Assistant Professor, Nursing Practice Department, College of Nursing, University of Central Florida, Orlando, FL.
Chair of ANNA's Research Committee (2020-2021).
Nephrol Nurs J. 2021 Nov-Dec;48(6):537-546.
Comprehensive pre-dialysis discussions between providers and older adults over age 75 years are needed but often lacking. The aim of this study was to develop an instrument to assess behavioral determinants of nephrology provider use of comprehensive pre-dialysis discussions with older adults. Study design consisted of cross-sectional development of the instrument and preliminary psychometric evaluation. Items were based on an integrated literature review, expert clinician input, and the Theory of Planned Behavior. Nephrologists, nurse practitioners, and physician assistants completed the instrument (n = 71). Baseline demographic data, exploratory factor analysis, and Cronbach's alpha were analyzed. Initial factor analysis using principal components analysis and subsequent orthogonal rotation revealed loading on a four-factor model. Cronbach's alphas for the instrument/items were 0.89/0.83 to 0.94. Variance explained by the four factors was 58%.
需要在提供者和 75 岁以上的老年人之间进行全面的透析前讨论，但往往缺乏这种讨论。本研究的目的是开发一种工具来评估肾脏病学提供者在与老年人进行全面透析前讨论时使用的行为决定因素。研究设计包括仪器的横断面开发和初步心理测量评估。项目基于综合文献回顾、专家临床医生的意见和计划行为理论。肾脏病专家、护士从业者和医师助理完成了该工具的测试（n=71）。分析了基线人口统计学数据、探索性因素分析和 Cronbach 的 alpha。使用主成分分析和随后的正交旋转进行初始因子分析，结果显示出在四个因素模型上的负荷。该工具/项目的 Cronbach 的 alpha 为 0.89/0.83 至 0.94。四个因素解释的方差为 58%。
