Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway.
Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
PLoS One. 2021 Oct 8;16(10):e0258099. doi: 10.1371/journal.pone.0258099. eCollection 2021.
Organizational context is recognized as important for facilitating evidence-based practice and improving patient outcomes. Organizational context is a complex construct to measure and appropriate instruments that can quantify and measure context are needed. The aim of this study was to translate and cross-culturally adapt the Alberta Context Tool (ACT) to Norwegian, and to test the reliability and structural validity among registered nurses (RNs) and licenced practice nurses (LPNs) working in nursing homes.
This study was a validation study utilizing a cross-sectional design. The sample consisted of n = 956 healthcare personnel from 28 nursing homes from a municipality in Norway. In the first stage, the ACT was translated before being administered in 28 nursing homes. In the second stage, internal consistency and structural validity were explored using Cronbach's alpha and confirmatory factor analysis.
A rigorous forward-and-back translation process was performed including a team of academics, experts, professional translators and the copyright holders, before an acceptable version of the ACT was piloted and finalized. The Norwegian version of the ACT showed good internal consistency with Chronbachs alpha above .75 for all concepts except for Formal interactions where the alpha was .69. Structural validity was acceptable for both RNs and LPNs with factors loadings more than .4 for most items.
The Norwegian version of the ACT is a valid measure of organizational context in Norwegian nursing homes among RNs and LPNs.
组织背景被认为对促进循证实践和改善患者结局至关重要。组织背景是一个复杂的衡量概念，需要有合适的工具来量化和衡量背景。本研究旨在将阿尔伯塔省背景工具（ACT）翻译成挪威语，并在疗养院工作的注册护士（RN）和执业护士（LPN）中测试其信度和结构效度。
这是一项利用横断面设计的验证研究。样本由来自挪威一个市的 28 家疗养院的 956 名医护人员组成。在第一阶段，先对 ACT 进行翻译，然后在 28 家疗养院进行管理。在第二阶段，使用 Cronbach's alpha 和验证性因素分析探索内部一致性和结构效度。
在经过包括学术人员、专家、专业翻译和版权所有者在内的团队进行严格的前后翻译过程后，才对 ACT 的可接受版本进行试点和定稿。挪威版的 ACT 显示出良好的内部一致性，除正式互动外，所有概念的 Cronbach's alpha 均高于.75，而正式互动的 alpha 为.69。RN 和 LPN 的结构效度均可接受，大多数项目的因子负荷都超过.4。
挪威版的 ACT 是一种有效的挪威疗养院护理人员组织背景衡量工具。
