Zisberg Anna, Shulyaev Ksenya, Van Son Catherine
The Cheryl Spencer Department of Nursing, Faculty of Social Welfare and Health Science, University of Haifa, Mount Carmel 31905, Israel.
Washington State University College of Nursing - Vancouver, 14204 NE Salmon Creek Avenue, Vancouver, WA 98686-9600, United States of America.
Nurse Educ Today. 2021 Mar;98:104735. doi: 10.1016/j.nedt.2020.104735. Epub 2020 Dec 26.
Finding workers to care for older adults in healthcare settings has become a priority, and research identifying factors influencing a nursing student's intention to make geriatrics a career choice is needed. This calls for the development of a reliable measure of students' perceptions and attitudes.
To determine the adaptability of Carolina Opinions on Care of Older Adults (COCOA) to assess nursing students' attitudes to older adults and their intentions to work with them in two countries.
Cross-sectional survey.
Nursing students enrolled in an introduction to gerontological nursing course in the United States and Israel.
A convenience sample of 231 undergraduates pursuing a Bachelor of Science in nursing in the United States (N=122) and Israel (N=109).
Students completed the COCOA instrument and basic demographics using an electronic platform.
Exploratory Factor Analysis (EFA) produced five factors explaining 59% of the variation, with the majority of the items (17, 71%) loading above 0.40 on subscales from the instrument's original structure. EFA led to the elimination of one subscale (Value of Older Adults) and the creation of a new subscale (Older versus Younger Adults) with three items. The reliability scores were good to acceptable for all subscales in both Israeli and American samples (α-Cronbach 0.80 to 0.60). Confirmatory FA supported the data's fit to the 21 items of the modified COCOA instrument (CMIN/DF=1.55, CFI=0.93, IFI=0.93, RMSEA=0.05). The analysis of model equivalence for American and Israeli samples revealed significant differences only on the Experience in Caring for Older Adults subscale.
The modified COCOA demonstrated good construct validity and reliability and can serve as estimation of nursing students' attitudes to older adults and their intention to make geriatrics a career choice. Future studies should further evaluate its predictive validity.
在医疗保健环境中寻找照顾老年人的工作人员已成为当务之急，因此需要开展研究来确定影响护理专业学生将老年医学作为职业选择意向的因素。这就需要开发一种可靠的方法来衡量学生的认知和态度。
确定卡罗莱纳老年人护理意见量表（COCOA）在两个国家评估护理专业学生对老年人的态度及其与老年人共事意向方面的适用性。
横断面调查。
美国和以色列参加老年护理入门课程的护理专业学生。
美国（N = 122）和以色列（N = 109）的231名攻读护理学理学学士学位的本科学生组成的便利样本。
学生使用电子平台完成COCOA量表和基本人口统计学信息。
探索性因素分析（EFA）产生了五个因素，解释了59%的变异，大多数项目（17个，71%）在量表原始结构的子量表上的载荷高于0.40。EFA导致一个子量表（老年人的价值）被剔除，并创建了一个包含三个项目的新子量表（老年人与年轻人）。以色列和美国样本中所有子量表的信度得分都良好或可接受（α-克朗巴哈系数为0.80至0.60）。验证性因素分析支持数据与修改后的COCOA量表的21个项目拟合（CMIN/DF = 1.55，CFI = 0.93，IFI = 0.93，RMSEA = 0.05）。对美国和以色列样本的模型等效性分析表明，仅在照顾老年人的经验子量表上存在显著差异。
修改后的COCOA量表具有良好的结构效度和信度，可用于评估护理专业学生对老年人的态度及其将老年医学作为职业选择的意向。未来的研究应进一步评估其预测效度。
