 29:137-145. [PMID: 33811401 DOI: 10.1111/ajr.12719] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2020] [Revised: 12/20/2020] [Accepted: 12/22/2020] [Indexed: 11/30/2022] Open
Abstract
OBJECTIVE Inter-professional education is a growing area of importance that enables training of health care professionals and students to develop skills in collaborative clinical practice, a critical aspect of disability care. However, research is limited on appropriate on-site inter-professional training for the rural and remote disability workforce. This paper aims to explore the features of an effective inter-professional training approach for rural disability workforce. SETTING Riverland, South Australia. PARTICIPANTS Clinical educators, allied health professionals, health and service providers and students. DESIGN A qualitative-explorative research design, involving focus group discussion and a thematic analysis method were employed in this study. Participants of the focus group discussion completed a capacity building training program centred on inter-professional education, cultural-safety and the National Disability Insurance Scheme. National Disability Services Social Impact Measurement Tool was used to evaluate and explore the features of effective inter-professional training program for existing and emerging disability workforce in rural regions. RESULTS Four themes emerged from data analysis: inter-professional education focus; structured inter-professional training; building collaborative learning environment; and culturally appropriate care practice. Inter-professional supervision was identified as a key enabler for capacity building in an area with limited health workforce. Inter-agency collaboration and professional network were identified as important elements to support disability health workforce retention and the transition from novice to practitioner. Prior knowledge about the needs of persons with disability and empathetic relationships influenced the quality of practice. CONCLUSION In situ training programs, which provide real-life rural practice context and harness inter-agency collaboration, improve effectiveness of rural disability workforce readiness for practice.
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Affiliation(s)
- Jacinta Mangiameli
- Flinders Rural Health SA, College of Medicine & Public Health, Flinders University, South Australia, Australia
| | | | - David Lim
- Postgraduate Health Sciences, University of Western Sydney, Sydney, NSW, Australia
| | - David Pickles
- College of Nursing & Health Sciences, Flinders University, Renmark, SA, Australia
| | - Vivian Isaac
- Flinders Rural Health SA, College of Medicine & Public Health, Flinders University, South Australia, Australia
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Kachi Y, Kato T, Kawachi I. Socio-Economic Disparities in Early Childhood Education Enrollment: Japanese Population-Based Study. J Epidemiol 2020; 30:143-150. [PMID: 30905897 PMCID: PMC7025920 DOI: 10.2188/jea.je20180216] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Background Accumulating evidence has shown that high-quality early childhood education and care may be an effective way of promoting children’s optimal health and development, especially for the most disadvantaged. However, socially disadvantaged families are less likely to enroll children in center-based childcare. In this study, we explored characteristics associated with use of center-based childcare among Japanese families. Methods We used data from two Japanese birth cohorts in 2001 (n = 17,019) and 2010 (n = 24,333). Enrollment in center-based childcare was assessed at the ages of three and four years in the 2001 cohort and at the age of three in the 2010 cohort. Logistic regression analyses were conducted. Results Children in the lowest quintile of household income were 1.54 (95% confidence interval, 1.20–1.98) times more likely to not receive center-based childcare than those in the highest-income quartile at the age of four in the 2001 cohort. Other socio-economic disadvantage (mother’s low education, non-Japanese parent, and higher number of siblings) and child’s health and developmental problems (preterm birth, congenital diseases, and developmental delay) were also associated with the non-use of center-based childcare at the age of three in the 2001 and 2010 cohorts. Conclusions An inverse care law operates in the use of early childhood education (ie, children with the least need enjoy the highest access). Children with socio-economic, health, and developmental disadvantages are at a greater risk of not receiving early childhood education and care. Social policies to promote equal access to early childhood education are needed to reduce future socio-economic inequalities.
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Affiliation(s)
- Yuko Kachi
- Department of Public Health, Kitasato University School of Medicine.,Department of Social Medicine, National Center for Child Health and Development
| | - Tsuguhiko Kato
- Department of Social Medicine, National Center for Child Health and Development
| | - Ichiro Kawachi
- Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health
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Saito M, Tadaka E, Arimoto A. Development of a family caregiver needs-assessment scale for end-of-life care for senility at home (FADE). PLoS One 2019; 14:e0222235. [PMID: 31509587 PMCID: PMC6738926 DOI: 10.1371/journal.pone.0222235] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2019] [Accepted: 08/23/2019] [Indexed: 12/03/2022] Open
Abstract
Aim This study aimed to develop a “family caregiver needs-assessment scale for end-of-life care for senility at home” (FADE) and examine its reliability and validity. Method A draft item pool was developed based on a literature review, and simplified to 30 items in four domains. Next, the item pool was reviewed by four visiting nurses and four researchers and refined to 15 items. A cross-sectional study was then conducted using a self-reported questionnaire. Questionnaires were sent to 2703 visiting nurses. The survey questions included participants’ basic demographic information, the importance of each item according to a modified scale, basic demographics for cases of death by senility at home, satisfaction with each item of the modified scale in an example case, and assessment of the case using the Japanese version of the Support Team Assessment Schedule (STAS-J). Internal consistency was assessed using Cronbach’s alpha. Construct validity was confirmed using confirmatory factor analysis, and correlation between the new scale and the STAS-J was used to assess criterion-related validity. Results In total, 461 visiting nurses provided valid responses. The exploratory and confirmatory factor analyses identified 12 items from two factors: “Needs for adaptation to senility bereavement” and “Needs for essential skills in supporting a dignified death by senility.” The final model showed appropriate index values: standardized root mean residual = 0.057, Tucker–Lewis index = 0.920, Akaike information criterion = 191.6, and Bayesian information criterion = 298.2. Cronbach’s alpha for the entire scale was 0.908, and was above 0.840 for each factor. The correlation coefficient between STAS-J and the entire scale was 0.259–0.427 (p<0.001). Conclusions The FADE scale showed acceptable internal consistency and concurrent validity. The scale can help clarify issues and desires that present themselves at home related to adaptation to senility bereavement and essential skills in supporting a dignified death by senility. Addressing these issues and desires is expected to reduce caregivers’ anxiety and burden, and means the older adults under their care may be respected and enabled to live with dignity and peace.
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Affiliation(s)
- Midori Saito
- Kanagawa Ward Medical Association Visiting Nursing Station, Yokohama, Kanagawa, Japan
- * E-mail:
| | - Etsuko Tadaka
- Department of Community Health Nursing, Graduate School of Medicine, Yokohama City University, Yokohama, Kanagawa, Japan
| | - Azusa Arimoto
- Department of Community Health Nursing, Graduate School of Medicine, Yokohama City University, Yokohama, Kanagawa, Japan
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