COSMIN Checklist for Systematic Reviews of the Hospital Preparedness Instruments in Biological Events

Aminizadeh, Mohsen; Farrokhi, Mehrdad; Ebadi, Abbas; Masoumi, Gholam Reza; Beyramijam, Mehdi; Khankeh, Hamid Reza

doi:10.1891/jnm-d-19-00097

Cited by 3 publications

(4 citation statements)

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“…The most frequently assessed measurement property in the studies regarding reliability was internal consistency, and most authors had used it as the only reliability index, which is not enough [ 43 ]. Internal consistency is not suitable for assessing the internal consistency of formative measures [ 46 , 47 ]. Fourteen instruments were checklists, classified as formative measures, and their inter-rater reliability is a more suitable method for assessing their reliability [ 43 , 47 ].…”

Section: Discussionmentioning

confidence: 99%

“…There are various methods for hypothesis testing, but only convergent validity and known-groups validity can be assessed for hypothesis testing in the COSMIN risk of bias checklist, and the methodological quality of other methods of hypothesis testing is not evaluable [ 43 , 49 ]. However, known-group validity is the best method for formative instruments [ 46 ], and 3/6 of studies had used this method for hypothesis testing.…”

Section: Discussionmentioning

confidence: 99%

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Measuring situation awareness in health care providers: a systematic review of measurement properties using COSMIN methodology

et al. 2023

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Background Situation awareness (SA) is a key factor in accountability and ensuring patient safety in health care. SA is an essential element to research on human factors in healthcare. It is essential to identify valid instruments for measuring this concept and assessing how it is affected by interventions and educational methods. Methods This systematic review aimed to assess the measurement properties of situation awareness instruments in health care providers’ (HCPS) using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) methodology. Four databases (Medline (through PubMed), Embase, Scopus, and Web of Science) were systematically searched. A manual search was also conducted on Google Scholar and the reference list of the included primary studies to supplement the electronic search. Studies aiming to determine the measurement properties of SA instruments or non-technical skills in HCPS were included. The overall results for each measurement property were reported as sufficient, insufficient, inconsistent, or indeterminate, and the quality of evidence was reported as high, moderate, low, or very low. Results A total of 25 studies and 15 instruments were included in the study. More than one measurement property was reported in some of the studies, and none of the studies presented all measurement properties. The most common measurement properties were content validity (12/25) and internal consistency (12/25). Cross‐cultural validity and responsiveness were not investigated in any study. Evidence quality for the measurement properties was not high in any of the 15 instruments. Conclusions None of the instruments can be recommended as the most suitable instrument, and all instruments were classified as promising instruments in need of further psychometric assessment. This systematic review proves the dire need for the development and psychometric evaluation of instruments to measure SA in HCPs in clinical settings. Systematic review registration PROSPERO CRD42020147349.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Measuring situation awareness in health care providers: a systematic review of measurement properties using COSMIN methodology

et al. 2023

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“…In line with this finding, in the review and qualitative appraisal of self-care scales in healthy adults with COSMIN guidelines, measurement error and responsiveness were not reported in the scales [ 17 ]. Also, in the results of other systematic review studies on measurement properties scales with COSMIN guidelines, these characteristics were also not measured [ 24 , 44 ].…”

