Development and validation of an instrument to assess Brazilian healthcare professional providers’ knowledge on sickle cell disease

Diniz, Katy Karoline Santos; Pagano, Adriana; Fernandes, Ana Paula Pinheiro Chagas; Reis, Ilka Afonso; Júnior, Leonardo Gonçalves Pinheiro; Torres, Heloísa de Carvalho

doi:10.1016/j.htct.2018.08.003

Cited by 6 publications

(6 citation statements)

References 22 publications

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“…For each question, 1 point was assigned to each correctly answered item and 0 points otherwise. For calculation of the overall knowledge on SCD, the sum of all correct answers for diagnosis and treatment was taken, considering the following knowledge score ranges: >7 (more than 54% accuracy), good; ≤7 (54% or less accuracy), poor (Diniz et al, 2019a).…”

Section: Discussionmentioning

confidence: 99%

“…Data on the sociodemographic characteristics (age, sex, level of education, duration since graduation, years of practice, level of facility, professional cadre, and short course training on SCD) and level of knowledge on SCD (overall, diagnosis and treatment) were obtained using a pre-tested and validated self-administered questionnaire adapted from Brazil (Diniz et al, 2019a) and modified to fit local context. Questions on SCD covered knowledge on diagnosis disease genotype, ideal timing of screening for SCD, confirmatory tests for SCD, clinical features of SCD, conditions that favor sickling of RBCs in patients with SCD warning signs in SCD, and knowledge on treatment of SCD (management of acute complications of SCD, drugs used to treat pain crises in patients with SCD, drugs used to prevent and/or treat complications of SCD, indications for use of antibiotics in SCD, indications for blood transfusion to patients with SCD, means of preventing infections in patients with SCD as well as pregnancy, and use of contraception in patients with SCD).…”

Section: Data Collectionmentioning

confidence: 99%

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Healthcare Workers’ Knowledge and Resource Availability for Care of Sickle Cell Disease in Dar es Salaam, Tanzania

et al. 2022

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Background: Sickle cell disease (SCD) is a global public health priority due to its high morbidity and mortality. In Tanzania, SCD accounts for 7% of under-five mortality. Cost-effective interventions such as early diagnosis and linkage to care have been shown to prevent 70% of deaths but require knowledge among healthcare workers and availability of resources at health facilities. In Tanzania, data on these critical determinants are currently lacking.Objective: To assess healthcare workers’ knowledge and resource availability for care of SCD at health facilities in Dar es Salaam, Tanzania.Methodology: A facility-based cross-sectional study was conducted between December 2020 and February 2021 among 490 nurses and clinicians at Regional Referral Hospitals (Temeke, Amana, and Mwananyamala) and Muhimbili National Hospital in Dar es Salaam, Tanzania. Data were collected using a pre-tested structured questionnaire consisting of 13 knowledge questions (scored good knowledge if correct response in >7) and an inventory check list to record available resources. Pearson’s χ2 was used to determine the association between level of knowledge and demographic factors. Multivariate logistic regression was used to ascertain the strength of associations. A two-tailed p-value <0.05 was considered to be statistically significant.Results: Of the 490 participants (median age 28 years [IQR = 26–35]), only 25.1% had good knowledge on SCD. The odds of good knowledge was 82% lower in nurses than clinicians (AOR = 0.177; 95% CI: 0.090, 0.349; p < 0.001); 95% lower in diploma than Master’s degree holders (AOR = 0.049; 95% CI: 0.008, 0.300; p = 0.001) and 4.6 times higher in those with 5–9 years than ≥10 years of experience (AOR = 4.564; 95% CI: 1.341, 15.525; p = 0.015). The regional-level hospitals lacked diagnostic tests and hydroxyurea therapy.Conclusion: There was general lack of knowledge on SCD among healthcare workers and limited availability of critical resources for the diagnosis and care of SCD, especially at regional-level hospitals. Efforts are needed for their improvement to enhance care to patients, thus reducing the morbidity and mortality due to SCD in Tanzania.

