The development of a delirium knowledge test for intensive care nurses: A validity and reliability study

Birge, Ayşegül Öztürk; Salman, Funda

doi:10.1016/j.iccn.2020.102900

Cited by 10 publications

(18 citation statements)

References 35 publications

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“…However, our findings indicated that these items testing basic knowledge (item 8, 13, 15, 16) seem to be too easy (item difficulty index >70%). These results are line with previous study using a validated tool (Öztürk Birge et al, 2020). Although these items were not removed, future studies may consider revising the options and adding distractors to ensure the concept of the knowledge is measured, and reduce the chance of correct response rate by guessing.…”

Section: Discussionsupporting

confidence: 93%

“…The fundamental content of the items including signs and symptoms, risk factors of delirium are important and similar items could be also found in previous tools in assessing delirium knowledge (Elliott, 2014; Öztürk Birge et al, 2020). However, our findings indicated that these items testing basic knowledge (item 8, 13, 15, 16) seem to be too easy (item difficulty index >70%).…”

Section: Discussionsupporting

confidence: 57%

“…To date, several instruments investigating the delirium knowledge among ICU healthcare professionals were developed. However, only few instruments targeting critical care nurses as main population were comprehensively validated and evaluated (Elliott, 2014; Monfared, Soodmand, & Ghasemzadeh, 2017; Öztürk Birge, Tel Aydin, & Salman, 2020). Most developed instruments utilised options in true/false design to assess the knowledge of delirium.…”

Section: Introductionmentioning

confidence: 99%

“…As noted, clinical guidelines have provided the summary evidence of delirium care in terms of understanding the predisposing and precipitating risk factors, delirium risk prediction model, validated assessment tool, the short- and long-term outcomes of delirium in critically ill adults and so on (Devlin et al, 2018). Aforementioned available delirium knowledge instruments have covered these topics such as diagnosis, risk factors, sign and symptoms, assessment as well as the health outcomes of delirium (Elliott, 2014; Öztürk Birge et al, 2020). A growing body of research has highlighted the utilisation of a delirium prediction model in detecting delirium risk in ICU (Cowan, Preller, & Goudie, 2020; van den Boogaard et al, 2012; van den Boogaard et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

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Development and validation of a multiple-choice question-based delirium care knowledge quiz for critical care nurses

2021

Preprint

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AimsTo develop and psychometrically test a multiple choice questions (MCQs)-based quiz of delirium care knowledge for critical care nurses.DesignInstrument development and psychometric evaluation study.MethodsThe development and validation process including two phases. Phase I focused on the quiz development, conducted by the following steps: (1) generated initial 20-item pool; (2) examined content validity and (3) face validity; (4) conducted pilot testing, data were collected from 217 critical care nurses via online survey during 01 October to 07 November, 2020; (5) performed item analysis and eliminated items based on the item difficulty and discrimination indices. The MCQs quiz was finalised through the development process. Then, phases II emphasised the quiz validation, to estimate the internal consistency, split-half and test-retest reliability, and construct validity using parallel analysis with the exploratory factor analysis (EFA).ResultsA final 16-item MCQs quiz was emerged from the item analysis. The Kuder– Richardson Formula 20 coefficient for the overall quiz showed good internal consistency (0.85), and the intraclass correlation coefficient with a 30-day interval also indicated that the questionnaire had satisfactory stability (0.96). The EFA confirmed appropriate construct validity for the quiz, four factors could explain the total variance of 60.87%.ConclusionThis study developed the first MCQs quiz for delirium care knowledge and it is a reliable and valid tool that can be implemented to assess the level of delirium care knowledge.ImpactThis study offers an evidence-based quiz designed for future research and education purposes in delirium care that has significant implications for knowledge test by using MCQs in clinical practice.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 57%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Development and validation of a multiple-choice question-based delirium care knowledge quiz for critical care nurses

2021

Preprint

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“…Several instruments have been developed for investigating delirium knowledge among ICU health care professionals, but few instruments for which critical care nurses are the primary target population have been comprehensively validated and assessed. [2][3][4] Most instruments have a true/false design for assessing delirium care knowledge, the multiple-choice questions (MCQs) are strictly objective and have been widely used in examinations and knowledge tests internationally. 5,6 Little is known regarding whether a useful examination instrument such as an MCQ quiz is reliable for assessing delirium care knowledge.…”

Section: Introductionmentioning

confidence: 99%

Delirium care knowledge in critical care nurses: A multiple‐choice question‐based quiz

Traynor

Chen

et al. 2021

Nursing in Critical Care

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Background: Lack of evidence regarding whether a useful examination instrument such as an multiple choice question (MCQ) quiz is reliable for assessing delirium care knowledge.Aim: To develop and psychometrically test a MCQ-based quiz for assessing the delirium care knowledge in critical care nurses. Design: Instrument development and psychometric evaluation study. Methods: The development and validation process consisted of two phases. The first Phase focused on the quiz development, which was achieved through the following steps: (a) generation of an initial 20-item pool; (b) assessment of content validity; (c) assessment of face validity; (d) conduction of a pilot test, involving the collection of data from 217 critical care nurses through an online survey; and (e) item analysis and item elimination according to item difficulty and discrimination indices. The MCQ quiz was finalized through the development process. The second phase emphasized quiz validation through estimation of the internal consistency, split-half and test-retest reliability, and construct validity using parallel analysis with exploratory factor analysis (EFA).Results: A final 16-item MCQ quiz was emerged from the item analysis. The Kuder-Richardson formula 20 coefficient for the overall quiz indicated good internal consistency (0.85), and the intraclass correlation coefficient with a 30-day interval also indicated that the questionnaire had satisfactory stability (0.97). EFA confirmed that the quiz had appropriate construct validity, and four factors could explain 60.87% of the total variance. Conclusion:In this study, the MCQ, and single best answer quiz for assessing delirium care knowledge was developed, and its reliability and validity for this purpose were demonstrated.Yen-Kuang Lin and Hui-Chen (Rita) Chang contributed equally to this study.

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Knowledge assessment is key to identifying the training needs of delirium care

2022

Intensive and Critical Care Nursing

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The development of a delirium knowledge test for intensive care nurses: A validity and reliability study

Cited by 10 publications

References 35 publications

Development and validation of a multiple-choice question-based delirium care knowledge quiz for critical care nurses

Development and validation of a multiple-choice question-based delirium care knowledge quiz for critical care nurses

Delirium care knowledge in critical care nurses: A multiple‐choice question‐based quiz

Knowledge assessment is key to identifying the training needs of delirium care

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