Section: Discussionmentioning

confidence: 99%

A systematic review of the measurement properties of self-care scales in nurses

Rajai,

Ebadi,

Karimi

et al. 2023

BMC Nurs

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Background Self-care is a necessary measure against occupational injuries of nurses and improves nursing performance at the bedside. Nurses have different scales to measure self-care, and researchers are confused about choosing valid and reliable scales. This systematic review aimed to evaluate the measurement properties of self-care scales in nurses to identify the best available scales. Methods Four databases (PubMed, Web of Science, SCOPUS, and ProQuest) were systematically searched, with no date limiters, until 9 Jun 2023. A manual search was performed with Google Scholar and the reference list of articles to complete the search. Studies aiming to develop or determine the measurement properties of self-care in nurses were included. Based on Consensus-Based Standards for the Selection of Health Measurement Instruments, the methodological quality of the studies was determined, and the result of each study on a measurement property was rated (sufficient, insufficient, or indeterminate). The quality of the evidence was graded using a modified Grading of Recommendations Assessment, Development, and Evaluation approach (high, moderate, low, or very low). These processes were used to make recommendations and identify the best scale to assess self-care in nurses. Results Out of 8601 articles, six articles with five different scales were included. Only internal consistency was reported across all scales. Criterion validity, measurement error, responsiveness, feasibility, and interpretability, were not reported in any of them. Content validity was reported only in two studies with inconsistent results and low-quality evidence. None of the scales had methodological quality with a rating of very good and sufficient high-quality evidence for all measurement properties. Conclusions None of the scales is strongly recommended to measure self-care in nurses. Only the Professional self-care scale is temporarily recommended until their quality is assessed in future studies. Considering that the content of the examined scales does not meet all the professional self-care needs of nurses, designing a valid, reliable, and specialized scale for nurses is needed.

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“…In studies that assess hospital preparedness for biological incidents, different tools have been used for this purpose, each of which evaluates various indicators of preparedness [4,[26][27][28][29][30][31][32][33][34]. Moreover, available tools cannot provide accurate and reliable indicators to estimate hospital preparedness in response to biological incidents [35]. Therefore, comparisons between studies may not be valid because of the differences between these tools.…”

Section: Hospital's Codementioning

confidence: 99%

Preparedness Assessment of Teaching Hospitals Affiliated With Shahid Beheshti University of Medical Sciences in Response to Biological Incidents

Younesi,

Ghomian,

Hatami

et al. 2024

HDQ

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Background: During disasters and emergencies, healthcare systems, particularly hospitals, as the leading providers of care, play an important role; accordingly, this study examines the preparedness of hospitals affiliated with Shahid Beheshti University of Medical Sciences for biological incidents. Materials and Methods: This descriptive cross-sectional study assessed the preparedness level of 14 teaching hospitals in response to biological incidents in 2022. The preparedness of the hospitals in facing biological incidents was evaluated by the secretaries of the hospitals’ risk and disaster management committees using a standard questionnaire (hospital preparedness questionnaire in response to biological incidents) to assess different dimensions of hospital preparedness, including the development of managerial structures, capacity building, training and practice, information and communication management, healthcare system and laboratory, safety and security, patient management, and hospital resilience. Results: The assessment of different hospital preparedness dimensions in facing biological incidents showed that the mean scores of the managerial structure development, capacity building, training and practice, information and communication management, safety and security, healthcare system and laboratory, patient management, and hospital resilience were 20.12, 44.71, 14.14, 19.21, 46.64, 20.42, 27.42, 15.92, respectively. The highest score was related to safety and security and information and communication management, with average scores of 50.78 and 22, respectively. Also, the dimension of training and practice, with an average score of 16.28 and an average percentage of 64.29%, attained the lowest score among the eight dimensions of hospital preparedness. The net score of hospital preparedness in response to biological incidents was obtained at 230.28. According to the final score of hospital preparedness, 9(64.3%) hospitals had a good preparedness status, while 5(35.7%) hospitals acquired an average level of preparedness. Conclusion: The preparedness of the investigated hospitals in response to biological events was favorable. However, coping with biological incidents mandates the highest level of preparedness; therefore, it is necessary to maintain good preparedness and try to improve the condition to an optimal level by focusing on all dimensions, especially those acquiring lower scores.

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COSMIN Checklist for Systematic Reviews of the Hospital Preparedness Instruments in Biological Events

Cited by 3 publications

References 0 publications

Measuring situation awareness in health care providers: a systematic review of measurement properties using COSMIN methodology

Measuring situation awareness in health care providers: a systematic review of measurement properties using COSMIN methodology

A systematic review of the measurement properties of self-care scales in nurses

Preparedness Assessment of Teaching Hospitals Affiliated With Shahid Beheshti University of Medical Sciences in Response to Biological Incidents

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