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Section: Discussionmentioning

confidence: 99%

Section: Data Collectionmentioning

confidence: 99%

Healthcare Workers’ Knowledge and Resource Availability for Care of Sickle Cell Disease in Dar es Salaam, Tanzania

et al. 2022

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“…If the I-CVI value of an item was >0.8 ( Polit et al, 2007 ), the item was deemed valid. Following content validation by the panel of five experts, a 20-item scale was finalized with a content validity index of 0.83 or higher ( Polit et al, 2007 ; Diniz et al, 2019 ).…”

Section: Methodsmentioning

confidence: 99%

Validity and reliability of the Korean version of the gender-friendliness barriers in nursing programs scale

Park,

Kim

2023

Front. Psychol.

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IntroductionThe gender-friendliness barriers in nursing programs (GFB-NP) were used to measure perceived gender affinity among male nursing students in nursing education programs. Originally developed in Taiwan, this scale has not been used in Korea. The purpose of this study is to confirm the reliability and validity of the GFB-NP scale for Korean male nursing students.MethodsA convenience sample of male nursing students enrolled in the 1st to 4th year of nursing departments at five four-year universities located in three cities in Korea was used in the study. To confirm the validity and factor structure of the scale, both exploratory factor analysis and confirmatory factor analysis were employed.ResultsThe results support a four-factor structure: Professional acquisition opportunity, peer interaction, sociocultural prejudice, and gender role attitude. We confirmed that the Korean version of the GFB-NP is an appropriate tool for measuring the gender-friendliness educational environment perceived by male nursing students in nursing education.DiscussionThe GFB-NP will serve as a framework for developing counseling and management strategies to help male nursing students successfully adapt to school life within the nursing education curriculum. Research with a longitudinal study design is recommended to investigate the progression of school adaptation through undergraduate program courses.

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“…11 Knowledge acquired by health professionals improves the quality of care and management of the disease, due to better understanding of the social, care-related, environmental, biological, and scientific dimensions of SCD. 12 Undoubtedly, there has been a significant increase in the availability of assessment scales and/or questionnaires; 13 however, many of these instruments do not carry adequate evidence of validation. [14][15][16] In the dental literature consulted, no previously validated instrument for assessing dentists´ knowledge about SCD was found.…”

Section: Introductionmentioning

confidence: 99%

Validating evidence for the knowledge, management and involvement of dentists in a dental approach to sickle-cell disease

ANCILLOTTI,

ABREU,

MARINHO

et al. 2024

Braz. oral res.

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This study validated the content of an instrument designed to assess the knowledge, involvement (attitudes) and management (practice) of dentists relative to sickle-cell disease (KAPD-SCD). The instrument consisted of five domains composed of a total of thirteen items: I. Dentist's self-assessment relative to sickle-cell disease; II. Dentist's knowledge of the repercussions of sickle-cell disease on the stomatognathic system; III. Dentist's knowledge of the complications of sickle-cell disease in the stomatognathic system; IV. Dentist's knowledge concerning the dental management of sickle-cell disease patients; and V. Dentist's involvement in an approach to sickle-cell disease. Twelve experts assigned scores to each item of the instrument. The criteria were clarity, understanding and appropriateness, leaving open fields for comments. Descriptive and content analyses of the data were made. Each expert analyzed 39 assessment units. The percentages considered for agreement were high (>80%), medium (70%-80%), or low (<70%), and each item was maintained or revised according to the percentage observed. There was high consensus in 74% of the assessment units (the corresponding items were maintained), medium consensus in 24% of them (the corresponding items were revised), and disagreement in 2% of them, namely as regards the "appropriateness" of item 5 ("Are there oral complications in sickle-cell disease?"), which was revised. The final version of the instrument had 16 items for different applications such as in the clinical care program, teaching program, or research program, with different cut-off scores for each application. In conclusion, the level of agreement among experts showed evidence of the content validity of the instrument.

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Development and validation of an instrument to assess Brazilian healthcare professional providers’ knowledge on sickle cell disease

Cited by 6 publications

References 22 publications

Healthcare Workers’ Knowledge and Resource Availability for Care of Sickle Cell Disease in Dar es Salaam, Tanzania

Healthcare Workers’ Knowledge and Resource Availability for Care of Sickle Cell Disease in Dar es Salaam, Tanzania

Validity and reliability of the Korean version of the gender-friendliness barriers in nursing programs scale

Validating evidence for the knowledge, management and involvement of dentists in a dental approach to sickle-cell disease

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